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<blockquote data-quote="JC RoseWoods" data-source="post: 761796" data-attributes="member: 28727"><p>ODD is a substantiated diagnosis within the DSM-5 and got to that point from the supportive research into the disorder. I also find it odd (no pun intended) that some choose not to recognize the diagnosis. It may evolve with the next DSM-5, but it’s imperative that we utilize the correct terminology and approved DSM-5 diagnostic criteria as this will continue to progress BH into a more consistent medical practice. Be assured that the inconsistency in diagnoses can be frustrating to providers too. I would give this unsolicited advice, the diagnosis shouldn’t be misconstrued as a branding. The most important aspect of a diagnosis of is to identify and support the best treatment options available. </p><p></p><p>This brings me to Intuniv and ODD. ODD and ADHD are loosely correlated as primarily impulse control disorders. That’s a moderate oversimplification, but this forum isn’t grad-school requiring APA format in this posting. There is some interesting preliminary research about the potential benefits of ADHD treatments also having some success with ODD which isn’t all that surprising giving these disorders having a comorbidity risk (frequently show up together). </p><p></p><p>Lastly, I’m going to say that BH is rarely a single treatment recommendation. I’ve said the following to most of my patients at one time or another:</p><p></p><p>There are the primary approaches to treatment. Medications alone. Evidence-based psychotherapy (EBP) alone, and the combined approach which predominantly demonstrates higher efficacy rates and longer periods of symptom remission. Although I’m a prescriber by degree, I see medications alone as the least beneficial and will pretty much always hold EBP in higher regard that psychotropics. </p><p></p><p>Lastly I will ask you to consider this last thing. I have the background that I do but still feel powerless having raised an ODD son that appears to have progressed to borderline PD, and now our youngest with CD. It’s hard enough being a parent and feeling judged about your parenting because of the choices your children make regardless of rewards or consequences.</p></blockquote><p></p>
[QUOTE="JC RoseWoods, post: 761796, member: 28727"] ODD is a substantiated diagnosis within the DSM-5 and got to that point from the supportive research into the disorder. I also find it odd (no pun intended) that some choose not to recognize the diagnosis. It may evolve with the next DSM-5, but it’s imperative that we utilize the correct terminology and approved DSM-5 diagnostic criteria as this will continue to progress BH into a more consistent medical practice. Be assured that the inconsistency in diagnoses can be frustrating to providers too. I would give this unsolicited advice, the diagnosis shouldn’t be misconstrued as a branding. The most important aspect of a diagnosis of is to identify and support the best treatment options available. This brings me to Intuniv and ODD. ODD and ADHD are loosely correlated as primarily impulse control disorders. That’s a moderate oversimplification, but this forum isn’t grad-school requiring APA format in this posting. There is some interesting preliminary research about the potential benefits of ADHD treatments also having some success with ODD which isn’t all that surprising giving these disorders having a comorbidity risk (frequently show up together). Lastly, I’m going to say that BH is rarely a single treatment recommendation. I’ve said the following to most of my patients at one time or another: There are the primary approaches to treatment. Medications alone. Evidence-based psychotherapy (EBP) alone, and the combined approach which predominantly demonstrates higher efficacy rates and longer periods of symptom remission. Although I’m a prescriber by degree, I see medications alone as the least beneficial and will pretty much always hold EBP in higher regard that psychotropics. Lastly I will ask you to consider this last thing. I have the background that I do but still feel powerless having raised an ODD son that appears to have progressed to borderline PD, and now our youngest with CD. It’s hard enough being a parent and feeling judged about your parenting because of the choices your children make regardless of rewards or consequences. [/QUOTE]
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