The opposite provocative disorder, also known as TOD, usually occurs during childhood and is characterized by frequent behaviors of anger, aggression, revenge, defiance, provocation, disobedience, or resentment, for example.
Treatment usually consists of psychotherapy sessions and training parents to better cope with the disease. In addition, in some cases, the use of medication, which should be prescribed by the psychiatrist, may be justified.
Behaviors and symptoms that may occur in children with difficult opposing disorders include:
To be diagnosed with a difficult opposite disorder, the child may show only a few symptoms.
DSM-5 classifies risk factors for the development of difficult opposing disorders such as capricious, environmental, genetic and physiological.
Temperament factors are related to emotional regulation issues and help predict the onset of the disorder. In addition, environmental factors, such as the environment in which the child is inserted, related to aggressive, inconsistent or negligent behavior by the child’s parents, also contribute to the development of the disorder.
According to DSM-5, TOD can be diagnosed in children who often have more than four symptoms on the following list, lasting at least six months and with at least one person who is not a sibling:
One should be aware that challenging the opposite disorder may be more than acting provocatively or initiating a tantrum, which is common in children, as temporary opposition behavior can be part of normal personality development. Therefore, it is important that parents, guardians and educators are part of the normal development of the personality. capable of distinguishing between normal opposition behaviors for the child’s development, since the child acquires autonomy from a disorder of behavior, in which excessive aggressive behaviors predominate, cruelty to people and animals, destruction of property, lies, tantrums and constant disobedience.
The treatment of the opposing disorder challenge can be very varied and involves promoting the formation of parents, with the aim of interacting more effectively with the child and taking family therapy to support and support the family.
In addition, the child may need psychotherapy sessions and, if desired, the psychiatrist may prescribe antipsychotic or neuroleptic medications, such as risperidone, quetiapine or aripiprazole, mood stabilizers, such as lithium carbonate, sodium divalproate, carbamazepine or topiramate, antidepressants, such as fluoxetine, sertraline, paroxetine, citalopram, escitalopram or venlafaxine and/or psychostimulants for the treatment of ADHD, due to frequent association with DOT, such as methyl methyl.
Learn more about attention-deficit hyperactivity disorder (ADHD).