Eman A Zaky
In order to address the concerns about the potential for the over-diagnosis of and treatment for bipolar disorder in children, a new diagnosis, disruptive mood dysregulation disorder (DMDD) has been recently added to the depressive disorders for children up to 12 years of age in DSM 5. It refers to the presentation of children with persistent irritability and frequent episodes of extreme behavioral dyscontrol. Such children were found to typically develop unipolar depressive disorders or anxiety disorders rather than bipolar disorders as they mature into adolescence and adulthood. Whether this new diagnosis will also lead to a more judicious use of psychotropic medications and increased utilization of behavioral, psychosocial, and family interventions remains to be seen.
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