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Home > Patients & Visitors > Diseases & Conditions > Mind > Oppositional Defiant Disorder (ODD)

Oppositional Defiant Disorder (ODD)


Oppositional defiant disorder (ODD) is persistent behavioural pattern of angry or irritable mood; argumentative, defiant behaviour toward authority figures; and vindictiveness lasting at least 6 months. In some children with ODD, these behaviours are only in evidence in one setting – usually at home. In more severe cases, they occur in multiple settings. For a diagnosis of ODD, the frequency and intensity of these behaviours must be outside the typical range for the child’s gender, culture and developmental level.

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A diagnosis of ODD is provided if (1) the individual shows at least four symptoms; within the past 6 months.


  • Often loses temper
  • Is often touchy or easily annoyed
  • Is often angry and resentful
  • Often argues with authority figures or, for children and adolescents, with adults
  • Often actively defies or refuses to comply with requests from authority figures or rules
  • Often deliberately annoys others
  • Often blames others for his or her mistakes or misbehaviours
  • Spiteful or vindictive at least twice within the past 6 months 



Children or adolescents with Oppositional defiant disorder often benefit from a range of treatment methods used in combination.


Structure – Depending on the severity of the child’s behavior, a secure and structured environment may help him or her cooperate better with others and participate more in social activities.


Talking therapy – This may include cognitive behavioural therapy (a type of psychotherapy that aims to change the way a person thinks and behaves) and training in collaborative problem solving skills (skills that equip the adult caregiver to better understand the child or adolescent’s behavior and work together with him or her to change behaviours). Individual or group training in social and anger management skills may also be useful for the child/adolescent.


Organised activities – These include sports and recreational activities that encourage socially acceptable behavior and participation in peer groups


Parenting skills – Parents should be equipped to provide consistent and effective discipline. Collaborative problem solving and behavioural management strategies can also help parents better care for their child. 

Appointment and Enquiry



Neuroscience Clinic

Kent Ridge Wing, Level 4

National University Hospital

5 Lower Kent Ridge Road

Singapore 119074


Operating hours:

8.30am-5.30pm (Mondays-Fridays)

Closed on Saturdays, Sundays and Public Holidays


University Medicine Cluster Appointment Line/ General Enquiries:

Tel: 6772 8686

Fax: 6734 1641

Email: umcapptline@nuhs.edu.sg