{"id":348,"date":"2020-06-27T11:14:51","date_gmt":"2020-06-27T15:14:51","guid":{"rendered":"http:\/\/www.randywithers.com\/?p=348---49138858-9890-4bcd-835a-8d2481b69f05"},"modified":"2021-12-16T00:06:46","modified_gmt":"2021-12-16T05:06:46","slug":"dmdd-in-children","status":"publish","type":"post","link":"https:\/\/www.blunt-therapy.com\/dmdd-in-children\/","title":{"rendered":"Why DMDD Is Often Misdiagnosed as Bipolar Disorder in Children"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_65 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title \" >Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.blunt-therapy.com\/dmdd-in-children\/#What_is_bipolar_disorder\" title=\"What is bipolar disorder?&nbsp;\">What is bipolar disorder?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.blunt-therapy.com\/dmdd-in-children\/#Can_children_have_bipolar_disorder\" title=\"Can children have bipolar disorder?&nbsp;\">Can children have bipolar disorder?&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.blunt-therapy.com\/dmdd-in-children\/#What_is_Disruptive_Mood_Dysregulation_Disorder_DMDD\" title=\"What is Disruptive Mood Dysregulation Disorder (DMDD)?\">What is Disruptive Mood Dysregulation Disorder (DMDD)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.blunt-therapy.com\/dmdd-in-children\/#Bipolar_Disorder_Versus_DMDD_in_Children\" title=\"Bipolar Disorder Versus DMDD in Children&nbsp;\">Bipolar Disorder Versus DMDD in Children&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.blunt-therapy.com\/dmdd-in-children\/#What_to_do_If_You_Suspect_Your_Child_Has_DMDD\" title=\"What to do If You Suspect Your Child Has DMDD\">What to do If You Suspect Your Child Has DMDD<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.blunt-therapy.com\/dmdd-in-children\/#References\" title=\"References\">References<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p>Disruptive Mood Dysregulation Disorder is a childhood mental disorder marked by extreme irritability, anger, and frequent, intense temper tantrums. Unfortunately, it is becoming increasingly more common to see DMDD in children and adolescents.<\/p>\n\n\n\n<p>Because it is not well-known, parents frequently mistake it for bipolar disorder. They witness the mood swings and the instability and figure it can&#8217;t be anything else.&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>But bipolar disorder in people under the age of 18 is rare. <a href=\"https:\/\/www.nimh.nih.gov\/health\/statistics\/bipolar-disorder.shtml#:~:text=An%20estimated%202.9%25%20of%20adolescents,than%20for%20males%20(2.6%25).\" target=\"_blank\" aria-label=\"According to the NIMH (opens in a new tab)\" rel=\"noreferrer noopener\" class=\"rank-math-link\">According to the NIMH<\/a>, it affects less than 3% of adolescents in the United States. And while the exact prevalence of DMDD is unknown, <a href=\"https:\/\/www.nimh.nih.gov\/health\/publications\/disruptive-mood-dysregulation-disorder\/20-mh-8119-dmdd_160161.pdf\" target=\"_blank\" aria-label=\"research suggests (opens in a new tab)\" rel=\"noreferrer noopener\" class=\"rank-math-link\">research suggests<\/a> it could affect twice as many children as bipolar disorder. <\/p>\n\n\n\n<p>Here\u2019s a discussion of each diagnosis and what symptoms differentiate the two.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder.jpg\" alt=\"Why DMDD in Children Is Often Misdiagnosed as Bipolar Disorder \" class=\"wp-image-37487 lazyload\" width=\"400\" height=\"600\"\/><noscript><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder.jpg\" alt=\"Why DMDD in Children Is Often Misdiagnosed as Bipolar Disorder \" class=\"wp-image-37487 lazyload\" width=\"400\" height=\"600\" srcset=\"https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder.jpg 1000w, https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-83x125.jpg 83w, https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-200x300.jpg 200w, https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-150x225.jpg 150w, https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-768x1152.jpg 768w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/noscript><figcaption>Why DMDD in Children Is Often Misdiagnosed as Bipolar Disorder<\/figcaption><\/figure><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_bipolar_disorder\"><\/span>What is bipolar disorder?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Bipolar disorder is a serious mental illness that causes extreme shifts in mood, energy, activity levels, and concentration..<\/p>\n\n\n\n<p>There are three types of bipolar disorder. All three types involve obvious changes in mood, energy, and activity levels. These moods range from periods of extreme energy (i.e., mania) to periods of hopelessness and despair (i.e., dysthymia). Manic periods that are less intense are known as hypomania.<\/p>\n\n\n\n<p>Bipolar disorder has been called many things over the years.<\/p>\n\n\n\n<p>The ancient Greeks called it \u201cMelancholy\u201d. Back then, the term was used to describe mood shifts, depression, and related mental disorders.<\/p>\n\n\n\n<p>In the 19th century, the French called it \u201cLa Folie Circulaire,\u201d which translates to \u201ccircular insanity.\u201d In the 20th century, we called it \u201cManic-Depressive Disorder.\u201d Over years the term morphed into \u201cbipolar disorder\u201d Types 1 and 2, along with \u201cCyclothymia,\u201d which is its long-term, low-grade cousin.&nbsp;<\/p>\n\n\n\n<p>According to the DSM5 and<a href=\"https:\/\/www.apa.org\" target=\"_blank\" rel=\"noopener\"> American Psychiatric Association<\/a> symptoms of the \u201cmanic\u201d phase of bipolar disorder include:&nbsp;<\/p>\n\n\n\n<ul><li>A distinct period of abnormally and persistently elevated, expansive, or irritable mood that lasts at least 1 week and is present most of the day.&nbsp;<\/li><li>Abnormally and persistently increased goal-directed activity or energy&nbsp;<\/li><li>Inflated self-esteem and grandiosity<\/li><li>Decreased need for sleep<\/li><li>More talkative than usual<\/li><li>Flight of ideas or racing thoughts<\/li><li>Distractibility<\/li><li>Increase in goal-directed activity<\/li><li>Excessive involvement in risky activities (e.g. overspending, sexual activity)<\/li><\/ul>\n\n\n\n<p>The depressive aspect of bipolar disorder is characterized by a <a href=\"https:\/\/www.blunt-therapy.com\/what-is-major-depression\/\" class=\"rank-math-link\">major depressive episode<\/a>, where a person demonstrates five or more of the following symptoms in two weeks:<\/p>\n\n\n\n<ul><li>Depressed mood most of the day nearly every day&nbsp;<\/li><li>Loss of interest or pleasure in all, or almost all, activities&nbsp;<\/li><li>Significant weight loss or decrease or increase in appetite<\/li><li>Engaging in purposeless movements, such as pacing the room<\/li><li>Fatigue or loss of energy<\/li><li>Feelings of worthlessness or guilt<\/li><li>Diminished ability to think or concentrate, or indecisiveness<\/li><li>Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a <a href=\"https:\/\/www.blunt-therapy.com\/therapists-share-their-thoughts-on-suicide\/\" class=\"rank-math-link\">suicide attempt<\/a><\/li><li>The symptoms of depression or the unpredictability caused by frequent alternation between periods of depression and hypomania cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Can_children_have_bipolar_disorder\"><\/span>Can children have bipolar disorder?&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The short answer is yes, but it\u2019s fairly uncommon.&nbsp;<\/p>\n\n\n\n<p>Children don\u2019t have as firm a grasp on their emotions as do their adult counterparts, and that\u2019s one of several reasons why so many children present as emotionally unstable.<\/p>\n\n\n\n<p>Consider a typical two-year-old. They are giggling one minute, sobbing hysterically the next. But the mood swings you see in a two-year-old are usually normal and perhaps even necessary for proper development.<\/p>\n\n\n\n<p>But what if they\u2019re still struggling with these issues when they are 7? Or 10? Or 12? Is that the same thing?<\/p>\n\n\n\n<p><a href=\"https:\/\/www.blunt-therapy.com\/the-problem-with-mental-health-self-diagnosis\/\" class=\"rank-math-link\">It&#8217;s not a good idea to diagnose anyone<\/a>, especially children &#8212; this is the job of a trained clinician. But bipolar disorder is far more likely to develop in adulthood, and there\u2019s way more to it than <a href=\"https:\/\/www.blunt-therapy.com\/why-kids-throw-temper-tantrums\/\" class=\"rank-math-link\">mood swings<\/a> and foul tempers.<\/p>\n\n\n\n<p>This doesn\u2019t mean that kids don\u2019t present with behaviors associated with bipolar disorder. However, it does mean that clinicians should use a diagnosis more appropriate for kids.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_Disruptive_Mood_Dysregulation_Disorder_DMDD\"><\/span>What is Disruptive Mood Dysregulation Disorder (DMDD)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Designated in 2013, DMDD in children is basically equivalent to adult bipolar disorder.&nbsp;<\/p>\n\n\n\n<p>According to the <a href=\"https:\/\/www.apa.org\" target=\"_blank\" rel=\"noopener\">American Psychiatric Association<\/a>, symptoms of Disruptive Mood Dysregulation Disorder include:<\/p>\n\n\n\n<ul><li>Severe recurrent temper outbursts manifested verbally (e.g., verbal rages) and\/or behaviorally (e.g., physical aggression)<\/li><li>Outbursts are grossly out of proportion in intensity or duration to the situation or provocation<\/li><li>The temper outbursts are inconsistent with developmental level (e.g., the child is older than you would expect to be having a temper tantrum).<\/li><li>The temper outbursts occur, on average, three or more times per week.<\/li><li>The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others (e.g., parents, teachers, friends).<\/li><li>The above criteria have been present for 1 year or more, without a relief period of longer than 3 months.&nbsp;<\/li><li>The above criteria must also be present in two or more settings (e.g., at home and school), and are severe in at least one of these settings.<\/li><\/ul>\n\n\n\n<p>While nobody likes to place labels on kids, the emergence of DMDD as a recognized disorder allows clinicians to provide appropriate treatment for kids who have repeated tantrums, verbal and\/or physical aggression, and a persistent, angry or irritable mood.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-background has-fixed-layout\" style=\"background-color:#e7f5fe\"><thead><tr><th>Symptoms of Bipolar Disorder<\/th><th>Symptoms of  DMDD in Children <\/th><\/tr><\/thead><tbody><tr><td>A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary).<\/td><td>Severe recurrent temper outbursts manifested verbally (e.g., verbal rages) and\/or behaviorally (e.g., physical aggression toward people or property) that are grossly out of proportion in intensity or duration to the situation or provocation <\/td><\/tr><tr><td>During the period of mood disturbance and increased energy or activity, 3 (or more) of the following symptoms (4 if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:<\/td><td>The temper outbursts are inconsistent with developmental level (e.g., the child is older than you would expect to be having a temper tantrum). <\/td><\/tr><tr><td>Inflated self-esteem and grandiosity; Decreased need for sleep; More talkative than usual; Flight of ideas or racing thoughts; Distractibility; Increase in goal-directed activity; Excessive involvement in risky activities (e.g. overspending, sexual activity)<\/td><td>The temper outbursts occur, on average, three or more times per week.<\/td><\/tr><tr><td>The depressive aspect of bipolar disorder is characterized by a major depressive episode that results in depressed mood or loss of interest or pleasure in life. A person must experience five or more of the following symptoms in two weeks to be diagnosed with a major depressive episode:<\/td><td>The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others (e.g., parents, teachers, friends). <\/td><\/tr><tr><td>Depressed mood most of the day, nearly every day; Loss of interest or pleasure in all, or almost all, activities; Significant weight loss or decrease or increase in appetite; Engaging in purposeless movements, such as pacing the room; Fatigue or loss of energy; Feelings of worthlessness or guilt; Diminished ability to think or concentrate, or indecisiveness; Recurrent thoughts of death, recurrent <a class=\"rank-math-link\" title=\"suicidal ideation\" data-wpil-keyword-link=\"linked\" href=\"https:\/\/www.blunt-therapy.com\/therapists-share-their-thoughts-on-suicide\/\">suicidal ideation<\/a> without a specific plan, or a suicide attempt <\/td><td>The above criteria have been present for 1 year or more, without a relief period of longer than 3 months. The above criteria must also be present in two or more settings (e.g., at home and school), and are severe in at least one of these settings.<\/td><\/tr><tr><td>The symptoms of depression or the unpredictability caused by frequent alternation between periods of depression and hypomania causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.<\/td><td>The diagnosis should not be made for the first time before age 6 years or after age 18. Age of onset of these symptoms must be before 10 years old<\/td><\/tr><tr><td>*Courtesy, DSM5 and <a aria-label=\" (opens in a new tab)\" href=\"https:\/\/www.apa.org\" target=\"_blank\" rel=\"noreferrer noopener\" class=\"rank-math-link\">American Psychiatric Association<\/a><\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Bipolar_Disorder_Versus_DMDD_in_Children\"><\/span>Bipolar Disorder Versus DMDD in Children&nbsp;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><a href=\"https:\/\/www.blunt-therapy.com\/why-kids-throw-temper-tantrums\/\" class=\"rank-math-link\">Tantrums in children<\/a> are to be expected, but a pattern of severe tantrums is a cause for concern. DMDD at least gives a name to a condition that many parents and clinicians already know exists and it provides a criterion-based framework for proper diagnosis and treatment.<\/p>\n\n\n\n<p>Here are some key features that distinguish DMDD in children from bipolar disorder:<\/p>\n\n\n\n<ol><li>Bipolar can be a lifelong affliction and is episodic in nature.&nbsp;<\/li><li>DMDD is persistent but does not manifest with severe mania (i.e., incredible energy, sleeplessness).<\/li><li>&#8220;Mood swings&#8221; are NOT characteristic of bipolar disorder. They are, however, a feature of DMDD in children.<\/li><li>Bipolar often leads to psychosis (delusions, hallucinations); DMDD does not.&nbsp;<\/li><li>Grandiose thinking and elevated mood are typical with Bipolar; these symptoms are not present with DMDD.&nbsp;<\/li><li>Severe tantrums are a feature of DMDD; this feature is absent from bipolar disorder in children.<\/li><li>The diagnosis should not be made for the first time before age 6 years or after age 18. The onset of these symptoms must be before 10 years old.<\/li><\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_to_do_If_You_Suspect_Your_Child_Has_DMDD\"><\/span>What to do If You Suspect Your Child Has DMDD<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Any concerned parent will want to learn more about how to best care for and support their children, especially if they are demonstrating behavioral problems, but they should never attempt to diagnose or treat mental illness alone.&nbsp;<\/p>\n\n\n\n<p>Because children are always navigating various developmental stages and learning how to regulate their moods and emotions in age-appropriate ways, they need specialized care, especially when it comes to <a class=\"wpil_keyword_link\" data-wpil=\"url\" href=\"https:\/\/www.blunt-therapy.com\/category\/mental-health\/\" title=\"mental health\" data-wpil-keyword-link=\"linked\">mental health<\/a>.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>DMDD in children manifests as severe emotional and behavioral challenges. If your child is struggling with this, it\u2019s important to enlist the services of a licensed clinician who specializes in the diagnosis and treatment of children and adolescents.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"27b1\"><span class=\"ez-toc-section\" id=\"References\"><\/span><strong>References<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul><li><strong><a class=\"rank-math-link\" rel=\"noreferrer noopener\" href=\"https:\/\/www.psychologytoday.com\/blog\/your-child-does-not-have-bipolar-disorder\/201312\/dmdd-the-wrong-diagnosis-in-the-wrong-place\" target=\"_blank\">DMDD in Children: The Wrong Diagnosis in the Wrong Place<\/a><\/strong><\/li><li><strong><a rel=\"noreferrer noopener\" href=\"http:\/\/www.mdedge.com\/pediatricnews\/article\/96590\/mental-health\/when-it-bipolar-disorder-and-when-it-dmdd\" target=\"_blank\">When is it Bipolar Disorder and When is it DMDD?<\/a><\/strong><\/li><li><a class=\"rank-math-link\" href=\"https:\/\/www.psychiatryadvisor.com\/home\/topics\/child-adolescent-psychiatry\/disruptive-mood-dysregulation-disorder-current-concepts-and-controversies\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Disruptive Mood Dysregulation Disorder Current Concepts and Controversies<\/strong><\/a><\/li><li><a aria-label=\"Disruptive Mood Dysregulation Disorder: The Basics (.pdf) (opens in a new tab)\" class=\"rank-math-link\" href=\"https:\/\/www.nimh.nih.gov\/health\/publications\/disruptive-mood-dysregulation-disorder\/20-mh-8119-dmdd_160161.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Disruptive Mood Dysregulation Disorder: The Basics (.pdf)<\/strong><\/a><\/li><\/ul>\n\n\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-color uagb-block-540ad93d\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\">\n<div class=\"wp-block-uagb-call-to-action uagb-block-73105e3b wp-block-button\"><div class=\"uagb-cta__wrap\"><h5 class=\"uagb-cta__title\">Private Practice  with No Overhead and No Shortage of Clients.<br><\/h5><p class=\"uagb-cta__desc\">Join\u00a0the more than 34,000 full and part-time therapists who are earning more with BetterHelp! Supplement your income, or build your own practice from scratch. Bonuses &amp; Incentives for High Performers! <strong>Sponsored Advertisement<\/strong><\/p><\/div><div class=\"uagb-cta__buttons\"><a href=\"https:\/\/hasofferstracking.betterhelp.com\/aff_c?offer_id=20&amp;aff_id=1614\" class=\"uagb-cta__button-link-wrapper wp-block-button__link\" target=\"_blank\" rel=\"noopener noreferrer\">Join BetterHelp<\/a><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>DMDD in children can be misdiagnosed as bipolar disorder. Here\u2019s the difference between the two diagnoses and what symptoms differentiate the two.<\/p>\n","protected":false},"author":3,"featured_media":37489,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","ub_ctt_via":"","_lmt_disableupdate":"no","_lmt_disable":"no","footnotes":""},"categories":[16],"tags":[34,28,36],"featured_image_src":"https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg","author_info":{"display_name":"Randy Withers, LCMHC","author_link":"https:\/\/www.blunt-therapy.com\/author\/randy-withers\/"},"modified_by":"Randy Withers, LCMHC","uagb_featured_image_src":{"full":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",800,450,false],"thumbnail":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3-150x84.jpg",150,84,true],"medium":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3-200x113.jpg",200,113,true],"medium_large":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3-768x432.jpg",768,432,true],"large":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3-400x225.jpg",400,225,true],"1536x1536":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",800,450,false],"2048x2048":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",800,450,false],"tiny":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",60,34,false],"thumbnail-medium":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",480,270,false],"thumbnail-square":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",480,270,false],"thumbnail-portrait":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",480,270,false],"thumbnail-large":["https:\/\/www.blunt-therapy.com\/wp-content\/uploads\/Why-DMDD-in-Children-Is-Often-Misdiagnosed-as-Bipolar-Disorder-3.jpg",720,405,false]},"uagb_author_info":{"display_name":"Randy Withers, LCMHC","author_link":"https:\/\/www.blunt-therapy.com\/author\/randy-withers\/"},"uagb_comment_info":0,"uagb_excerpt":"DMDD in children can be misdiagnosed as bipolar disorder. Here\u2019s the difference between the two diagnoses and what symptoms differentiate the two.","_links":{"self":[{"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/posts\/348"}],"collection":[{"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/comments?post=348"}],"version-history":[{"count":0,"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/posts\/348\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/media\/37489"}],"wp:attachment":[{"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/media?parent=348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/categories?post=348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.blunt-therapy.com\/wp-json\/wp\/v2\/tags?post=348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}