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Test Disruptive Mood Dysregulation Disorder (DDDEA)
Agenda
QUESTION 1: Why was Disruptive Mood Dysregulation Disorder (DDMDD) added to the DSM-5?
To increase the number of bipolar disorder diagnoses in children
To describe children with a normal mood
Because it is an episodic disease
To address concerns about overdiagnosis of bipolar disorder in children with chronic irritability
2nd QUESTION: What is the central characteristic of TDDEA?
An episodic mood
Frequent outbursts of temper without an irritable mood between them
A behavior that is not observable by other people
An irritability that is chronic, severe and also very persistent
QUESTION 3: What is the fundamental difference between ADHD and bipolar disorder in children?
Bipolar disorder is episodic in nature, while the irritability of ADHD is persistent and non-episodic
ADHD is episodic, while bipolar disorder is persistent
There is no difference between the two disorders
ADHD is only diagnosed in adults and bipolar disorder in children
QUESTION 4: What are the two prominent clinical manifestations of irritability in ADHD?
A cheerful mood and manic episodes
The absence of outbursts of temper
Frequent outbursts of temper and a chronically irritable or angry mood towards each other
Behavior that does not respond to frustration
QUESTION 5: What was the reason for the increase in childhood bipolar diagnoses before the creation of the TDDEA?
That the children were less irritable
Clinicians combined episodic presentations of mania with non-episodic presentations of severe irritability
To the decrease in outbursts of temper
That the TDDEA already existed as a diagnostic category
QUESTION 6: What should irritable mood be like in a child with ADHD to be considered a symptom?
It should be episodic and occur only once in a while
It must be a secret that no one else can notice
It should be a happy mood most of the time
It should be a characteristic of the child, being present most of the day and being observable by others
QUESTION 7: What is a manic episode in the context of bipolar disorder?
The main symptom of ADHD
A chronically irritable mood that lasts for many months
A burst of temper in response to frustration
A low-key mood episode where the mood is clearly different from the child's usual mood
QUESTION 8: What is expected to happen with the inclusion of the new TDDEA category?
The number of bipolar disorder diagnoses in childhood is increasing
That there is no change in diagnosis rates
Bipolar disorder should no longer be considered an episodic illness
That the number of bipolar disorder diagnoses in childhood decreases significantly
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