Coping with Tantrums and Emotional Outbursts: Tips for Parents of Children with Disruptive Mood Dysregulation Disorder

By Telita Seseka Montales , Parent Herald Aug 01, 10:50 am

Photo: (Photo : Chinh Le Duc on Unsplash)

Children and adolescents, like adults, can experience emotional challenges. While some may exhibit signs of depression, such as persistent sadness, others may display chronic irritability and frequent temper tantrums, a key characteristic of Disruptive Mood Dysregulation Disorder (DMDD).

DMDD affects around 2 to 5 percent of children and is more common in males than females. It can significantly impact a child's functioning and social interactions. Fortunately, there are coping strategies and treatments available to help parents support their children with DMDD and manage their emotional outbursts.

Definition and Symptoms of DMDD

According to Psychology Today, DMDD typically emerges in children under the age of 10 and is characterized by severe, persistent irritability.

Children with DMDD exhibit irritable or angry moods and have frequent temper outbursts that are disproportionate to their developmental level. These outbursts occur at least three times a week. Outside of tantrums, the child remains irritable or angry most of the time.

The symptoms must have been present for at least 12 months, with no period of more than three consecutive months without symptoms. DMDD significantly impairs functioning in at least two of the three usual settings where children spend their time (home, school, or with peers), and at least one of these settings is severely affected.

Causes & Treatment of DMDD

The exact cause of DMDD remains unknown, but it is likely the result of a combination of genetic, biological, environmental, and psychological factors. Brain-imaging studies have shown differences in the brain structure and functioning of people with mood dysregulation, affecting areas responsible for mood regulation, thinking, sleep, appetite, and behavior.

Furthermore, abnormalities in neurotransmitter functioning have been observed. Stressful life events, trauma, or difficult relationships may trigger or exacerbate DMDD episodes, but no single cause has been identified.

DMDD is a treatable disorder, and early intervention is crucial for effective treatment and prevention of recurrence. If parents suspect their child may have DMDD, they should seek professional help from a physician or a mental health professional. It is essential to rule out any medical conditions or other mental health issues that may present similar symptoms. Once diagnosed, a combination of therapeutic approaches may be prescribed.

Psychotherapy: Individualized psychotherapy, such as Cognitive-Behavioral Therapy (CBT), can be highly effective in teaching children coping skills to regulate their moods and manage frustration and anger.
Medication: In some cases, medication may be prescribed, such as psychostimulants used to treat Attention Deficit Hyperactivity Disorder (ADHD). These medications have been shown to reduce anger and hostility.
Parent Training: Parent management training can help parents learn specific strategies to enhance effective discipline and communication. A mental health professional might conduct this training.
School Interventions: Targeted interventions in the school environment may be beneficial for children with DMDD. Working with teachers and school staff to create a supportive and understanding environment can help improve the child's overall functioning.

Coping with tantrums and emotional outbursts in children with Disruptive Mood Dysregulation Disorder can be challenging for parents. However, with the right support and interventions, children with DMDD can learn to manage their emotions effectively.

Early detection and appropriate treatment are essential to ensuring the child's well-being and improving their overall functioning in various settings. By seeking professional help and implementing coping strategies, parents can provide their children with the necessary support to navigate through the challenges of DMDD and lead fulfilling lives.