Oppositional Defiance Disorder in Adults

Oppositional Defiance Disorder (ODD) is classified as a mental disorder characterized by a persistent pattern of defiant, aggressive and disobedient behavior. In children, the rebellious behavior of ODD is directed towards authority, whether it be parents or teachers. If it's not cured or resolved, a child with ODD can later develop Conduct Disorder (CD) as an adult.

Considerations

• Children with ODD are four times more likely to develop a personality disorder in adulthood, such as Conduct Disorder or Anti-Social Personality Disorder, than children without ODD.

Identification

• ODD may be caused by psychological, social and biological factors. A family history of ADHD, mood disorders and substance abuse can predispose one to ODD.

Significance

• ODD in adults is characterized by a pattern of behavior that violates the basic human rights of others, as well as disobeying societal rules.

Function

• Adults with ODD/CD tend to have destructive personalities, including the inability to get along well with others and falling into trouble often. On the other hand, some may exhibit very reclusive and withdrawn personalities.

Treatment

• Treatment plans for ODD and CD in adults are usually catered to the specific needs of the person, and may include atypical antipsychotic medications such as olanzapine, risperidone and quetiapine.