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Doctor insights on: Bipolar And Autism In Children

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Dr. Johanna Fricke
531 doctors shared insights

Autism Spectrum Disorder (Definition)

ASD are a spectrum of disorders of varying degrees that are characterized by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors. Autism statistics from the U.S. Centers for Disease Control and Prevention (CDC) identify around 1 in 68 American children as ...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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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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How many families in the us have children with learning disabilities/developmental disabilities?

How many families in the us have children with learning disabilities/developmental disabilities?

US Dept of Education: From dr. Mark batshaw's book, children with disabilities, the national center for education services in 2011 reported that over 6. 6 million students received special education sevices in 2007-08, of which 2.5 million were classified as having specific learning disabilities. And that's just school-aged children. ...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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What are autism and ADHD affected infants?

What are autism and ADHD affected infants?

Differences: I would look at the primary symptoms of social connection/disconnection. Autistic children are more difficulty to engage, establish eye contact, follow faces, learn familiar faces, and often don't coo or babble with their care givers. Adhd infants are usually quite social and interactive with their caregivers. In fact, because we give them so much attention, they may not even seem inattentive. ...Read more

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What is autism disorder in children or the spectrum?

What is autism disorder in children or the spectrum?

DSM-V changes: In dsm-iv, the current classification system, autism refers to a severe disorder usually evident in early childhood, whereas autism spectrum disorder involves an evolution of a range fo disorders autism, aspergers, and pdd as well as a less frequent disorder into a concepr of varying severrity of autism spectrum disorder in dsm-v. See http://cpancf.Com/autismspectrumdisorder.Asp i. ...Read more

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What are the characteristics of autism and asperger's in children?

What are the characteristics of autism and asperger's in children?

Autistic Spectrum : Disorder is now the sole diagnosis for a neurodevelopmental disorder with deficits in reciprocal social interaction & social communication + repetitive, stereotypical movements or narrow, restricted areas of interest. Level is based on functional impairment & need for supports. Autismspeaks.org lists signs & symptoms of each criterion at various chronological & developmental ages. ...Read more

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Do non autistic siblings of autism kids mirror symptoms of autism?

Do non autistic siblings of autism kids mirror symptoms of autism?

Possibly: Newer studies show that ~ 30% of younger siblings of a child with autism display autistic behaviors early on. Of these ~ 40% are eventually diagnosed with autism, but many of the others have developmental language disorders. It is worth getting the little one evaluated & into early intervention services to re-direct that developmental path as much as possible. ...Read more

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What are therapies for autism spectrum disorders in high school and beyond?

What are therapies for autism spectrum disorders in high school and beyond?

See below: There are effective treatments. Applied behavioral analysis, occupational therapy, physical therapy, and speech therapy. In some cases medication may help for severe aggression, hyperactivity, or even with repetitive behaviors. Risperdal is actually an fda approved medication to treat autism. ...Read more

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On the spectrum children and autism?

On the spectrum children and autism?

PDD-NOS: The diagnostic and statistical manual iv-text revision defines pervasive developmental disorder as having some, but not all, of the criteria for autism. The dsm-v will combine pdd-nos, asperger's syndrome and autism into autistic disorder, so that all children " on the spectrum" may receive funding and services. Autistic disorders are neurodevelopmental, but still defined as psychiatric disorders. ...Read more

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What are the major differences between autism, childhood schizophrenia and aspergers?

What are the major differences between autism, childhood schizophrenia and aspergers?

Severity: In autism social, communication and restricted range of or odd behaviors is characteristic, in asperger's disorder there are social pbms and a restricted range of, or odd behaviors. In schizophrenia, hallucinations and or delusions in the context of impairment is required. There is often someover lap in that perceptual abn can be present to different degrees in all 3. ...Read more

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What are some early indicators of autism in infants, for people who have an autistic child?

What are some early indicators of autism in infants, for people who have an autistic child?

Watch the child: Red flags: lack of or regression of language development, lack of pointing to objects, lack of eye contact, doesn't play with toys in a 'typical fashion'. More obsessed with the parts of toys (eg wheels) than the toy itself. Intense interest in certain objects. Repetative movements, toe walking, lack or normal bowel movements (either too loose or too hard, or alternating). None for sure, . ...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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Is bipolar disorder in children possible? Most of what I've read says bipolar disorder develops in adults.

Is bipolar disorder in children possible? Most of what I've read says bipolar disorder develops in adults.

Bipolar disorder in children is possible: It's most often diagnosed in older children and teenagers, but bipolar disorder can occur in children of any age. As in adults, bipolar disorder in children can cause mood swings from the highs of hyperactivity or euphoria (mania) to the lows of serious depression. Emotional upheaval and unruly behaviors are a normal part of childhood and the teen years, and in most cases they aren't a sign of a mental health problem that requires treatment. All kids have rough periods — it's normal to feel down, irritable, angry, hyperactive or rebellious at times. However, if your child's symptoms are severe, ongoing or causing significant problems, it may be more than just a phase. Here are some signs and symptoms of bipolar disorder in children: Severe mood swings that are different from their usual mood swings, Hyperactive, impulsive, aggressive or socially inappropriate behavior, Risky and reckless behaviors that are out of character, such as having frequent casual sex with many different partners (sexual promiscuity), alcohol or drug abuse, or wild spending sprees, Insomnia or significantly decreased need for sleep, Depressed or irritable mood most of the day, nearly every day during a depressive episode, Grandiose and inflated view of own capabilities, Suicidal thoughts or behaviors in older children and teens. Children with bipolar disorder experience symptoms in distinct episodes. Between these episodes, children return to their usual behavior and mood. Keep in mind, a number of other childhood disorders cause bipolar-like symptoms, including attention-deficit/hyperactivity disorder (ADHD), oppositional defiant disorder, conduct disorder, anxiety disorders and major depression. Diagnosis can be challenging because these and other mental health conditions often occur along with bipolar disorder. If your child has serious mood swings, depression or behavior problems, consult a mental health provider who specializes in working with children and teens. Mood and behavior issues caused by bipolar disorder or other mental health conditions can lead to major difficulties. Early treatment can help prevent serious consequences and decrease the impact of mental health problems on your child as he or she gets older. . ...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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Can kids with mild autism perform well in school?

Can kids with mild autism perform well in school?

They often can: Autism spectrum disorders are complex in terms of cognitive functioning., language, learning disorders, memory, motor and sensory disorders, executive functions, and even rarer neuropsychological factors. Even children labeled "mild" can be very different. Comprehensive neuropsychological assessment to assess these skills can be expensive, but can zero in on learning strategies and needs. ...Read more

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Are Aspergers and autism the same condition?

Are Aspergers and autism the same condition?

Currently, the sole : diagnosis in the DSM-V is Autistic Spectrum Disorder Levels 1,2 & 3. ASD level 1, formerly Asperger Syndrome (AS) has the same underlying deficits in Theory Of Mind, face recognition & joint attention as 2 &3. However, the atypical microscopic structure of brains of children & adults with "AS" & "Autism" varies enough that some researchers feel that they are different disorders. Stay tuned. ...Read more

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Is homicidal ideation more common in kids with conduct disorder?

Is homicidal ideation more common in kids with conduct disorder?

Yes: Since youth with conduct disorder frequently have difficulty modulating aggressive feelings, homicidal ideation can certainly be more common with these individuals. ...Read more

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Are the symptoms of bipolar and autism similar?

Not at all: Bipolar disorder (bd) is a waxing and waning problem with mood--depression or mania. Autism is a sustained problem with impairments in social interaction, language, and odd or unusual behaviors. Autism starts early in life and is not something you can "catch" later; bd most commonly starts in teens or later. Bd is responsive to medication; autism is not. ...Read more

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Could autism/aspergers/bipolar get worse if someone is transsexual?

No : Autism can lead to a lot of difficulties, and so can transgerder status. I don't think one makes the other worse. ...Read more

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Have an adult daughter, who has autism & bipolar, what psychiatrist in clarksville tn do house visit ? {be better for her & us }thanks, deb.

Have an adult daughter, who has autism & bipolar, what  psychiatrist in clarksville tn do house visit ? {be better for her & us }thanks, deb.

Medical society: Or visiting nurses may be able to refer you to someone who would make a house call to help your daughter. Psychiatrists are difficult to find in some areas, and house calls make it more difficult but they are generally very skilled and caring. Hope you find someone. ...Read more

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Why does benadryl (diphenhydramine) alleviate symptoms of bipolar, borderline, autism, & schizophrenia? I only feel normal & able to think clearly when I've taken some.

Why does benadryl (diphenhydramine) alleviate symptoms of bipolar, borderline, autism, & schizophrenia? I only feel normal & able to think clearly when I've taken some.

Anti-cholinergic: Hard to say why, but it's not impossible. It's known to act on the CNS andyour experience is yours to know. Here's some info that might help: https://en.wikipedia.org/wiki/Diphenhydramine Both the conditions you name and the chemistry are very complex. Don't over-use it, but as directed I'd guess it's safer than many other drugs that may not help as much as you say it does. Best! ...Read more

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What is the likelihood of my children having autism?

What is the likelihood of my children having autism?

See below: 1-2% incidence in the US for autism. 6% incidence for the full spectrum of PDD. Check my health tips on PDD. See http://www.Nimh.Nih.Gov/health/topics/autism-spectrum-disorders-pervasive-developmental-disorders/index.Shtml or http://www.Nimh.Nih.Gov/health/publications/a-parents-guide-to-autism-spectrum-disorder/what-are-the-symptoms-of-asd.Shtml. ...Read more

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On the spectrum children and autism?

PDD-NOS: The diagnostic and statistical manual iv-text revision defines pervasive developmental disorder as having some, but not all, of the criteria for autism. The dsm-v will combine pdd-nos, asperger's syndrome and autism into autistic disorder, so that all children " on the spectrum" may receive funding and services. Autistic disorders are neurodevelopmental, but still defined as psychiatric disorders. ...Read more

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What are the characteristics of autism and asperger's in children?

Autistic Spectrum : Disorder is now the sole diagnosis for a neurodevelopmental disorder with deficits in reciprocal social interaction & social communication + repetitive, stereotypical movements or narrow, restricted areas of interest. Level is based on functional impairment & need for supports. Autismspeaks.org lists signs & symptoms of each criterion at various chronological & developmental ages. ...Read more

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Do people really believe MMR vaccines cause autism in children?

Do people really believe MMR vaccines cause autism in children?

False associations : The vaccine haters have tried to link shots to crib death, cerebral palsy & now autism over the past 30 yrs. Each time the science & biology have proven them wrong. The british doc who claimed MMR triggered cases lost his license when his fraudulent research was exposed. Autism is emerging as a gene linked defect & future research may point to its origin, but it has found no link to vaccines. ...Read more

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What is the autism medication treatment for children and teenagers?

What is the autism medication treatment for children and teenagers?

A None I'm aware of: Autism, or the expanded spectrum, label placed on kids or adults with behaviors & differences in function that fit a specific pattern. There is no medication that i'm aware of for autism, although many have been tried over the years. Each patient may have individual needs based on testing & exam that would deserve medications. These would be prescribed & monitored on a case by case basis. ...Read more

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What doctor specializes in children with autism, Down syndrome (with special needs). ?

What doctor specializes in children with autism, Down syndrome (with special needs). ?

Developmental peds: A developmental pediatrician specializes in developmental and behavioral problems in children, including autism, Down Syndrome, ADD and some other issues. If you are looking for a developmental pediatrician in your area, you can ask your general pediatrician for a referral or you can look on the American Academy of Pediatrics website: www.aap.org. ...Read more

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How come the diagosis of autism spectrum disorders sort of swallowed up all the disabled children?

How come the diagosis of autism spectrum disorders sort of swallowed up all the disabled children?

It hasn't.: There are lots of disabilities other than autism spectrum disorders. The reason why it seems that autism diagnoses are more common is that we have learned that autism is not just the severe form (like rain man), but includes a whole spectrum, ranging from severe down to very mild (like asperger's syndrome). ...Read more

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Is a single mutation mthfr common in children with autism? If homocysteine levels are normal, should I be concerned?,

More research needed: The mutation mthfr has been implicated in a variety of psi strip illnesses from schizophrenia to down's syndrome. Homocysteine levels san be normal in autism. At this juncture no one has been able to find the cause of autism much more research is needed.Take mthfr with a grain of salt. There is absolutely no evidence that it can cause autism. ...Read more

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What can cause autism in children?

What can cause autism in children?

Antenatal factors : Some syndromes cause autistic spectrum disorder & intellectual disability. Chromosomal microarrays find genetic errors in ~15% of kids with ASD. Maternal low folate (folic acid) levels at conception, rubella, "flu", obesity, advanced age & alcohol/drug use from 3 wks.post-conception-term are some epigenetic factors that alter function, but not structure or sequence, of fetal genes & increase risk of ASD. ...Read more

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What are the causes of autism or how is it diagnosed to young children?

What are the causes of autism or how is it diagnosed to young children?

No known cause: There is currently no known cause. A diagnosis is usually made after a psychiatrist or physician obtains a complete history and physical and bases the diagnosis on specific criteria. Often a test called the ados can provide further information in making the diagnosis. ...Read more

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What is autism disorder in children or the spectrum?

DSM-V changes: In dsm-iv, the current classification system, autism refers to a severe disorder usually evident in early childhood, whereas autism spectrum disorder involves an evolution of a range fo disorders autism, aspergers, and pdd as well as a less frequent disorder into a concepr of varying severrity of autism spectrum disorder in dsm-v. See http://cpancf.Com/autismspectrumdisorder.Asp i. ...Read more

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Will increasing bdnf levels prevent autism in children?

Will increasing bdnf levels prevent autism in children?

Unusually high level: of the signaling peptide BDNF (brain-derived neurotrophic factor) have been detected in children w/ autism. BDNF regulates birth and differentiation of brain cells (neurons). Barbara Hempstead et al (Weill Medical College, Cornell Univ) propose that BDNF may be over-expressed in the brains of these children, causing neurological defects that lead to the disorder but causation not yet proven. ...Read more

Dr. Donald Jacobson
780 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


Dr. Johanna Fricke
644 doctors shared insights

Autism (Definition)

A neurodevelopmental disorder negatively affecting a person's socialization, communication, and interests. It is usually detected in the first ...Read more