Disruptive mood dysregulation disorder
ICD-10 F34.81 is a billable code used to indicate a diagnosis of disruptive mood dysregulation disorder.
Disruptive Mood Dysregulation Disorder (DMDD) is a relatively new diagnosis introduced in the DSM-5, primarily aimed at addressing the over-diagnosis of bipolar disorder in children. DMDD is characterized by severe temper outbursts that are out of proportion to the situation and a persistently irritable or angry mood. These symptoms must be present for at least 12 months and occur in multiple settings (e.g., home, school, with peers). The disorder typically manifests in children aged 6 to 18 years, and the symptoms can lead to significant impairment in social, academic, or other important areas of functioning. Unlike bipolar disorder, DMDD does not include episodes of mania or hypomania. The diagnosis requires careful assessment to differentiate it from other mood disorders, including major depressive disorder and oppositional defiant disorder. Treatment often involves psychotherapy, behavioral interventions, and, in some cases, mood stabilizers or antidepressants. Given the potential for increased suicide risk in children with mood disorders, thorough risk assessments are crucial during evaluation and treatment planning.
Detailed history of mood symptoms, family history of mood disorders, and assessment of functional impairment.
Children presenting with chronic irritability, frequent temper outbursts, and difficulties in school settings.
Consideration of developmental milestones and the impact of environmental factors on mood.
Comprehensive psychiatric evaluation, including mood assessments and risk evaluations.
Adolescents with mood dysregulation presenting with co-occurring anxiety or behavioral issues.
Need for ongoing monitoring of mood symptoms and treatment response.
Used for outpatient therapy sessions focusing on mood regulation strategies.
Document the focus of therapy, including mood symptoms and coping strategies discussed.
Pediatric specialists may need to adapt therapy techniques to suit developmental levels.
The primary treatment for DMDD includes psychotherapy, particularly cognitive-behavioral therapy, and may involve medications such as mood stabilizers or antidepressants if symptoms are severe.
