Chapter

Disruptive Mood Dysregulation Disorder

Gabrielle A. Carlson

in Long-Term Outcomes in Psychopathology Research

Published on behalf of Oxford University Press

Published in print November 2015 | ISBN: 9780199378821
Published online January 2016 | e-ISBN: 9780190229054 | DOI: https://dx.doi.org/10.1093/med/9780199378821.003.0007

Series: American Psychopathological Association

Disruptive Mood Dysregulation Disorder

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Disruptive mood dysregulation disorder (DMDD) is a condition defined by frequent explosive outbursts occurring within the context of chronic, pervasive irritability, beginning in early childhood although not diagnosable until age 6. Circumstantial evidence classifies this condition as a mood disorder, which is where it resides in DSM-5. This chapter reviews how the condition evolved and speculates that although it originated ostensibly as a response to the overdiagnosis of bipolar disorder (BD) in children, the overdiagnosis occurred because of the absence of a good diagnostic home for explosive outbursts. In the absence of a specific interview designed to elicit information about irritability separate from the conditions in which it is a symptom, a diagnostic bias may be associated with the interview module from which the symptom is derived. Finally, diagnostic implications vary depending on who reports the explosive outbursts and irritability and the sample being studied.

Chapter.  8040 words. 

Subjects: Psychiatry

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