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The treatment of Oppositional defiant disorder (ODD) will involve multiple approaches designed to help both the youngster and their parents, sometimes including medication. A therapist will help a child learn ways to regulate their emotions, curb their impulsiveness, and counteract anger, defiance, and disruption, while showing parents ways to bring these lessons into their home. A technique designed for children with conditions like ODD, known as Collaborative and Proactive Solutions (CPS), may also be used. CPS addresses a child’s concerns and rewards appropriate responses while discouraging harsh punishment or criticism.

Treatment for ODD addresses the issues underlying a child’s defiance and disruption, the emotional regulation and impulse-control skills they lack, and the way adults respond to them. ODD therapy is based on the idea that children with the disorder understand the difference between right and wrong, that they want to behave well, and that, with help, they can. By responding to the child with empathy instead of harsh criticism, ignoring nonviolent behaviors, and rewarding positive actions, a therapist, and the other adults in a child’s life, can help children improve their behavior.

Therapy for oppositional defiant disorder is not a short-term undertaking. Depending on the severity of a child’s symptoms, their age, the presence of other conditions like ADHD, anxiety or a mood disorder, and their family dynamic, it can take months before improvement is noted. The cooperation of parents and teachers is crucial, because the skills learned in therapy must be practiced in real-world situations, with all their potential triggers.

ODD can remit following treatment. ODD is often diagnosed in nursery school, and early intervention is essential for a positive prognosis. In two-thirds of children, according to the American Academy of Child and Adolescent Psychiatry, symptoms resolve within three years.