Childhood Bipolar Disorder
Bipolar disorder, or manic depression,
has in past years only been found in adults, while children
with similar symptoms have been mistakenly diagnosed as have
attention deficit disorder (ADD), or attention deficit
hyperactivity disorder (ADHD). However, in recent years,
psychiatrists and pediatricians have found that bipolar
disorder definitely rears its ugly head in childhood as often
as it does in adolescent or adult years.
Diagnosis of bipolar in childhood increases the chances for
bipolar patients to have successful treatment and ordinary,
uninhibited lives as adults. However, treatment options of
bipolar in childhood is a controversial subject. Many doctors
wish to medicate first, and regulate with therapy in addition
to medications. However, many parents and some psychologists
disagree with these methods.
Overall, many parents discover that once their child has
been put on bipolar medications, the child seems to lose some
of their personality traits that endear them to the parents.
Children, and adults, who have been overly medicated or
medicated when not absolutely necessary lose a sense of who
they are. Some medications can make children overly despondent,
seeming "out of it" or "spacey." This causes concern for
parents and doctors, and raises the question of whether or not
the child is really better off on medication.
Play therapy can be quite effective in helping children with
bipolar disorder live more successful childhoods. This play
therapy typically involves placing children in various
hypothetical situations in which they must work out a logical
and emotionally healthy solution. While play therapy is very
successful in some children, it is not enough for others. In
certain childhood cases of bipolar disorder, the mood swings
and symptoms are so severe that the child is not able to
control their actions or emotional reactions to stimuli and
situations.
Cognitive behavioral therapy is a fairly new method of
therapy for bipolar patients in which the patient learns to
recognize symptoms of their illness, triggers for mood swings
and inappropriate behavior, and alternatives to inappropriate
behavior. Cognitive behavioral therapy also allows the patient
to discover what he or she can do to avoid manic or depressive
episodes, and how to manage the episodes more effectively. In
adults, this treatment option is very viable, and works well
both in conjunction with and without medication treatment.
My Out Of Control Child
However, cognitive behavioral therapy requires a level of
problem solving and critical thinking that is not often present
in childhood. For this reason, it is not commonly used in
children with bipolar disorder under a certain age or maturity
level. Some believe that the techniques learned through
cognitive behavioral therapy could be equally viable in
treating childhood bipolar disorder if the exercises and
learning could be geared toward children. This, however, could
prove difficult.
In the end, treatment options must be discussed with
pediatricians, psychiatrists, psychologists, parents, and
teachers. Everyone involved in childhood must be involved in
the treatment process in order for it to be successful. If a
parent or teacher has concerns about the effects of childhood
treatment for bipolar disorder in their child or student, those
concerns should be expressed immediately so that changes in
treatment can be made. Additionally, parents should not be
afraid to change doctors if they feel their child is not
benefiting from treatment or medication
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