Exploring Exposure-Based CBT to Treat DMDD in Calgary

Blog CBT to Treat DMDD, Disruptive Mood Dysregulation Disorder 0 Comments

Children get annoyed — it’s a normal part of growing up. Simple requests like asking them to do their chores or turn off their video games can result in a frustrated huff. For some kids, however, these annoyances can result in extreme and inappropriate behavioural responses such as snapping, yelling, or throwing things. Such responses could be a sign of Disruptive Mood Dysregulation Disorder (DMDD). Children with DMDD often have a persistent grumpy mood, which can create stress and anxiety throughout the home.

While DMDD can be disruptive, there’s hope. Cognitive Behavioural Therapy (CBT) is an effective tool for children and parents managing such behavioural disorders.

Understanding Disruptive Mood Dysregulation Disorder (DMDD)

Characterized by recurring temperamental outbursts, DMDD amplifies situations with reactions vastly disproportionate to the triggering event. These outbursts occur at least three times per week in different contexts and are highlighted by persistent irritability or an angry mood. Emotional responses in children with DMDD are often inappropriate for their developmental stage, and can impact their relationships at home, school, and with peers.

DMDD affects between 0.8% to 3.3% of children and increases the risk of developing depression later in life. Parents who are concerned about their child’s irritability or outbursts should consider discussing them with a mental health provider.

What is Cognitive Behavioural Therapy (CBT)?

CBT is a structured, goal-oriented form of psychotherapy, effective in treating mood and behavioural disorders. It focuses on identifying and modifying dysfunctional thoughts, emotions, and behaviours and is proven to be one of the most beneficial treatments in anger management.

Based on the premise that our thoughts influence our feelings and actions, CBT aims to change these cognitive patterns, thereby altering our behaviours and emotional responses. Therapists work with their clients to change their reactions from negative to positive.

Applying Exposure-Based CBT to Treat DMDD

Exposure-based CBT has proven effective in the treatment of DMDD. It uses structured interventions to help children manage their responses to anger-provoking situations. This process begins with the development of a “frustration hierarchy” — a personalized list of triggers ranging from mildly to intensely anger-provoking.

What to Expect During Exposure-Based CBT Sessions

CBT focuses on both the child and parent, helping all parties develop coping skills and management strategies.

Child Sessions:

The therapist exposes the child to anger-provoking situations, starting with the lowest on the hierarchy. Through repeated exposure in a controlled and safe environment, the child learns to tolerate frustration and develop healthier coping mechanisms. After each session, the child and therapist debrief, and homework is assigned to reinforce the lesson.

Parent Sessions:

Parents are an integral part of the therapy process. These appointments provide parents with counselling to develop skills and strategies for managing and preventing outbursts while addressing the parents’ stress levels. As therapy progresses, parents may be asked to participate in exposure exercises, particularly if they are a source of triggers.

The goal of exposure-based CBT in treating DMDD is to equip both parents and children with skills to reduce irritability, manage behaviours, and improve family dynamics. This approach can build emotional resilience by teaching coping skills and promoting adaptive responses to challenging situations.

Efficacy of Exposure-Based CBT in the Treatment of DMDD

Typically used in treating anxiety disorders, CBT is one of the most researched forms of psychotherapy, and has a strong track record of effectiveness. Treatment can be tailored to individual needs, age groups, and different mental health conditions while providing life-long coping skills.

CBT equips individuals with skills they can use independently, making it a powerful tool for long-term emotional and behavioural well-being.

Supporting Families in Calgary Facing DMDD

For parents seeking DMDD treatment for their child in Calgary, CBT is available at The Family Psychology Place in Calgary. Our trained therapists will tailor treatment plans to meet your child’s unique needs, while providing you with the support and skills to help your child live their best life.