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By Rick Nauert PhD Senior News Editor
Reviewed by John M. Grohol, Psy.D. on May 20, 2010

Experts believe a relabeling of the diagnosis of bipolar disorder will not reduce the rate of psychopharmacologic treatment.

A commentary in the New England Journal of Medicine suggest the new diagnostic category for troubled children called Temper Dysregulation Disorder with Dysphoria (TDD), which would to a considerable extent replace the diagnosis of bipolar disorder in children, is not enough to help troubled children flourish.

The new characterization is one of the most talked-about features of recently released draft revisions to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM).

The new diagnosis would focus on negative mood and temper outbursts as their own symptoms, rather than as indications of mania or other elevated mood symptoms associated with bipolar disorder.

The proposal of a new category suggests that the dramatic increase in the number of children diagnosed with bipolar disorder is not appropriate.

But “will the TDD diagnosis promote the ultimate goal of psychiatric classification: helping troubled children to flourish?” asks Erik Parens, senior research scholar at The Hastings Center.

The answer is no, “unless we get serious about reforming pediatric mental health care,” Parens and collegues write in an essay, “Pediatric Mental Health Care Dysfunction Disorder?”

“No existing DSM diagnosis conveys the appropriate severity and complexity of these children’s moods and behaviors; the ‘bipolar disorder’ label was meant to provide a home for children who were diagnostically homeless,” according to the authors.

Read in Full:  http://psychcentral.com/news/2010/05/20/debate-over-change-in-diagnostic-criteria-for-pediatric-bipolar/13964.html



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