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#HEALTH: Is your child's defiance a disorder?
#HEALTH: Is your child's defiance a disorder?

New Straits Times

time5 days ago

  • Health
  • New Straits Times

#HEALTH: Is your child's defiance a disorder?

ALEX (not his real name) started displaying disruptive behaviour at school when he was 10 years old. It gradually got worse over the course of a year, with frequent arguments with peers, anger and provocative behaviour, and marked defiance - particularly towards his parents and certain teachers. At school, he would often skip classes and hide in secluded areas to read comics or sleep, especially when he had lessons with teachers he disliked. At times, he would skip school altogether to play video games at a nearby arcade. As a result, he received multiple warnings and was even temporarily suspended from school. Following the recommendation of his school counselor, Alex was finally brought in for a psychiatric assessment. His home environment was already challenging enough. His parents had longstanding marital conflicts which often resulted in loud arguments and episodes of domestic violence. During these times, his mother would sometimes leave the house with his two younger sisters, leaving Alex to fend for himself. Alex does not have a positive relationship with either of his parents. At home, when scolded or shouted at, he often reacts by shouting back, pushing his parents, or damaging household items before storming out. Eventually, he started sneaking out at night to spend time with older teenagers in the neighbourhood and started experimenting with vaping and smoking. Alex recently lost his grandfather, who had been a stable and consistent adult in his life and a major source of emotional support. He is grieving the loss deeply, but his emotional needs have largely gone unnoticed by those around him. Alex presents as an angry and resentful, yet bright and emotionally sensitive boy. He appears misunderstood by many of the adults around him, and his grief and emotional struggles remain unaddressed. Alex's behaviour is not your usual run-of-the-mill adolescence rebellion, but one that reflects Oppositional Defiant Disorder (ODD) explains Prince Court Medical Centre child and adolescence psychiatrist Dr Norharlina Bahar. ODD is a behavioural condition marked by a consistent pattern of angry or irritable moods, argumentative or defiant behaviour, and/or vindictiveness lasting at least six months, she explains. Individuals with ODD often lose their temper, are easily annoyed, and feel resentful. They argue with authority figures, defy rules, refuse to comply, blame others for their mistakes, and may deliberately provoke people. "Spiteful or vindictive behaviour is also common. These behaviours occur more often than expected for the individual's age, gender, and cultural background, and cause significant problems in social and academic functioning." AN ONGOING CHALLENGE Symptoms may be present in only one setting, most commonly at home, adds Dr Norharlina. In more severe cases, symptoms appear across multiple environments. "Individuals with ODD typically struggle with relationships but often do not recognise their behaviour as problematic, viewing it instead as a justified reaction to perceived unfairness." It can be challenging to determine whether the behaviour is the root of family problems or a response to external factors such as harsh, inconsistent parenting or a neglectful environment. ODD is primarily diagnosed in children and adolescents, says Dr Norharlina. When similar behaviour patterns appear in adults, other conditions, such as personality disorders, may be considered. Children don't misbehave on purpose, she explains. Their challenging behaviour is often a response to stress, emotional struggles, or difficult environments. Some defiance is also a normal part of development. While ODD does not have a single known cause, it can run in families, although no specific genetic pattern has been identified. It usually results from a combination of biological, psychological, and social factors. These may include a family history of mood, behaviour, or substance use disorders. "Harsh, neglectful, or inconsistent parenting can increase the risk, especially when combined with a strained or distant parent-child relationship," warns Dr Norharlina. Children exposed to trauma or major life disruptions (such as divorce, loss) may also develop oppositional behaviours as a way of coping. In addition, living in an unstable or hostile household with ongoing conflict can create a sense of insecurity, further increasing the risk of defiant behaviour. Difficulties in peer relationships or ongoing challenges in forming healthy friendships can worsen symptoms, especially when combined with family stress. ODD can occur in families from any background and it often co-occurs with conditions such as AttentionDeficit/Hyperactivity Disorder (ADHD), conduct disorder, anxiety, or mood disorders. In teenagers, depression or low mood is frequently seen alongside behavioural difficulties. Generally, ODD affects about 3.3 per cent of children worldwide, says Dr Norharlina. It is more common in children than in teens and typically begins in early childhood with symptoms becoming less noticeable as children grow older, although some teens may still have symptoms. IS IT ODD? A DIAGNOSIS of ODD is made after a comprehensive history, clinical, and psychological evaluation of the child and family. Assessment also includes screening for commonly associated conditions such as ADHD, anxiety, and mood disorders. But how do we make the distinction between the usual hormone-driven anger issues and rebellion versus ODD? All children display defiant behaviour at some point, especially when tired or stressed, explains Dr Norharlina. ODD is in fact normal in toddlers and in early adolescents. However, the behaviour of a child with ODD is much more extreme and disruptive than normal, and occurs much more frequently. "It is persistent and occurs across many situations and interferes with the child's social, family, and educational life." A teenager with ODD will exhibit ongoing negative, hostile, and defiant behaviour that interferes with daily life at home, school, and in social settings. It is marked by frequent anger, irritability, arguing, defiance, and vindictiveness toward authority figures. "They often argue with adults, deliberately annoy others, blame others for their actions, and may act in a spiteful or vindictive way." If ODD is untreated - especially in more severe cases or when combined with other conditions like Conduct Disorder, ADHD, or mood disorders, the behaviour can escalate over time. While not all children with ODD become violent, some may develop more serious behavioral issues, including aggression, property destruction, or criminal behavior, particularly during adolescence. GETTING HELP Early intervention, consistent structure and support, and appropriate therapy can greatly reduce this risk and improve long-term outcomes. Since children with ODD often don't recognise that their behaviour is a problem, it is usually the responsibility of parents to seek help, says Dr Norharlina. A combination of therapies is most effective, she adds. This typically includes behavioural therapy, family therapy, parent training, and in some cases, medication. The main goals of treatment are to rebuild the parent-child relationship, help parents understand the underlying reasons behind the child's behaviour, and teach them effective strategies for managing it. "Early intervention is important as starting treatment early greatly increases the chances of preventing ODD from progressing into more serious issues such as conduct disorder, mental health problems, or involvement in criminal behavior," says Dr Norharlina. With the right help, many teens who are labeled "difficult" or "problematic" can improve significantly and go on to lead healthy, functional lives. *Having frequent temper tantrums *Arguing a lot with adults *Refusing to do what an adult asks *Always questioning rules and refusing to follow rules *Doing things to annoy or upset others, including adults *Blaming others for the child's own misbehaviors or mistakes *Being easily annoyed by others *Often having an angry attitude *Speaking harshly or unkindly *Seeking revenge or being vindictive Source:

Alexander & Baldwin Second Quarter 2025 Earnings: EPS Beats Expectations
Alexander & Baldwin Second Quarter 2025 Earnings: EPS Beats Expectations

Yahoo

time26-07-2025

  • Business
  • Yahoo

Alexander & Baldwin Second Quarter 2025 Earnings: EPS Beats Expectations

Alexander & Baldwin (NYSE:ALEX) Second Quarter 2025 Results Key Financial Results Revenue: US$51.7m (flat on 2Q 2024). Net income: US$25.2m (up 114% from 2Q 2024). Profit margin: 49% (up from 23% in 2Q 2024). EPS: US$0.35 (up from US$0.16 in 2Q 2024). AI is about to change healthcare. These 20 stocks are working on everything from early diagnostics to drug discovery. The best part - they are all under $10bn in marketcap - there is still time to get in early. All figures shown in the chart above are for the trailing 12 month (TTM) period Alexander & Baldwin EPS Beats Expectations Revenue was in line with analyst estimates. Earnings per share (EPS) surpassed analyst estimates by 9.4%. Looking ahead, revenue is expected to decline by 6.2% p.a. on average during the next 2 years, while revenues in the REITs industry in the US are expected to grow by 4.6%. Performance of the American REITs industry. The company's shares are up 4.4% from a week ago. Risk Analysis We don't want to rain on the parade too much, but we did also find 3 warning signs for Alexander & Baldwin (1 is significant!) that you need to be mindful of. Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team (at) article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned. Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data

Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition
Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition

The Irish Sun

time07-06-2025

  • Entertainment
  • The Irish Sun

Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition

ALEX, Eva and Nancy are three sisters who are all thriving in their adult lives – until during their annual family holiday with their parents Vivienne and Patrick, their dad lets slip that he has a favourite daughter. Soon more secrets are revealed and the tension between the sisters threatens to bubble over. Advertisement 1 10 lucky Fabulous readers will win a copy of this new novel in this week's book competition Funny, sharp and so relatable. 10 lucky Fabulous readers will win a copy of this new novel in this week's book competition. To win a copy, enter using the form below by 11:59pm on June 21, 2025. For full terms and conditions, click here. Advertisement

Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition
Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition

The Sun

time07-06-2025

  • Entertainment
  • The Sun

Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition

ALEX, Eva and Nancy are three sisters who are all thriving in their adult lives – until during their annual family holiday with their parents Vivienne and Patrick, their dad lets slip that he has a favourite daughter. Soon more secrets are revealed and the tension between the sisters threatens to bubble over. Funny, sharp and so relatable. 10 lucky Fabulous readers will win a copy of this new novel in this week's book competition. To win a copy, enter using the form below by 11:59pm on June 21, 2025. For full terms and conditions, click here.

Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition
Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition

Scottish Sun

time07-06-2025

  • Entertainment
  • Scottish Sun

Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition

UNMISSABLE Win a copy of The Favourite by Fran Littlewood in this week's Fabulous book competition ALEX, Eva and Nancy are three sisters who are all thriving in their adult lives – until during their annual family holiday with their parents Vivienne and Patrick, their dad lets slip that he has a favourite daughter. Soon more secrets are revealed and the tension between the sisters threatens to bubble over. 1 10 lucky Fabulous readers will win a copy of this new novel in this week's book competition Funny, sharp and so relatable. 10 lucky Fabulous readers will win a copy of this new novel in this week's book competition. To win a copy, enter using the form below by 11:59pm on June 21, 2025. For full terms and conditions, click here.

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