Doctor insights on:
Bipolar Disorder In Adults In Children
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
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
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
Warmly by age: Each child has a particular maturity. Address yourself using this as your guide. A younger child will understand ''medicine'', being ill . More mature child will appreciate more details such as ''mood'', ''feelings'', have a really good doctor, ''will be with me, us for a long time''. Do make sure you allow each to feel you are available for concerns & questions. And each is safe & loved. ...Read more
One reason is that: BP disorder in children usually first looks like ADHD, which in my opinion is on the more mild end of the same spectrum. Three questions need to be asked to differentially diagnose ADHD from BP. They have to do with focus when mood is normal, being disorganized only when mood is abnormal, and emotional dysregulation (can't stop the mood in a timely manner). You need a prof. to do this well. ...Read more
Depends: If there is one parent with bipolar disorder, the likelihood of a child having polar disorder is 5%. If both parents have bipolar disorder the risk goes up to 30%. If there is a sibling with bipolar disorder, and one parent the risk for the other siblings is 15%. Finally in identical twins, if one twin has bipolar disorder, the other twin has a 65-80% chance of developing bipolar disorder. ...Read more
I have bipolar disorder type 1. What are the chances of me passing it on to my children. My grandfther had bipolar type 1 aswell.
Available studies: Genetic transmission of bipolar disorder is not complete -- your children do not automatically develop the disease that you have. Some studies have shown that with 1 bipolar parent, there is 15% risk in kids' developing the illness; with both parents, it goes up to 30%. So there's a greater chance that your children won't be bipolar, than that they will. Healthy lifestyle helps too. ...Read more
Chaos of Chaos: Children are developing in an environment that has an impact on their behavior. Having a mental disorder means there is something wrong with the individual's development. The controversy is that it is difficult to tell if a child's behavior is the result of bad biology or a chaotic environment that supports the behavior as adaptive. Brain development is altered by Meds, but not clear how long. ...Read more
What to do if I have bipolar 2 disorder, what are the odds that my children will inherit bipolar disorder?
Help? I was wondering how prevalent bipolar disorder in children, which meds have they been taking, and how do they do in school?
Tough to say...: Pediatric bipolar disorder is a somewhat controversial and relatively new diagnosis. Many times people diagnosed with this condition turn out later to have other illnesses. They are often treated with medications like risperdal, seroquel, (quetiapine) lithium, or Depakote which are serious medications that need to be monitored carefully by a physician. I would consult your doctor for more information. ...Read more
The same : It is still called bipolar disorder but in younger children it is more difficult to diagnose. There are other disorders that can mimic bipolar and it is less likely to be bipolar disorder in a preteen. The treatment for the different disorders is different and the prescription treatment is not without side effects so it is important to be thorough in the evaluation process. ...Read more
Not much data here: Some of genetic vulnerabilites in my clinical experience seem to be the same. ...Read more
What age can bipolar disorder or schizophrenia be seen in children?What are symptoms to look for?
Rare before age 9: The younger the age, the more difficult the diagnosis is. It is rare to make a clear and convincing diagnosis before age 9. Most people have first episodes in late adolescence or in their 20's. Symptoms are similar to adults except that mood symptoms (depression and mania) may be less clear and the diagnosis may be based more on behavior. Also usually anxiety is prominent, not a specific symptom. ...Read more
Someone I know will never see a psychiatrist for a bipolar disorder though the adult makes everyone's life miserable. How to get her to cooperate?
Mental Illness: Be gentle but firm and keep yourself as healthy as possible no matter what the other person does. Please look into the National Alliance for the Mentally Ill (NAMI). They outreach to family and friends. Peace and good health. ...Read more
I 'm married with 4 children and work full-time. I take meds for depression, add, and bipolar disorder. Not sure why still irritated around my kids.
Well -first off -: Medications help a great deal but do not always take care of all symptoms. Second- it sounds like your life is very full (wife, mother ; full time employment outside of the home). Third- as much as we love our children - they can be irritating at times. Have you thought about some form of talking therapy in addition to your medications? It looks like your are on adhd med ; 2 antidepressants but no. ...Read more
Bipolar: Bipolar I and bipolar II, In the first, manic phases are more severe, and in the second, depressive phases are more severe. There is also cyclothymia which is a low grade version of bipolar disorder in general, where mood swings are not as severe in either direction, manic or depressive. ...Read more
Bd is a biochemical/phisiologic illness, generally long-
lasting, generally with recurrent serious depression and/or very
energized, ill considered
and sometimes psychotic behavior. The DX is made too casually these days, based on an episode of angry behavior and DX should be made ; confirmed with an expert. Treatment is generally manditory to manage. ...Read more
So far no one has established a genetic link with bi-polar disorder, and many have tried. It is certainly true that it runs in families, but that can be a result of the family environment.
There is a reasonable theory that the manic episodes are a way of combating the depressive feelings and that both are the result of chronic internal stress leading to depletion of neurotransmitters. ...Read more
History: No lab or radiologic test, nor physical exam, can test for bipolar. Perhaps one day as there are strong indications it is a brain condition with a genetic background. But for now, it's a patient's history of modd changes, cognition and behavior that makes the diagnosis. In truth, this method works quite well, having been refined since antiquity. ...Read more
Bipolar: Moods swing to extremes, between episodes of depression lasting around few weeks & phases of mania lasting few weeks each. Milder forms are called bipolar type 2 or cyclothymia, more severe forms are accompanied with psychotic symptoms such as hearing voices or seeing things that are not there. Your mental health counselor can assess & give more definite diagnosis. ...Read more
Genetics: Bipolar disorder has been found to have some hereditary basis. This doesn't mean that there is a 100% chance that the offsoring of someone with bipolar d/o will enx up with it as well, but rather there is more likelihood as compared to the general population. I believe bipolar d/ o is now the 2nd highezt of mental d/o, being surpassed by adhd. ...Read more
Meds and therapy: Mood stabilizers such as depakote or lithium to decrease the extreme intensity of mood swings, combined with therapy from a psychotherapist who specializes in bipolar disorder would be the most optimal approach. Don't medicate yourself. Ask for appropriate referrals for help that works for YOU. ...Read more
Multifactorial: As with many medical conditions the causes of bipolar disorder are not fully know. It is believed they are polygenetic, with multiple genes interacting resulting in some degree of vulnerability or resistance to the condition. This biology then interacts with environmental factors, both positive and negative which can have different effects based upon when in life or how many/often they occur. ...Read more
Clinical exam: Although in the future we may have blood tests or functional MRI scans that can diagnose the disorder, for now the only way to diagnose bipolar is to see a counselor or doctor who can diagnose the condition based on history and exam. ...Read more