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<blockquote data-quote="smallworld" data-source="post: 112232" data-attributes="member: 2423"><p>I'm not sure if the book specifically addresses adolescent onset, but it includes a chapter on "Navigating the Shoals of Adolescence."</p><p></p><p>What I'm going to say may be controversial, but I'll go ahead anyway. The problem with relying on the questionnaire written by Papolos is that some psychiatrists (including ours) believe that his diagnostic criteria are too broad and result in an overdiagnosis of BiPolar (BP) in kids. Dxing BiPolar (BP) in kids is inherently very challenging because kids are moving targets and their symptoms can change over time. </p><p></p><p>My son is a case in point. He had significant anxiety as a young child, ADHD-like inattention in his early elementary school years and huge mood issues that began at age 11. Does he have BiPolar (BP)? No one doctor that we've seen (and we've seen a ton at this point) will tell us definitively. They will say that he has a mood disorder with anxiety, depression and mood lability, and they are prescribing medications used in the treatment of BiPolar (BP) (both mood stabilizers and atypical antipsychotics). But they will not commit to a BiPolar (BP) diagnosis because they are not certain what he will look like as an adult and BiPolar (BP) is a lifelong disorder.</p></blockquote><p></p>
[QUOTE="smallworld, post: 112232, member: 2423"] I'm not sure if the book specifically addresses adolescent onset, but it includes a chapter on "Navigating the Shoals of Adolescence." What I'm going to say may be controversial, but I'll go ahead anyway. The problem with relying on the questionnaire written by Papolos is that some psychiatrists (including ours) believe that his diagnostic criteria are too broad and result in an overdiagnosis of BiPolar (BP) in kids. Dxing BiPolar (BP) in kids is inherently very challenging because kids are moving targets and their symptoms can change over time. My son is a case in point. He had significant anxiety as a young child, ADHD-like inattention in his early elementary school years and huge mood issues that began at age 11. Does he have BiPolar (BP)? No one doctor that we've seen (and we've seen a ton at this point) will tell us definitively. They will say that he has a mood disorder with anxiety, depression and mood lability, and they are prescribing medications used in the treatment of BiPolar (BP) (both mood stabilizers and atypical antipsychotics). But they will not commit to a BiPolar (BP) diagnosis because they are not certain what he will look like as an adult and BiPolar (BP) is a lifelong disorder. [/QUOTE]
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