Because children with Oppositional Defiant Disorder (ODD) present with an continuous pattern of uncooperative, hostile, and defiant behaviors, it is important to distinguish it from other disorders that share symptomatology. The symptoms are disruptive to the individual’s daily functioning and predominate in the home and school setting (American Academy of Child and Adolescent Psychiatry AACAP, 2012). Additionally, it should be noted that children and adolescents can be oppositional from time to time, however, when the behavior (s) becomes frequent and consistent, then it becomes an area of concern. Furthermore, ODD has minimal symptom duration of six months (Fitzgerald Health Education Associates, 2016). Symptoms include arguing with adults, losing temper, refusing to comply with rules, blaming others for his/her own mistakes, deliberately annoying people, easily annoyed by others, angry, resentful, spiteful or vindictive (Fitzgerald Health Education Associates, 2016). According to the American Psychological Association APA,(2015), differential diagnoses to consider when evaluating a child/adolescent for ODD are conduct disorder, attention-deficit/hyperactivity disorder (ADHD), depressive and bipolar disorder, disruptive mood dysregulation disorder, intermittent explosive disorder, intellectual disability, language disorder, and social anxiety disorder. It is also important to rule out any trauma and stressor related disorder as well (Fitzgerald Health Education Associates, 2016).