“What is disruptive mood dysregulation disorder? My paediatrician mentioned it but also said it’s mostly a myth and my son should grow out of it with time.” 

Disruptive mood dysregulation behaviour (DMDD) is a childhood condition. For your child to be diagnosed with it, the following symptoms must be present: 

  • At least three severe temper outbursts per week that are out of proportion with the situation. 
  • Irritable or angry mood most of the day, nearly every day. 
  • These symptoms may be present for at least 12 months, with no more than three consecutive months without them. 
  • It occurs in children aged 6-18 and usually develops before the age of 10.  
  • Outbursts and temper tantrums must happen across different contexts (e.g., school, home, extracurricular activities…).  
Portrait of boy, emotion, angry, grey background

DMDD is somewhat controversial because it is quite a new condition. It was included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013. Some people say that it is not real because we have limited data about it.  

DMSS is a condition that only occurs in childhood. It is estimated that it affects 2% to 5% of children in the U.S. DMDD often occurs with other disorders, such as depression and frequently oppositional defiant disorder. Having DMDD increases the chances of developing anxiety of depression as adults.  

There are no lab tests for DMDD, so a doctor must use their expertise to diagnose it. The doctor usually makes a detailed account of the child, observing and chatting with the child, talking with their parents and teachers, and examining his family medical history.  

A child with DMDD is usually treated with talk therapy and/or medication. Parents also usually receive training to learn how to interact with their child in ways that reduce aggression and improve their relationship with their child.  

I don’t know how old your son is or the context in which your doctor made that comment. But I recommend you talk to a mental health professional if you are worried about your son.  

I hope this information helps and wish you all the best to you and your boy. 

Lots of love, 

Ana 

Dr Ana Aznar 

Registered in England & Wales. Company No.13460950. Registered office Salatin House, 19 Cedar Road, Sutton, SM2 5DA, United Kingdom

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