Psychotherapy for Irritability in Youth: Comparing Active Treatment to Nonactive Psychoeducation Supportive Psychotherapy
Part of paid clinical trials in Bethesda, Maryland.
- Sponsor
- National Institute of Mental Health (NIMH)
- Study ID
- NCT07640802
- Status
- Not Yet Recruiting
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Conditions
- Attention Deficit Hyperactivity Disorder
- Disruptive Mood Dysregulation Disorder
- Irritability
- Oppositional Defiant Disorder
Eligibility Criteria
- Sex
- ALL
- Age
- 8 Years - 17 Years
- Healthy Volunteers
- Not accepted
Interventions
- Psychotherapy — BEHAVIORALParticipants will receive either exposure-based cognitive behavioral therapy, parent management training, or psychoeducation supportive psychotherapy.
Study Details
Background: Irritability is defined as proneness to anger that may impair a person s ability to function. It is the number one reason why some children need mental health care. Yet no therapies have been developed just to target irritability. Researchers want to compare different types of therapy for irritability. Objective: To test different types of therapy for children and teens with severe irritability. Eligibility: People aged 8 to 16.5 years with severe irritability. Their parents are also needed. Design: Participants will have 28 study visits in 18 months. They will have a baseline visit. They will answer questions about their mood, behavior, and daily life. All parents and children will have 12 therapy sessions. Sessions will be once a week; they will last 30 to 60 minutes. Some of the child sessions may be done by telehealth. Each parent and child will have 1 of 3 therapy types: Exposure therapy (child). Participants will face things that make them angry. A therapist will help them practice managing their anger. Management therapy (parent). Therapists will coach parents on ways to manage their child s behaviors. Psychoeducation/supportive psychotherapy (child and/or parent). Participants will talk with therapists about their or their child s feelings and behaviors. They will list their problems and goals; build coping skills; learn to relax; improve communication; and work on managing stress. Sessions may be videotaped. Participants may opt out of being recorded. Participants will have phone calls every 2 weeks during therapy. They will answer questions about how they are doing. Follow-up calls will continue for 1 year after therapy.
Key Dates
- Start date
- Jun 16, 2026
- Status verified
- Jun 2026
- Primary completion
- Dec 31, 2036
- Completion
- Dec 31, 2037
Study Design
- Enrollment
- 300 participants (estimated)
Arms
- Arm: Children/Adolescents with severe irritabilityChildren/Adolescents with severe irritability
- Arm: Parents/Caregivers of children/adolescents with severe irritabilityParents/Caregivers of children/adolescents with severe irritability
Primary Outcome Measure
Clinician Affective Reactivity Index (CL-ARI) [ Time Frame: Bi-weekly and f/u ]
Central Contacts
- Melissa A Brotman, Ph.D.(301) 496-8281
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| National Institutes of Health Clinical Center | Bethesda | Maryland | 20892 |
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