Understanding the Brain of a Defiant Teenager

Most moms and dads don’t understand why their defiant teens behave in an impulsive, irrational, and sometimes dangerous way. At times, it seems like these young people don’t think things through or fully consider the consequences of their actions. They differ from their "normal" peers in the way they behave, solve problems, and make decisions. There is a biological explanation for this difference.

Researchers have identified a specific region of the brain called the amygdala, which is responsible for instinctual reactions (e.g., fear, aggressive behavior). This region develops early; however, the frontal cortex (i.e., the area of the brain that controls reasoning and helps us think before we act) develops later. This part of the brain is still changing and maturing well into the early- to mid-twenties.

Other specific changes in the brain during the teenage years include a rapid increase in the connections between the brain cells and pruning (i.e., refinement) of brain pathways. Nerve cells develop myelin (i.e., an insulating layer which helps cells communicate). All these changes are crucial for the development of coordinated thought, action, and behavior.

Pictures of the brain in action show that the brain of a teen diagnosed with Oppositional Defiant Disorder (ODD) functions differently than “normal” teens when it comes to decision-making and problem-solving. The ODD teen’s actions are guided more by the amygdala and less by the frontal cortex. Research has also demonstrated that head trauma and exposure to drugs or alcohol interfere with normal brain development during the teenage years.

Based on the stage of their brain development, ODD teens are more likely to misread or misinterpret social cues and emotions, get involved in fights, get suspended or expelled from school, get into accidents of all kinds, engage in dangerous or risky behavior, and act on impulse. These young people are less likely to modify their dangerous or inappropriate behaviors, pause to consider the potential consequences of their actions, or think before they act.

These brain differences don’t mean that ODD teens can’t make good decisions or tell the difference between right and wrong. And it certainly doesn’t mean that they shouldn’t be held responsible for their poor choices. But an awareness of these differences can help moms and dads – and teachers – to understand, anticipate, and manage the behavior of these “special needs” teens. 

Watch the video below for a parent-education program designed specifically for parents of defiant teens:

 

==> My Out-of-Control Teen: Help for Parents

Tips for Parents of "Special Needs" College-Bound Teens

Graduating from high school and planning for life afterwards is an exciting AND challenging time for older teens and their parents. For adolescents with psychiatric diagnoses, it is especially important to plan ahead for a successful "launch” from high school to a university.

All universities are different. It is important to investigate the mental health services and other supports available at each university you are considering.

Some topics to investigate and consider include:
  • Availability of student advocacy groups and outreach services to support students with special needs
  • Can the psychiatric condition be successfully managed on campus, or will additional community resources be required?  Consider ease of access to off-campus providers
  • How are medical and counseling services paid for? Does a student fee cover everything or is your insurance accepted? 
  • The availability of a Counseling Center, Student Health Services, and off-campus mental health resources

Before applying to a university, it is helpful for adolescents and their moms and dads to talk with their physician about the following:
  • Developing realistic expectations and plans about academic workload
  • Educational accommodations that can and should continue in college
  • Organizational skills needed to balance work and social life
  • Treatment needs and additional support after high school

When choosing a university, think about the following: 
  • Distance from home
  • Ease of access to specialized treatment
  • Educational environment (e.g., classroom, online, or a combination)
  • Housing options (e.g., dorms, off-campus living, commuting from home)
  • Local friends and family
  • Total number of students and class size

In order to live independently, college-bound adolescents will need a range of life skills, including:
  • Running errands (e.g., grocery, gasoline)
  • Doing chores (e.g., laundry, cooking, and cleaning)
  • Navigating public transportation and knowing how to get around new areas
  • Money management (e.g., using ATM’s, credit and debit cards, checkbook, online banking)
  • Healthy nutrition and exercise
  • Handling increased social freedom and pressures (e.g., drugs and alcohol, dating and sex)
  • Good sleep habits

 ==> My Out-of-Control Teen: Help for Parents

Universities have more work with less structure. College-bound adolescents need to develop effective study skills such as:
  • Accepting responsibility and consequences for actions (e.g., missing a deadline) and learning how to plan for contingencies
  • Attending educational planning meetings (e.g., 504 plan, IEP, etc.) 
  • Balancing educational and recreational computer use
  • Completing homework, essays, and projects without reminders or involvement from mom or dad, professors, or tutors
  • Knowing schedules for classes
  • Organizing study materials

Moms and dads should encourage independence in healthcare management. Gradually phase in responsibility for: 
  • Knowing and talking about their health history
  • Scheduling, canceling, and keeping medical appointments
  • Storing and keeping medications safely
  • Tracking need for and ordering medication refills

There is more than just one route to a college degree. Other choices include "gap year" programs, part-time work and school, or a community college. Graduating from high school is a momentous occasion. Developing independent life skills and learning to manage mental health issues will help ensure a successful transition.

 

==> My Out-of-Control Teen: Help for Parents

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