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Oppositional Defiant Disorder (ODD) is a complex neurodevelopmental condition characterised by a persistent pattern of angry, irritable mood, argumentative and defiant behaviour, and vindictiveness. Rather than being a simple matter of "bad behaviour," ODD stems from an intricate interaction between genetic vulnerabilities—such as variations in the MAOA and COMT genes that affect neurotransmitter regulation—and environmental stressors, particularly coercive family dynamics. Accurately diagnosing ODD is critical, especially when differentiating its anger-driven defiance from the anxiety-driven panic responses seen in Pathological Demand Avoidance (PDA). Fortunately, ODD is highly treatable through evidence-based psychosocial interventions like Parent Management Training (PMT), Parent-Child Interaction Therapy (PCIT), and Collaborative & Proactive Solutions (CPS), which focus on repairing relationships, building emotional regulation skills, and replacing punitive cycles with structured, empathetic support.

Parental Management Training the Oregon Model: https://pubmed.ncbi.nlm.nih.gov/27283222/

Parent Child Interaction Therapy: https://www.pcit.org/about

Incredible Years Programme: https://www.incredibleyears.com/

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We really struggle with sugar and binge eating. James explains what is happening in the brain and also how to try and beat it.

koppertadhd@gmail.com

If you are a caregiver, parent or teacher, helping a child with PDA is a tough job. This podcast looks at the methods proven to make a difference to make your life easier and your child happier.

As requested, here is a show about the huge link between ADHD and issues such as dementia and Alzheimer's. But fear not. There is hope for us.

Tune in to hear James discuss these conditions.

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In the new series called New Neurodiverse Lens on Past Lives, James explores people from history and asks, "Were they neurodiverse?"

In the first epsiode James looks at William Wilberforce.

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And if you want to read the article it is here https://jameskoppert.substack.com/p/new-neurodiverse-lens-on-past-lives

Please share the Substack article everywhere you can https://open.substack.com/pub/jameskoppert/p/streeting-dances-to-reforms-war-drum?r=3wmilr&utm_campaign=post&utm_medium=web

James challenged Wes Streeting's views on ADHD and overdiagnosis

This week Richard Tice of reform stated that we have an over-diagnosis of Neurodiversity. James shares the reality

https://www.sciencedirect.com/science/article/pii/S2666776223000455

https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/life-expectancy-and-years-of-life-lost-for-adults-with-diagnosed-adhd-in-the-uk-matched-cohort-study/30B8B109DF2BB33CC51F72FD1C953739

please support the show https://ko-fi.com/forteannewspodcast

emailed Koppertadhd@gmail.com