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Childhood bipolar disorder vs. Aspergers Syndrome
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<blockquote data-quote="Marguerite" data-source="post: 231604" data-attributes="member: 1991"><p>Medical science is so imprecise.</p><p></p><p>In reading the article, I see that "Depression symptoms include anger, extreme sadness, sleeping too much, and feelings of worthlessness. Manic symptoms include bursts of rage, extreme happiness, increased energy, hyperactivity, distractibility, sleeping too little, and obsessive behaviors."</p><p></p><p>But looking at this, anger is described as part of depression. And "bursts of rage" are described as part of mania. But they can also be simply reactive, a child who is given too much to handle, of stuff he is just not equipped to deal with. ie normal, for his 'whatever-is-wrong-with-him'. Not necessarily BiPolar (BP), which is the disease entity itself doing this.</p><p></p><p>It is such a delicate, fine distinction, but the outcome and treatment can be so very, very different.</p><p></p><p>Here in Australia, NOBDOY has mentioned bipolar to us, regarding any of our kids. And yet I'm sure if we had been living in the US, it would have been high on the list at least for difficult child 1 and easy child 2/difficult child 2. Maybe even easy child, because for her, living within such a dysfunctional family, plus experiences in her own life, have led to a lot of reactive problems.</p><p></p><p>I can only base my views on what I read because I have never lived in the US, but I do get the impression that BiPolar (BP) is diagnosed far too readily in the US; but perhaps not considered when it should be, in Australia.</p><p></p><p>The article goes on to say, "Patients of pediatric bipolar disorder and asperger's disorder both have symptoms that lead to lacking social development skills, educational issues, behavioral issues, and anger issues."</p><p></p><p>I take exception to this, I feel it is simplistic and a classic example of the misunderstanding I'm talking about - Asperger's people don't just have symptoms that lead to lacking social development skills, it is the very lack of social development skills directly, that are a diagnostic feature of Pervasive Developmental Disorder (PDD). Chicken or the egg. It's not causative, in Asperger's. it is in fact the condition itself doing this (ie manifestation), not causing this.</p><p></p><p>Iin other words, Aspies have social problems due to their innate inability Occupational Therapist (OT) learn social cues by osmosis, as other people do; but Aspies have rage/anger issues due to their reaction to a confusing environment, due to their inability to understand the social cues that come so readily to other people. However, those with bipoar will manifest rage and anger as part of the intense mood swings which are a hallmark of bipolar, rather than these being reactive, as in Asperger's.</p><p></p><p>I feel the author of this article is experienced primarily in bipolar and less so with Asperger's. Maybe they have encountered one or two cases of Asperger's, for every ten bipolar, because what the author describes seems to be confused as to causation, presentation and management.</p><p></p><p>Otherwise - a good article on a very important topic.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 231604, member: 1991"] Medical science is so imprecise. In reading the article, I see that "Depression symptoms include anger, extreme sadness, sleeping too much, and feelings of worthlessness. Manic symptoms include bursts of rage, extreme happiness, increased energy, hyperactivity, distractibility, sleeping too little, and obsessive behaviors." But looking at this, anger is described as part of depression. And "bursts of rage" are described as part of mania. But they can also be simply reactive, a child who is given too much to handle, of stuff he is just not equipped to deal with. ie normal, for his 'whatever-is-wrong-with-him'. Not necessarily BiPolar (BP), which is the disease entity itself doing this. It is such a delicate, fine distinction, but the outcome and treatment can be so very, very different. Here in Australia, NOBDOY has mentioned bipolar to us, regarding any of our kids. And yet I'm sure if we had been living in the US, it would have been high on the list at least for difficult child 1 and easy child 2/difficult child 2. Maybe even easy child, because for her, living within such a dysfunctional family, plus experiences in her own life, have led to a lot of reactive problems. I can only base my views on what I read because I have never lived in the US, but I do get the impression that BiPolar (BP) is diagnosed far too readily in the US; but perhaps not considered when it should be, in Australia. The article goes on to say, "Patients of pediatric bipolar disorder and asperger's disorder both have symptoms that lead to lacking social development skills, educational issues, behavioral issues, and anger issues." I take exception to this, I feel it is simplistic and a classic example of the misunderstanding I'm talking about - Asperger's people don't just have symptoms that lead to lacking social development skills, it is the very lack of social development skills directly, that are a diagnostic feature of Pervasive Developmental Disorder (PDD). Chicken or the egg. It's not causative, in Asperger's. it is in fact the condition itself doing this (ie manifestation), not causing this. Iin other words, Aspies have social problems due to their innate inability Occupational Therapist (OT) learn social cues by osmosis, as other people do; but Aspies have rage/anger issues due to their reaction to a confusing environment, due to their inability to understand the social cues that come so readily to other people. However, those with bipoar will manifest rage and anger as part of the intense mood swings which are a hallmark of bipolar, rather than these being reactive, as in Asperger's. I feel the author of this article is experienced primarily in bipolar and less so with Asperger's. Maybe they have encountered one or two cases of Asperger's, for every ten bipolar, because what the author describes seems to be confused as to causation, presentation and management. Otherwise - a good article on a very important topic. Marg [/QUOTE]
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