Mood Dysregulation, Disruptive Behavior, and Aggression

Online resources for pediatricians supporting youth with severe externalizing behaviors.

tornado representing mood dysregulation

Vanderbilt ADHD Rating Scale: PDF version of the initial and follow-up parent and teacher scales. For children ages 6-12.

Online Vanderbilt ADHD Rating Scale: Interactive, auto-scoring, online version of the parent Vanderbilt ADHD rating scale.

Vanderbilt Parent ADHD Rating Scale in Spanish: Spanish language version of the parent Vanderbilt ADHD Rating Scale.

SNAP-IV ADHD Rating Scale: 18-item ADHD rating scale for teachers and parents for children ages 6-18. Available in English and Spanish.

Modified Overt Aggression Scale: 4-question physician rating scale for adolescents and adults.

Unstuck and On-Target Parent Resources: Free, parent-facing educational handouts and videos from the Unstuck and On Target executive dysfunction intervention developed at Children’s National for children with ADHD, autism, and/or learning disorders. Covers cognitive inflexibility, emotional dysregulation, and other executive functioning problems. Website also includes free, online continuing education credits for elementary educators on the Unstuck curriculum.

Washington State CBT+ Initiative: Extensive online resource of 4 evidence-based pediatric Cognitive Behavioral Therapy (CBT) interventions (CBT for depression, CBT for anxiety, trauma-focused CBT, and Parent Management Training). For patients with ADHD, see the Parent Management Training section.

Worksheet: “Our Plan to Change Behavior: Worksheet for parents on behavior change techniques. From the Washington State CBT+ initiative.

Tucker Turtle Takes Time to Tuck and Think: Free, child-facing video and storybook on the Tucker Turtle emotional regulation technique.

National Center for Pyramid Model Innovations Resource Library: Parent handouts on early childhood behavior management and emotional regulation strategies. Free and available in multiple languages including Spanish, Hmong, Somali, and Ojibwe. (Limit search to Audience:Families.)

Mood and Affect Disorders: Pediatrics in Review article from the AAP.

Violence and Aggressive Behavior: Pediatrics in Review article from the AAP.

AACAP Outbursts, Irritability, and Emotion Dysregulation Resource Center: Clinician resources from the American Academy of Child and Adolescent Psychiatry.

Virginia Mental Health Access Program Guide for Promoting Child and Adolescent Behavioral and Mental Health in Primary Care (VMAP Guidebook): The VMAP Guidebook is a compilation of evidence-based practices, up-to-date resources, and practical knowledge specifically geared toward pediatric and adolescent health care providers.

Michigan Pediatric and Perinatal Psychopharmacology Cards: Reference cards from the MC3 mental health access program at the University of Michigan.

Inattention, Impulsivity, Disruptive Behavior and Aggression Coding Fact Sheet for Primary Care Pediatricians: Fact sheet from AAP including CPT codes with explanations and examples, and ICD-10 diagnosis codes.

Coding for Pediatric and Adolescent Mental Health: Coding guidelines from the Virginia Mental Health Access Program Guidebook (page 37).

Disruptive Behavior and DMDD: Resilience Breaks is a series of webinars for Maryland pediatricians from BHIPP.

Mood Dysregulation: Monthly webinar series for pediatricians from the ACCESS Mental Health Connecticut child mental health access program.