Oppositional Defiant Disorder

Oppositional Defiant Disorder

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Oppositional Defiant Disorder Treatment Services

Oppositional Defiant Disorder (ODD) is a behavioral health condition most commonly diagnosed in children and adolescents, characterized by a persistent pattern of angry or irritable mood, argumentative or defiant behavior, and vindictiveness toward authority figures. ODD can significantly affect a child’s relationships with parents, teachers, and peers — creating challenges at home, in school, and in social settings. At Second Chance Services LLC, we provide specialized ODD evaluation and treatment for children and adolescents in Maryland and Washington DC, helping young patients and their families navigate this challenging condition with expert clinical support.

Children with ODD often exhibit behaviors such as frequent temper outbursts, refusing to comply with rules or requests, deliberately annoying others, blaming others for their mistakes, and displaying persistent hostility. These behaviors go beyond typical childhood defiance — they are consistent, disruptive, and often cause significant distress for the child and their entire family. It is important to understand that ODD is a legitimate psychiatric condition, not simply a matter of bad behavior or poor parenting.

At Second Chance Services, ODD treatment begins with a comprehensive psychiatric evaluation. Our experienced clinicians assess behavioral symptoms, developmental history, family dynamics, school performance, and any co-occurring conditions — because ODD frequently presents alongside ADHD, depression, anxiety, or conduct disorder. Accurate, comprehensive diagnosis is essential for effective treatment planning.

Treatment for ODD at Second Chance Services is individualized and typically combines behavioral interventions, parent training and coaching, psychoeducation for families, and — where clinically indicated — psychiatric medication management for co-occurring conditions. Our clinicians work closely with parents and guardians, equipping families with practical strategies for managing defiant behavior, setting healthy boundaries, and fostering a more positive relationship with their child.

We take a non-punitive, compassionate approach to ODD treatment. We recognize that children with ODD are often struggling with underlying emotional or neurological challenges, and we are committed to helping them develop the emotional regulation skills, behavioral flexibility, and social competencies they need to succeed.

Second Chance Services LLC serves families throughout Maryland and Washington DC and accepts Maryland Medicaid, Medicare, Aetna, Cigna, United Healthcare, CareFirst BlueCross BlueShield, and many other insurance plans. Self-pay options are available. Contact us today to schedule an evaluation for your child.

Service Areas

We Serve in Both the Maryland and DC Provinces

At Second Chance Services LLC, we make accessing quality behavioral health care simple, supportive, and stress-free — for individuals and families across Maryland and Washington DC.

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Frequently
Asked Questions

What is oppositional defiant disorder (ODD)?
ODD is a behavioral health condition in children and adolescents characterized by persistent patterns of angry mood, argumentative behavior, defiance toward authority, and vindictiveness lasting at least six months.
How is ODD different from normal defiance in children?
While all children may be oppositional at times, ODD involves a consistent, severe, and long-lasting pattern of behavior that significantly disrupts daily life at home, school, or in social settings.
Does ODD co-occur with ADHD?
Yes. ODD frequently co-occurs with ADHD, depression, anxiety, and conduct disorder. Our evaluations are designed to identify all relevant diagnoses and create a comprehensive treatment plan.
How is ODD treated?
Treatment typically includes behavioral therapy, parent management training, and psychoeducation. Medication may be used to treat co-occurring conditions such as ADHD or depression.
At what age can a child be evaluated for ODD?
ODD can be diagnosed in school-age children (typically 6 and older), though behavioral concerns can be assessed at younger ages. Contact our office to discuss your child's specific situation.