Disruptive Mood Dysregulation Disorder (Nursing)

by Brenda Marshall, EdD, MSN, RN

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    00:01 Now there is another depressive disorder called Disruptive Mood Dysregulation Disorder.

    00:08 And this is really important to understand that this person has outbreaks.

    00:13 And it might be verbal, but it also might be physical.

    00:18 And it's in any environment and it is totally inappropriate.

    00:25 They do not have control over it, it is a disorder.

    00:30 And what happens is that, when this happens, they also they might harm others, but they also might be harmed.

    00:40 And when people see it, they also might rush away from the person.

    00:47 This happens usually more than 3 times a week for a person who has this disorder.

    00:53 It is very disruptive to their life.

    00:56 And when they're not having their outbursts, right? They're usually kind of irritable anyway.

    01:04 It is this underlying irritability, and then all of a sudden, it explodes.

    01:10 This is part of the disruptive mood dysregulation disorder.

    01:15 So these are all partially considered depressive disorders, right? So we want to think, how does this happen? What's happening in the body? Remember, it's a body problem.

    01:31 It's a physical as well as emotional, and mental disorder.

    01:35 So we might see that they have a lot of their adrenocorticotropic hormone or ACTH hormone is depleted.

    01:44 They might find that their epinephrine is down, their serotonin definitely definitely is depleted.

    01:52 Their norepinephrine, again, depleted when we're looking at these different basis.

    02:00 And then we're going to look at their hemoglobin, and even the hemoglobin is showing that there is a decrease in the hemoglobin.

    02:08 These are really important measures that we can look at that give us a clinical picture of depression.

    02:16 So, JJ's partner comes in, and Elsie is in the clinic comes in to talk to you, the nurse.

    02:25 And Elsie says, "You know, JJ is usually really euphoric.

    02:30 I mean, before he was filled with excitement and usual ideas.

    02:36 And this is the first time I've ever seen JJ like this." "What are you thinking?" "Just before JJ had depression, really euphoric, really up." Elsie goes on to say, "In fact, sometimes JJ doesn't sleep for days at a time.

    02:59 Last month, JJ brought a new car he bought a new car just like that.

    03:05 He went out on a whim and got a car for us.

    03:09 Yeah, so we did have to return it because we don't have that kind of money."

    About the Lecture

    The lecture Disruptive Mood Dysregulation Disorder (Nursing) by Brenda Marshall, EdD, MSN, RN is from the course Mood Disorders: Major Depressive and Bipolar Disorders (Nursing).

    Included Quiz Questions

    1. The client who is usually irritable and has yelled, screamed, and thrown a cup of water at the nurse four times this week
    2. The client who always seems withdrawn and upset, and has been observed crying loudly three times this week
    3. The client who is easily agitated and was observed talking to themselves every day this week
    4. The client who is usually calm and cooperative, but started yelling at the nurse today when they were told that they needed to repeat bloodwork

    Author of lecture Disruptive Mood Dysregulation Disorder (Nursing)

     Brenda Marshall, EdD, MSN, RN

    Brenda Marshall, EdD, MSN, RN

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