These are a group of psychiatric conditions that affect the self-regulation of emotions and behaviors beginning in childhood or adolescence (< 18).
Mnemonic
Diagnosing aspects: emotion, consistency, intention, and severity. Every Child Is Special.
| Feature | ODD | CD | IED | DMDD |
|---|---|---|---|---|
| One-Liner | Argumentative & Defiant | Violates Rights of Others | Impulsive Rage Attacks | Chronically Irritable Kid |
| Key Behavior | Argues, annoys, blames | Bullies, steals, destroys | Disproportionate outbursts | Frequent temper tantrums |
| Mood (Baseline) | Irritable/Angry | Callous/Unemotional | Euthymic (normal) | Persistently Irritable/Angry |
| Key Association | Can progress to CD | Precursor to Antisocial Personality Disorder | Impulsive, not premeditated | Cannot co-exist with ODD or Bipolar |
| Oppositional defiant disorder (ODD) | Conduct disorder (CD) | Intermittent explosive disorder (IED) | Disruptive mood dysregulation disorder (DMDD) | |
|---|---|---|---|---|
| Emotion | Angry (persistent) | Angry (persistent) | - Angry during outbursts - Normal when calmed | - Angry during outbursts - Angry or sad between outbursts |
| Consistency | Consistent | Consistent | Intermittent (each < 1 hour) | Intermittent (each < 1 hour) |
| Intention | Intentional | Intentional | Feeling regret and embarrassed about outbursts | Feeling regret and embarrassed about outbursts |
| Severity | Not severe (no violence) | Severe (violence) | Not severe (no violence) | Not severe (no violence) |