Live Grand Rounds: Disruptive Mood Dysregulation Disorder-DMDD: Where Did It Come From and What Can We Do About It?

October 9, 2024

This presentation will be an ONLINE VIRTUAL LIVE broadcast on October 9, 2024, from 12:00 pm - 1:00 pm ET. While this activity is LIVE and can only be viewed during the time specified, the evaluation will be available online until November 6, 2024. Go to the Register tab above to learn how to participate for continuing education credit, watch the broadcast and download the slides.

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

Disruptive mood dysregulation disorder (DMDD) is a condition defined by frequent explosive outbursts occurring within the context of chronic, pervasive irritability, beginning in early childhood.  This lecture reviews how the condition evolved and speculates that although it originated ostensibly as a response to the overdiagnosis of bipolar disorder in children, and the overdiagnosis of bipolar disorder occurred because of the absence of a good diagnostic home for explosive outbursts.   Evidence suggests depression and anxiety are outcomes of DMDD however that does not account for the outcome of the outbursts.  I will also discuss briefly the relationship of other mood and behavior disorders to DMDD, assessment and treatment. 

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals. 

Learning Objectives

At the conclusion of this activity, attendees will be able to:

  1. Discuss the evolution of Disruptive Mood Dysregulation Disorder and summarize its criteria
  2. Describe the relevance of ADHD and its treatments to Disruptive Mood Dysregulation Disorder 
  3. Identify the components of assessment for Disruptive Mood Dysregulation Disorder
Course summary
Available credit: 
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Course opens: 
07/24/2024
Course expires: 
11/06/2024
Event starts: 
10/09/2024 - 12:00pm EDT
Event ends: 
10/09/2024 - 1:00pm EDT

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
Grand Rounds Fund
6501 North Charles Street, Baltimore, Maryland 21204

Professional Education Program: 410.938.4593
Conference Center at Sheppard Pratt: 410.938.3900

This lecture was supported by Grant Number 6H79FG000999-01M001 from SAMHSA. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of SAMHSA.  

About the speaker

Gabrielle A. Carlson, M.D., professor of Psychiatry and Pediatrics at State University of New York at Stony Brook since 1985, she founded and directed the Division of Child and Adolescent Psychiatry until 2013.  Completing a fellowship in Child and Adolescent Psychiatry at UCLA, she taught on the faculty and joined AACAP as an early career psychiatrist.  

Dr. Carlson’s research interest has been in the phenomenology and treatment of mood disorders in children (bipolar disorder, depression, and recently mood dysregulation) and the relationship between behavior disorders, like ADHD, developmental disorders and mood disorders.  She has written over 300 papers and chapters on those subjects.  Her AACAP presidential initiative addressed impairing emotional outbursts in youth. 

Dr. Carlson has served as AACAP’s Program Chair, Counselor-at-large and ultimately, AACAP president.  She has won numerous child psychiatry awards including the APA’s Blanche F. Ittleson Award for research, Agnes Purcell McGavin Award for Prevention, and the  American Psychopathological Association’s: Zubin Award, for playing a fundamental role in psychopathology research. Two especially treasured awards have been her Virginia Q Anthony Women’s Leadership Award, and the AACAP Catchers in the Rye Humanitarian Award. 

             

Disclosure Statements

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 24 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services, or off-label uses of product(s) during this presentation.

Gabrielle A. Carlson, MD, reports being a researcher for the NIMH.  She will not discuss any commercial products or services. She will be discussing the off-label use of treatments as there are no FDA approved treatments for DMDD. All relationships have been mitigated through review. 

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 24 months: Todd Peters, MD, Elizabeth Ryznar, MD, MSc, Louis Marino, MD, Devi Bhuyan, PsyD, 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, Lisa E. Seldon, DNP, MSA, RN, NEA-BC, 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 live 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 hour 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 CE activity.  Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hour 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 CE activity. This activity is approved for 1.0 contact hour in Category I 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 hour.

Available Credit

  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category I credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Please login or register to take this course.

This presentation will be an ONLINE VIRTUAL LIVE broadcast on October 9, 2024, from 12:00 pm - 1:00 pm ET. While this activity is LIVE and can only be viewed during the time specified, the evaluation will be available online until November 6, 2024. Go to the Register tab above to learn how to participate for continuing education credit, watch the broadcast and download the slides.

WATCH THE BROADCAST

The codeword will be announced during the live event. The codeword is used to prove you attended the event. You will not need it to access the broadcast.

The broadcast can not be accessed through cme.sheppardpratt.org. You will need to use the link provided below to watch the broadcast.

 

On October 9, 2024, at 11:30 am ET, please click on, or copy and paste this link into your web browser to view the lecture online. This link is LIVE at 11:00 am ET.  An email address is required to log into the broadcast.

https://onlinexperiences.com/Launch/Event/ShowKey=257872


DOWNLOAD THE HANDOUT.

Use this link to download the handout. This handout will be available for download on Tuesday, October 8, 2024, at 12:00 pm ET.  

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https://www.sheppardpratt.org/training-education/continuing-education/continuing-education-cme-email-sign-up/

 

EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE

PRIOR TO THE EVENT: Log into your Sheppard Pratt Ethos account and register by taking the pretest. Select the activity by series, title or speaker name. Go to the last tab, REGISTER and select the GREEN RECTANGLE, TAKE COURSE, and follow the prompts. Complete the Pretest and select attendance and you will be registered for this activity. You will not be able to work further until you are marked attended by entering the codeword.

DURING THE EVENT: Because you will view this event online, there will not be a sign in sheet. Instead of signing in, a codeword will be given during the lecture for you. The codeword will be announced during the live broadcast. There are two ways to enter the codeword: by text/SMS & through the website. To use the website to enter the codeword to be marked attended, you will go to https://cme.sheppardpratt.org/code and enter the codeword there. To use SMS to enter the codeword, you will text the codeword to 410-291-8061. To save time, add this phone number to your contacts. Once you enter the codeword, you can click on the My Account> Pending Courses tab and you will see the course listed there. From this tab you will be able to complete your course.

AFTER THE LECTURE: Once you enter the codeword, you can click on My Account > Pending Activities and you will see the course listed there. From this tab you will be able to complete your course. Select the last tab, TAKE COURSE, and select the GREEN RECTANGLE, TAKE COURSE and follow the prompts. Please use the navigation button located in the lower right corner to continue throughout the course for best results. Complete the evaluation and credit designation to earn continuing education hours or credits. You must complete each component of the COURSE PROGRESS BAR to earn credit for the activity. Your transcript will reflect all completed events.

Questions? Please look at our FAQ page https://cme.sheppardpratt.org/content/faq  or email cme@sheppardpratt.org.

Required Hardware/software

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

Minimum Requirements

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

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.