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<blockquote data-quote="klmno" data-source="post: 112241" data-attributes="member: 3699"><p>That's interesting, Smallworld, I wonder if that's why the psychiatrist on evaluation team didn't say difficult child was bipolar directly- she said he was cycling, his problems 1st started with- adjustment disorder and depression and either the way his acting out was dealt with and/or prozac triggered cycling, but she said if all that's dealt with, cycling might stop and he would no longer meet criteria of bipolar. I've just started looking at it like the pediatrician explained it to me- which was to compare it to asthma- also a lifelong thing. But, difficult child had asthmatic wheezing as young child, then "grew out of it". Pediatrician said she thinks there will be many cases like that as time goes on and more and more kids are diagnosis'd bipolar- not because they never needed a mood stabilizer or cycled, but because earlier detection that turn out to be manageable without medications later on, milder cases, etc. She said when difficult child was a baby there had been a sudden increase in asthma diagnosis's but now all these kids (older now) don't have that diagnosis. Was it wrong? She says no, she said they were having trouble breathing, needed asthmatic medications, and insurance wouldn't cover those medications if asthma diagnosis wasn't there. So, docs term it that diagnosis changes later on.</p><p></p><p>Which brings me to another thing I wonder about- I wonder if those steroids and albuterol as a baby thru 4 yo had something to do with a chemical imbabalance/mood disorder now. The only times I remember difficult child acting abnormally irate or emotional before the age of 10 yrs 9 mos was either if he was overly tired and WAY over stimulated (like late at night on July 4 or something) and right after albuterol or steroid medications.</p></blockquote><p></p>
[QUOTE="klmno, post: 112241, member: 3699"] That's interesting, Smallworld, I wonder if that's why the psychiatrist on evaluation team didn't say difficult child was bipolar directly- she said he was cycling, his problems 1st started with- adjustment disorder and depression and either the way his acting out was dealt with and/or prozac triggered cycling, but she said if all that's dealt with, cycling might stop and he would no longer meet criteria of bipolar. I've just started looking at it like the pediatrician explained it to me- which was to compare it to asthma- also a lifelong thing. But, difficult child had asthmatic wheezing as young child, then "grew out of it". Pediatrician said she thinks there will be many cases like that as time goes on and more and more kids are diagnosis'd bipolar- not because they never needed a mood stabilizer or cycled, but because earlier detection that turn out to be manageable without medications later on, milder cases, etc. She said when difficult child was a baby there had been a sudden increase in asthma diagnosis's but now all these kids (older now) don't have that diagnosis. Was it wrong? She says no, she said they were having trouble breathing, needed asthmatic medications, and insurance wouldn't cover those medications if asthma diagnosis wasn't there. So, docs term it that diagnosis changes later on. Which brings me to another thing I wonder about- I wonder if those steroids and albuterol as a baby thru 4 yo had something to do with a chemical imbabalance/mood disorder now. The only times I remember difficult child acting abnormally irate or emotional before the age of 10 yrs 9 mos was either if he was overly tired and WAY over stimulated (like late at night on July 4 or something) and right after albuterol or steroid medications. [/QUOTE]
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