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(p. 255) Behavioral Interventions for Irritability in Children and Adolescents 

(p. 255) Behavioral Interventions for Irritability in Children and Adolescents
Chapter:
(p. 255) Behavioral Interventions for Irritability in Children and Adolescents
Author(s):

Denis G. Sukhodolsky

, Theresa R. Gladstone

, Carolyn L. Marsh

, and Kimberly R. Cimino

DOI:
10.1093/med-psych/9780190846800.003.0013
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date: 24 April 2019

Irritability is a common and impairing problem in children and adolescents that can be viewed as a dimension of psychopathology, as well as a core or co-occurring symptom in many childhood disorders. Two forms of interventions for irritability, parent management training (PMT) and cognitive-behavioral therapy (CBT), share common behavioral principles and social information-processing theoretical underpinnings. PMT aims to ameliorate aversive patterns of family interaction that produce the antecedents and consequences that maintain a child’s noncompliance and aggression. During CBT, children learn to regulate frustration and improve social problem-solving skills to reduce the frequency and intensity of anger outbursts and aggressive behavior. Dialectical behavior therapy (DBT) combines training in behavioral skills for reducing interpersonal conflicts with mindfulness and acceptance techniques for emotion regulation. Treatment studies of these approaches in children with various forms of behavioral and emotion dysregulation are reviewed and implications for children with disruptive mood dysregulation disorder are discussed.

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