Psychological Intervention
Parent management training is still viewed as the main treatment for Oppositional Defiant Disorder. Our program, How to Improve Your Child's Behavior which is available online, or some other parent training program is still considered essential if you want to help your child. Also, the younger your child is when you enroll in such a program, the better the results.
Conclusion: Advice to Parents
Currently, there is still far too little research on this very common disorder.
Medically, the most important consideration is to treat other disorders that come along with ODD. Considering that Ritalin may help alleviate the problem in 75-90% of ODD children who have ADHD, and considering that most children with ODD also have some degree of ADHD, I feel that it is very worth your while to try your ODD child on Ritalin unless you know for sure that he does not have ADHD. Depending upon your child's nature, the other treatments could be worth trying.
I feel that using Omega-3 supplements and a vitamin E supplement should be tried in all children. The reason is that most children have deficiencies in these nutrients. Even if it does not help with the ODD, it should make your child healthier.
Parent training is still the most effective means of dealing with Oppositional Defiant Disorder. The two main drawbacks of most of these programs are the expense and the availability.
Some practitioners charge $100 or more per visit and considering the program will take several months costs add up. Insurance usually will not pay for such programs. Many parents complain to me that they can not afford the program that their child so desperately needs.
In addition, these programs are not available everywhere. Over the years, numerous parents have told me that where they live there are no programs for Oppositional Defiant Children.
I created How to Improve Your Child's Behavior to address these two problems. It allows parents to help their children regardless of where they live and at a cost that is less than one office visit.
Even though it was an experiment to try to administer such a program online and to date no one else is doing this, over the past two years How to Improve Your Child's Behavior has proven time and again to help parents gain control of their defiant children.
It is tough to live with children who have ODD. However, if you make sure that your child has his other problems addressed and you improve your parenting skills by enrolling in a parent training program, you can do a great deal to improve your child's condition and his future.
Anthony Kane, MD ADD ADHD Advances
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