Disruptive Mood Dysregulation
A Childhood Disorder
What is Disruptive Mood Dysregulation?
Disruptive Mood Dysregulation Disorder specifically effects children aged 6 to 18 with symptoms that must be present before the age of 10. (The American Psychiatric Association, May 2013) If symptoms are not present before the age of 10 it can not be considered DMMD. Anything after the age of 18 the individual is considered an adult and DMMD does not apply.
Outbursts must be present in at least environments the child is exposed to. These can include, school, the home, or in social situations with peers. (The American Psychiatric Association, 2013) If it does not occur in two or more environments it is not DMMD and could just be an adverse reaction to the specific environment.
Outbursts must be be happening for 12 months or more consistently. If the child goes 3 months or longer duration with out a outburst it can not be considered Disruptive Mood Dysregultaion Disorder. (The American Psychiatric Association, 2013)
Disruptive Mood Dysregulation Disorder in the home
Pros vs. Cons of Disruptive Mood Dysregulation as a Diagnosis
Pro 2: It explains symptoms that other disorders, like bipolar do not. This can then combat the over diagnoses of bipolar in children today which has increase quite dramatically in the last 20 years. (Holtmann, Zepf, 2012) Misdiagnosis is a serious issue, especially when bipolar disorder is treated with mood stabilizers which can have negative effects on children when it is not needed.
Con 2: By misdiagnosing children miss out on the correct treatment. It is plausible that Disruptive Mood Dysregulation Disorder may be a comorbid diagnosis. (Carlson, 2012) Therefore if professionals do not detect this fact, it could be that children are getting treated only for DMDD and not the comorbid disorder, like Oppositional Defiant Disorder.
Disruptive Mood Dysregulation Disorder was added too soon.
Carlson, G. (November, 19, 2012). A New Diagnosis for Explosive Behavior.ChildMind.org. Retrieved from: http://www.childmind.org/en/posts/articles/2012-11-19-pros-cons-disruptive-mood-dysregulation-disorder
Holtmann, M. Zepf, F. (2012) Disruptive Mood Dysregultation Disorder. ICACPAP.Retrieved From: http://iacapap.org/wp-content/uploads/E.3-MOOD-DYSREGULATION-072012.pdf
The American Psychiatric Association. (May 2013). Disruptive Mood Dysregulation Disorder. The DSM 5. Retrieved From: http://www.dsm5.org/Documents/Disruptive%20Mood%20Dysregulation%20Disorder%20Fact%20Sheet.pdf