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General Parenting
How to help the ADHD in a Bipolar Child?
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<blockquote data-quote="BusynMember" data-source="post: 30826" data-attributes="member: 1550"><p>In "The Bipolar CHild" by Dimitri and Janice Papalos, they highly recommend not even touching ADHD until the bipolar is completely stabilized and then trying stimulants slowly. Some people with BiPolar (BP) can never take ADHD medications, hyperactive or not. Also, childhood mania mimics ADHD. Of the two disorders, I would rather deal with ADHD than BiPolar (BP). I have BiPolar (BP) and even caffeine makes me a little manicky. I've had caffeine today and my mind is already racing and I know I won't sleep much. Ritalin made me nuts. Kids don't do well on antidepressants if they are bipolar. Nortripytlene is one ad I took, and it wasn't very helpful to me--helped the depression enough for me to "get by", but did nothing for the focus. I would have him see a Child Psychiatrist (with the MD). Many Psychiatrists who specialize in mood disorders plain don't give bipolar kids ADHD medications because it can undo the affects of the mood stabilizers and cause mania. Smallmom is right--often what looks like ADHD is just childhood mania and Nortripylene would make that worse, not better. Good luck! :smile:</p></blockquote><p></p>
[QUOTE="BusynMember, post: 30826, member: 1550"] In "The Bipolar CHild" by Dimitri and Janice Papalos, they highly recommend not even touching ADHD until the bipolar is completely stabilized and then trying stimulants slowly. Some people with BiPolar (BP) can never take ADHD medications, hyperactive or not. Also, childhood mania mimics ADHD. Of the two disorders, I would rather deal with ADHD than BiPolar (BP). I have BiPolar (BP) and even caffeine makes me a little manicky. I've had caffeine today and my mind is already racing and I know I won't sleep much. Ritalin made me nuts. Kids don't do well on antidepressants if they are bipolar. Nortripytlene is one ad I took, and it wasn't very helpful to me--helped the depression enough for me to "get by", but did nothing for the focus. I would have him see a Child Psychiatrist (with the MD). Many Psychiatrists who specialize in mood disorders plain don't give bipolar kids ADHD medications because it can undo the affects of the mood stabilizers and cause mania. Smallmom is right--often what looks like ADHD is just childhood mania and Nortripylene would make that worse, not better. Good luck! [img]:smile:[/img] [/QUOTE]
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