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Oppositional defiant disorder (authority issues) symptoms

Oppositional Defiant Disorder

The essential feature of Oppositional Defiant Disorder is a recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures that persists for at least 6 months (Criterion A) and is characterized by the frequent occurrence of at least four of the following behaviors: losing temper (Criterion A1), arguing with adults (Criterion A2), actively defying or refusing to comply with the requests or rules of adults (Criterion A3), deliberately doing things that will annoy other people (Criterion A4), blaming others for his or her own mistakes or misbehavior (Criterion A5), being touchy or easily annoyed by others (Criterion A6), being angry and resentful (Criterion A7), or being spiteful or vindictive (Criterion A8). To qualify for Oppositional Defiant Disorder, the behaviors must occur more frequently than is typically observed in individuals of comparable age and developmental level and must lead to significant impairment in social, academic, or occupational functioning (Criterion B). The diagnosis is not made if the disturbance in behavior occurs exclusively during the course of a Psychotic or Mood Disorder (Criterion C) or if criteria are met for Conduct Disorder or Antisocial Personality Disorder (in an individual over age 18 years).

Diagnostic criteria for Oppositional Defiant Disorder

  1. A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four (or more) of the following are present:
    1. often loses temper
    2. often argues with adults
    3. often actively defies or refuses to comply with adults' requests or rules
    4. often deliberately annoys people
    5. often blames others for his or her mistakes or misbehavior
    6. is often touchy or easily annoyed by others
    7. is often angry and resentful
    8. is often spiteful or vindictive

    Note: Consider a criterion met only if the behavior occurs more frequently than is typically observed in individuals of comparable age and developmental level.

  2. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
  3. The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder.
  4. Criteria are not met for Conduct Disorder, and, if the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.

Read the full DSM-IV-TR entry