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Doctor insights on: Adhd And Bipolar In Children

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Dr. Donald Jacobson
779 doctors shared insights

Manic Depressive Disorder (Definition)

Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more


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How is bipolar disorder different in teens and children compared to adults?

How is bipolar disorder different in teens and children compared to adults?

Good Question: The whole issue of bipolar disorder in children is controversial, mostly because what we call bipolar disorder in children tends to look different than with adults. Chidlren with bipolar disorder tend to be more irritable, and their moods tend to be more fluctuating or mixed. There are not usually the clear cycles of mania and depression that occur more with teens and adults. ...Read more

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Is hyperactivity found in all people with adhd?

Is hyperactivity found in all people with adhd?

Nope : Add is a neurobiologic condition that impacts executive control. Management of brain activities is under executive control. So hyperactivity is physical movement that isn't properly controlled. Underactivity is the same as over activity from neurologic perspective. Some add people are overactive, some are underactjve. Hyperactivity is not necessary for an add diagnosis. ...Read more

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How can bipolar disorder be different in teens/children and adults?

How can bipolar disorder be different in teens/children and adults?

Complicated answer: Most commonly, symptoms don't manifest until late teens or early twenties. Children who are diagnosed as bipolar can be very energetic, have less need for sleep, temper tantrums and aggression are out of range for the precipitant. They can also be grandiose and inappropriately sexual for their age. Often the first episode in a child is depression. Caution i f there is a family hx of bp. ...Read more

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Are auditory distractibility and ADHD common in adults?

Are auditory distractibility and ADHD common in adults?

In some ways.: Add was thought to be a disorder of children and adolescents. Now we realize it doesn't magically disappear when you turn 18. So there may be many untreated adults out there with add that they have had for years. ...Read more

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Is intuniv or kapvay effective in treating ADHD in both children and adults?

Is intuniv or kapvay effective in treating ADHD in both children and adults?

Yes: These medications are effective in both adults & children. It makes sense to have a comprehensive treatment approach that also involves cognitive behavioral therapy as well as other modalities like mindfulness meditation. ...Read more

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Can my daughter be an elementary school teacher with adhd, anxiety, and bipolar disorder?

Yes: As long as she keeps her symptoms controlled with medication and therapy. I have a number of. Such patients who are functioning we'll in that role. ...Read more

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Are children with ADHD always hyperactive? Can a child have ADHD and not show symptoms of hyperactivity? .

Are children with ADHD always hyperactive? Can a child have ADHD and not show symptoms of hyperactivity? 

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1) No. 2) Yes: Adhd-primarily inattentive type (ia) replaced add as a diagnosis when research showed that the underlying neurobiological & neurochemical bases were the same as for adhd-combined type, which has significant symptoms of both inattention & hyperactivity/impulsivity.Adhd-ia is the most common type but c (or h/i in preschoolers) is more commonly referred. Ia is related to academic difficulties. ...Read more

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ADD and ADHD is same disorder?

ADD and ADHD is same disorder?

ADD was last used in: 1980, having been replaced by ADHD-Primarily Inattentive Type in the DSM-IV & DSM V to stress that the underlying neuropathology is the same as that for ADHD-Primarily Hyperactive/Impulsive Type seen in some young children & ADHD-Primarily Combined Type commonly seen in school-age children, especially boys. Combined Type often changes to Innattentive Type in late adolescence & adulthood. ...Read more

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Help docs, is intuniv or kapvay effective in treating ADHD in children and adults?

Help docs, is intuniv or kapvay effective in treating ADHD in children and adults?

Both are indicated.: Intuniv is long acting Tenex (guanfacine) and Kapvay is long acting clonidine. Both are alpha-2 agonists and decrease the Norepinephrine drive. The effect therefore is to calm. Both can be effective, however, of the two, the clonidine molecule has a greater propensity towards sedation. Discuss with your doctor further please. Take care. ...Read more

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Can the children of bipolar parents have behavioral issues as well?

Can the children of bipolar parents have behavioral issues as well?

Any of us can: Have behavioral issues. While not well understood by genetics experts, if one or both parents are bipolar it is more likely that a child may be as well. If that is the case, family therapy may provide helpful communication skills development for all. Peace and good health. ...Read more

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Tips for working with children with mood disorders in the classroom?

Tips for working with children with mood disorders in the classroom?

Patience: It's easy to be frustrated with a child who is angry, sullen, amotivated, has a drop in grades, is defiant, looks sloppy etc. Those are behaviors that might be seen in a depressed child. A bipolar child may be even more of a handful. When i work with difficult people, i just keep reminding myself that they are suffering. This allows me to feel some empathy - especially when I am losing patience. ...Read more

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Do a lot of children with oppositional defiant disorder go on to develop anti-social personality disorder?

Do a lot of children with oppositional defiant disorder go on to develop anti-social personality disorder?

About 1 in 16: 25% of children who have oppositional defiant disorder develop conduct disorder, and 25 to 40% of those children go on to develop antisocial personality disorder. According to loeber, r, et al (1985) journal of abnormal child psychology, 21, 377-410 and zocccolillo, m., et al (1992) psychological medicine, 22, 971-986. ...Read more

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Thoughts on medicating children with adhd?

Thoughts on medicating children with adhd?

Depends on variables: I look at it like providing a crutch to a kid with a broken leg. With it s/he can get more done/without not so much.There are side effects to any med but the dose and form can be changed to fit the kids needs.Medicated add kids have a lower risk of incarceration and eventual drug use, for reasons unknown. ...Read more

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Could concerta stop impulsive behaviour in people with adhd?

Could concerta stop impulsive behaviour in people with adhd?

Sometimes: As in most areas of medicine, medications are prescribed and it is hoped that they will work, but they don't always perform at 100% level. Sometimes we have to change the medication or add in another medication to get improvement up to level that the patient and their family desires. Psychotherapy however should also be an important part of the treatment program so that the patient can learn psychological techniques to avoid the impulsivity. Best wishes. ...Read more

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What are symptoms of mania in children and teens?

What are symptoms of mania in children and teens?

See below...: Irritability, racing speech, little sleep with no apparent fatigue, poor judgment, increased risk-taking behavior, hypersexuality, delusions, hallucinations. Other disorders often mistaken for teenage bipolar disorder include adhd, conduct disorders, post-traumatic stress disorder (ptsd), schizophrenia. A specialist, psychologist or psychiatrist, is best positioned to interpret such symptoms. ...Read more

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Can a person have both oppositional defiant disorder and schizophrenia mixed together?

Can a person have both oppositional defiant disorder and schizophrenia mixed together?

Yes: Although, the diagnosis of oppositional defiant disorder is generally a condition affecting children whereas schizophrenia has as its' most common age of onset in the late teens or early 20s. ...Read more

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What are some pro's and con's of ritalin (methylphenidate) for ADHD in a child?

Works but short time: Ritalin has a long history of effectiveness for add/adhd, but the problem is it's duration of action is short, and often to have benefit for a long part of the day you have to take ti 2-3 times. There are longer acting forms of Ritalin (methylphenidate) from several manufacturers. Your provider can help guide you to one that should work, if not one try another. ...Read more

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Dr. Carla Enriquez
1,179 doctors shared insights

Attention Deficit Hyperactivity Disorder (Adhd) (Definition)

A brain disorder characterized by inattentiveness, hyperactivity, and impulsivity that interferes with daily functioning or mental and social development. ...Read more


Dr. Alan Ali
1,773 doctors shared insights

Bipolar Disorder (Definition)

Also known as manic depressive illness, this brain disorder causes dramatic shifts in mood, ...Read more