On Demand Grand Rounds: Assessment and Management of Severe Irritability from Preschool to High School
This presentation was originally reviewed on November 13, 2023, and broadcast live online on June 17, 2020 from 12:00 PM - 1:00 PM ET.
This presentation describes the historical conceptualization of irritability as a symptom in psychiatric disorders especially in the context of the frequent diagnosis of bipolar disorder in children with chronically irritable mood. This diagnostic approach contributed to the dramatic rise in the rate of pediatric visits for bipolar disorder in the United States and led to the creation of a new disorder Disruptive Mood Dysregulation Disorder (DMDD). The phenomenological differences between episodic vs chronic irritability will be highlighted. Severe irritability in preschool age children will also be discussed in the context of new clinical research. Additionally, contemporary neuroscience research trends will be discussed to better understand the underpinnings of this commonly occurring symptom. Finally, evidenced-based approaches in managing irritability, including both psychosocial and pharmacological strategies will be discussed.
This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals.
After this lecture, you will be able to:
1. Describe the historical conceptualization of irritability as a symptom in psychiatric disorders.
2. Distinguish irritability observed in Disruptive Mood Dysregulation Disorder (DMDD) from other psychiatric disorders especially bipolar disorder.
3. Identify contemporary neuroscience research trends relating to understanding irritability.
Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community. Your tax-deductible donations will help maintain the outstanding quality of this service.
Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults. Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level. We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report. Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.
Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.
Please send your contributions to:
Sheppard Pratt Professional Education Program
Wednesdays Lecture Fund
6501 North Charles Street, Baltimore, Maryland 21204
Professional Education Program: 410.938.4593
Conference Center at Sheppard Pratt: 410.938.3900
About this speaker:
Dr. Jeffrey Hunt is Professor and Deputy Division Director in the Division of Child and Adolescent Psychiatry and Program Director for the Child and Adolescent Psychiatry Fellowship and the Triple Board Program at the Alpert Medical School of Brown University. He is also Director of Inpatient and Intensive Services at Bradley Hospital in Rhode Island. Dr. Hunt has been co-investigator on numerous NIMH funded studies relating to mood disorders including the Course and Outcome of Bipolar Youth Study. He holds leadership roles within AACAP, ABPN, and ACGME. He is an AACAP- Harvard Macy Scholar and is a faculty member in the Harvard Macy health care educator courses. Dr. Hunt received his MD from the Medical College of Wisconsin and general and child and adolescent psychiatry training at the Medical College of Pennsylvania at the Eastern Pennsylvania Psychiatric Institute (now Drexel University College of Medicine).
Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt Health System, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.
Jeffrey I. Hunt, MD, reports having received research funding form NIMH, publishing royalties from Whiley Publishing, during the past 12 months. He will discuss generic SSRIs and atypical medications used for treating irritability in youth in this presentation. Review of his materials found no conflicts of interest.
Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, MD, Deepak Prabhakar, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Stacey Garnett, RN, MSN, Stephanie M. Robinson, MSN, RN, PMH-BC, NPD-BC, NE-BC , Heather Billings, RN, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurse Statement: Sheppard Pratt is approved as a provider of nursing continuing professional development by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 1.0 contact hours for nurses.
Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hours for Psychologists.
Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.0 contact hours in Category II credits for Social Workers.
Counselor Statement: Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098. Programs that do not qualify for NBCC credit are clearly identified. Sheppard Pratt is solely responsible for all aspects of the program. This activity is available for 1.0 NBCC clock hours.
- 1.00 ACEP NBCC clock hours
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Category II credits for Social Workers
- 1.00 Psychologists
- 1.00 MNA Contact Hours for Nurses
- 1.00 Participation
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Grand Rounds: Assessment and Management of Severe Irritability from Preschool to High School
Jeffrey I. Hunt, MD
Deputy Division Director
Division of Child and Adolescent Psychiatry
Alpert Medical School of Brown University
East Providence, Rhode Island
Originally reviewed November 13, 2023.
Originally broadcast live June 17, 2020, from 12:00 noon - 1:00 pm ET
Enduring Activity Credit Expiration Date: Monday, November 10, 2025.
Activity Time: One hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15
TO EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
On the OVERVIEW or REGISTER/TAKE COURSE tab, select the GREEN RECTANGLE, TAKE COURSE to begin.
Complete the Pretest and select NEXT in the bottom right corner of the screen. Use the NEXT button for best results.
The PowerPoint handout will be available for download.
After downloading the handout, select NEXT to begin and watch the one hour video.
You may need to select play for the video to begin.
After the video follow the prompts to complete the posttest, evaluation and attestation of credit.
Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable.
There is no commercial support for this activity.
Questions? Look at our FAQ’s at https://cme.sheppardpratt.org/content/faq or Email firstname.lastname@example.org
Optimal System Configuration
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher
Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit