Disruptive mood dysregulation disorder
Editor-In-Chief: C. Michael Gibson, M.S., M.D.  Associate Editor(s)-in-Chief: Kiran Singh, M.D.  Yashasvi Aryaputra
Disruptive mood dysregulation disorder is defined as severe verbal or behavioral temper outbursts out of proportion to the situation that occur several times a week for at least 12 months. This occurs in children and adolescents, and symptoms are similar to those of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD).
Disruptive mood dysregulation disorder was first added to the DSM-V in 2013, being put under the depression disorder module.
There is no established system for the classification of disruptive mood dysregulation disorder.
The exact pathogenesis of disruptive mood dysregulation disorder is not fully understood.
Disruptive mood dysregulation disorder can be differentiated from the following diseases with similar symptoms:
- Autism spectrum disorder
- Attention-deficit/hyperactivity disorder
- Bipolar disorders
- Intermittent explosive disorder
- Major depressive disorder
- Oppositional defiant disorder
Epidemiology and Demographics
Among children and adolescents, the 6 to 12 month prevalence of disruptive mood dysregulation disorder is 2,000-5,000 per 100,000 (2%-5%).
The risk factors associated with disruptive mood dysregulation disorder are:
- Anxiety disorders
- Attention-deficit/hyperactivity disorder (ADHD)
- Anxiety disorder
- Major depressive disorder
There is insufficient evidence to recommend routine screening for disruptive mood dysregulation disorder.
Natural History, Complications, and Prognosis
- Natural history of disruptive mood dysregulation disorder are unknown.
- Complications of disruptive mood dysregulation disorder are unknown.
- Prognosis of disruptive mood disregulation disorder are unknown.
DSM-V Diagnostic Criteria for Disruptive Mood Dysregulation Disorder 
proportion in intensity or duration to the situation or provocation.
symptoms in Criteria A-D.
Note:Developmentally appropriate mood elevation, such as occurs in the context of a highly positive event or its anticipation, should not be considered as a symptom of mania or hypomania .
Note: This diagnosis cannot coexist with oppositional defiant disorder, intermittent explosive disorder, or bipolar disorder, though it can coexist with others, including major depressive disorder, attention-deficit/hyperactivity disorder, conduct disorder, and substance use disorders. Individuals whose symptoms meet criteria for both disruptive mood dysregulation disorder and oppositional defiant disorder should only be given the diagnosis of disruptive mood dysregulation disorder. If an individual has ever experienced a manic or hypomanic episode, the diagnosis of disruptive mood dysregulation disorder should not be assigned.
- While mood stabilizing medication can be used to help treat disruptive mood dysregulation disorder, it has not proven to be effective on it's own.
- Mood stabilizers, when combined with Amantadine, have an 85% success rate in children with disrputive mood dysregulation disorder.
- Contingency management, in which parents reward good behavior and punish negative behavior, has been proven useful in treating ADHD and ODD symptoms, which are found in many individuals who have disruptive mood dysregulation disorder, but is not effective in treating disruptive mood dysregulation disorder itself.
- ↑ LastName, FirstName (2013). Diagnostic and statistical manual of mental disorders : DSM-5. Arlington, VA Washington, D.C: American Psychiatric Association,American Psychiatric Association. ISBN 9780890425541.
- ↑ 2.0 2.1 2.2 2.3 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
- ↑ 3.0 3.1 Weis, Robert (2014). Introduction to abnormal child and adolescent psychology. Los Angeles: SAGE. ISBN 9781452225258.