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Differentiating irritability ADHD vs BiPolar (BP)
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<blockquote data-quote="pepperidge" data-source="post: 41181" data-attributes="member: 2322"><p>Hi </p><p>Did anyone look at the recent CABF newletter? There is a review of a recent talk: </p><p></p><p>"Dual Diagnosis</p><p>ADHD and Bipolar Across the Lifespan</p><p>By Bryna Hebert, CABF Member</p><p> </p><p>At a recent seminar, Harvard expert Dr. Timothy E. Wilens spoke about the persistance of bipolar over the lifespan and its high rate of co-occurrance with other disorders.....</p><p>Dr. Wilens also spent a considerable amount of time discussing irritability. He referred to a paper by Eric Mick, Sc. D., published in Biological Psychiatry 2005; 58:576-582, that delineates the different faces of irritability. Mick describes the irritable child with ADHD as one who is easily frustrated and has a quick temper, but gets over it quickly as well. The child with Oppositional Defiance Disorder has a very quick, hot temper and is oppositional. Irritability that is attributed to depression can best be characterized as cranky, negativistic, and more persistent. Irritability caused by mania, as with Juvenile Borderline (BPD), is explosive and violent: rage that persists for thirty minutes or longer. While it may be possible to distinguish between different types of irritability, Dr. Wilens acknowledged that this is a symptom that many child and adolescent psychiatrists prefer not to use to diagnose something as serious as Borderline (BPD)."</p><p></p><p></p><p></p><p> This caught my eye, because irritability is more of constant feature of my kid's lives than just about anything else. We have yet to find a medication that really helps my youngest (beyond a small dose of Abilify that we can't push any higher), whereas Lamictal has been a godsend for my oldest and his irritability. </p><p></p><p>Has anyone read the Mick article? Wondering if it was insightful for those of us in the trenches....</p></blockquote><p></p>
[QUOTE="pepperidge, post: 41181, member: 2322"] Hi Did anyone look at the recent CABF newletter? There is a review of a recent talk: "Dual Diagnosis ADHD and Bipolar Across the Lifespan By Bryna Hebert, CABF Member At a recent seminar, Harvard expert Dr. Timothy E. Wilens spoke about the persistance of bipolar over the lifespan and its high rate of co-occurrance with other disorders..... Dr. Wilens also spent a considerable amount of time discussing irritability. He referred to a paper by Eric Mick, Sc. D., published in Biological Psychiatry 2005; 58:576-582, that delineates the different faces of irritability. Mick describes the irritable child with ADHD as one who is easily frustrated and has a quick temper, but gets over it quickly as well. The child with Oppositional Defiance Disorder has a very quick, hot temper and is oppositional. Irritability that is attributed to depression can best be characterized as cranky, negativistic, and more persistent. Irritability caused by mania, as with Juvenile Borderline (BPD), is explosive and violent: rage that persists for thirty minutes or longer. While it may be possible to distinguish between different types of irritability, Dr. Wilens acknowledged that this is a symptom that many child and adolescent psychiatrists prefer not to use to diagnose something as serious as Borderline (BPD)." This caught my eye, because irritability is more of constant feature of my kid's lives than just about anything else. We have yet to find a medication that really helps my youngest (beyond a small dose of Abilify that we can't push any higher), whereas Lamictal has been a godsend for my oldest and his irritability. Has anyone read the Mick article? Wondering if it was insightful for those of us in the trenches.... [/QUOTE]
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