Disruptive Mood Dysregulation Disorder (DMDD)
Disruptive Mood Dysregulation Disorder (DMDD) is a childhood mental health condition marked by chronic irritability and frequent, intense outbursts that are out of proportion to the situation. While similar behaviors may appear in children with autism, they often stem from sensory or processing challenges, and the root causes differ even when the two conditions co-occur.

What is Disruptive Mood Dysregulation Disorder?
Disruptive Mood Dysregulation Disorder (DMDD) is a mental health condition in children and adolescents marked by persistent irritability and frequent, intense temper outbursts that are out of proportion to the situation.
While children with autism may display similar outbursts, these are often due to challenges in processing information. Although DMDD and autism can co-occur, the underlying causes of emotional and behavioral issues differ between the two conditions.
April is DMDD Awareness Month
April is the month for Disruptive Mood Dysregulation Disorder (DMDD) awareness.
Educational Tips
Communication
- Acknowledge their feelings: Let the child know you are listening and understanding their emotions. Phrases like “I see you’re upset” or “It seems like something is bothering you” can help.
- Stay calm and composed: Your calm demeanor is a powerful tool that can help de-escalate the child’s emotional intensity. It also sets a positive example for the child, helping them learn to regulate their emotions. Avoid reacting emotionally to their outbursts.
- Be direct: When upset, children with DMDD can struggle with processing complex language, so use simple and clear statements.
- Avoid sarcasm or abstract language: Sarcasm or non-literal language can cause confusion and frustration.
Tasks and Assignments
- Flexible Deadlines: Allow some flexibility with deadlines to accommodate mood fluctuations that may make it hard for the student to complete tasks on time.
- Clear and Concise Instructions: Give step-by-step instructions that are easy to follow. Avoid overwhelming the student with too much information at once.
- Provide the student extra time to make in-class transitions from one activity to another.
- Calm Environment: When giving assignments, create a low-stimulation environment. Excessive noise or visual stimuli can exacerbate irritability.
- Emotion Cards: Provide emotion cards for students to use to signal when they’re feeling upset, allowing them to seek help without disrupting the class.

- Frequent Feedback: Give feedback regularly so the student knows they’re on the right track, which helps prevent frustration.
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