“My most important rule is that parents should not take ODD behavior personally,” says Riley. “Remain calm and friendly whenever you intervene. Oppositional kids have radar for adult hostility. If they pick up your anger, they’re going to match it.”
) knows what it’s like to deal with ADHD behavior problems — sometimes even the most well-behaved child lashes out, or refuses to comply with even the most benign request. But almost half of all parents who have kids with ADHD live with severe behavior problems and discipline challenges on an almost daily basis. For them, parenting a defiant child is a daily strain.
Another view is that oppositional behavior is simply a way for kids to cope with the frustration and emotional pain associated with having ADHD. About half of all preschoolers diagnosed with ODD outgrow the problem by age 8. Older kids with ODD are less likely to outgrow it. And left untreated, oppositional behavior can evolve into conduct disorder, an even more serious behavioral problem marked by physical violence, stealing, running away from home, fire-setting, and other highly destructive and often illegal behaviors.Any child with ADHD who exhibits signs of oppositional behavior needs appropriate treatment.
The therapist should screen your child for anxiety and mood disorders. Each can cause oppositional behavior, and each calls for its own form of treatment. The therapist may also recommend cognitive therapy for the child, to help him cope effectively with difficult situations.In most cases, however, the treatment of choice for ODD is parent management training, in which the family therapist teaches the parents to change the ways they react to their child’s behavior — both good and bad.
While some parents balk at the notion that they are the ones in need of training, “they have to learn how to stop getting into the arena with the child and descending to the level of squabbling,” says Silver. Parents often feed the problem by delivering overly harsh or inconsistent discipline. Instead, parents must reassert their authority by setting up well-defined rewards and punishments, and then implementing them consistently and dispassionately.
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