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Dsm 5 oppositional defiant disorder
Oppositional Defiant Disorder
Dsm 5 oppositional defiant disorder
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The individual is a nine-year-old African American female who presents with Oppositional Defiant Disorder, Moderate. The individual displays symptoms of oppositional defiant behaviors in the home, school, and community (daily) as evidence by her engaging in verbal and physical altercations with her peers and siblings (daily), and does not want to be bothered by anybody (2-3x weekly); displaying defiant, disruptive and aggressive behavior (3-5x weekly) weekly as evidence by her not complying with the rules in the home and school setting (daily), negative attitude towards authority figures (daily); often loses her temper (2-3x weekly); argues with her teachers (2-3x); and will refuse to comply with simple rules and request (daily). In the home
Ashley has a previous diagnosis of Attention Deficit Hyperactive Disorder and Oppositional Defiant Disorder. Ashley has poor judgment, is impulsive, and is defiant toward authority figures and peers. This affects Ashley’s ability to achieve to her fullest potential academically, and have positive interactions with adults, or peers. She also displays low frustration tolerance, and is easily triggered in situations and by other people. Her impulsive reactivity often worsen situations, especially due to the lack of insight Ashley has about her behaviors. Ashley’s inability to regulate her emotions heightens her reactivity in triggering situations. Her sexual acting out, and reason for referral can be attributed to her poor judgment, and inability to control her
The Ethical Issues of Disruptive Behavior in Health Care Disruptive behaviors such as bullying, incivility, and horizontal/lateral violence are prevalent issues in the health care field. These behaviors not only create hostility among colleagues, but they also decrease safety and can increase the cost of patient care. The effect disruptive behavior has on patient care and team morale are reasons for action against this issue. Disrespectful behavior violates the code of ethics for nurses, which are ethical standards set by the American Nurses Association (ANA) (Lachman, 2014).
Oppositional Defiant Disorder is a pattern of negativistic, hostile, and defiant behavior lasting at least six months, during which four (or more) of the following are present:
Social psychologists conclude that the frustration-aggression hypothesis remains tentative and that multiple factors may be associated with the expression of aggressive behavior. Critics of the frustration aggression theory point out that frustration does tend to lead to aggression in some circumstances but not always (Berkowitz, 1990). Theorists also suggested that a broader term than frustration should be used as the source of aggression because aggression can be elicited or instigated by other factors, such as the character and perceived intent of the instigator, personality factors and life experiences of the frustrated individual, and environmental conditions (Meyer,
Conduct Disorder has been a part of the American Psychological Association’s Diagnostic Statistical Manuel (DSM) since its original release date in 1994. Although, there is new information about the disorder that was previously unknown, Conduct Disorder is distinguished by a “repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms or rules are violated” (American Psychiatric Association, 1994.) This mild, moderate, or severe antisocial behavior begins to appear either in childhood, categorized as early-onset conduct disorder , or in adolescence after ten years of age, classified as adolescent-onset conduct disorder (Passamonti et al., 2010.) The criteria to meet to be diagnosed with this disorder are separated into four subgroups: aggressive conduct, nonaggressive conduct, deceitfulness or theft, and serious violations of the rules. Three or more incidents must be present in the past twelve months with at least one of the characteristics being present in the past six months. This disorder causes severe impairment of functioning across a variety of situations so it is important to keep in mind society and individual situations because this diagnosis may be “misapplied to individuals in settings where patterns of undesirable behavior are sometimes viewed as protective” (American Psychiatric Association, 1994.) For example, a patient that has recently relocated from a war torn country would most likely not be a candidate for Conduct disorder even though he or she may exhibit some of the characteristics.
For the sake of this assignment I will have to use the term “client” very loosely for this population. One interaction I can think of is with D.B. an 8 year-old girl who has been diagnosed with Oppositional Defiant Disorder (ODD). ODD as described in our text, is characterized by a pattern of defiant, hostile, and negativistic behaviors (Lambert, 2005; AACAP, 2009). For D.B, she would often display behaviors towards others that were vindictive and spiteful in nature, she would through temper tantrums at a drop of a dime, frequently act out inappropriately by deliberately doing things that annoy others and persistently test limits, as well as be hypersensitive or touchy in regards to others feedback to her. Her behaviors have disrupted her performance day-to-day functioning in various contexts, specifically in her home environment, interacting socially with peers when playing, and in an educational setting.
Oppositional Defiant Disorder is a childhood behavior problem by extreme child hood actions. Early intervention and treatment is important, because otherwise the child could have ODD their entire life. It can go away with time otherwise precautions have to be taken by the family. ODD isn’t something that can simply be over looked, because it doesn’t simply affect the child and lifestyle it affects everyone evolved with them. If someone was to notice ODD in a child, don’t try to tame it themselves, the child may have to be taken to the doctor. ODD is simple and is being diagnosed more and more every day.
The subject, Shirley J., is a 49 year old African American female. Shirley J. has several advanced degrees and is employed as a school psychologist in a metropolitan school district. She is married with two adult children. The subject readily agreed that the target behavior, verbal aggression, is a problem as it interferes with her relationships with others. She was enthusiastic in her desire to reduce, if not eliminate, this behavior. It would seem that self-monitoring for verbal aggression and antecedent control would be valuable as it would allow for consistent avoidance of verbal aggression. As a school psychologist the subject was very familiar with the basic principles of applied behavioral analysis and frequently offered programmatic suggestions. A behavioral contract was developed jointly between the therapist and subject. The contract outlined the target behavior, success criteria, and individual responsibilities of the therapist and subject. (see Appendix A)
Nathalie is a ten-year-old female who lives with her parents and older sister. She was referred to counseling for school refusal behavior. She has been getting home schooled for two years. She could be very resistant, and display tantrums when people attempt to get her to school or study her lessons. Her primary caregiver is her mother who is a house worker. Family business failed years ago and then her father found another job and works usually away from the home. Her mother had a serious car accident about seven years ago and has been dealing with its effects since then. School Refusal Assessment Checklist (SRAS-R) and Child Behavioral Checklist (CBCL) Parents version were administered. According to assessment results, Nathalie’s primary
Most of the children have been diagnosed with ADHD, Bipolar and ODD. The families deal with a lot of issues at home and school in regards to aggressive behaviors. I am glad the I choose this article to read because it gave me a better insight on these presenting behaviors how to approach it. Engaging families in working towards solutions that will work for them can come with many challenges but overall it is beneficial. Although every family I work with will come with various issues I truly believe that SFFT is one approach that can provide useful tools to engage and work
Many think that all that has to be done to cure a delinquent behavior in an adolescent is to have stricter rules to constrain them. The purpose of treatment for conduct disorder is to prevent further delinquency behavior. In order to come up with a treatment plan, a therapist must know what events or emotions triggered the conduct disorder and the individual’s interaction with their different environments. When treating conduct disorder the process consists of practicing psychotherapy and medication. Derek’s therapist put him through cognitive-behavioral therapy, which tries to improve problem solving skills, anger management, moral reasoning skills, and impulse control. Family therapy may also help with an individual’s disorder so one can gather the family’s feelings and teach them how to help their child. If one is not treated quickly and effectively for conduct disorder he or she may be at risk for developing other mental
Although Merry Go Round Learning Center had their rules posted in separate categories for different areas, such as outside and inside, they did not have a formal behavior expectation matrix. Based on the rules observed at the center a sample matrix has been made. See Appendix A for the behavior expectation matrix.
In this paper several aspects of play therapy will be reviewed in depth. The overview of this paper will consist of the use of puppets in therapy to address children (ages 6-12) with Oppositional Defiant Disorder (ODD). An overview of the history and development of children with ODD and puppetry will be discussed. A comparison of the effectiveness of the different play therapy interventions that are used today to aid children with ODD will be highlighted. Moreover a discussion of the comparison of ODD symptoms and how using puppets as an intervention can increase better therapeutic outcomes for children with ODD. Furthermore this paper identifies gaps in the literature and considers new contributions to the research.
As a result, the parents realize some of the techniques that they can use to parent the children. The parent-child relationship significantly improves the problem behavior that a defiant and oppositional person shows (Cannon, 2013). Since Will has been abused by the parent leading to his current status of socialization, it would be imperative to reconstruct the relationship between him and the mother with the help of a therapist. Individual and family therapy is necessary for individuals with Will’s disorder because it aid the in the management of anger and be able to express the feeling in a way that is healthier. One of the most important techniques in individual therapy is his behavior modification technique, for example, the use of consequences depending on the needs of the person. Family counseling, on the other hand, helps individuals improve their communication and relations they have with relatives and another member of the family. Family therapy is particularly crucial as it is useful in controlling the behavior of defiant, oppositional individuals (Cannon, 2013). The case of Will appears extreme and, therefore, the parents must be willing to develop more effective parenting approaches accompanies with
Each session, I observe students being assessed on their daily behavior; all students attending the alternative program are identified as having emotional/behavior disorders. The daily behavior goals are individualized, correlating to each student’s Individual Educational Plan (IEP) (for example, proper use of coping skills, on-task, personal space, and non-disruptive); the students are assessed each hour based on a score of 0-5. The daily behavior sheet is filled out by the teacher, individually discussed with each student, and sent home for the parent(s) to sign. This assessment allows the teacher, and other members of the IEP team, to track the behavior progress and aids in creating future steps for each student.