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How is a parent to react when they have a child who has various disorders such as Obsessive Compulsive Disorder and Obsessive Personality Disorder and now the child is said to have unconfirmed bipolar Disorder? How many mood disorders can one child have and what does that mean in terms of how that child will live his or her life? Parents are at a loss as to what to do. These anxiety and mood disorders manifest themselves at home and at school. Should a parent take the child out of school and home school and if so how will home schooling affect the child.s social development? Is sheltering the child from their peers the source of much of the anxiety, and can does taking them out of school become the answer?
Managing Bipolar Disorder and all the other disorders the child has is a very complicated matter. Some of the medications that work for one disorder may not work with the other. It is even harder to deal with the issues when Bipolar Disorder is only suspected but not confirmed. This only serves to complicate the matter.
Antidepressants are often prescribed to calm down the symptoms of anxiety in Obsessive Compulsive disorder, and Obsessive Personality Disorder. The problem is Bipolar Disorder requires mood stabilizers not just antidepressants. When antidepressants are prescribed to a child who has bipolar disorder, but are not accompanied with mood stabilizers, the antidepressants can actually increase the symptoms of extreme mania also known as hypermania. Hypermania produces extreme mood swings such as the jitters, fidgeting, nervousness, high energy, inability to stay in one place and so on) or it can produce hypomania which is mania however, the symptoms are not as bad. The psychiatrist more often than not has to play around with the medication and it could take up to a year of experimenting with different drug combinations before the right medication in the right dosage is found.
Diagnosing Bipolar Disorder in children is very tricky. The symptoms are not the same as would be found in adults. It is also complicated when the symptoms run simultaneously with other childhood disorders often disguising the symptoms of Bipolar Disorder. Or sometimes the symptoms are dismissed for normal childhood behavior, the child is that to be going through a phase that they will grow out of, or the child is simply obstinate and misbehaving.
Children with Bipolar Disorder are often giving labels such as suffering from Separation Anxiety Disorder, Attention Deficit Hyperactivity, Oppositional Defiant Disorder, Obsessive Compulsive Disorder and Conduct Disorder. They will often be treated with both antidepressants and stimulants both of which can make the symptoms of Bipolar Disorder worse.
Generally speaking because of all these disorders, if a doctor suspects Bipolar Disorder after all the other possibilities are accounted for the child, usually is Bipolar. If the focus is shifted to the treating the symptoms of Bipolar Disorder the other mood disorders will respond to treatment by default.
In terms of schooling, Bipolar children do not function well in a regular school setting. However, there are the alternative schools, where the classes are smaller and more attention can be given to the children. There is more room for one on one help; which is not possible in a large classroom setting. Bipolar children tend to miss more school days because of stomach aches, headaches and so on and so the smaller classroom setting is also a better environment for catching up on lost time.
Role modeling from the parents can go along way. If parents are more relaxed their children will be more relaxed as well. The less stress the parents display the less stress the child will display. By role modeling this behavior they child will be less stressed in school and other social situations. It goes without saying It is easier said then done, and of course parents are stressed by their children.s behavior, but relaxing will help children relax as well.