1. What do you think an alternative diagnosis might be given for a child with ODD-mild, who only shows symptoms at school?
Simultaneously a therapist classifying a client under the disruptive, impulsive-control, and conduct disorder category, should initially eliminate the possibility of Attention Deficit Hyperactivity Disorder (ADHD). Symptomatically, individuals who suffer from Oppositional Defiant Disorder (ODD) or ADHD diagnostically could overlap, making it at times, difficult to distinguish the two disorders (e.g. impulsivity, frequent outburst, lack of self-control of emotions and behaviors). An indicator to distinguish the two disorders is to focus/assess reasoning, how, and why behaviors are occurring; furthermore, a therapist could examine the source of the behaviors/symptoms. A child diagnosed with ODD, while only showing symptoms at school, makes me question the possibility that it could actually be ADHD. Particularly in the school setting, children are required …show more content…
Whereas the known neurological cause of ODD is assumed to be a mixture of chemical imbalance and brain structure (Shapiro, 2011). Additionally, studies show, with the use of brain imaging, slight cerebral differences in areas used to perceive, reason, and self-constraint (AACAP, n.d.). Specifically, areas contributing to the cerebral differences include the amygdala (emotion), prefrontal cortex (judgment and planning), and including the right caudate and globus pallidus (neuro circuit); Furthermore, research indicates irregular amounts of serotonin, norepinephrine, and dopamine (AACAP, n.d.). When the brain is not properly signaling, this could result in decreased mood regulation, increase in impulsive actions, and negative interactions with perceived