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<blockquote data-quote="gcvmom" data-source="post: 112253" data-attributes="member: 3444"><p>In our case, psychiatrist (who has been treating difficult child 2 since he was a 5yo preschooler) will only give a mood disorder not otherwise specified designation at this time. He affirms that you cannot know for certain if it is truly BiPolar (BP) until after adolescence. </p><p></p><p>difficult child 2 has shown mood symptoms since the first grade (ADHD symptoms since age 3 1/2), and they have slowly evolved over the past five years. He had bad results with an SSRI (Zoloft), and did well on a-typical antipsychotics for several years (first Risperdal, then Abilify) until those stopped working.</p><p></p><p>He didn't become "manic" until this past spring when his stimulants stopped working and the Abilify stopped working, and in my desperation to control his ADHD symptoms by "upping" his doses between appointments, and the psychiatrist tossed Tenex into the mix. I got to see first-hand what "flight of ideas," "pressured speech," "rage," "delusions," "hypersexuality", "obsessional goal-directed activity", "dangerous risk-taking behavior", and "grandiosity" look like in a 10-year old boy. Not a sight for the faint-hearted. We were pretty much house-bound for the entire 10 weeks of medication wash and Depakote ramping this summer, both for his safety and my sanity. My summer from hell, to be sure.</p><p></p><p>I think that there is no black & white picture for BiPolar (BP) or any other mental illness, and am more of the mindset that people fall into a range of symptoms that belong to a particular disease category -- a spectrum with varying degrees of severity and varying assortment of symptoms within that disease family. I've got two difficult child's and a spouse with ADHD, and they are all VERY different in the way they present and the way they respond to medications. </p><p></p><p>Whatever you want to call what my difficult child's have, it doesn't really matter to me. All I care about is managing their symptoms so that their quality (and quantity) of life is as reasonably close to normal as possible. And even that criteria may end up being different for each of my kids in the long run. If a questionnaire can be used as a tool in the diagnostic process, I'm all for it, but I would be worried about the conclusions drawn if that were the ONLY tool used to make a diagnosis. Any diagnostician worth his/her salt has to consider much more than one source of information in forming their opinion on a patient, and it can't be done in one visit.</p><p></p><p>Wow -- you really got me on a roll with this post! :geek:</p></blockquote><p></p>
[QUOTE="gcvmom, post: 112253, member: 3444"] In our case, psychiatrist (who has been treating difficult child 2 since he was a 5yo preschooler) will only give a mood disorder not otherwise specified designation at this time. He affirms that you cannot know for certain if it is truly BiPolar (BP) until after adolescence. difficult child 2 has shown mood symptoms since the first grade (ADHD symptoms since age 3 1/2), and they have slowly evolved over the past five years. He had bad results with an SSRI (Zoloft), and did well on a-typical antipsychotics for several years (first Risperdal, then Abilify) until those stopped working. He didn't become "manic" until this past spring when his stimulants stopped working and the Abilify stopped working, and in my desperation to control his ADHD symptoms by "upping" his doses between appointments, and the psychiatrist tossed Tenex into the mix. I got to see first-hand what "flight of ideas," "pressured speech," "rage," "delusions," "hypersexuality", "obsessional goal-directed activity", "dangerous risk-taking behavior", and "grandiosity" look like in a 10-year old boy. Not a sight for the faint-hearted. We were pretty much house-bound for the entire 10 weeks of medication wash and Depakote ramping this summer, both for his safety and my sanity. My summer from hell, to be sure. I think that there is no black & white picture for BiPolar (BP) or any other mental illness, and am more of the mindset that people fall into a range of symptoms that belong to a particular disease category -- a spectrum with varying degrees of severity and varying assortment of symptoms within that disease family. I've got two difficult child's and a spouse with ADHD, and they are all VERY different in the way they present and the way they respond to medications. Whatever you want to call what my difficult child's have, it doesn't really matter to me. All I care about is managing their symptoms so that their quality (and quantity) of life is as reasonably close to normal as possible. And even that criteria may end up being different for each of my kids in the long run. If a questionnaire can be used as a tool in the diagnostic process, I'm all for it, but I would be worried about the conclusions drawn if that were the ONLY tool used to make a diagnosis. Any diagnostician worth his/her salt has to consider much more than one source of information in forming their opinion on a patient, and it can't be done in one visit. Wow -- you really got me on a roll with this post! [img]:geek:[/img] [/QUOTE]
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