Bipolar Disorder In Children
Bipolar disorder is a being diagnosed in
children as young as six years old in recent years. Some
doctors think this is a good assessment of many children while
others think the diagnosis is overdone. While it may be just an
intellectual controversy to some, others who know a child who
may have bipolar disorder will not be amused. It is important
therefore to take into account all the facets of the
disorder.
It is a tricky diagnosis to say the least. Bipolar disorder
in children often appears similar to ADHD, or as simply
rambunctious childhood behavior. Young children may cycle fast,
meaning that they go from a depressed state to a manic state
and back, etc. very quickly, often within weeks or even
days.
Suicide attempts often happen on the spur of the moment,
with little or no warning. This is different than in most
adults where the depression is often long-lasting and suicide
attempts may be well thought-out. For this reason it is
imperative that children with the disorder be treated
successfully.
Bipolar disorder in children often presents in mania. In the
younger children this is often likely to come with
hallucinations, both auditory and visual. It may seem that
these would be difficult to distinguish from a healthy
imagination. Sometimes, in fact, it is. Many times, though, the
visions and voices are more disturbing and threatening than a
healthy child would imagine.
Teens with bipolar disorder are, for the most part, similar
in their symptoms to adults. A major complicating factor with
teens is the use of drugs and alcohol. As with adults, this
practice of trying to use street drugs and alcohol to control
mood swings, is called "self-medicating." It is a dangerous
business and often masks the symptoms of the disorder. Bipolar
disorder in children should always be considered when drugs are
being used by them, if only to rule it out.
Bipolar disorder in children who are older, such as
teenagers, is still different from the adult disorder in that
the person with the disorder is still a minor. This leads to
situations where the older child has an adversarial
relationship with authorities and is therefore hard to convince
that treatment is a good thing.
There are some ways to cut down on the confusion. Speaking
with the child's teachers gives an outside opinion of how the
child is doing day-to-day. Also, this shows how the child fares
in a different setting from the home environment. Bipolar
disorder in children, if it is masquerading as some other form
of disorder or behavior, is more likely to be found out if more
people are alert to its symptoms.
My Out Of Control Child
Getting a second opinion is also very important, since so
many doctors disagree on bipolar disorder in children. Once the
second opinion is obtained, the family can make a more informed
decision as to what the problem is and how to proceed. Doctors
may not all agree on bipolar disorder in children, but a second
opinion should help to clarify the situation. The parent or
guardian can listen carefully and determine if the doctor's
explanation sounds accurate. Then, ultimately, it is the
parents' job to make the call. Misdiagnosis and wrong treatment
would be unthinkable, but if bipolar disorder in children is
the correct diagnosis, it is surely better to accept it.
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