If your child frequently has intense emotional outbursts that seem extreme for their age, you may be wondering if something deeper is occurring. One possible explanation is Disruptive Mood Dysregulation Disorder (DMDD), a condition that involves chronic irritability and severe temper outbursts in children and teens.
What Is DMDD?
DMDD is a mood disorder diagnosed in children ages 6–18. It is more than typical moodiness or acting out, it involves:
Frequent outbursts (3+ times a week)
Chronic irritability or anger most of the day, nearly every day
Symptoms lasting at least 12 months
Difficulties across settings (home, school, peers)
Unlike bipolar disorder, DMDD does not involve mood cycles like mania; instead, the mood issues are persistent and ongoing.
What Causes It?
DMDD may be associated with differences in brain function, family history of mood disorders, or high-stress environments. It is often a combination of biological and environmental factors.
How Is It Treated?
DMDD is treatable. A plan may include:
Therapy: Cognitive Behavioral Therapy, emotion regulation skills, or family therapy.
Parent training: Learning techniques to respond calmly and consistently.
Medication: Sometimes used to manage mood symptoms.
School support: Collaborating with educators to reduce triggers.
What Can Parents Do?
Stay consistent with rules and routines
Consider psychological testing
Remain calm during outbursts, your response sets the tone
Focus on connection over control
Get professional support
DMDD can be incredibly tough on families, but with the right tools, children can learn to manage their emotions and grow in healthy ways. If you are concerned, please call our office.