Disruptive mood dysregulation disorder DSM V

Page 2 of 2 [ 22 posts ]  Go to page Previous  1, 2

OddDuckNash99
Veteran
Veteran

User avatar

Joined: 15 Nov 2006
Gender: Female
Posts: 2,562

29 Jan 2013, 8:16 am

Raziel wrote:
OddDuckNash99 wrote:
Sounds like an umbrella category filled with poor operational definitions to me. Almost any Axis-I disorder could, at some point in time, be described as "dysruptive mood dysregulation." Way to hit another homerun, DSM-5. :roll:


Well, at least I'm too old for it! :lol:
;)

Hahahaha! :lol: Great point. Like any child "diagnosed" with this is going to suddenly outgrow it once they hit a certain age. :roll:


_________________
Helinger: Now, what do you see, John?
Nash: Recognition...
Helinger: Well, try seeing accomplishment!
Nash: Is there a difference?


Raziel
Veteran
Veteran

User avatar

Joined: 25 Oct 2011
Age: 42
Gender: Male
Posts: 2,620
Location: Europe

29 Jan 2013, 8:54 am

OddDuckNash99 wrote:
Raziel wrote:
OddDuckNash99 wrote:
Sounds like an umbrella category filled with poor operational definitions to me. Almost any Axis-I disorder could, at some point in time, be described as "dysruptive mood dysregulation." Way to hit another homerun, DSM-5. :roll:


Well, at least I'm too old for it! :lol:
;)

Hahahaha! :lol: Great point. Like any child "diagnosed" with this is going to suddenly outgrow it once they hit a certain age. :roll:


They are going to "replace" DMDD in most cases (if it's still present with 18 ) with Bipolar, Borderline PD, Panic disorder, depression or whatever. Then the scientists will spend huge amound of money to figure out the connections betwenn DMDD and Bipolar, Borderline PD, panic disorder, depression or whatever...! :roll:
And then there will be maybe also new theories about the devolpement of childhood mood problems or whatever...!
So, bussiness as usual...! :wink:


_________________
"I'm astounded by people who want to 'know' the universe when it's hard enough to find your way around Chinatown." - Woody Allen


Ettina
Veteran
Veteran

User avatar

Joined: 13 Jan 2011
Age: 37
Gender: Female
Posts: 3,971

29 Jan 2013, 9:35 am

Quote:
The behaviors do not occur exclusively during an episode of Major Depressive Disorder and are not better accounted for by another mental disorder (e.g., Autism Spectrum Disorder, Posttraumatic Stress Disorder, Separation Anxiety Disorder, Dysthymic Disorder).


This would indicate that a kid could get a diagnosis of both autism and DMDD, but only if the meltdowns can't be explained by autism (eg they aren't from sensory overload, rigidity, misunderstanding social situations, etc).

Also, the kid needs to have irritability between outbursts, too, whereas most autistic kids I've met seem to be reasonably happy when something isn't setting them off. These kids probably wouldn't be the ones who'd get over a meltdown very quickly while their parents are still reeling, which is a common description of autistic meltdowns. These kids are basically kids who seem cranky pretty much all the time, with it occasionally boiling over into a meltdown.

Personally, I'm really glad they're adding it. I've been reading research for quite awhile suggesting that persistent irritability is a distinct mood disorder. Very often they get lumped in with depression or bipolar, often with ODD or CD thrown in. (Probably most kids with ODD + depression fit DMDD better, since many of these kids depression is indicated not by acting sad but by not acting happy.) The only concern I have is if there are kids with persistent irritability that causes impairment without having meltdowns, these kids will still be lumped in with diagnoses that don't really fit. I also don't see why a kid can be diagnosed with both ODD and DMDD - wouldn't DMDD account for all the ODD traits?



ASDMommyASDKid
Veteran
Veteran

User avatar

Joined: 27 Oct 2011
Gender: Female
Posts: 3,666

29 Jan 2013, 10:00 am

Ettina wrote:
Quote:
The behaviors do not occur exclusively during an episode of Major Depressive Disorder and are not better accounted for by another mental disorder (e.g., Autism Spectrum Disorder, Posttraumatic Stress Disorder, Separation Anxiety Disorder, Dysthymic Disorder).


This would indicate that a kid could get a diagnosis of both autism and DMDD, but only if the meltdowns can't be explained by autism (eg they aren't from sensory overload, rigidity, misunderstanding social situations, etc).



If this is the case, then that is reassuring.



momsparky
Veteran
Veteran

User avatar

Joined: 26 Jul 2010
Gender: Female
Posts: 3,772

29 Jan 2013, 10:26 am

Ettina wrote:
Also, the kid needs to have irritability between outbursts, too, whereas most autistic kids I've met seem to be reasonably happy when something isn't setting them off. These kids probably wouldn't be the ones who'd get over a meltdown very quickly while their parents are still reeling, which is a common description of autistic meltdowns. These kids are basically kids who seem cranky pretty much all the time, with it occasionally boiling over into a meltdown.


I don't know - DS would have fit this profile, but it was due to his frustration with the undiagnosed and untreated pragmatic speech deficit. He was only getting about 70% of interaction (and, thus 30% of communication was miscommunication) and this would irritate him constantly and occasionally blow up into a full-on meltdown. This was on top of him being irritable due to sensory and rigidity issues (which also could lead to meltdowns.) But, he was pretty much cranky from 1st grade until his formal diagnosis and eventual treatment in 4th.

Now that he's being treated. The big breakthrough was that he came to understand that if something goes wrong socially it is probably due to a miscommunication. He is generally much less irritable, even if miscommunications still happen. He's also become a bit more flexible and recognizes sensory stuff before it becomes a problem, which makes things better still (those, we're still working on.)

We haven't completely solved everything, but if we'd been given this diagnosis instead of the appropriate ones, we would be no further ahead now. I'm not saying it isn't an accurate picture of many kids, I'm just concerned that it will keep people from looking for answers.



Raziel
Veteran
Veteran

User avatar

Joined: 25 Oct 2011
Age: 42
Gender: Male
Posts: 2,620
Location: Europe

29 Jan 2013, 10:38 am

I can see the pros adding this diagnostic lable in the DSM V.
But the mainpoint what I don't get is, so far I know, overdx Bipolar in children upto this extreme how it happened nearly just happened in the US. So how do other countries dx?
I also don't know if it makes sence to me to add a lable that's for children ONLY get that HAS TO be switched to another lable or removed when those kids older!

So what's with grown ups having those kind of problems? 8O
:?


_________________
"I'm astounded by people who want to 'know' the universe when it's hard enough to find your way around Chinatown." - Woody Allen