Disruptive mood dysregulation disorder (ADDD) is a new diagnosis. It belongs to the group of depressive disorders. Since it is a new diagnosis, the number of scientific studies on DDDD is less compared to other mental disorders. Although it is not known exactly how common this disorder is, it can be said that it is frequently encountered in child psychiatry outpatient clinic admissions. The conditions that cause or facilitate the emergence of YDDB continue to be investigated. Children and adolescents with this diagnosis experience disproportionate, recurring verbal and/or behavioral tantrums. Children may react angrily to situations and events that they do not like, do not want, or disturb them. It is necessary to distinguish between the tantrum in the diagnosis of DDDD and the angry reactions that can be considered normal. In terms of discrimination, the frequent recurrence of tantrums and the fact that they are disproportionate to the situation in terms of duration and severity are findings in favor of IDD. In tantrums that occur after triggering events and situations in daily life, the child calms down after a certain period of time. This calmness continues until the next anger. Children diagnosed with DDDD also appear tense, irritable and restless between tantrums. To diagnose YDDD; The problem must persist for 12 months, tantrums occur at least three times a week, and continuity must be present. In the tantrums seen in YDDB; Behaviors such as verbal aggression, using inappropriate words, and damaging people and things around them are exhibited. Tantrums must occur in at least two different environments (at home, at school, with peers). For example, it is necessary to focus on the family's attitudes towards the child in cases where tantrums do not occur at school or with peers, but only occur at home. In order to accept anger outbursts as a symptom of EDDD, they must be incompatible with the developmental level and period of children and adolescents. It is necessary to distinguish between anger reactions, which are common in adolescence and before the age of 6. Therefore, in order to be diagnosed with DMDD, the symptoms must have started before the age of 10 and the child must be older than 6 years old.
DMDD negatively affects children's quality of life and school performance. Families of children who experience anger outbursts His relationships with his subordinates and peers deteriorate. Having a child diagnosed with DDDD is a difficult situation for parents. In parents; It can lead to situations such as blaming themselves, being blamed by others, spouse problems, divorce, exclusion from society, and the emergence of different mental disorders.
Children diagnosed with DDD may also be accompanied by other mental disorders (Attention Deficit Hyperactivity Disorder, Depression, etc.). can. In addition, since tantrums can be seen in many mental and physical diseases, the diagnosis of DDDD must be distinguished from other disorders. It would be appropriate to be evaluated by a child psychiatrist to avoid misdiagnosis and to avoid missing co-occurring mental disorders.
Since DMDD is a new diagnosis, experience and information regarding treatment is limited. For this reason, practices that have been shown to work in some mental disorders (such as ADHD, Stubbornness Disorder, Depression) where anger and anger outbursts are seen are used. In the treatment of children and young people diagnosed with YDDD; Practices such as behavioral therapy, informing the family about the disease, family therapy and drug therapy are recommended.
As a result; YDDB negatively affects the quality of life of children, their families and the people around them. It is a treatable disorder with different treatment options. Families who think their child has a diagnosis of EDDD should receive psychological support.
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