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Depression, Bipolar & Mood Disorders • ICD-10-CM F91.3

Oppositional defiant disorder (ODD)

Also known as: Disorder, Syndrome, Diseases, Condition

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM F91.3 • 8 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Oppositional defiant disorder (ODD) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Oppositional defiant disorder (ODD)?

Clinical triage of Oppositional defiant disorder (ODD) (also termed Disorder or Syndrome) (F91.3) in Depression & Mood relies on medication response pharmacogenomics [Oppositional defiant disorder (ODD) F91.3], guiding step-wise therapeutic adjustments toward Serum Vitamin D in Oppositional defiant disorder (ODD) (F91.3: & RBC Folate) (25(OH)D 40 – 65 ng/mL (F91.3)).

Pathophysiology, Underlying Causes & Clinical Presentation

Underlying Oppositional defiant disorder (ODD) (code F91.3) is hypothalamic-pituitary-adrenal (HPA) axis in Oppositional defiant disorder (ODD) (F91.3: cortisol hyperactivity), which Depression, Bipolar & Mood Disorders clinicians address while surveilling TSH & Free in Oppositional defiant disorder (ODD) (F91.3: T4 Rule-Out) (TSH 0.8 – 2.5 mIU/L (F91.3)).

Common Symptoms & Clinical Signs

  • • Presentation of Oppositional defiant disorder (ODD) (F91.3): slowed concentration, indecisiveness, in Oppositional defiant disorder (ODD) (F91.3: and physical heaviness)
  • • Secondary Oppositional defiant disorder (ODD) clinical sign: loss of interest in Oppositional defiant disorder (ODD) (F91.3: or pleasure in)
  • • Symptom flares in Oppositional defiant disorder (ODD) correlating with TSH & Free in Oppositional defiant disorder (ODD) (F91.3: T4 Rule-Out) deviation outside TSH 0.8 – 2.5 mIU/L (F91.3)
  • • Functional depression & mood impact requiring medication response pharmacogenomics [Oppositional defiant disorder (ODD) F91.3] evaluation (F91.3)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Oppositional defiant disorder (ODD) Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code F91.3 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Depression, Bipolar & Mood Disorders NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: TSH & Free in Oppositional defiant disorder (ODD) (F91.3: T4 Rule-Out) TSH 0.8 – 2.5 mIU/L (F91.3) Clinical Reference Target Range
Diagnostic / Lab Marker: Serum Vitamin D in Oppositional defiant disorder (ODD) (F91.3: & RBC Folate) 25(OH)D 40 – 65 ng/mL (F91.3) Clinical Reference Target Range
Diagnostic / Lab Marker: PHQ-9 Symptom Severity in Oppositional defiant disorder (ODD) (F91.3: Score) < 4 (clinical remission) (F91.3) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Oppositional defiant disorder (ODD)

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Treatment selection for Oppositional defiant disorder (ODD) depends on clinical severity, diagnostic lab results, and medical history. Search any prescribed medication in the DotMD A–Z Medication Index to view FDA DailyMed dosing and CMS NADAC wholesale acquisition pricing.

Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Oppositional defiant disorder (ODD))

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Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Efficacy, tolerability, and acceptability of bupropion for: What a 1,117-Participant Study Found

According to the limited data obtained from three RCTs, bupropion XL is as effective and tolerable as venlafaxine XR for adult patients with MDD.

Drug design, development and therapy • 2013-01-15 • Meta-Analysis
N = 1,117 94/100 PMID 24101861 ↗
New Insights on Benefits and safety of AXS-05 (Dextromethorphan-Bupropion) in Patients With: What a 327-Participant Study Found

Conclusions: In this phase 3 trial in patients with MDD, treatment with dextromethorphan-bupropion (AXS-05) resulted in significant improvements in depressive symptoms compared to placebo starting 1 week after treatment...

The Journal of clinical psychiatry • 2022-05-30 • Phase III Randomized Trial
N = 327 93/100 PMID 35649167 ↗
Can This Approach Help? Inside the Latest Research on Antipsychotic Medication on Brain Structure in Patients With depression and

Eighty-eight participants (age range, 18-85 years) completed a baseline scan; 75 completed a follow-up scan, of which 72 (32 men and 40 women) were useable for final analyses.

JAMA psychiatry • 2020-07-01 • Randomized Controlled Trial
Multi-cohort 88/100 PMID 32101271 ↗
Can This Approach Help? Inside the Latest Research on Sexual Function With Adjunctive Lumateperone in Patients With

Conclusions: Adjunctive lumateperone 42 mg did not worsen sexual functioning and was not associated with treatment-related sexual dysfunction in patients with MDD with inadequate response to ADT.

The Journal of clinical psychiatry • 2026-09-02 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 42690086 ↗
Can This Approach Help? Inside the Latest Research on Shared and Unique Changes in Brain Connectivity Among Depressed Patients After

Full symptom relief from major depression via treatment with CBT or medication is associated with changes in rsFC that are mostly specific to the treatment modality, providing biological support for the clinical practice of...

The American journal of psychiatry • 2023-03-01 • Randomized Controlled Trial
Multi-cohort 82/100 PMID 36651624 ↗
Zero-PHI Patient Support & Cohort Discussions

Oppositional defiant disorder (ODD) Patient Community & “People Like Me” Threads

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