Oppositional defiant disorder vs conduct disorder
Childhood-onset disruptive behaviors: ODD is argumentative/defiant without serious rule violations; CD adds serious violations of others' rights.
How it presents
ODD: angry/irritable mood, argumentative/defiant behavior, vindictiveness ≥6 months. CD: aggression to people/animals, destruction of property, deceitfulness/theft, serious rule violations
Tell it apart from
- ADHD
- Intermittent explosive disorder
- Bipolar disorder
Treatment reasoning
Parent management training (PMT) / parent-child interaction therapy (PCIT), functional family therapy, multisystemic therapy (MST) for severe CD.