Then, “I start with the precept that children should basically have no real privileges,” whether they have ODD or not. “Children should earn their privileges daily through their completion of daily requirements,” Dr. Childers said.
“However, I also believe in 'bonuses.' “For example, when parents come home with groceries and ask the kids to help unload the car, this isn't part of the daily list of jobs. If they come and do it willingly, they get 30–40 minutes of “bonus time” for their privileges. “The next time parents come home with groceries, they shouldn't have to even call them,” he said. “Or if one child helps a brother or sister with a homework problem or with a chore, reward that behavior with some bonus privilege time.”
“I do limit 'screen time' to 2 hours, as part of the privilege package,” Dr. Childers said.
These tips for improving ODD behavior and the quality of life for the child and the rest of the family are effective, Dr. Childers said. “This works–if the parents will do it. If you don't have a buy-in from parents, it won't work.”