It seems everyone is bipolar these days

trinityroyal

Well-Known Member
Well said, all of you.

And just to throw more complication into the pile, since Autism Spectrum Disorders (ASD), BiPolar (BP) and other conditions are spectrum disorders, the number of symptoms, range of severity etc. etc. etc. can vary so much from one person to the next.

One of the things that really rots my socks is the approach that a lot of docs take to the diagnostic process. As someone mentioned earlier, often they find what they're looking for. A doctor who's an "ADHD specialist" will diagnose ADHD in the same child that someone else has just labelled bipolar, and someone else again has labelled Aspergers.

Years and years ago, when I was studying Adult Education Theory, there were special units covering the learning styles and requirements of doctors and lawyers. Believe it or not, each group has some singular learning characteristics related to their professions and personalities.

For many doctors, what it boils down to is, they are the experts. Because of the nature of their jobs, and the way they are viewed by society, they cannot be perceived as less than expert at any endeavour in which they participate, as it reduces their credibility with patients, and it hampers their own ability to diagnose with confidence. The biggest hurdle in educating doctors is their lack of willingness to interact with anything where they are not an expert. When I taught beginner-level computer classes for doctors, I had to provide one-on-one private instruction, in order for them to even put their hands on the keyboard, let alone learn anything.

Now this isn't to say that docs are not willing or able to learn, just that the environment in which docs tend to learn best is very specific to their profession and their role as authority figures. If the research comes from them, it makes more sense than if it's being brought in from an outsider (such as a parent). I know this is a sweeping generalization. I just hope it provides some insight.

So the difficulty we all face in getting docs to diagnose our very complex and difficult to pin down children is that, in a lot of cases, the docs are unwilling to take in new information in a manner that will make them appear as anything less than the authority on the subject, because it damages their credibility in their own eyes, and in the eyes of their patients.

Which makes the whole conversation a real PITA when you're trying to bring new information to your doctor.

Persistence, education, asking enough questions of the doctor in such a way that they can question their own diagnosis without losing face, it's a h*ll of a lot of work, but sometimes it's the only way.

Trinity
 

Star*

call 911........call 911
Janet -

If it's any consolation - there are a few kids on here that I could lump into Cory's level - Dude would be one of them. Quite unique in their own disordered way aren't they.

I remember reading about things he did when we first started on the board and I would sit there like :( - meeee too. But at least I knew I wasn't alone and that one other Mother was witness to such weird stuff. :whiteflag:

Then I think about the times that I posted about stuff Dude did and now wonder how many people I scared that t-total H out of. :(:confused:
 

Hound dog

Nana's are Beautiful
Janet, Star......I think I've always related to Dude and Cory so well because they are my brother all over again. He was also diagnosed ADHD....and was as bad as I was. Some part of our bodies were always in motion. Always. lol As kids we exhausted anyone within ten feet.

My brother was very similar to both Dude and Cory as a teen. Maturity brought him out of it. He's a fine upstanding law abiding adult whom people who don't know him would never believe had ever been a difficult child and caused my Mom the grief he once did.
 

Star*

call 911........call 911
Daisy -

NOW THAT is the type of story a difficult child MOM LOVES LOVES LOVES to hear!

ahhhhhh there is hope.......:D

Overheard this morning in the shop (all men) a younger man was talking about his girlfriend/commonlaw wife....and her outrageous behavior that got the police to come to their home, arrest him, and made her take the 2 kids both under 3 and leave the residence.

One of the older men was listening to her behavior and how she was yelling, and throwing, crying ,smashing, screaming, and tearing up the house and he said "Do you suppose she's BiPolar (BP)?" and the man living with her said very matter of factly and while shaking his head no, in true redneck fachion "She don't have BiPolar (BP) disorder - she's got TERMINAL*****YIDIS....."

and with that everyone went to work..

There's one I don't ever want to catch. :surprise:
 
N

Nomad

Guest
I for one, am intriqued by folks who say extreme things with- reference to the diagnosis. Sometimes you'll hear..."Oh...I knew someone with bipolar illness. She took her medication and did fine." Then you'll hear, "I knew someone with bipolar illness. They did very poorly." There are so many variables, perhaps the first one starts with misdiagnosis...immediately followed by the idea of it being on a spectrum and few understand this.

I went to that website...the author...a retired physician and professor...has a breakdown:

Akiskal's Schema of Bipolar Subtypes


(Psychiatric Clinics of North America 22:3, September 1999; Medscape Family Medicine, 2005;7[1])
Bipolar I: full-blown mania
Bipolar I ½: depression with protracted hypomania
Bipolar II: depression with hypomanic episodes
Bipolar II ½: cyclothymic disorder
Bipolar III: hypomania due to antidepressant drugs
Bipolar III ½: hypomania and/or depression associated with substance use
Bipolar IV: depression associated with hyperthymic temperament
Bipolar V: recurrent depressions that are admixed with dysphoric hypomania
Bipolar VI: late onset depression with mixed mood features, progressing to a dementia-like syndrome

I'm not really sure why it is necessary to break it down to this extent.
I do find the thoughts about cyclothymia most interesting and I wonder if women get this diagnosis much more often then men.
From the McMan's website:
Cyclothymia is a chronic bipolar disorder consisting of short periods of mild depression and short periods of hypomania (lasting a few days to a few weeks), separated by short periods of normal mood. Individuals with cyclothymia (thymia: from the Greek word for the mind) are never free of symptoms of either depression or hypomania for more than two months at a time. In 1980 the classification of cyclothymia was changed in the DSM-IV from Personality Disorder to Mood Disorder.
Though the above description portrays cyclothymia as a mild disorder, it is so only relative to the severity of Bipolar I and Bipolar II disorders. Cyclothymia can completely disrupt the life of an individual and create personal chaos. In their continual oscillation of mood, they never know from one day to the next what to expect.
Incidence of Cyclothymia

Equally common in men and women, cyclothymia affects 0.4 to 1 percent of the population. Most commonly the disorder begins in the teens or early twenties. Eventually approx 30 percent of individuals with cyclothymia experience a full-blown manic episode or major depression, and their diagnosis is changed to Bipolar I or II.
Causes

Genetic factors appear to be causative in cyclothymia as they do in the Bipolar Disorders. Many of those affected have a family history of major depression, bipolar disorder, suicide or alcohol/drug dependence.
Symptoms

Zig-zagging from periods of elation to gloom
Unable to maintain enthusiasm for new projects due to mood changes
Personal Relationship Problems due to influence of moods causing a constant "pulling close and pushing away" of emotions
Abrupt changes in personality from cheerful, confident and energetic to sad, blue or "mean"
Sleep difficulties are prominent, with affected persons sleeping little during hypomania, and "unable to get out of bed" during depression.
Self medication with alcohol or illegal drugs common.
In a word cyclothymia seems to sabotage a person's opportunity for a stable life.
According to DSM-IV a diagnosis of cyclothymia is based on the following:
1. Individual has had many periods of both hypomania and depression, for a period of at least 2 years.
2. Individual has experienced no periods of normal mood lasting longer than two months.
3. Individual has experienced no major depression, manic or mixed episode during the first two years of symptoms
4. Symptoms are not attributable to either Schizophrenia or Psychotic Disorder
5. Symptoms are not due to effects of medication, illicit drugs or medical condition.
6. Individual experiences significant distress or impairment in daily living.
Treatment of Cyclothymia
In some cases individuals may prefer no treatment or supportive psychotherapy alone. Couples or Family therapy is often sought to help with the problems in relationships brought on by the disorder.
In addition, lithium, a mood stabilizer used commonly in the treatment of Bipolar Disorder, has been proven to help a substantial number of people with Cyclothymia.
 
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