概要 翻訳
DMDD‚ or Disruptive Mood Dysregulation Disorder‚ is a childhood mood disorder characterized by severe‚ persistent irritability‚ anger‚ and frequent‚ intense temper outbursts that are disproportionate to the situation‚ occurring at least three times a week for over a year‚ and impacting functioning at home‚ school‚ or socially․ Introduced in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders‚ 5th Edition) to differentiate from childhood bipolar disorder‚ DMDD involves chronic irritability between outbursts and symptoms usually starting before age 10․ Key Characteristics Severe Temper Outbursts˸ Verbal (yelling‚ screaming) or physical (hitting‚ property destruction) outbursts that are much worse than expected for the child's age or situation․ Chronic Irritability˸ An angry or irritable mood most of the day‚ nearly every day‚ between outbursts․ Frequency˸ Outbursts occur at least three times a week․ Duration˸ Symptoms present for at least 12 months․ Age˸ Symptoms must start before age 10 and the diagnosis isn't made before age 6 or after 18․ Impact˸ Symptoms interfere with functioning in multiple settings (home‚ school‚ social)․ What It's Not (and How it Differs) Not Typical Tantrums˸ More severe‚ frequent‚ and persistent than normal childhood moodiness․ Different from Bipolar Disorder˸ Unlike bipolar disorder‚ DMDD does not involve distinct manic or hypomanic episodes (periods of unusually elevated mood)․ Differentiated from ODD (Oppositional Defiant Disorder)˸ While symptoms overlap‚ DMDD focuses on the core feature of chronic irritability and anger‚ whereas ODD centers more on defiant behavior‚ notes․ OWNER˸DINONUGGIES2222 MODS˸non so far
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