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Disruptive Mood Dysregulation Disorder (DMDD), ADHD and the Bipolar Child Under DSM-5: A Concise Guide for Parents and Professionals Paperback – May 8, 2013
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About the Author
Dr. Todd Finnerty is a clinical psychologist in Columbus, Ohio. He is the American Psychological Association Public Education Coordinator for Ohio and is President of the continuing education company PsychContinuingEd.com, LLC. He has followed the developments of the DSM-5 extensively and offers education related to both the DSM-5 and ICD-10-CM. You can learn more about Dr. Finnerty at www.toddfinnerty.com
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Top customer reviews
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There is no place for us to turn and get the schools and our community agencies to be willing to put forth genuine effort to meet these children's needs.
We are looked at as having poor parenting skills.
Our children are looked at as being disruptive and not deserving to be in general education classes.
But instead of solid collaborative therapeutic approaches set in motion..our kids get put in the ED classes and have their "therapeutic interventional treatment services", given in behaviour tracking charts and weekly pull outs for group...
But how many move back to gen ed?
How many graduate high school?
How many are getting that educational foundation to be individually successful and a healthy productive citizen?
I am a Psychiatrist, practicing both psychotherapy and medication management. I, and many people in my profession, have been concerned about the problems with the diagnosis of Bipolar Disorder. There is clearly a group of people that have chronic problems with irritability, impulsivity, and behavior that have not fit clearly delineated diagnostic categories in the DSM system. One worrisome answer has been to use the Bipolar diagnosis, in an overly flexible way, that has led to many individuals being misdiagnosed. This has been especially concerning with child patients. To use the Bipolar diagnosis for such children, and then to form-fit medication treatments on such children, exposes them to potentially dangerous medications when that may not be the most beneficial treatment. More important, it might deny them more effective treatments such as psychotherapy and interventions through the family and school milieu.
In answer to this, the American Psychiatric Association has developed a new diagnosis, DMDD. While retaining the Bipolar disorder (which does occasionally occur in children), they now recognize this new diagnosis, and the need for treatments potentially different than those useful for a patient with Bipolar Disorder.
Finnerty's book generally covers 3 themes; he describes the professional phenomenon noted above, then the new diagnosis, then treatment. He is clearly informed by the literature, as well as experts in the field. His dialogues with experts are well documented in his podcast, available on the internet; these clearly are one source of information for his expertise. He is also informed by the medical literature. Most important, it is clear from his writing style he is familiar with professional work with children. This expertise is especially present in the section of his book that describes a framework for working with children with problems now fitting the DMDD diagnosis. This framework involves parents, therapists, and schools in a holistic way. It is medication-friendly, but medications are (thankfully) not the mainstay of treatment, as it was with the old Bipolar diagnosis.
As a Psychiatrist, I needed to become informed about this new diagnosis. The new DSM-5 is controversial, even among professionals. Finnerty is aware of the controversy, and is able to write his book in an even-handed way. He is informed by the work of the American Psychiatric Association, but he is aware the DSM is what it is; only the product of a committee of professionals, not ultimate truth or a "bible". So having read Finnerty's book, I have a good frame for beginning to approach these patients. I also intend to recommend it to patients who need information. Finnerty is gifted, I know through his internet presence, for making psychiatric information available in a way that is informed and easily approached. This clearly comes through in this book, which I highly recommend.
This pamphlet cannot be taken seriously and is even misleading for people who have serious interest and commitment to the welfare of mentally ill children.