Childhood BP shows many faces

Children with bipolar disorder do not often meet the strict DSM-IV definition.^[1] In pediatric cases, the cycling between moods can occur very quickly (see the section on rapid cycling in the main bipolar disorder article).^[2] For other uses, see Bipolar. ... For other uses, see Bipolar. ...

PEA-BP

Prepuberal and early adolescent bipolar I disorder phenotype (PEA-BP) is bipolar disorder I in DSM-IV-TR.^[3] The Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, is the handbook used most often in diagnosing mental disorders in the United States and other countries. ...

Children with bipolar disorder may have rapid-cycling or mixed-cycling. Rapid cycling occurs when the cycles between depression and mania occur quickly, sometimes within the same day or the same hour. When the symptoms of both mania and depression occur simultaneously, mixed cycling occurs.

Often other psychiatric disorders are diagnosed in bipolar children. These other diagnoses may be concurrent problems or they may be misdiagnosed as bipolar disorder. Depression, ADHD, ODD, schizophrenia, and Tourette syndrome are common comorbid conditions. ^[4] Clinical depression (also called major depressive disorder, or unipolar depression when compared to bipolar disorder) is a state of intense sadness, melancholia or despair that has advanced to the point of being disruptive to an individuals social functioning and/or activities of daily living. ... DISCLAIMER Please remember that Wikipedia is offered for informational use only. ... Odd has several meanings. ... “Tourette” redirects here. ... In medicine and in psychiatry, comorbidity refers to: The presence of one or more disorders (or diseases) in addition to a primary disease or disorder. ...

Misdiagnosis can lead to incorrect treatment. Incorrect medications can trigger mania and/or suicidal ideation and attempts. The energy, impulse control difficulties, and lack of maturity in bipolar children can make suicide risk a serious concern, even with children younger than 8 years old.

During severe episodes of mania and mixed states, a child may suffer from symptoms of psychosis. These episodes can be negative (such as thinking their poster on the wall is staring at them angrily) or positive (such as telling people that a rock band is coming to his or her birthday party). Psychosis is a generic psychiatric term for a mental state often described as involving a loss of contact with reality. Stedmans Medical Dictionary defines psychosis as a severe mental disorder, with or without organic damage, characterized by derangement of personality and loss of contact with reality and causing deterioration...

There are many medications which can help calm the symptoms of bipolarity, including in children and adolescents. However, finding the right medicine or combination of medicines is not easy. An exact scientific means of choosing medication for bipolar treatment does not exist. With children this problem is made worse by the fact that as children grow, their weight, metabolism, hormones, brain structure, etc. changes. These changes often require adjustments in the medication(s), significantly more often than adults.

Bipolar children are often both bullies, and the victims of bullies. They rarely see how their actions result in severe social problems at school, home, and elsewhere. These children are confusing for parents, teachers and other professionals, because bipolar disease is one that cycles. Bipolar children may have periods of sweetness, success, creativity, and other wonderful behaviors. Unfortunately, they may also show behaviors that are also extremely negative. This combination makes parenting, teaching, and counseling these children challenging.

Family and friends of the parents of bipolar children rarely understand how difficult things can get when the child is having severe symptoms. This may lead to strained relations with the friends and families of the parents of the affected child.

Diagnosis

Before the DSM-III, bipolar disorder had been considered as a disease of adults or those who have past their puberty. Various studies found that childhood bipolar exist; it is simply difficult to diagnose. ^[5] There is a high comorbidity between Reactive attachment disorder and Bipolar disorder in children (Alston, 2000) ^[6] It has been suggested that this article or section be merged with Attachment disorder. ...

On September, 2007, experts (from New York, Maryland and Madrid) found that the number of American children and adolescents treated for bipolar disorder increased 40-fold from 1994 to 2003, and it was increasing ever since. However, the increase was due to the fact that doctors more aggressively applied the diagnosis to children, and not that the incidence of the disorder had increased. The study calculated the number of visits which increased, from 20,000 in 1994 to 800,000 in 2003, or 1% of the population under age 20. ^[7] This article is about the state. ... Official language(s) None (English, de facto) Capital Annapolis Largest city Baltimore Area  Ranked 42nd  - Total 12,407 sq mi (32,133 km²)  - Width 101 miles (145 km)  - Length 249 miles (400 km)  - % water 21  - Latitude 37° 53′ N to 39° 43′ N  - Longitude 75° 03′ W to 79° 29... Motto: (Spanish for From Madrid to Heaven) Location Coordinates: , Country Spain Autonomous Community Comunidad Autónoma de Madrid Province Madrid Administrative Divisions 21 Neighborhoods 127 Founded 9th century Government  - Mayor Alberto Ruiz-Gallardón Jimémez (PP) Area  - Land 607 km² (234. ... A male Caucasian toddler child A child (plural: children) is a young human. ... The Adolescents were a punk band in the 1980s. ... For other uses, see Bipolar. ... In general, a diagnosis (plural diagnoses) has two distinct dictionary definitions. ... Disorder may refer to : Disease, an abnormality of the body or mind that causes discomfort, dysfunction, or distress (see also: types of disorders) Chaos, unpredictability and in the metaphysical sense, it is the opposite of law and order Entropy, a state function of a thermodynamic system Lawlessness, a lack of...

Treatment

Usual treatment involves medication and psychotherapy^[8]

Handbooks for researchers and clinicians

Bipolar Disorder in Childhood ad Early Adolescence. Gellar, B., & BelBello, M. (ed)

See Also

• Rebecca Riley

Rebecca Riley (b. ...

References

1. ^ Papolos, D. (2003). Bipolar disorder and comorbid disorders: the case for dimensional nosology. p77 In Bipolar Disorder in Childhood ad Early Adolescence. Gellar, B., & BelBello, M. (ed)
2. ^ Kranowitz, C.S. & Post, R., (1996). Ultra-rapid and ultradian cycling in bipolar affective illness. British Journal of Psychiatry, 168, 314-323.
3. ^ Bipolar Disorder in Childhood ad Early Adolescence. Gellar, B., & BelBello, M. (ed)
4. ^ Gellar., et al (2003). Phenomenology and longitudinal course of children with prepubescentearly adolescent bipolar disorder phenotype. p25 In Bipolar Disorder in Childhood ad Early Adolescence. Gellar, B., & BelBello, M. (ed)
5. ^ Bipolar Disorder in Childhood ad Early Adolescence. Gellar, B., & BelBello, M. (ed) p77
6. ^ Alston, J., (2000), Correltation between Childhood Biploar I Disorder and Reactive Attachment Disorder, Disinhibited Type. In Attachment Interventions, Edited ty T. Levy, 2000, Academic Press.
7. ^ New York Times, Bipolar Illness Soars as a Diagnosis for the Young
8. ^ The Bipolar Child, 1999. Papolos, Demitri, & Papolos, J., Broadway Books, NY