Temper dysregulation disorder with dysphoria is a proposed disorder for the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is an attempt by the publishers of the DSM to create a diagnostic category that captures much of the behavior that’s presently being diagnosed as “childhood bipolar disorder.”
The criteria for the proposed disorder are:
A. The disorder is characterized by severe recurrent temper outbursts in response to common stressors.
The temper outbursts are manifest verbally and/or behaviorally, such as in the form of verbal rages, or physical aggression towards people or property.
The reaction is grossly out of proportion in intensity or duration to the situation or provocation.
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:
Nearly every day, the mood between temper outbursts is persistently negative (irritable, angry, and/or sad).
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).