Abstract
Irritability, generally conceptualized as a proneness to anger and low tolerance for frustration, accounts for a large proportion of child mental health referrals. In the past 20 years, research on irritability has emerged as a prominent area of study in clinical child psychology, due to controversy surrounding the overdiagnosis of severe irritability as pediatric bipolar disorder. Such research has yielded a new conceptualization of severe irritability as a transdiagnostic symptom of a variety of mental health disorders in childhood. Further, irritability (in the form of temper tantrums) is a common aspect of the development of emotion regulation skills in early childhood, creating challenges for caregivers in distinguishing between developmentally appropriate versus clinically significant symptoms. In an effort to understand the pathophysiological basis of pediatric irritability, psychologists have identified dysfunction in reward and threat processing as the core neural mechanisms that contribute to severe irritability. This chapter outlines the current conceptualization of pediatric irritability and its theorized neurobiological bases and details current diagnostic, assessment, and treatment considerations.
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Hirsch, E., Benda, M., Garvey, R.W., Roy, A.K. (2023). Irritability. In: Matson, J.L. (eds) Handbook of Clinical Child Psychology. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-031-24926-6_11
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