Sunday, September 9, 2012

The Adhd Vs Bipolar debate - A Parent's Guide

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In modern years there has been a growing conference for whether or not children can even be diagnosed with Bipolar or Mood disorders. There are no parameters or guidelines in the Dsm-Iv-Tr® for these conditions to exist within the pediatric population. There are still many psychiatrists and curative doctors who will not yet cross that path with their young patients; some even selecting to ignore or naturally not ask about house history as it relates to such.

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So what is a concerned, overwhelmed, and worried parent to do? You know your child is suffering. They might be restless, fidgety, moody, impulsive, distracted. They probably have mystery forming meaningful peer relationships. They struggle everyday just to get straight through the day. School is proving to be a disaster and sometimes home isn't much better. So you speculate: Maybe they have Adhd (Attention Deficit Hyperactivity Disorder)? They de facto seem to meet all the confident criteria. You could be right.

As a implicated parent, you know they need medicine so you visit their physician or a psychiatrist. This is a good move. Adhd is a curative and biological condition. Intervention is strongly recommended for a lot of reasons. The physician asks about school, completing homework, following directions, impulsiveness. Your answers to all these inquiries raise concern. The physician might confirm your fear. Yes, Johnny has Adhd, let's try a procedure of stimulant medication (i.e. Ritalin, Concerta, Adderall...) and see if things improve.

This is where you should take a moment to pause if you can sass Yes to this question: Is there any history in your house of depression, mood disorders, bipolar disorder, psychiatric hospitalizations, suicide, or negative reactions by other house members to stimulant medication? And one more step before you move on. If you think you can sass No to the house history question, double check by asking yourself if any immediate relatives (parents, siblings, grandparents) had struggles with drugs or alcohol, school or the law and these issues were never de facto dealt with? If you sass Yes to that question, again, take pause.

If your answers to these questions have caused you to take a wee then continue by asking yourself these questions about your child:

1. Does your child break things accidentally (Adhd) or in anger (Bipolar)?

2. Does your child have temper tantrums because they are sensory or emotionally over stimulated (Adhd) or because you are setting limits like saying "No" (Bipolar)?

3. Does your child misbehave because they are oblivious (Adhd) or on purpose (Bipolar)?

4. Does your child engage in risky behavior because they just don't pay concentration to or understand the dangers (Adhd) or do they purposefully seek risk (Bipolar)?

5. Is your child explosive and aggressive to family? This is not an Adhd trait.

Now that you have taken time to sass these questions, conclude if there are additional concerns to gift to the doctor. The singular most needful presume for getting the determination spoton is to get the medication correct.

Stimulant medication in an unstable bipolar or mood disordered child can have dire consequences. It can instigate a manic episode within 24 hours! And we aren't talking happy, they want to spend all their money and paint their room pink kind of manic. Manic episodes in children are often presented as angry and severely aggressive outbursts. You could de facto go from having an oppositional child who won't sit still to having a violent being who looks like they might cause you harm in your sleep. This is no joke!

Proper medication intervention is vital from the very first moment of suspicion with the diagnosis. It is potential for a child to be both bipolar and Adhd but from a curative standpoint, they cannot be properly treated with a stimulant medication until they are successfully stabilized on a mood stabilizing medication.

And of course, if you answered No to the above questions then maybe they do have Adhd and you should result what ever procedure of medicine you and your physician have agreed upon. But at least now you know all of the things to consider as you and your child enter this adventure.

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