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<blockquote data-quote="jcox" data-source="post: 340711" data-attributes="member: 6583"><p>Yes I read this and I do not think my E will fit into that category. I think this will cause more issues in getting children who are complex like E diagnosed correctly. He fit the adult criteria for BiPolar (BP) I at age 3 (296.6). I think this will be one more opstical in getting our children the help they need. in my opinion E does not fit this criteria because he has profound ups and downs from mania to depression. I worry that once this diagnosis comes out children who clearly have BiPolar (BP) like E and are complex, complicated children to figure out might have yet one more thing to be misdiagnosed with. I am very concerned with this new diagnosis taking the place of children being diagnosed with BiPolar (BP) as some news articles I read today say the plan is.</p><p></p><p>Here is a list of what the DSM V diagnosis of Temper Disregulation Disorder will look like:</p><p>Temper Dysregulation Disorder with Dysphoria</p><p></p><p>A. The disorder is characterized by severe recurrent temper outbursts in response to common stressors.</p><p>1. The temper outbursts are manifest verbally and/or behaviorally, such as in the form of verbal rages, or physical aggression towards people or property.</p><p>2. The reaction is grossly out of proportion in intensity or duration to the situation or provocation.</p><p>3. The responses are inconsistent with developmental level.</p><p>B. Frequency: The temper outbursts occur, on average, three or more times per week.</p><p>C. Mood between temper outbursts:</p><p>1. Nearly every day, the mood between temper outbursts is persistently negative (irritable, angry, and/or sad).</p><p>2. The negative mood is observable by others (e.g., parents, teachers, peers).</p><p>D. Duration: Criteria A-C have been present for at least 12 months. Throughout that time, the person has never been without the symptoms of Criteria A-C for more than 3 months at a time.</p><p>E. The temper outbursts and/or negative mood are present in at least two settings (at home, at school, or with peers) and must be severe in at least in one setting.</p><p>F. Chronological age is at least 6 years (or equivalent developmental level).</p><p>G. The onset is before age 10 years.</p><p>H. In the past year, there has never been a distinct period lasting more than one day during which abnormally elevated or expansive mood was present most of the day for most days, and the abnormally elevated or expansive mood was accompanied by the onset, or worsening, of three of the B criteria of mania (i.e., grandiosity or inflated self esteem, decreased need for sleep, pressured speech, flight of ideas, distractibility, increase in goal directed activity, or excessive involvement in activities with a high potential for painful consequences; see pp. XX). Abnormally elevated mood should be differentiated from developmentally appropriate mood elevation, such as occurs in the context of a highly positive event or its anticipation.</p><p>I. The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder (e.g., Major Depressive Disorder, Dysthymic Disorder, Bipolar Disorder) and are not better accounted for by another mental disorder (e.g., Pervasive Developmental Disorder, post-traumatic stress disorder, separation anxiety disorder). (Note: This diagnosis can co-exist with Oppositional Defiant Disorder, ADHD, Conduct Disorder, and Substance Use Disorders.) The symptoms are not due to the direct physiological effects of a drug of abuse, or to a general medical or neurological condition.</p><p></p><p>That doesn't fit my E because he clearly has BiPolar (BP) ups and downs. I worry that this diagnosis might mistakenly be used in many children who were diagnosed with BiPolar (BP), which will lead to more complications in getting complex children like E the help they need.</p></blockquote><p></p>
[QUOTE="jcox, post: 340711, member: 6583"] Yes I read this and I do not think my E will fit into that category. I think this will cause more issues in getting children who are complex like E diagnosed correctly. He fit the adult criteria for BiPolar (BP) I at age 3 (296.6). I think this will be one more opstical in getting our children the help they need. in my opinion E does not fit this criteria because he has profound ups and downs from mania to depression. I worry that once this diagnosis comes out children who clearly have BiPolar (BP) like E and are complex, complicated children to figure out might have yet one more thing to be misdiagnosed with. I am very concerned with this new diagnosis taking the place of children being diagnosed with BiPolar (BP) as some news articles I read today say the plan is. Here is a list of what the DSM V diagnosis of Temper Disregulation Disorder will look like: Temper Dysregulation Disorder with Dysphoria A. The disorder is characterized by severe recurrent temper outbursts in response to common stressors. 1. The temper outbursts are manifest verbally and/or behaviorally, such as in the form of verbal rages, or physical aggression towards people or property. 2. The reaction is grossly out of proportion in intensity or duration to the situation or provocation. 3. The responses are inconsistent with developmental level. B. Frequency: The temper outbursts occur, on average, three or more times per week. C. Mood between temper outbursts: 1. Nearly every day, the mood between temper outbursts is persistently negative (irritable, angry, and/or sad). 2. The negative mood is observable by others (e.g., parents, teachers, peers). D. Duration: Criteria A-C have been present for at least 12 months. Throughout that time, the person has never been without the symptoms of Criteria A-C for more than 3 months at a time. E. The temper outbursts and/or negative mood are present in at least two settings (at home, at school, or with peers) and must be severe in at least in one setting. F. Chronological age is at least 6 years (or equivalent developmental level). G. The onset is before age 10 years. H. In the past year, there has never been a distinct period lasting more than one day during which abnormally elevated or expansive mood was present most of the day for most days, and the abnormally elevated or expansive mood was accompanied by the onset, or worsening, of three of the B criteria of mania (i.e., grandiosity or inflated self esteem, decreased need for sleep, pressured speech, flight of ideas, distractibility, increase in goal directed activity, or excessive involvement in activities with a high potential for painful consequences; see pp. XX). Abnormally elevated mood should be differentiated from developmentally appropriate mood elevation, such as occurs in the context of a highly positive event or its anticipation. I. The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder (e.g., Major Depressive Disorder, Dysthymic Disorder, Bipolar Disorder) and are not better accounted for by another mental disorder (e.g., Pervasive Developmental Disorder, post-traumatic stress disorder, separation anxiety disorder). (Note: This diagnosis can co-exist with Oppositional Defiant Disorder, ADHD, Conduct Disorder, and Substance Use Disorders.) The symptoms are not due to the direct physiological effects of a drug of abuse, or to a general medical or neurological condition. That doesn't fit my E because he clearly has BiPolar (BP) ups and downs. I worry that this diagnosis might mistakenly be used in many children who were diagnosed with BiPolar (BP), which will lead to more complications in getting complex children like E the help they need. [/QUOTE]
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