Rollercoaster Kids: Manic Depressive Children

For many years the psychiatric profession didn’t even believe there could be such a thing as bipolar children. Bipolar disorder, or manic depression, was described as an illness that emerged only in adulthood, even though some early researchers seemed to have evidence that some of the symptoms that adults exhibited had actually manifested well before they were ten years old. Yet manic depression treatment options were geared explicitly toward adults for many decades because of this belief. Bipolar information about both symptoms and treatments for children was scarce for a long time.

Things have gotten better to some degree; certainly the current treatments have greatly improved the situation. But another reason why it’s hard to treat bipolar disorder is that the symptoms tend to overlap with those of other disorders. For example, attention-deficit hyperactivity disorder (ADHD) may resemble bipolar disorder in its manic phase. Bipolar children with those symptoms are often diagnosed only because they are more aggressive, with more behavioral problems, than if they only had ADHD. With such overlapping of symptoms, what this means is that diagnosing the problem and finding the right medical treatments is very difficult.

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Anxiety disorders can also be an indicator that doctors should watch for manic depression as well, since children with these disorders are more likely also to develop bipolar disorder. Children with bipolar disorder may often have had treatment already for full-blown depressive episodes, which served as precursors for the later illness. Even irritability and hypersensitivity might be warning signs, if they last for days at a time.

Diagnosis is controversial, though, because children with bipolar disorder are much more likely to be diagnosed in the United States than in other parts of the world. Interpretations vary on whether this is because there is simply over diagnosis in the U.S., or whether US doctors are simply recognizing a problem that really exists. Bipolar info and interpretation of symptoms varies considerably from country to country.

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This means that treatment for manic depression will also vary between countries. Yet if this disorder is genuine, it appears to be more intense in bipolar children than in adults, so it’s important to find the right therapies. Some of the antipsychotic drugs usually prescribed for this disorder can damage the liver and increase the risk of heart problems or diabetes. Yet without the medications, children are at risk of psychosis, cognitive impairment or even suicide. Correct diagnosis is crucial, so that the best treatments can be devised, and the risk to the children minimized as much as possible.

Tagged as: bipolar, children, manic depression treatment, manic depressive, Mental Health