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Disruptive Mood Dysregulation Disorder

A general introduce of DMDD
by

Danielle Zhu

on 21 June 2013

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Transcript of Disruptive Mood Dysregulation Disorder

Disruptive Mood Dysregulation Disorder (DMDD)
What is Disruptive Mood Dysregulation Disorder?

Causes of DMDD
While there is no consensus as to the causes of DMDD, theories for dysregulation include early psychological trauma and abuse. Some causes identified include family structure (recent death in the family, divorce, relocation); poor diet (lack of nutrition or vitamin deficiencies, underlying medical conditions); and a neurological disability that causes poor behavior, such as migraine headaches. If any of these problems are occurring, they should be addressed before a diagnosis is made.
Symptoms of DMDD
Treatment and Prevention

Strategies for teachers
A.
The disorder is characterized by severe recurrent temper outbursts that are grossly out of proportion in intensity or duration to the situation.

The temper outbursts are manifest verbally and/or behaviorally, such as in the form of verbal rages or physical aggression towards people or property.
The temper outbursts are inconsistent with developmental level.
B.
Frequency: The temper outbursts occur, on average, three or more times per week.


C.
Mood between temper outbursts:

Nearly every day, most of the day, the mood between temper outbursts is persistently irritable or angry.
The irritable or angry mood is observable by others (e.g., parents, teachers, peers).
D.
Duration: Criteria A-C have been present for 12 or more months. Throughout that time, the person has not had 3 or more consecutive months when they were without the symptoms of Criteria A-C.
Bipolar Disorder + Explosive Disorder
Tier 3
Dangers

Children with DMDD are thought to be prone to suicidal ideation as well as substance abuse. Family members should be wary of these dangers facing their children.

Diagnosis

A diagnosis for Disruptive Mood Dysregulation Disorder is made between 7 and 17 years of age, and onset of the disorder generally begins at age 12 or younger. Abnormal mood is present at least half of the day on most days and is noticeable to people around the child. The symptoms should impair at least one setting in the child's life.

Hyper arousal must be prevalent and is defined by agitation, insomnia, intrusiveness, pressured speech, racing thoughts, and flight of ideas. The child exhibits increased reactivity to negative emotional stimuli that come out verbally or behaviorally. Such events should occur at least three times a week.
References
http://www.treatment4addiction.com/conditions-disorders/disruptive-mood-dysregulation-disorder/
http://psychcentral.com/blog/archives/2012/05/16/what-is-disruptive-mood-dysregulation-disorder/
http://www.dsm5.org/Documents/Disruptive%20Mood%20Dysregulation%20Disorder%20Fact%20Sheet.pdf
- Behavior Modification Therapy
- Behavioral Psychotherapy
- Stimulant medication, such as Ritalin
- Educating instead of punishment
- Observing the children for their individual triggers
- Timeout strategies
- Preventative measures

- Giving children a person they can confide in when on the verge of an outbreak
- Giving children unlimited drinking fountain breaks to alleviate the tension they are experiencing
- Counseling from school psychologists
- Prescribing Risperidone, an antipsychotic
- Classroom support
- Modified time allotted for tests and homework
- Addressing family dysfunction
- Modifying the child's diet

Disruptive Mood Dysregulation Disorder (DMDD) is a proposed disorder for the DSM-5 and was created as an alternative diagnosis to pediatric bipolar disorder. DMDD (formerly known as temper dysregulation disorder with dysphoria) shouldn't be diagnosed for the first time before 6 or after 18, and is characterized by severe, chronic irritability for at least a year. DMDD is also not accounted for by any other mental disorder, neurological interference, or substance abuse.
From Dena's observation
- can't regulate mood
- can't control their emotions
- anger management problems
- Tier 3 behaviors
(Really tough child)
- Thoughts of death and suicide
- 1% school population who got DMDD
- that number for Boise is 390.
Dena's Strategies
- Document behavior
- Talk with Special Education teams
- Talk with parents (usually family problems)
- Involve principal
- Request Behavior Interventionists, youth companion, PSR(psychosocial rehabilitation), worker, developmental therapist.
- Small class size
- Multiple support
- More supervision
- Social skills
- Do not leave them at playground alone
- BIP
- IEP/ 5o4
As a student, I do not have a lot of teaching experiences! Also, DMDD is a very new topic for all of us. Lets do an activity, so we can learn together!
Danielle (Zhu Jie)
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