![]() ![]() For example, “severe mood dysregulation” is a term that refers to a combination of irritable mood and angry outbursts/aggressive behavior in children with mood disorders and ADHD. Sometimes clinicians may use terms that are not part of the DSM but have been used in research, education or advocacy. Disruptive mood dysregulation disorder (DMDD), characterized by frequent angry outbursts and irritable or depressed mood most of the time.Conduct disorder (CD), a persistent pattern of behavior that violates the rights of others, such as bullying and stealing, and/or age appropriate norms, such as truancy from school or running away from home.Oppositional defiant disorder (ODD), a pattern of angry/irritable mood, argumentative/defiant behavior and/or spitefulness that lasts six months or more.In the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), which is considered the “bible” of diagnoses, potential diagnoses for a child with anger, irritability and aggression include: Sukhodolsky adds that research-based measurement tools, such as answers parents and child give to specific questions, are used to determine whether a child meets diagnostic criteria for a behavioral disorder. “We look at the full spectrum of mental health disorders and how they are affecting a child’s life,” Sukhodolsky says. This includes obtaining input from parents and teachers, reviewing academic, medical, and behavioral records, and conducting one-on-one interviews with the child and parent. When assessing the breadth and depth of a child’s anger or aggression, a provider will look at the behaviors in the context of the child’s life. (Sukhodolsky notes that this is exactly what earlier treatment aims to prevent.) Older children with behavioral problems that bring them in contact with the law may be sent for evaluation and treatment by the courts or juvenile justice system. Young children may be taken in for a psychological or psychiatric evaluation by their parents or be referred by a pediatrician, psychologist, teacher or school administrator.
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