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I am quite interested in this subject as I've worked with children with special needs for years. It's hard to give any advice without actually knowing the child and the reasons for this diagnosis. I hadn't heard of Oppositional Defiance Disorder and just did a quick search. If you are concerned about medication, I guess the best thing you can do is to make sure that nothing else will work. If it were my child, I would rule out everything else and then use medication as a last resort.
My first thought is to have a look at his diet and get rid of any artificial flavors and colors, excess sugar, sometimes even something like oranges can have an adverse effect on behavior. Take notice of when your son has his 'off-moments' and try to figure out if it's connected to food.
If this acheives no results, sometimes specific behavior modification techniques can be helpful. Is there a counselor at school or someone in the area who you could speak to about this?
Your doctor may be right, maybe medication is the answer, but maybe you could ask him/her about trying the other alternatives first. THEN if all else fails, you may have to fall back on mediaction.
Best of luck.
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