Thursday, July 31, 2014

Oppositional Defiant Disorder (ODD) and Anger

I thought I would center today's post on ODD since I make reference to my son's ODD fairly frequently and I myself am trying to get a better understanding of what is happening and motivating my son's behavior.

Two articles that have caught my attention today are:

Oppositional Defiant Disorder (ODD) and AD/HD
Physiology of Anger

My son's nurse was here this morning. I had tried to get him up before she arrived but I had no success as yet again he was up all night and didn't go to sleep until after 4. Another morning of waking up to him sleeping on the sofa. By the way it is one of the apartment rules that he sleep in his own bed. She dropped off a list of the weekly event schedule for June, July & August. Hopefully the next one will make it to him earlier :) I brought up to her that even though I know my son isn't officially diagnosed with ODD that it seems to be controlling his behavior so much right now. During this conversation she commented that his pdoc had mentioned that he might not have schizophrenia but psychosis NOS. I don't know what to think. I'm guessing only time will tell for sure. In the meantime it's symptoms of ODD that I think need the most attention right now. My son did get up while she was still here not that he particularly played a big part in the conversation. We were discussing what services Ready4Life could help him with and I rubbed his leg to get him to pay attention since this is his life and services that he will need to be aware of and to ask for help with. Defiance poked it's little head up and he kind of snapped: yes I know and went back to ignoring us. As I said on another post his only concern seems to be getting away from me without any regard to what is going to happen once he is on his own or any thoughts as to how is going to manage and take care of himself. I'm guessing that part of this defiance or anger is because I have made it clear that we will not be spending money on him like we have in the past. We did take him to get cigarettes for the rest of the month before he spent what little money he did have. He ended up buying an E-Cigarette Vaporizer and extra flavored cartridges that don't give nicotine and one carton of cherry flavored cigarettes. He still had one carton of his normal cigarettes. My son smokes at least a carton a week. The math doesn't really work does it? Last night he decided to spend the last of his money on a pocket knife. A knife I heard hitting his bedroom door last night. I reminded him again that he has a whole month to go yet and he will have no money for cigarettes or energy drinks etc. His response is that he will go without. We have had our issues in the past trying to limit his cigarettes when my hubby and I were the ones paying for them. It was a daily argument at 30 a day. Maybe I should be looking forward to him moving out so that I don't have to deal with this!

When his nurse asked him about PACT talking to Ready4Life and I stated that he had signed a waiver allowing Ready4Life to talk to PACT, his defiance reared it's head again. He didn't recall signing it. The lady from Ready4Life had made it quit clear what it was and had made sure that he understood what it was that he was signing although I guess at the time his only concern was not having my name on it. If you read the above link my son fits all of the criteria not just four. I have seen him purposely not do things just because I have asked him to do it. I have seen him purposely do things around me that he knows that I don't like that he does not do around other people. All these things and more are happening consistently even when he is not psychotic and they are having a significant impairment on his functioning. I have some pretty basic apartment rules that he is refusing to follow like cleaning up after himself and sleeping in his own bed. Rules that a 5 year old can follow. Rules that he has agreed are reasonable and that he knows he has to do however blames everyone else for him not doing them. I guess I need to get back to some basics on how to handle/discipline ADHD and ODD as I have been lax on the boundaries and not enforcing the consequences. This should be fun!

The above article on anger helps to give a better understanding of anger. However I still don't get why someone with psychosis seems unable to feel or react appropriately to emotions like love yet seem to have an unending supply of emotions like anger and resentment. Perhaps it's because different neurotransmitters are involved? I wonder if that is something that science should be looking into! Between feelings of anger and resentment and what appears to be ODD to me, my son seems to be acting and reacting on a basic instinct of, well to put it bluntly, screw you. With no regard to his own mental or physical well-being. Being defiant is more important.

Oops... I forgot that I had started making some bread.


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