On Demand Grand Rounds: Disruptive Mood Dysregulation Disorder-DMDD: Where Did It Come From and What Can We Do About It?
This presentation was originally reviewed on October 8, 2024, and live streamed online on October 9, 2024, from 12:00 pm - 1:00 pm ET.
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:
- Discuss the evolution of Disruptive Mood Dysregulation Disorder and summarize its criteria
- Describe the relevance of ADHD and its treatments to Disruptive Mood Dysregulation Disorder
- Identify the components of assessment for Disruptive Mood Dysregulation Disorder
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.
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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, Alfredo Sagisi, DNP, MS, RN, FACHE, 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 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 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 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 hour.
Available Credit
- 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: Disruptive Mood Dysregulation Disorder-DMDD: Where Did It Come From and What Can We Do About It?
Gabrielle A. Carlson, MD
Professor of Psychiatry and Pediatrics
State University of New York at Stony Brook
Stony Brook, NY
Originally reviewed on October 8, 2024.
Originally broadcast live October 9, 2024, from 12:00 pm - 1:00 pm ET.
Enduring Activity Credit Expiration Date: November 12, 2026.
Activity Time: One hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15.
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