Disruptive Mood Dysregulation Disorder (DMDD) in Children: Signs, Causes & Support

Children with DMDD may struggle with more than mood—many face challenges with self-regulation, sensory sensitivity, communication, and motor coordination. Pediatric therapists offer strategies that support children’s ability to function more successfully in daily routines.

Therapists found through DrSensory’s Directory include:

• 🧠 Occupational Therapists (OTs)
• 🗣️ Speech-Language Pathologists (SLPs)
• 🏃 Physical Therapists (PTs)

1. Occupational Therapy (OT)

OTs help children:

• Build emotional regulation and self-soothing skills
• Improve transitions, frustration tolerance, and impulse control
• Address sensory processing issues that may trigger outbursts

Many OTs use sensory integration strategies to support nervous system regulation—key for children who become overstimulated and reactive.

2. Speech-Language Therapy (SLP)

Some children with DMDD also experience:

• Difficulty expressing thoughts during emotional moments
• Delays in pragmatic (social) language
• Challenges with communication that increase frustration

SLPs support functional communication skills that reduce emotional bottlenecks and behavioral escalations.

3. Physical Therapy (PT)

Children with co-occurring motor coordination issues may feel overwhelmed in physical group activities or unstructured play. PTs help:

• Improve body awareness and motor planning
• Support confidence in physical environments (e.g., playground, gym)
• Reduce anxiety tied to movement-related tasks

4. Family Coaching & Environmental Strategies

Many pediatric therapists provide:

• Tools for consistent routines and expectations
• Calming strategies for home and school use
• Collaboration with teachers and IEP teams

These approaches complement clinical treatment and promote generalization of skills into everyday life.