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I Have A 13 Year Daughter And A 6 Year

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Posted on Thu, 25 Apr 2019
Question: I have a 13 year daughter and a 6 year daughter,the elder kid has a very rebellious nature,she is anti her mother and doesn't respect me her father or her mother and is not scared of us if she does something wrong,she answers back very badly.She is very demanding for things.Although IN studies she is fine ,how should we tackle her,is there a way we get some counselling on phone or online,we are in XXXXXXX My wife and she keeps having fights regularly.
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Answered by Dr. Diptanshu Das (3 hours later)
Brief Answer:
Could be ADHD with ODD

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through the details and understand your concern. I appreciate your concern regarding your daughter. Going by the given details interventions are likely to be needed. She seems to have ADHD (Attention deficit hyperactivity disorder) with ODD (oppositional defiant disorder). is rather easy to diagnose and the diagnosis should be confirmed. The diagnosis is done using various standardized tools like Vanderbilt ADHD Diagnostic Parent Rating Scale and Vanderbilt ADHD Diagnostic Teacher Rating Scale (https://www.brightfutures.org/mentalhealth/pdf/professionals/bridges/adhd.pdf) which can be administered by the respective caregivers. Based on the findings, a confirmatory diagnosis can be made by a specialist (usually a child psychiatrist or child psychologist) based on DSM 5 criteria or Connors Rating Scale. I think that you definitely need to get her evaluated.

Treatment would depend on the severity of symptoms. It could comprise of behavioral modifications from the part of the caregivers (not the child) or behavioral adaptations for the child. Cognitive behavioral therapy for the child can be helpful. Medications are usually given if they do not suffice.

I hope that I could clear your doubts. Feel free to write back.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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I Have A 13 Year Daughter And A 6 Year

Brief Answer: Could be ADHD with ODD Detailed Answer: Thanks for using the Ask a Doctor service. I have gone carefully through the details and understand your concern. I appreciate your concern regarding your daughter. Going by the given details interventions are likely to be needed. She seems to have ADHD (Attention deficit hyperactivity disorder) with ODD (oppositional defiant disorder). is rather easy to diagnose and the diagnosis should be confirmed. The diagnosis is done using various standardized tools like Vanderbilt ADHD Diagnostic Parent Rating Scale and Vanderbilt ADHD Diagnostic Teacher Rating Scale (https://www.brightfutures.org/mentalhealth/pdf/professionals/bridges/adhd.pdf) which can be administered by the respective caregivers. Based on the findings, a confirmatory diagnosis can be made by a specialist (usually a child psychiatrist or child psychologist) based on DSM 5 criteria or Connors Rating Scale. I think that you definitely need to get her evaluated. Treatment would depend on the severity of symptoms. It could comprise of behavioral modifications from the part of the caregivers (not the child) or behavioral adaptations for the child. Cognitive behavioral therapy for the child can be helpful. Medications are usually given if they do not suffice. I hope that I could clear your doubts. Feel free to write back. Regards