Oppositional defiant disorder
A disorder characterized by a persistent pattern of angry or irritable mood, argumentative or defiant behavior, or vindictiveness. The pattern occurs in interactions with at least one person outside of siblings, causes significant distress in the individual or others, and adversely affects functioning.
Symptoms
- Irritable mood – frequent loss of temper (also: Irritable mood, frequent loss of temper, irritability, quick temper, anger outbursts)
- Argumentativeness and deliberate rule violation (also: Argumentativeness, deliberate rule violation, arguing with adults, deliberately annoying others, ignoring rules)
- Refusal to comply with authority figures (also: Refusal to comply with authority, non-compliance with requests, defiance of authority, refusing instructions, opposing directives)
- Anger outbursts and emotional dysregulation (also: Anger outbursts, emotional dysregulation, temper tantrums, explosive anger, uncontrolled anger)
- Duration >=6 months (persistence criterion) (also: at least 6 months duration, persistent pattern, chronic behavior, long-standing defiance, >=6 months)
- Vindictiveness (spitefulness) (also: Vindictiveness, spitefulness, deliberate retaliation, desire for revenge, spite)
- Blame externalisation – blaming others for own mistakes (also: Blame externalisation, blaming others for mistakes, refuses responsibility, external attribution, shifting blame)
- No serious criminal acts or physical aggression toward others (differentiates from CD) (also: No serious criminal acts, no violence, no property destruction, differentiation from conduct disorder, absence of serious aggression)
Differential diagnosis
When diagnosing Oppositional defiant disorder, the following ICD-11 disorders should be considered in the differential diagnosis:
Synonyms and related terms
Irritable mood, frequent loss of temper, irritability, quick temper, anger outbursts, hot temper, Argumentativeness, deliberate rule violation, arguing with adults, deliberately annoying others, ignoring rules, Refusal to comply with authority, non-compliance with requests, defiance of authority, refusing instructions, opposing directives, emotional dysregulation, temper tantrums, explosive anger, uncontrolled anger, at least 6 months duration, persistent pattern, chronic behavior, long-standing defiance, >=6 months, Vindictiveness, spitefulness, deliberate retaliation, desire for revenge, spite
Frequently asked questions
What are the symptoms of Oppositional defiant disorder?
Symptoms associated with Oppositional defiant disorder (ICD-11 6C90) include: Irritable mood – frequent loss of temper, Argumentativeness and deliberate rule violation, Refusal to comply with authority figures, Anger outbursts and emotional dysregulation, Duration >=6 months (persistence criterion), Vindictiveness (spitefulness), Blame externalisation – blaming others for own mistakes, No serious criminal acts or physical aggression toward others (differentiates from CD).
What disorders are in the differential diagnosis of Oppositional defiant disorder?
The differential diagnosis of Oppositional defiant disorder (6C90) includes: Zaburzenie związane z okresowymi zachowaniami eksplozywnymi (6C73).
WHO ICD-11 source
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