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<blockquote data-quote="totoro" data-source="post: 46798" data-attributes="member: 3155"><p>This is from the BIPOLAR CHILD website it helps people understand why it is hard to diagnosis BiPolar (BP) in a young child... and as to why if your child is diagnosis'd BiPolar (BP) at a young age it may not be "technically" accurate according to DSM guidelines... even if the child is...</p><p>Q.</p><p> So how would a doctor diagnose early-onset bipolar disorder?</p><p></p><p>A.</p><p> The family history is an important clue in the diagnostic process. If the family history reveals mood disorders or alcoholism coming down one or both sides of the family tree, red flags should appear in the mind of the diagnostician. The illness has a strong genetic component, although it can skip a generation.</p><p></p><p>Many parents are told that the diagnosis cannot be made until the child grows into the upper edges of adolescence--between 16 and 19 years old. The Diagnostic and Statistical Manual of Psychiatry--the DSM-IV--uses the same criteria to diagnose bipolar disorder in children as it does to diagnose the condition in adults, and requires that the manic and depressive episodes last a certain number of days or weeks. But as we already mentioned, the majority of bipolar children experience a much more chronic, irritable course, with many shifts of mood in a day, and often they will not meet the duration criteria of the DSM-IV. They will, instead, be diagnosed possibly as BiPolar (BP)-Not Otherwise Specified(BiPolar (BP)-not otherwise specified). However, this also does not really describe the symptoms seen in childhood.</p><p></p><p>The DSM needs to be updated to reflect what the illness looks like in childhood.</p></blockquote><p></p>
[QUOTE="totoro, post: 46798, member: 3155"] This is from the BIPOLAR CHILD website it helps people understand why it is hard to diagnosis BiPolar (BP) in a young child... and as to why if your child is diagnosis'd BiPolar (BP) at a young age it may not be "technically" accurate according to DSM guidelines... even if the child is... Q. So how would a doctor diagnose early-onset bipolar disorder? A. The family history is an important clue in the diagnostic process. If the family history reveals mood disorders or alcoholism coming down one or both sides of the family tree, red flags should appear in the mind of the diagnostician. The illness has a strong genetic component, although it can skip a generation. Many parents are told that the diagnosis cannot be made until the child grows into the upper edges of adolescence--between 16 and 19 years old. The Diagnostic and Statistical Manual of Psychiatry--the DSM-IV--uses the same criteria to diagnose bipolar disorder in children as it does to diagnose the condition in adults, and requires that the manic and depressive episodes last a certain number of days or weeks. But as we already mentioned, the majority of bipolar children experience a much more chronic, irritable course, with many shifts of mood in a day, and often they will not meet the duration criteria of the DSM-IV. They will, instead, be diagnosed possibly as BiPolar (BP)-Not Otherwise Specified(BiPolar (BP)-not otherwise specified). However, this also does not really describe the symptoms seen in childhood. The DSM needs to be updated to reflect what the illness looks like in childhood. [/QUOTE]
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