Therapy Services
Behavior

Support for Oppositional Defiant Disorder (ODD) and Behavior Challenges

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It’s normal for kids to act out sometimes—but for some children, defiant or aggressive behavior happens often and doesn’t go away. These children may have Oppositional Defiant Disorder (ODD). Parents often feel frustrated, exhausted, or unsure how to manage frequent arguing, temper tantrums, or rule-breaking, and may worry about how it affects relationships at home, school, and with peers.

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ODD is marked by a consistent pattern of angry, irritable, and defiant behavior. Children may:

• Frequently lose their temper or get annoyed easily

• Argue with adults or refuse to follow instructions

• Blame others for their mistakes

• Act spitefully or vindictively

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Symptoms often start between ages 2 and 3 and can continue into the teen years. ODD often co-occurs with ADHD or can develop after early childhood trauma, making conflicts more frequent and challenging.

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Dr. Macphee’s Approach

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• Parent Training & Coaching: Evidence-based strategies, including Parent-Child Interaction Therapy (PCIT), teach parents how to manage challenging behaviors in ways that work for your family

• Home-Based Sessions: Video sessions allow you to practice strategies in the environment where behaviors are most likely to occur

• Individualized coaching tailored to your family’s context, culture, and needs

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Treatment Options:

• Weekly therapy sessions, with flexibility for additional sessions

• On-call consultation for urgent behaviors (e.g., aggression, property destruction)

• School consultation, advocacy, and 504/IEP support

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Flexible Care:

• In-person therapy on the Main Line

• Virtual therapy across PA and 40+ states

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Available for clients in: AL, AZ, AR, CO, CNMI, CT, DE, DC, FL, GA, ID, IL, IN, KS, KY, ME, MD, MI, MN, MS, MO, NE, NV, NH, NJ, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, WA, WV, WI, WY