National Clinical Mental Health Counseling Examination (NCMHCE) Practice Exam

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For a diagnosis of Oppositional Defiant Disorder (ODD), how many symptoms are required for the diagnosis?

  1. Three

  2. Four

  3. Five

  4. Six

The correct answer is: Four

To diagnose Oppositional Defiant Disorder (ODD), the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) specify that a child or adolescent must display at least four symptoms from a specified list over a period of time. These symptoms should reflect a pattern of angry or irritable mood, argumentative or defiant behavior, or vindictiveness. Achieving this threshold of four symptoms is critical for establishing a diagnosis of ODD, as it helps clinical professionals identify a consistent pattern of behavior that is indicative of the disorder. The requirement for four symptoms captures the complexity of the disorder, highlighting that merely exhibiting a few defiant behaviors does not necessarily justify a clinical diagnosis. This threshold supports a more nuanced understanding of the child's behavior within the context of their environment, relationships, and developmental stage. Therefore, a minimum of four symptoms is required for the diagnosis of ODD, making the correct answer pivotal for proper clinical assessment.