The Diagnosis Of Pediatric Bipolar Disorder

Manic depression disorder, more commonly known today as bipolar disorder, is a mental illness that can affect any age, race, or gender. It is not prejudiced, and has a grim prognosis if the symptoms are not treated or controlled in some fashion. Bipolar disorder is, by Boris Birmaher as the presence of recurrent episodes of mania or hypomania with and without episodes of depression (Birmaher, 2013). As explained by Hockenbury and Hockenbury, a manic episode can be sudden and escalates the emotional state of the individual causing them to have extreme euphoria, as well as more excitement, physical energy, and a more rapid thought and speech process. A depressive episode can also come on suddenly and leaves the individual in a lost state, where they are tired, and no longer find enjoyment from activities that they once loved and could lead to suicidal thoughts or actions (Hockenbury & Hockenbury, 2014). A person does not mentally mature fully until about the age of 25. Meaning that a 25 year old has different brain processes than a 10 year old. Because of this, there have been many studies conducted on the controversy between whether or not bipolar disorder should be diagnosed in children and adolescents.

There are four main factors of emotional and behavioral disorders; biological disorders and diseases, pathological family relationships, undesirable experiences at school, and negative cultural influences. Most students with EBD fall into the normal IQ range, but EDB can prevent students from performing their best. They are smarter than their tests show, but their disability holds them back from showing us their potential on said tests. EBD individuals normally have aggressive behavior and act out, as well as being immature, withdrawn

Katie often felt sad. She would skipped school or stayed in bed quite often. At other times, she felt really happy. She talked fast and felt like she could do anything. Katie suffers from Bipolar disorder. Bipolar disorder or manic-depressive illness is a brain disorder that can affect one’s mood and ability to complete tasks. Bipolar disorder in children is under studied for many reasons. These include, lack of awareness and the difference in the disease seen in adults and children that can make it difficult to continue studies. Bipolar disorder has not been well studied despite harmful effects on growth and development in a child.

This source gives the readers an in-depth overview of Bipolar Disorder and the causes of having the mental health issue. There’s a great distinction between the ups and downs people experience and bipolar disorder. Due to the ups and downs teens and children experience, bipolar disorder is hard to diagnose during those early years. The National Center of Biotechnology Information’s research program is run by Senior Investigators, Tenure Track Investigators, Staff Scientists, and Postdoctoral Fellows which makes the source credible. The source contained

There are two common type of disruptive behavior disorders that affects children lives in a negative fashion when not treated properly. According to the American Academy of Pediatrics (2004) “Behaviors typical of disruptive behavior disorders can closely resemble ADHD particularly where impulsivity and hyperactivity are involved but ADHD, ODD, and CD are considered separate conditions that can occur independently. About one third of all children with ADHD have coexisting ODD, and up to one quarter have coexisting CD” .The two types of disruptive behavior disorders are oppositional defiant disorder and conduct disorder. Some symptoms of disruptive behavior disorder is breaking rules, defiant, argumentative, disobedient behaviors towards authority

The DSM-5(2013) section on Bipolar and related disorders includes diagnoses for Bipolar I disorder, Bipolar II disorder, cyclothymic disorder, substance/medication induced bipolar and related disorder, bipolar and related disorder due to another medical condition, other specified bipolar and related disorder and unspecified bipolar and related disorder there is no classification for pediatric or early onset bipolar disorder. Though there is the following statement “the recognition that many individuals, particularly children and, to a lesser extent, adolescents, experience bipolar-like phenomenon that do not meet the criteria for bipolar I, bipolar II, or cyclothymic disorder is reflected in the availability of the other specified bipolar and related category. Indeed, specific criteria for a disorder involving short-duration hypomania are provided in Section III in the hope of encouraging further study of this disorder.” (American Psychiatric Association, 2013) . For DSM-5(2013) diagnosis purposes pediatric bipolar disorder would seem to fall under 296.89 Other Specified Bipolar and Related Disorders presentation 3 which is Hypomanic episode without prior major depressive episode. This presentation describes clients who have had one or more manic episodes but has not met the full criteria for a major depressive or manic episode. Fristad & MacPherson (2014) discuss that Bipolar disorder once was thought to be a disorder of adulthood but recently research has suggested

For an episode to be categorized as manic, the patients’ mood has been irritable or abnormally elevated for at least 1 week. A person must also exhibit at least 3 of the following symptoms (4 if the mood is only irritable): extreme feelings of personal greatness; a decreased need for sleep, marked talkativeness; distractibility; extreme focus on a goal-directed activity; reports of ‘racing’ thoughts or a flight of ideas; or excessive involvement in pleasurable activities that have a high potential for painful consequences (i.e. sexual indiscretions or unintelligent business investments). As in the criteria for a depressed episode, the DSM-IV specifies that these symptoms should not be better explained as being a side effect of a drug or illness to qualify as a manic episode. These symptoms must interfere with the person’s normal functioning and must not meet the criteria for a mixed episode. As with adults, childhood-onset bipolar disorder has many faces. Children with Bipolar I Disorder have episodes of mania and episodes of depression, sometimes there are long periods of normal moods between episodes. Adults usually tend to have more depressed episodes than manic episodes. However, some children will have chronic mania (symptoms of mania lasting for long periods of time or marked by frequent recurrence) and seldom experience a depressed episode.

Bipolar disorder is an affliction that affects many Americans. Children who live with parents who have this disorder often are neglected. Children are often not able to have a voice within their homes. The quality of life, emotional stability and childhood necessities are impacted by children raised by bipolar parents.

Childhood disorders are relatively common throughout the United States, and can include such disorders as Autism, Pica, and various behavioral disorders. Although the effects of these disorders are by no means negligible, this paper is intended to focus on Oppositional Defiant Disorder, Conduct Disorder, and Attention Deficit Hyperactivity Disorder; their causes, diagnostic criterion, treatment, and prevalence. These three disorders are considered separate diagnoses; however, if left un-managed Oppositional Defiant Disorder can progress into Conduct Disorder, which is more severe. Both Oppositional Defiant and Conduct Disorders have a high comorbidity with ADHD, although many children with ADHD do not exhibit symptoms of ODD and CD. All disorders are seen in school-age children (Although ADHD can continue into adulthood) who are diagnosed when symptoms are consistent for at least six months, cause impairment in a variety of settings (or cause harm to others), and deviate significantly from what is considered normal childhood activity.

Bipolar disorder, according to the National Institute of Mental Health (NIMH), is “a brain disorder that causes unusual shifts in mood, energy, and activity levels,” and

Jessie is a seven-year-old boy who shows signs of disruptive mood deregulations. Jessie shows of having outburst in school hitting the teacher, not wanting to do work with classmates and has anxiety when ask to do certain school task. Disruptive mood Deregulations is a childhood condition of extreme irritability, anger, and frequent, or intense outbursts. Treatment given to Jessie so far by the Occupational therapist recommendations to modifying environment to decrease his anxiety. Also worked on body scheme and fine motor coordination and social skills.

Children exhibit behaviors that are associated with Bipolar Disorder (BPD) as early as 2 years of age. However, many children are not diagnosed until older due to the subjectivity of diagnosing children with mental disorders while their brains are still developing. This leads to a prolonged delay in diagnosis and treatment. However, with recent research, we are able to view and compare brain structures of those with BPD to those who are not affected by BPD. By MRI and fMRI scans, there are regions in the brain that are associated with BPD at certain sizes and activity levels. Individuals with Bipolar show decreased brain volumes in emotion related neurocircuitry, such as the amygdala and the prefrontal cortical regions (Marrus, Bell, & Luby, 2014). With being able to see structural abnormalities within the brain we are also able to determine if treatments for these disorders are effective. With the use of proper medication, volumetric differences occur in the regions of the brain that are associated with BPD and therefore provide evidence that brain structure abnormalities can be “normalized” with medication. However, even with treatment, individuals with BPD tend to follow the trend that they are still more susceptible to drug abuse, aggressive behavior, and binge drinking later on in life (Swendsen et al., 2010). Additionally, BPD used to always be considered the sole mental illness an individual had but recently it has been shown that BPD is comorbid with other diseases,

In life people go through experiences that cause their moods to change for the better or for the worse. The purpose of this paper is to discuss the operational definition of bipolar disorder, identify the additional specifiers, comorbidity, prevalence and discuss the cost of treating the disorder. Also, a detailed explanation will be provided about the population most impacted by the selected disorder and evidence-based approaches to assessing the disorder will be presented. In addition, evidence-based treatment approaches to address the disorder will be displayed. Last, a summary will be shared by relating an intervention from the evidence-based treatment approach to each of the themes of School of Social Work Advocacy, Empowerment and transformation.

In a study conducted by Ezpeleta and colleagues (2012), the association between the different dimensions of operational defiant disorder symptoms and how they can predict comorbidity of other DSM-IV disorders was analyzed. The primary objective of the study was to focus on 3-year-old preschoolers and how the different dimensions of ODD symptoms, which include irritability, headstrong, negative affect, oppositional behavior, and antagonistic behavior, can be displayed in children and produce the likelihood of specific disorders that are linked with specific symptoms. The hypothesis was that irritability and negative affect symptoms were correlated with emotional disorders such as anxiety disorders, headstrong symptoms were linked with ADHD, oppositional and antagonistic behaviors were linked with disruptive disorders, and antagonistic behavior with mood disorders.