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parenting a bipolar child
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<blockquote data-quote="rlsnights" data-source="post: 419512" data-attributes="member: 7948"><p>She is not being effectively treated for her bipolar. Her sx (as Terry said) are stereotypical and are likely to only get worse the longer she goes untreated.</p><p></p><p>If her psychiatrist does not recognize that she is still highly symptomatic then you need to get her to a different psychiatrist as soon as possible. If at all possible it needs to be a child psychiatrist.</p><p></p><p>Has she ever been hospitalized? Because many of those behaviors sound like they are severe enough to warrant hospitalization. Hypersexual behavior in a 12 yo for example.</p><p></p><p>Another alternative is the juvenile justice system. You can report the thefts and request that she be charged. Here in our area, the only real way to access comprehensive services for kids like these are through juvenile justice.</p><p></p><p>Getting up in the middle of the night eating, creating a huge mess suggests to me (based on personal experience) that she may be ultrapid or ultradian (daily) cycling which is now recognized as typical of early onset bipolar. So she may seem pretty OK during parts of the day - like when she's at school in a highly structured environment with clear expectations while she is in the "normal" or hypomanic part of a cycle.</p><p></p><p>You truly need the help of a good child psychiatrist, an effective and educated therapist. A lot of therapists don't have a lot of experience with early onset bipolar so you might want to ask her current therapist about his/her experience working with families whose child has this diagnosis.</p><p></p><p>If you can't get these where you live and have no support system there then my suggestion - move to where you can get the supports you need to manage this child and help her learn to manage her own behavior.</p><p></p><p>Yes, you may be parenting inconsistently but it makes perfect sense to me why that would be true. And, in my experience, while more consistency is good (and should be your goal), it needs to be accompanied by appropriate psychiatric care.</p><p></p><p>Many hugs. It's a hard road but you have taken the first step and that's almost always as hard as it is going to get.</p><p></p><p>Patricia</p></blockquote><p></p>
[QUOTE="rlsnights, post: 419512, member: 7948"] She is not being effectively treated for her bipolar. Her sx (as Terry said) are stereotypical and are likely to only get worse the longer she goes untreated. If her psychiatrist does not recognize that she is still highly symptomatic then you need to get her to a different psychiatrist as soon as possible. If at all possible it needs to be a child psychiatrist. Has she ever been hospitalized? Because many of those behaviors sound like they are severe enough to warrant hospitalization. Hypersexual behavior in a 12 yo for example. Another alternative is the juvenile justice system. You can report the thefts and request that she be charged. Here in our area, the only real way to access comprehensive services for kids like these are through juvenile justice. Getting up in the middle of the night eating, creating a huge mess suggests to me (based on personal experience) that she may be ultrapid or ultradian (daily) cycling which is now recognized as typical of early onset bipolar. So she may seem pretty OK during parts of the day - like when she's at school in a highly structured environment with clear expectations while she is in the "normal" or hypomanic part of a cycle. You truly need the help of a good child psychiatrist, an effective and educated therapist. A lot of therapists don't have a lot of experience with early onset bipolar so you might want to ask her current therapist about his/her experience working with families whose child has this diagnosis. If you can't get these where you live and have no support system there then my suggestion - move to where you can get the supports you need to manage this child and help her learn to manage her own behavior. Yes, you may be parenting inconsistently but it makes perfect sense to me why that would be true. And, in my experience, while more consistency is good (and should be your goal), it needs to be accompanied by appropriate psychiatric care. Many hugs. It's a hard road but you have taken the first step and that's almost always as hard as it is going to get. Patricia [/QUOTE]
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