Also the criteria are not met for disruptive mood dysregulation disorder.ĭ. The behavior does not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder. The behavior does not occur exclusively during the course of a Psychiatric or Mood Disorder.Ĭ. The disturbance in behavior is associated with distress in the individual or others in his or her immediate social context (e.g., family, peer group, work colleagues) or it impacts negatively on social, educational, occupational, or other important areas of functioning,Ĭ. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning,ī. While these frequency criteria provide guidance on a minimal level of frequency to define symptoms, other factors should also be considered, such as whether the frequency and intensity of the behaviors are outside a range that is normative for the individual’s developmental level, gender, and culture.ī. For individuals 5 years or older, the behavior should occur at least once per week for at least 6 months. For children younger than 5 years, the behavior should occur on most days for a period of at least 6 months unless otherwise noted (Criterion AB). Has been spiteful or vindictive at least twice within the past 6 months.Note: The persistence and frequency of these behaviors should be used to distinguish a behavior that is within normal limits from a behavior that is symptomatic. Often blames others for his or her mistakes or misbehaviorVindictiveness 8. Often actively defies or refuses to comply with requests from authority figures or with rules 6. Often argues with authority figures or, for children and adolescents, with adults 5. Is often angry and resentfulArgumentative/Defiant Behavior 4. A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms of the following categories, and exhibited during interaction with at least one individual who is not a sibling:
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