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Doctor insights on: Psychotic Episodes In Autistic Children

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Dr. Donald Jacobson
362 doctors shared insights

Psychotic (Definition)

Psychotic disorders (such as schizophrenia) are major mental disorders that cause abnormal thinking. Psychotic people lose touch with reality and have symptoms of delusions and hallucinations. Delusions are false beliefs, such as thinking that a TV is sending you personal messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that ...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 abandonment fears in borderline personality disorder labeled as infantile?

Are abandonment fears in borderline personality disorder labeled as infantile?

Many adults fear it.: Fear of abandinment is, if we're honest, fairly wide spread. Panic and terrible reactive behaviors are, fortunately, rare and might be seen in bpd. I think the word "infantile" refers to the basis of the problem. That it begins when a baby experiences ongoing stress from questionable parenting - even including actual or temporary abandonment. It disrupts the development of trust which is critical. ...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 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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Can people with antisocial personality disorder legally keep their children?

Can people with antisocial personality disorder legally keep their children?

Legal Question: This is a legal, not a medical question. In most instances diagnosis is less important than behaviors. Usually if the person is a responsible and caring parent they will be considered for custody. For a more certain answer you should consult a family practice attorney in your legal jurisdiction. ...Read more

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Can bipolar disorder have recognizable symptoms in a person's eeg?

Can bipolar disorder have recognizable symptoms in a person's eeg?

Could be: One small [18 patient] study has shown that bipolar patients -- even when not in a mood episode -- have decreased Alpha activity in their eeg's. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3253163/ they were also free of medications for at least 2 weeks for the study. The authors feel it may differentiate bipolar from schizophrenia eeg's, but it's not diagnostically definitive on its own. ...Read more

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Are abandonment fears in borderline personality disorder considered infantile features?

Are abandonment fears in borderline personality disorder considered infantile features?

Adults fear it too.: Fear of abandonment is, if we're honest, wide spread. Panic and terrible reactive behaviors are, fortunately, rare and might be seen in bpd. I think the word "infantile" refers to the basis of the problem. That it begins when a baby experiences ongoing stress from questionable parenting - even including actual or temporary abandonment. It disrupts the development of trust which is critical. ...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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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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Febrile seizures in an adult patient. I thought only little kids have febrile seizures.?

Febrile seizures in an adult patient. I thought only little kids have febrile seizures.?

Fever as stress: Fever/illness/lack of sleep etc., all stress factors can set off a seizure in one prone to seizures. To call the adult event a "febrile seizure" is a misuse of a term limited by convention to a benign childhood condition. A more accepted term would be a seizure associated with fever and its long term prognosis would be much different.. ...Read more

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Depression in children common?

Depression in children common?

No But Not Rare: Depression in childhood, at least of a severity that requires treatment, is not common (maybe 3-5% of the population). At the same time, this becomes a pretty large numbr when you start looking at groups of children. Also, depression is much more common among certain groups of kids - those with chronic medical illness, or children who have been abused. ...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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What eating habits causes aggression and agitation in autistic kids?

What eating habits causes aggression and agitation in autistic kids?

Varied : Some children, with or without autism, react poorly to artificial colors, dyes, sweeteners and preservatives. These and certain foods can be found on the feingold diet. Other children seem have negative responses to dairy and/or wheat proteins and others do not do well if their sugars fluctuate. Speak with your provider and visit some of the websites for autism to get more information. ...Read more

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Is most of our prison population guys with antisocial personality disorder?

Is most of our prison population guys with antisocial personality disorder?

No: Most are of limited intelligence, easily swayed by their confreres to engage in illegal activity. Many are victims of outrageous anti-drug laws which in fact promote the use of drugs rather than helping the victims. A few are there by accident. A small group indeed are sociopaths, with no consciences however these folks are frequently very intelligent and avoid capture. ...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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Hand flapping continue in autistic adults?

Hand flapping continue in autistic adults?

It certainly can: Hand flapping sometime fades over time, but it is not at all uncommon for it to continue throughout the life of an autistic individual. It is not harmful, per se; but, when excessive, it can interfere with other more productive behaviors. When severe, it sometimes is treated with antipsychotics, which typically reduce both frequency and duration of the hand flapping. ...Read more

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Help please! is bipolar disorder recognizable in one's eeg?

Possibly, not surely: One small study has shown that bipolar patients -- even when not in a mood episode -- have decreased Alpha activity in their eeg's. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc3253163/ they were also free of medications for at least 2 weeks for the study. The authors feel this may differentiate bipolar from schizophrenia eeg's. It doesn't seem diagnostically definitive on its own, though. ...Read more

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Dr. Alan Ali Dr. Ali
2 doctors agreed:
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Do anxiety and bipolar disorder fall under the schizophrenia spectrum disorders?

Dr. Alan Ali Dr. Ali
2 doctors agreed:

Schiz.: Nope. Bipolar is a mood disorder. Schizophrenia is a thought disorder. Refer to my previous responses on these topics. ...Read more

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Is multiple personality disorder associated with child abuse?

Is multiple personality disorder associated with child abuse?

Yes: As dr. Amster states, this disorder is called dissociative identity disorder. It's very rare (.1 - 1% of population), and many people with it have suffered longstanding child abuse along with severe emotional neglect. These kids (& later adults) deal with their intense pain by unconsciously sequestering and experiencing only portions of self at a time. Treatment facilitates healing and integration. ...Read more

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Dr. Alan Ali
301 doctors shared insights

Mood Swings (Definition)

Mood swings are common among people who suffer from depression. They can be described as an alternating emotional state that include periods ...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