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Diagnostic Protocol

The document provides a diagnostic protocol for oppositional defiant disorder. It lists symptoms such as angry and irritable mood, arguing with authority figures, and deliberately annoying others. The criteria specify that symptoms must occur frequently for at least 6 months for children under 5 or once per week for those ages 5 and older. Severity is classified as mild, moderate, or severe depending on how many settings the symptoms present in. The source is listed as the DSM-5.

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41 views

Diagnostic Protocol

The document provides a diagnostic protocol for oppositional defiant disorder. It lists symptoms such as angry and irritable mood, arguing with authority figures, and deliberately annoying others. The criteria specify that symptoms must occur frequently for at least 6 months for children under 5 or once per week for those ages 5 and older. Severity is classified as mild, moderate, or severe depending on how many settings the symptoms present in. The source is listed as the DSM-5.

Uploaded by

api-210879857
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Diagnostic Protocol

Diagnostic grouping: Behavioral misconduct


Specific diagnosis: Oppositional defiant disorder
Angry/irritable mood
Often loses temper
Is often touchy or easily annoyed
Is often angry resentful
Argumentative/defiant behavior
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 with rules
Often deliberately annoys others
Often blames others for his or her mistakes or misbehaviors
Vindictiveness
Has been spiteful or vindictive at least twice within the past 6 months.
Criteria
For children younger than 5 years, the behavior should occur on most days
for a period of at least 6 months unless otherwise noted.
For individuals 5 years or older, the behavior should occur at least once per
week for at least 6 months, unless otherwise noted
Severity
Mild: Symptoms confined to only one setting
Moderate: Some symptoms are present in at least two settings
Severe: Some symptoms are present in three or more settings
Source:
Behavioral Misconduct. (2013). In Diagnostic and statistical manual of mental disorders: DSM5. (5th ed.). Washington, D.C.: American Psychiatric Association.

Identified problems
Anger outbursts
Aggressive behavior
Lack of ability to relate to peers
Easily annoyed
Lack of respect for peers and elders
Lack of accountability
Inability to socially interact in group settings
Inability to express appropriate emotion for the situation

Related factors or etiologies


Adolescents show a higher rate of substance use disorders
Increased risk for anxiety and major depressive disorders
Increased risk for ADHD
Increased incarceration, truancy, juvenile justice system
Conduct disorder
Social isolation
Process criteria
Social skills
Building positive relationships
Working with others/cooperation
Respect of others
Developing empathy
Boundaries
Community engagement initiatives and outings
Service learning program
Anger management
Coping skills
Emotional control/regulation
Communication
Physical activity routine (yoga, breathing, relaxation)
Adventure based programs
Animal assisted therapy program
Problem solving
Challenge course initiatives
Psycho educational groups
Communication skills
Group initiatives, games, and activities
Outcome Criteria
Decrease anger outbursts and aggressive behavior
Improve emotional regulation
Learn and practice healthy coping techniques
Developing coping skills and resources
Increase social interaction skills
Increase respect for self and others
Increase clients ability to effectively communication with peers
K. Baucom, TRS, CTRS (student)
10/06/2014

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