Disruptive Mood Dysregulation Disorder

Disruptive mood dysregulation disorder (DMDD) is a mental health condition in children, which refers to intense and recurring temper outbursts, anger, and irritability. Children face regular irritability and anger, which impacts on their daily functioning. 


Signs of Disruptive Mood Dysregulation Disorder (DMDD)

Disruptive mood dysregulation disorder (DMDD) is a condition characterized by irritability and severe temper outbursts. Those with DMDD (Disruptive Mood Dysregulation Disorder) may exhibit the following.

Frequent Temper Outbursts

Children may face intense temper tantrums that are out of their control. These outbursts may exhibit as crying, yelling, or aggressive behavior in children.

Chronic Irritable Mood

Irritability may occur, such as children tend to feel angry or irritable, and this mood can last for long time period each day. Children may also seem upset without any reason.  

Trouble with Relationships

Children with DMDD (Disruptive mood dysregulation disorder) struggle in relationships due to their mood swings and outbursts. This struggle can lead them to face social and academic life disturbances.

Difficulty in Regulating Emotions

Trouble regulating emotions can also be seen in children with DMDD, and it can lead to frustration and difficulty calming down once they become upset.

Symptoms Lasting for Long

The signs of Disruptive mood dysregulation disorder (DMDD) such as outbursts last for a longer time, approximately three or more times a week, with the noticeable irritability in children.  


Acknowledging the signs is necessary for the parents and caregivers for managing the disorder timely and improving the kid's well-being. The diagnosis of DMDD can be made by mental health professionals, and it is crucial to consult with mental health professionals for the management of DMDD (Disruptive mood dysregulation disorder). 

 

Factors That Raise the Risk of Disruptive Mood Dysregulation Disorder (DMDD)

Few factors that may raise the risk of developing the DMDD (Disruptive mood dysregulation disorder).   

Family History of Mental Health Disorders

Children with a family history of mental health conditions such as depression or bipolar disorder, mood disorders, may be at a higher risk of developing Disruptive mood dysregulation disorder (DMDD).  

Chronic Stress

Chronic stress can play a role, experiencing a long-term stress, such as an unstable home environment, or family conflicts, may lead to developing a Disruptive mood dysregulation disorder (DMDD). The experiences of these stress can impact the ability to regulate emotions.    

Trauma or Abuse

Negative experiences such as trauma or abuse can play a role in developing DMDD (Disruptive mood dysregulation disorder) in children. Trauma can impact emotional development and may lead to severe mood issues.   

Other Mental Health Conditions

Children with other mental health conditions such as anxiety, depression, and attention-deficit/hyperactivity disorder (ADHD) can be at a higher risk of developing DMDD (Disruptive mood dysregulation disorder).

Difficult Temperament or Personality

Temperament or personality traits, such as irritability or reactive attachment. Some children are more sensitive to frustration or any changes in their environment, those children are more likely to develop mood regulation issues and DMDD (Disruptive mood dysregulation disorder).  

Environmental Factors

Facing a lack in the support, nurturing, or stability, neglect, and poverty, can be involved in the environmental factors which may enhance the likelihood of developing DMDD (Disruptive mood dysregulation disorder).

Social Difficulties

Children who face social difficulties like making friends and a lack of positive social experiences can lead to feelings of frustration and may lead to developing DMDD (Disruptive mood dysregulation disorder).   

Note: Not all of these risk factors can lead to the development of DMDD but they may increase the risk of developing Disruptive mood dysregulation disorder (DMDD).


Management of Disruptive Mood Dysregulation Disorder (DMDD)

The management of DMDD involves a combination of therapeutic approaches and coping strategies aiming to reduce the intensity of mood swings, improving emotional regulation and enhancing the functioning of daily living.

Psychotherapy 

Psychotherapy contributes to managing the symptoms of the disorder.

Cognitive-Behavioral Therapy (CBT)

Cognitive-behavioral therapy (CBT) focuses on helping the child identify and change the negative thought patterns into positive ones which can contribute to mood swings and irritability. CBT can help developing healthier ways to cope with anger and frustration.   

Interpersonal Therapy (IPT)

Interpersonal therapy (IPT) can help and focuses on improving the communication skills and social interactions. It can contribute to reducing frustration and stress, which can lead to mood dysregulation.

Dialectical Behavior Therapy (DBT)

DBT is a specialized form of CBT (Cognitive-behavioral therapy) that can help to manage the emotional regulation challenges, helping children to develop skills needed to tolerate distress and regulate the extreme emotions.

Parent Management Training (PMT)

While children struggle with emotional regulation, it is vital to teach parents strategies for managing their child's behavior at home. Parent management training can help parents learn how to provide consistent discipline, setting clear expectations, and to reinforce the positive behaviors.

Family and School Involvement

A collaborative approach involving family and school is crucial for managing the disorder, coordination between therapists, parents, teachers, and school counselors can help provide consistent reinforcement of coping strategies. Individualized Education Programs (IEPs) can help in providing support to children with DMDD.


Disruptive mood dysregulation disorder (DMDD) is a mental health condition that impacts a child's daily functioning. Early recognition is a key to management and helping children develop emotional regulation skills and reduce the intensity of disruptive behaviors. Additionally, it is also important to observe the development of co-occurring mental health conditions such as depressions, anxiety, or conduct disorder in children with DMDD (Disruptive mood dysregulation disorder).