I could really use some help...

I really could use some help with dealing with my 9-year-old son, who may be dealing with this ODD disorder. He is very disrespectful towards myself, and I am his mother, also to his siblings not quite as bad, and a tiny bit with his father. He is fine with his friends and does great in school. I don't feel that physically hitting him is going to make the situation any better and is only making him resent me even more. How can I go about getting an accurate diagnose for his behaviors? Thanks, you may email me @ anytime.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

ODD is a psychiatric disorder that is characterized by two different sets of problems. These are aggressiveness and a tendency to purposefully bother and irritate others. It is often the reason that people seek treatment. When ODD is present with ADHD, depression, Tourette's, anxiety disorders, or other neuropsychiatric disorders, it makes life with that child far more difficult. For Example, ADHD plus ODD is much worse than ADHD alone, often enough to make people seek treatment. The criteria for ODD are:

A pattern of negativistic, hostile, and defiant behavior lasting at least six months during which four or more of the following are present:

1. Often loses temper

2. Often argues with adults

3. Often actively defies or refuses to comply with adults' requests or rules

4. Often deliberately annoys people

5. Often blames others for his or her mistakes or misbehavior

6. Is often touchy or easily annoyed by others

7. Is often angry and resentful

8. Is often spiteful and vindictive

The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.

All of the criteria above include the word "often". But what exactly does that mean? Recent studies have shown that these behaviors occur to a varying degree in all children. These researchers have found that the "often" is best solved by the following criteria.

Has occurred at all during the last three months:

Is spiteful and vindictive

Blames others for his or her mistakes or misbehavior

Occurs at least twice a week:

Is touchy or easily annoyed by others

Loses temper

Argues with adults

Actively defies or refuses to comply with adults' requests or rules

Occurs at least four times per week:

Is angry and resentful

Deliberately annoys people

The usual pattern is for problems to begin between ages 1-3. A lot of these behaviors are normal at age 2, but in this disorder they never go away. It does run in families. If a parent is alcoholic and has been in trouble with the law, their children are almost three times as likely to have ODD.

ODD is diagnosed in the same way as many other psychiatric disorders in children. You need to examine the child, talk with the child, talk to the parents, and review the medical history. Sometimes other medical tests are necessary to make sure it is not something else. You always need to check children out for other psychiatric disorders, as it is common the children with ODD will have other problems, too.

What can parents do? They can use the strategies outline in my eBook: http://www.myoutofcontrolteen.com/sl

Mark Hutten, M.A.

How do I get him to talk more freely about these issues?

Hi Mark. Have been using your strategies with my younger son (13), who by the way is not a child with tremendous challenges like my eldest son and many of your on-line parents’ children. I have been getting great positive behaviour responses, and I have become comfortable in using your strategies.

I can't recall when we have had such great conversations about what he would like to achieve and how he would like to increase his pocket money if he completed extra chores at home. He has moved away from an expected weekly allowance to ensuring he has completed what we agreed to for the money to even looking at other ways he can help me.

The only area I am having difficulties is when we recently watched a news report about teenage drinking, and drugs I asked him what he thought about the use of drugs and how they affected people. He answered, “I know all about it” and did not want to talk about it. I can only guess he relates these issues with what his brother is going through and tries not to worry about him. How do I get him to talk more freely about these issues??

___________

Hi,

You’re assuming he needs to talk about these issues. I know you’re worried about him, but if he needs to talk, he will – probably not to you however (no offense). He will most likely “vent his spleen” to his peers rather than any adult.

www.MyOutOfControlTeen.com

Does this happen to other moms as well?

Hi Mark,

We are finding your book very interesting. I have a question concerning parents and councellors. Often we are told to "butt out", “your daughters disorganization is due to your disorganization.” We were led to believe from one school councellor that our daughter’s difficulties all stemmed from our ADD son and we should have been spending more time with her.

Often our daughter speaks with these councellors, we never have access to them except to receive their criticism as our daughter is over the age of 16 and will not allow us to know anything.

They will allow us to vent, but we never get any feedback except these blunt comments.

As a mom, I cannot take these negative comments much longer. She started with a new councellor about 4 weeks ago and he wants to talk with just me (mom). I have found in past experience that usually in these instances, I get belittled into the ground, but if my husband comes it seems to change the picture. Is this just me or does this happen to other moms as well? I am tired of being made feel like I am the one with the problem.

Our daughter has Polycystic Ovarian Syndrome and by research on the net, this can lead to Type II Bipolar if left untreated, but we cannot find anyone who is willing to treat the initial disorder. She was put on mood stabilizers for type II bipolar, but is non-compliant in taking them.

E. & P.

_______________

Hi E. & P.,

Sending the kid to counseling is simply another “traditional” parenting strategy that has little or no benefit with “non-traditional” kids – and in too many cases, counseling makes a bad problem worse. One-on-one counseling with the child or with just a portion of the family is not recommended!! If the entire family can attend, then counseling may have some benefit. Even then, you will not get much bang for your buck (and you’re hearing this from a counselor -- me).

The best approach for dealing with strong-willed, out of control teens is outlined in the eBook …you need nothing else. Let me repeat this …you need nothing else. This charges you, dear parent, with the difficult work of reading the material thoroughly and making a whole-hearted effort to implement the recommended parenting strategies. This is YOUR job – not the counselor’s.

Re: not taking meds. This needs a consequence in the same way any other behavioral problem needs a consequence. (Please refer to “When You Want Something From Your Kid” in the Anger Management chapter of the eBook).

Here’s to a better home environment,

Mark

www.MyOutOfControlTeen.com