DMDD Flashcards
What is dysruptive mood dysregulation disorder? (DMDD)
(Serial vexatious pillock)
Severe recurrent temper outbursts
Verbal or physical aggression (people or property)
Proportion (out of) to provocation
What is the child’s mood like between temper outbursts that occur on average three or more times per week?
Irritable and angry
What is the difference between irritability in DMDD and BPAD?
Irritability in DMDD is persistent and present over many months
BPAD has discrete episodes of mood changes (irritable or euphoric) that are markedly different from the child’s usual baseline
What are some features of a manic or hypo manic episode that may distinguish it from DMDD?
Increased energy and goal directed activity
Decrease need for sleep
Pressured speech
Flight of ideas
Grandiosity
How can DMDD be differentiated from ODD? (HINT: emotions and context)
Angry and irritable mood and temper outbursts more severe in DMDD
In ODD symptoms may be confined to one setting whereas in DMDD symptoms must occur in at least two settings.
Can DMDD and ODD co-occur?
No - if mood disturbance is severe enough to meet criteria for DMDD then a diagnosis of DMDD is given
DMDD trumps ODD
How can DMDD be differentiated from ADHD?
Impulsiveness and disorganised attention are not core features of DMDD
How can DMDD be differentiated from MDD?
In MDD, irritability only occurs in the context of a depressive episode
What age group does incredible years parent interventions focus on?
Younger children aged 3-10 years
Early childhood (3-6 years)
School aged (6-10 years)
What are the main 4 interventions from the incredible years programme? (PRiCE)
- Positive nurturing relationships with children increased
- Replace critical and physically violent discipline with positive strategies (e.g., ignore, use of natural and logical consequences, redirecting, monitoring, problem-solving)
- Communication skills taught
- Enhance family support networks
What problems are targeted by the positive parenting program?
Behavioural, emotional, and social problems
What is the theory underlying the incredible years programme interventions?
Cognitive social learning
What are 3 benefits of preventive interventions like the incredible years programme? (CEP)
- Conduct problems can be treated more easily and effectively in younger children than older children.
- Early intervention can mitigate escalation of problem behaviours.
- Preventing escalation of problems reduces longer term costs to educational, health and mental health, and criminal justice system.
What does the empirical research say about the incredible years program?
Effective at:
Reducing behaviour problems and maintaining positive outcomes
Improving teacher and parent management skills
Improving children’s social and emotional competence, school readiness
What are the 3 types of parent training programs in the incredible years programme?
- Basic
- Advanced
- Education
Why would you recommend cognitive behavioural interventions (e.g., PSST) for antisocial behaviour?
A review of 30 studies by on CBT interventions for antisocial behaviour found a mean effect size of .48 at post treatment and .66 at follow up (suggesting ongoing gains from treatment after therapy has finished - although only a small amount of the studies included had follow up data)
Child based CBT interventions have a small to moderate effect in decreasing antisocial behaviour
What do the basic parenting skills involve in the incredible years programme? (People giving stupendous hugs)
Play skills and involvement with children
Giving praise and rewards
Setting limits
Handling misbehaviour
What does the incredible years advanced parent training of interpersonal skills involve? (PACEG)
Problem solving skills
Anger management
Communication skills
Emotional regulation skills
Giving and getting support (how to get feedback from others, how to give support)
What are 3 examples of parental skills from the incredible years academic skills training? (ARS)
Academic stimulation (make learning interesting through play)
Reading with children
Setting a homework routine and supporting with homework
