The document provides information on disruptive mood dysregulation disorder (DMDD), including diagnostic criteria, considerations, differentiating it from bipolar disorder, functional consequences, symptoms in school settings, assessment, treatment, prognosis, epidemiology, etiology, and school-based interventions. Key points include that DMDD involves severe and frequent temper outbursts disproportionate to situations, irritability, onset before age 10, and causes significant impairment. Left untreated, it often persists through adolescence and increases risks for other disorders.
Classification in Psychiatry
The concept, reliability, validity, advantages and disadvantages of different classification systems, controversies in psychiatry classification
Classification in Psychiatry
The concept, reliability, validity, advantages and disadvantages of different classification systems, controversies in psychiatry classification
Disruptive, Impulse Control & Conduct Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This can be used like flashcards or as a presentation.
This is a presentation done on 4/6/11 for the Grand Rounds at Wayne State university by Pallav Pareek M.D.
This presentation talks about the concept of prdrome as it is(if?) applicable to schizophrenia, and if schizophrenia is becoming more of a preventable illness as science progresses. If so what are the various ways and means in which we can accomplish this prevention.
Amidst so much controversy on the issue , whether there is a prodrome for this illness or not, here I have tried to present the recent advances in this field and the recent scientific literature in this regard.
Schizophrenia is a mental disorder that usually appears in late adolescence or early adulthood. Characterized by delusions, hallucinations, and other cognitive difficulties, schizophrenia can often be a lifelong struggle. In this article, we will cover the causes, symptoms, and treatment of schizophrenia
Somatic Symptom & Related Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
Understanding DMDD Treating kids with protracted anger outbursts and irritabi...Stephen Grcevich, MD
Learning Objectives:
Examine why DMDD was established as a stand-alone diagnosis in DSM-5, review the diagnostic criteria for DMDD, along with the differential diagnosis from other common conditions and explore what we know about treating kids with DMDD
Disruptive, Impulse Control & Conduct Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This can be used like flashcards or as a presentation.
This is a presentation done on 4/6/11 for the Grand Rounds at Wayne State university by Pallav Pareek M.D.
This presentation talks about the concept of prdrome as it is(if?) applicable to schizophrenia, and if schizophrenia is becoming more of a preventable illness as science progresses. If so what are the various ways and means in which we can accomplish this prevention.
Amidst so much controversy on the issue , whether there is a prodrome for this illness or not, here I have tried to present the recent advances in this field and the recent scientific literature in this regard.
Schizophrenia is a mental disorder that usually appears in late adolescence or early adulthood. Characterized by delusions, hallucinations, and other cognitive difficulties, schizophrenia can often be a lifelong struggle. In this article, we will cover the causes, symptoms, and treatment of schizophrenia
Somatic Symptom & Related Disorders for NCMHCE StudyJohn R. Williams
Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This was informed by several exam prep programs, and can be used like flashcards or as a presentation.
Understanding DMDD Treating kids with protracted anger outbursts and irritabi...Stephen Grcevich, MD
Learning Objectives:
Examine why DMDD was established as a stand-alone diagnosis in DSM-5, review the diagnostic criteria for DMDD, along with the differential diagnosis from other common conditions and explore what we know about treating kids with DMDD
Oppositional defiant disorder (ODD) is a psychiatric disorder that typically emerges in childhood, between ages 6 and 8, and can last throughout adulthood.
ODD is more than just normal childhood tantrums
Frequency and severity of ODD causes difficulty at home and at school.
Children with ODD also struggle with learning problems related to their behavior.
Two types of oppositional defiant disorder:
Childhood-onset ODD:
Present from an early age
Requires early intervention and treatment to prevent it from progressing into a more serious conduct disorder
Adolescent-onset ODD:
Begins suddenly in the middle- and high-school years, causing conflict at home and in school
Conduct disorder is an ongoing pattern of behaviour marked by emotional and behavioural problems.
Ways in which Children with conduct disorder behave are
Angry,
Aggressive,
Argumentative, and
Disruptive ways.
It is a diagnosable mental health condition that is characterized by patterns of violating
Societal norms and
Rights of others
It's estimated that around 3% of school-aged children have conduct disorder and require professional treatment .
It is more common in boys than in girls.
What is Oppositional Defiant Disorder - InfographicLiahona Academy
Some teens just don't want to listen. Sometimes as parents it is hard to understand why teen are just troublesome and defiant. There are many teens that could have Oppositional Defiant Disorder, could your teen have troubles with authority. Infographic presented by Liahona Academy. Find out how to help your teen boy with ODD at http://www.liahonaacademy.com/
A detailed ppt which explains everything about the importance of human mental health
Including PTSD , Depression , ADHD , Obesity , Autism , Social media over usage , Inferior and superior complexity
Understand Clients Mental Health Diagnosis & Appropriately Interact with themuyvillage
Definition of mental illness. The causes of mental illness. Tips on how to empower youth with mental health disorders. Ways to teach skills to youth who have the following diagnosis: Reactive Attachment, Post Traumatic Stress Disorder, Oppositional Defiant Disorder, ADHD, Spectrum Disorders,
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
2. Diagnostic Criteria
A. Severe recurrent temper outbursts manifested verbally and/or behaviorally
that are grossly out of proportion in intensity or duration to the situation or
provocation
B. The temper outbursts are inconsistent with developmental level
C. The temper outbursts occur, on average, three or more times per week
D. The mood between temper outbursts is persistently irritable or angry most
of the day, nearly every day, and is observable by others
3. Diagnostic Criteria
E. Criteria A-D have been present for 12 or more months
F. Criteria A and D are present in at least two of three settings (i.e. at home,
at school, with peers) and are severe in at least one of these
G. The diagnosis should not be made for the first time before age 6 years or
after age 18 years
H. By history or observation, the age at onset of Criteria A-E is before 10 years
4. Considerations
Children with DMDD eventually go on to develop depression or anxiety
disorders
Controversial diagnosis
Sprung forth from children being over-diagnosed with BPD (Pediatric Bipolar
Disorder), however, without meeting all the criteria for BPD and for lack of a
better diagnosis
5. Differentiating DMDD From BPD
Chronic and non-episodic irritability
Children and adolescents with Bipolar Disorder present with distinct periods of
depressed mood and of mania or hypomania; patients with DMDD do not show well
defined episodes
No manic, euphoric, or grandiose characteristics as in BPD
Unipolar towards depressive mood
6. “I brought my 10-year-old girl to your facility with very few hopes left. Since
the age of 7 this beautiful child, my wonderful sweet little girl, had turned
into something I could have never guessed. Assaulting our family, the
neighbors, her teachers, her siblings, peers at school. At one time having
received slight criticism from her teacher on her homework, she grabbed a
pencil and stabbed her. At another time I had to call the police on her at our
own home in order to restrain her because I just didn’t know what to do. For
3 years I didn’t have my daughter, I was living with a monster…”
7. Functional Consequences of DMDD
Chronic, severe irritability, such as is seen in disruptive mood dysregulation
disorder, is associated with marked disruption in a child's family and peer
relationships, as well as in school performance.
Because of their extremely low frustration tolerance, such children generally
have difficulty succeeding in school; they are often unable to participate in
the activities typically enjoyed by healthy children; their family life is
severely disrupted by their outbursts and irritability; and they have trouble
initiating or sustaining friendships.
8. Functional Consequences of DMDD
Often causes severe disruption in the lives of the affected individual and their
families.
Dangerous behaviors, suicidal ideation or suicide attempts, severe aggression,
and psychiatric hospitalization are common
9. Symptoms in School Setting
Severe temper outbursts
Physical aggressiveness towards peers or teachers
Refusal to attend school
Refusal to take part in schedule assigned by teachers
Getting upset over slight interferences
Refusal to cooperate
Fighting verbally or physically
Alcohol or substance abuse
Swearing inappropriately
10. Assessment of DMDD
Because DMDD is a new diagnosis, there are no available assessment tools to
assist in diagnosing and assessing the disorder
Professionals are currently dependent on a process of ruling out other medical
disorders (e.g. major depressive disorder, oppositional defiant disorder,
bipolar disorder)
Particular attention needs to be given the nature of the irritability as it is
non-episodic, chronic, elevated, persistent, and frequent. It should not be
confused with irritability that presents only during stressful circumstances or
developmentally appropriate emotional responses
11. Assessment of DMDD
Early Developmental and Home Background clinical and parent rated forms
(EDHB)
Beck Depression Inventory for Youth (BDI-Y)
CBCL
Child Bipolar Questionnaire (CBQ)
13. Prognosis
Although little is known about the course of
DMDD, the chronic irritability and angry outbursts
that characterize DMDD often last through early
adolescence if left untreated
Participants with history of DMDD were more
likely than their counterparts to come from
impoverished families and single-parent homes
Copeland WE; Shanahan L; Egger H; Angold A; Costello EJ (2014), "Adult diagnostic and functional outcomes of
DSM-5 disruptive mood dysregulation disorder", American Journal of Psychiatry, 171 (6): 668–674
14. Prognosis
Participants with a childhood DMDD diagnosis were more likely
to develop depressive or anxiety disorders as adults; had higher
rates of poor health outcomes such as STD transmission, illness
and smoking; were more likely to engage in illegal or risky
behaviors as well as be convicted of felony charges and were
more likely to be impoverished
DMDD at the age of 6 years also predicted current and lifetime
depressive disorder and ADHD at the age of 9 years
Copeland WE; Shanahan L; Egger H; Angold A; Costello EJ (2014), "Adult diagnostic and functional outcomes of DSM-5 disruptive
mood dysregulation disorder", American Journal of Psychiatry, 171 (6): 668–674
16. Etiology
Family problems such as divorce, moves, death in the family may contribute
to the disorder
Psychological trauma or emotional, sexual, or physical abuse in early ages of
development
Alcohol and drug abuse during pregnancy
Poor diet, vitamin deficiencies and malnutrition
17. Etiology
Youth with DMDD have difficulty attending, processing, and responding to
negative emotional stimuli and social experiences in their everyday lives
E.g. some studies have shown youths with DMDD to have problems
interpreting the social cues and emotional expressions of others. These youths
may be especially bad at judging others’ negative emotional displays, such as
feelings of sadness, fearfulness, and anger
Functional MRI studies suggest that under-activity of the amygdala, the brain
area that plays a role in the interpretation and expression of emotions is
associated with these deficits
Weis, Robert (2014). Introduction to abnormal child and adolescent psychology (2nd ed.). Los Angeles,
CA: SAGE. p. 477.
18. Etiology
Children with DMDD may also have difficulty regulating negative emotions
once they are elicited. To study these problems with emotion regulation,
researchers asked children with DMDD to play computer games that are rigged
so that children will lose. While playing these games, children with DMDD
report more agitation and negative emotional arousal than their typically-
developing peers. Furthermore, youths with DMDD showed markedly greater
activity in the medial frontal gyrus and anterior cingulate cortex, than
comparison youths.
Weis, Robert (2014). Introduction to abnormal child and adolescent psychology (2nd ed.). Los Angeles,
CA: SAGE. p. 477.
19. School-Based Interventions
Recognize Mood Changes and Negative Thoughts
Parents and teachers can ask these kids to relate
their mood shifts with physical sensation, thoughts,
or memories. They can also record what happened
before their mood change (e.g. arguments, music,
poor sleep, missed meal). These responses usually
include repetitive thinking. Sometimes young
people don’t notice their negative thinking
processes. Once they learn to recognize their mood
change and negative thinking, they also understand
their style of thinking and its consequences
20. School-Based Interventions
Working with parents and doctors
Teachers need to meet the student’s parents
and doctors regularly. They should work
together on a plan to manage the irritability
and rages in school. They can talk about the
observations and how the interventions are
working.
21. School-Based Interventions
Reinforcement Strategies
It is important for teachers to acknowledge and
reinforce positive behavior whenever it occurs
in children with DMDD. This helps them build
self-esteem and recognize that their behaviors
have certain consequences when they are
acting well.
22. School-Based Interventions
Preventing Outbursts
Teachers can be very effective in preventing
outbursts. One of the triggers of DMDD associated
outbursts is stress. Therefore, teachers can help
eliminate stress from the student’s environment.
This can be done by establishing a routine for the
student. It can also be done by modifying the time
permitted to complete assignments and tests,
therefore eliminating some of the stress caused by
them
23. School-Based Interventions
Permission to Leave the Room
Sometimes the student may feel that she/he
can’t handle staying in the classroom and needs
to get out of the room. A discreet signal should
also be planned so there is no disruption in the
classroom
