The very new DMDD diagnosis was created to get help for children who are extremely active, aggressive, irritated, unable to self sooth, and physically abusive. This is not trauma-based as the child is born with the symptoms. There can be depression and anxiety, but there are no clear signs of mania. Occupational therapy, meditation skills, and learning to recognize and manage anger are treatment options. There is no research to show that DMDD becomes bipolar disorder.