Differential consideration
ODD
F91.3Disruptive & Impulse-Control
Why consider it
less severe; no aggression, property destruction, or serious rule violations
Criteria and features to review
- A. ≥4 symptoms from: angry/irritable mood (loses temper; touchy/easily annoyed; angry/resentful); argumentative/defiant behaviour (argues with authority; defies rules; deliberately annoys; blames others); or vindictiveness — for ≥6 months, exhibited during interaction with ≥1 non-sibling individual
- B. Causes distress in individual or others in their immediate social context, or negatively impacts functioning
- C. Not better explained by another mental disorder (psychotic, mood, SUD, DMDD, or conduct disorder)
Questions to clarify
- Which documented criteria and exclusions are met for each possibility?
- What timeline, course, and functional change best distinguishes the alternatives?
- Are substance, medication, medical, developmental, and contextual explanations adequately assessed?