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Bipolar Disorder in Children Who has it and what you can do By Martha Hellander, J.D. |
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Depression: Intro | Signs of Depression | Bipolar Disorder | BPD Perspectives | St. John's Wort Special Needs Kids: ADD | Asperger's Syndrome | Autism | Dyslexia | Gifted | Explosive Children | SID | Speech Disorders Related Areas: Alcoholism | Aromatherapy | Fibromyalgia | Headache | Migraine | Multiple Sclerosis | Psychology | Sexuality | Thyroid Problems | Weight Loss |
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Bipolar
disorder (also known as "bipolar illness" or "manic-depressive
illness") is a treatable neurobiological brain disorder characterized by severe
fluctuations in mood and activity level. It is believed to occur in at least 1-2 percent
of the adolescent and adult population, with bipolar spectrum disorders (such as mild
cycling and recurrent depression) believed to occur in 5-7 percent. It can occur at any
time of life from early childhood onward.
According to the Child & Adolescent Bipolar
Foundation (www.bpkids.org), as many as one million
or more children under 18 in the U.S. may have bipolar disorder (mostly undiagnosed and
untreated). Children with bipolar disorder are at risk for school failure, substance
abuse, and suicide. Children as young as 3 may talk of wanting to "make myself
dead."
Mania (the
activated state) may include insomnia, hyperactivity, daredevil acts, elation and
grandiose thinking. Racing thoughts, separation anxiety and intense temper tantrums (also
called "rages" or "affective storms") can occur during depression or
mania. Sometimes symptoms of both states occur together in mixed states (depressed mood
with high energy) or in quick succession within a single day (called rapid cycling).
![]() While in adults the illness is usually
characterized by discrete periods of extreme euphoria followed by episodes of severe
depression, usually separated by periods of normalcy, bipolar children may show no
discernible mood cycles but rather sustained or rapidly fluctuating periods of high
energy, volatility, oppositionality, grandiosity, irritability, anxiety and explosiveness.
It is not uncommon for these children to have prolonged and violent
tantrums, often triggered by the word "no."
Families with a bipolar child can find that life at home revolves around the seemingly endless demands and needs of this child. Some children hold their emotions in check at school but fall apart in the safety and comfort of their own homes. This discrepancy in behavior can lead outsiders, including school personnel and extended family, to assume that faulty parenting is responsible for the childs difficult behavior at home. In fact,
parents of a bipolar child
are often doing their best while bewildered, exhausted and frustrated, and in some cases
they are afraid of their own children's violent impulses. They may become very isolated
from friends and family, who may be judgmental of the child and the parents lack of
control over the childs behavior. The family may be further isolated if they avoid
taking the child to public settings that might become the setting for a humiliating
meltdown.
Early intervention by a skilled clinician is essential, because early onset bipolar disorder can sometimes be difficult to diagnose. There is no specific test for the illness, the disorder is often accompanied by other psychiatric disorders, and many symptoms overlap. Bipolar disorder in children often begins with major depression marked by chronic irritability. Treatment with the wrong medicationsstimulants and antidepressants in particularcan result in significant worsening of the illness. Prompt diagnosis and appropriate treatment, however, can lead to much more stable lives for these children and their families. It is essential to treat bipolar
disorder with medication, typically consisting of mood stabilizers in combination with
other drugs, in order to stabilize the child's mood and to prevent worsening of symptoms.
In addition, some kind of behavior or interpersonal therapy may be helpful to help
children learn ways to control behavior and learn new behaviors, as well as come to accept
the realities of their life-long disorder.
About the author Executive Director and Webmaster Martha is
committed to using evolving technology in innovative ways to serve the needs of children
with bipolar disorder and their families. She is a graduate of the University of Minnesota
School of Law who practiced family and appellate law in Minnesota and Chicago from
1978-l988. She is also an award-winning writer (Parenting Publications of America Best
Feature Award 1992, Minnesota Book Award 1993). She founded an on-line parent support
group on Compuserve in 1996 that merged into BPParents in 1997. In January, 1999, she
convened and chaired (entirely on-line) the national steering committee that founded CABF.
She works full-time as Executive Director and Webmaster of CABF.
Meet the Author Bipolar
Disorder in Children St. Johns Wort |
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Living
Without Depression and Manic Depression: The Prozac
Alternative: * Offers a comprehensive look at St. John's wort--the most significant * natural remedy for depression--including its history in herbalism, * current clinical uses, safety, and side effects. * Discusses other natural alternatives such as Kava, Melatonin, and * 5-HTP as treatment options to depression. Potatoes Not
Prozac: |
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