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Childhood Onset Bipolar Disorder: Symptoms Prior To Diagnosis

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5 pages in length. There is no longer any question – clinical, scientific or anecdotal - as to whether children can be diagnosed with bipolar disorder, a mental imbalance typically attributed to adults. What is especially difficult about making this diagnosis, however, is the manner by which bipolar symptoms closely mimic those of other childhood disorders like Attention Deficit Hyperactivity Disorder. Bibliography lists 10 sources.

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5 pages (~225 words per page)

File: LM1_TLCBipolarCH.rtf

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is especially difficult about making this diagnosis, however, is the manner by which bipolar symptoms closely mimic those of other childhood disorders like Attention Deficit Hyperactivity Disorder (Faedda et al, 1995) or "may be initially mistaken for normal emotions and behaviors" (The National Institute of Mental Health, 2004). According to Demitri Papolos, MD, author of The Bipolar Child, the DSM-IV standards for diagnosing and treating the disorder is written for adults and has little if any accuracy for children (Papolos et al, 1999). "There are so many features of the condition that are common to most of these kids but are not present in adults. Id say that more than 70% of the kids weve seen have this ultra-ultra-rapid-cycling form of the condition. And there is a clear circadian pattern of arousal, energy levels, and mood. The typical pattern is that they cant get up in the morning; theyre almost anesthetized, and their parents have to dress them in their sleep to get them off to school. For the first couple of periods of school theyre pretty groggy. Then they get more energy; around 3 or 4 oclock the energy begins to accelerate, and it peaks around 8 or 9 oclock at night, depending on their age. So they have a lot of trouble getting to sleep, and there is a tendency for sleep-wake reversals, particularly in the summer, when they dont have the structure of school" (Anonymous, 2000, p. PG). Making a correct diagnosis is both critical and difficult when so much of bipolar disorder can be mistaken for ADHD, with distractibility, irritability and hyperactivity just some of the shared symptoms. Worthy only because of their common denominator to both disorders, these three behaviors can only establish the presence ...

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