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General Parenting
Mood Disorder - not otherwise specified - first post
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<blockquote data-quote="rlsnights" data-source="post: 302934" data-attributes="member: 7948"><p>quick thoughts - have very similar experiences with difficult child 2 and have seen much improvement:</p><p></p><p>1. speech assessment? turns out mine has language issues only revealed with thorough assessment by independent speech path - look for non-literal and pragmatic issues</p><p>2. deep muscle activity first thing when she gets home and any time she starts escalating - tug of war is very popular at our house. very calming but may be activating too so you will have to be the judge. if too activating, try rolling her tightly in a blanket or sheet cover with pillows and have 7 yo sister lay on top or do something else to add pressure. if this works, then giving her physical activity that works the proximal joints (shoulders, hips) daily may help - fill pillow with beans for her to carry, have her move heavy boxes, pull-ups on a chinning bar, push-ups on the wall, wheelbarrow races (hold her feet while she walks on hands)</p><p>3. is she clumsy, seem to have sensory issues? if so, Occupational Therapist (OT) assessment may be helpful</p><p>4. create set schedule for as many things as can be reliably scheduled like showers. make it a pattern that she is used to. you may get blow ups when pattern is broken but if it's something that's likely to be workable (showers before bed for example) than it may be more helpful than not. requires parents to acknowledge need for rigid scheduling.</p><p>5. in my humble opinion if she is clearly cycling (hypomania is harder to recognize in kids than in adults - often includes defiance which is grandiosity - I'm on the same level as adults, irritabililty, poor impulse control, poor sleep - all of which you seem to describe - trial of mood stabilizer would be on my list ASAP. Try this website for more info on ways to think about "bipolar" that, in my experience, more accurately describes the extreme variability of BiPolar (BP). It's not just Manic - Depressed and sometimes normal. In fact very few folks have this manifestation of BiPolar (BP).</p><p></p><p><a href="http://www.psycheducation.org/" target="_blank">http://www.psycheducation.org/</a></p></blockquote><p></p>
[QUOTE="rlsnights, post: 302934, member: 7948"] quick thoughts - have very similar experiences with difficult child 2 and have seen much improvement: 1. speech assessment? turns out mine has language issues only revealed with thorough assessment by independent speech path - look for non-literal and pragmatic issues 2. deep muscle activity first thing when she gets home and any time she starts escalating - tug of war is very popular at our house. very calming but may be activating too so you will have to be the judge. if too activating, try rolling her tightly in a blanket or sheet cover with pillows and have 7 yo sister lay on top or do something else to add pressure. if this works, then giving her physical activity that works the proximal joints (shoulders, hips) daily may help - fill pillow with beans for her to carry, have her move heavy boxes, pull-ups on a chinning bar, push-ups on the wall, wheelbarrow races (hold her feet while she walks on hands) 3. is she clumsy, seem to have sensory issues? if so, Occupational Therapist (OT) assessment may be helpful 4. create set schedule for as many things as can be reliably scheduled like showers. make it a pattern that she is used to. you may get blow ups when pattern is broken but if it's something that's likely to be workable (showers before bed for example) than it may be more helpful than not. requires parents to acknowledge need for rigid scheduling. 5. in my humble opinion if she is clearly cycling (hypomania is harder to recognize in kids than in adults - often includes defiance which is grandiosity - I'm on the same level as adults, irritabililty, poor impulse control, poor sleep - all of which you seem to describe - trial of mood stabilizer would be on my list ASAP. Try this website for more info on ways to think about "bipolar" that, in my experience, more accurately describes the extreme variability of BiPolar (BP). It's not just Manic - Depressed and sometimes normal. In fact very few folks have this manifestation of BiPolar (BP). [url]http://www.psycheducation.org/[/url] [/QUOTE]
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