Temper Dysregulation Disorder – Bipolar Kids Future Change

The Future of Bipolar Kids May Be Changed

Temper Dysregulation Disorder ChildPediatric bipolar disorder diagnosis has increased by 4,000 percent in 25 years, which has many psychiatrists up in arms. As this diagnosis is lifelong research, psychiatrists remain concerned over the tendency to overuse the term when it comes to children. The therm Temper Dysregulation Disorder might be used in the future.
Luckily, the American Psychiatric Association has plans to present a new diagnosis in the Diagnostic and Statistical Manual, which will hopefully be used for children in place of bipolar labels. This label, viewed as a brain dysfunction, will be called the “temper dysregulation disorder”, and it will not be viewed as a lifelong condition.

About Temper Dysregulation Disorder

Temper Dysregulation Disorder KidRemembering that this is currently a proposed disorder, understanding its definition and diagnostic criteria is important.

The disorder will be diagnosed for children between 6 and 10, and will be considered a biological or brain dysfunction. It includes severe recurrent temper tantrums in relation to mild, common stressors.

The child will need to exhibit symptoms for a year or more, and must not be symptom-free for three months or more. This helps exclude the normal, occasional temper tantrum of the disorder-free child. The child will also have no long-term “highs” of euphoria for this diagnosis.

Investing in the future for children under mental care means considering this new diagnosis over bipolar disease.

Change is Tough – Pediatric Bipolar Disorder

Even though the new diagnosis will be entered into the official guidelines for psychiatry, it is still up to the doctor to make the final diagnosis. The research psychiatry community is still unsure if the diagnosis will take off, even though it is better for the children.

Temper Dysregulation Disorder (Bipolar)Humans are creatures of habit, so the bipolar diagnosis might be too easy to reach, and for parents to understand. While the Temper Dysregulation Disorder diagnosis may be a precursor to adult bipolar disorder, it is a label with a shorter timeline.

The child will separate from this diagnosis if no other bipolar symptoms appear into adulthood, as the researchers behind this new diagnosis are hoping.

 

Pediatric bipolar disorder

Pediatric bipolar disorder was considered rare until the mid 90’s, and current researchers aim to put it back in the rare column.

Children who have this diagnosis live with the label for a lifetime, even after symptoms are controlled or disappear.

Since children are proven different than adults, it is essential that the psychiatric community begin to label them differently than adults with similar disorder symptoms.

How Hoarding Is Linked To Bipolar Disorder

Hoarding is linked to Bipolar

Approximately 150,000 Norwegians have a type of bipolar disorder, an illness that’s marked by swinging from mood highs (“mania”) and lows (“depression”). And, linked to bipolar disorder is hoarding disorder.

It also sometimes presents with surprising and/or interesting symptoms. One of these is hoarding and having lots of clutter in the home. The link between hoarding and bipolar makes sense. People with bipolar disorder experience episodes of mania and depression which can cause them to battle to manage their surroundings. For instance, when feeling depressed, one can lack the energy to clean up the house. On the other hand, feeling euphoric during a manic episode can cause a person to feel too distracted to concentrate on clearing away clutter.

Hoarding can become a serious problem

hoardingThis is the case if the amount of clutter someone has in their home interferes with their day-to-day life. An example is if the person has packed so much stuff in their kitchen that they can’t enter it to make meals. The clutter might also be causing stress for the person’s relationships, such as if the person and their spouse are often fighting about the mess.

Hoarding and Bipolar Disorder Share Symptoms

Although it might be difficult for people to understand why someone would want to buy lots of stuff or clutter up their home, it’s worth remembering that hoarders’ brains work differently from other people. When researchers used fMRI machines to study the brains of hoarders, they found that hoarders take longer to make decisions, have greater anxiety and sadness. It’s worth noting that these symptoms are also common in bipolar disorder!

The Urge to Spend

Another way in which hoarding is linked to bipolar disorder is through the need to splurge. As Dr. Ronald R. Fieve, a bipolar expert who’s written a book called ‘Moodswingstates, “The lifestyle of the manic-depressive who is in a high tends to be a glorious scattering of money.” This can include spontaneous shopping sprees that result in spending thousands in one day. Collecting a large amount of items that the person then takes home can result in, or exacerbate, a hoarding disorder. The problem with overspending is not just about hoarding items but collecting a large amount of financial strain! People with mental health disorders such as bipolar disorder are more likely to be in debt when compared to the rest of the population.

Understanding Why People Hoard?

It makes sense that a person experiencing euphoria might want to buy something expensive, but what would drive the person to hoard? Hoarding relieves one’s anxiety, but then also creates more. For instance, when someone collects lots of things, they might feel safe or in control. The problem comes in having to discard or donate those things – the person might feel panicked at this thought. There are some common causes of hoarding, according to an article in Psychology Today:

Hoarders tend to suffer from anxiety and indecisiveness.
• There could be a genetic predisposition to hoarding.
Hoarders isolate themselves socially, so they turn to hoarding as a way to find comfort.

Finding Someone You Trust

Further isolating people from speaking about their hoarding problem could be fear of judgment. It’s important to speak to people they trust, and it could also be helpful to remind loved ones that hoarding means they’ve got a neurological conditionit’s not something quirky or weird. However, the important thing to remember is that hoarding can be treated.

Types of Treatment for Hoarding

There are many ways to nip hoarding in the bud. This can take the form of cognitive therapy. This is when a therapist helps people with bipolar disorder to understand why they hoard so they can prevent destructive behaviors.

Research has found that cognitive therapy is more successful at treating hoarding disorders than therapy and drugs used to treat obsessive compulsive disorder (OCD). This is important if we bear in mind that hoarding can also present with OCD. However, your doctor might prescribe medications he/she thinks will help deal with your bipolar symptoms as well as the hoarding symptoms, which could be beneficial. It’s therefore a good idea to seek help.

Hoarding is linked to bipolar disorder as both share common symptoms, such as compulsive shopping and isolation from loved ones.

By understanding this link, hopefully more people will see both hoarding and bipolar disorder as mental illnesses, and support those in their life suffering from either or both.

Mental Health Awareness, Mentally and Physically Abuse

Mental Health Awareness by Muddled Up Mummy

Today (10th of October 2015) is World Mental Health Day. So to do my part in trying to create and spread awareness I want to share with you my story. I am the person behind ‘Muddled up Mummy‘ and I call it ‘Behind the Smile.’

Please feel free to ‘share’ this to help create more awareness on Mental Health.

By the way, it’s long but very much worth the read. If you don’t have time to read it now, please save it for later.

Behind the Smile:
Mental Health AwarenessFor those of you that have met me, I’m sure you’d probably say I seem like a really happy go lucky kind of person. For those of you who haven’t met me, I’m sure you’d probably say similar. After all, I am a very optimistic and a positive type of person. You can probably tell this from my posts on Muddled up Mummy. But there is more to me than meets the eye. Behind the smile, there is a whole other person. A person who has been through more than most people you know. So let me introduce to you the real me.

I was born in Perth WA Australia in 1984. I was born into what seemed like the perfect little family. To onlookers, it would have been. Behind closed doors, though, it was far from that. At first things seemed good. Well for a bit they were. Then my brother was born and soon things turned really sour in our perfect little family scenario.

First it started with my Mother. She was mentally and physically abused by the person who was supposed to love her. After a couple of years, my father kidnapped my brother and I and fled to the capital of Australia, Canberra.

My mother soon followed, but he wouldn’t let her see us. She was devastated, and the fact that she already suffered from poor mental health didn’t help. As time went on my father got worse. He was hurting everyone, even his own kids.
Once he put me in hospital in the Intensive Care Unit, fighting for my life. What he did to me is a bit too much to share, though, but so you all know it wasn’t pretty, and I was only 4.
Another day he was sick of me and put me in the car boot while he was driving.
My brother and I were living in fear. Every mistake we made suffered costly consequences at the hands of our so-called father.
This went on for quite some time until authorities finally stepped in, and we were saved and went to live in foster care.

We soon started seeing our mother, and that eventually became every Saturday. She was the most beautiful soul, and I knew this already at such a young age. It was sad for us though as she suffered from Bipolar disorder and really couldn’t take care of us full time. So, when we did see her we really looked forward to it. We adored her so much. In my eyes, she was perfect and could do no wrong.

At the time though we didn’t even know she wasn’t well mentally. Then one day just before I turned 11 she passed away from a burst an aneurysm in the brain. I felt an angel had been taken from the earth. I was so sad. Yes, even angry.

God had taken one of the most beautiful souls on earth, and it had to be my mother.

I took this out on my foster mum because, in my eyes, she would never be, or could replace MY MUM.

I was really down for many years. I was never the same after my mother died.
As I got older, I started to date. I was in 3 serious relationships over a period of eight years. Two of them were disasters. The other wasn’t that great either – full of violence and mental abuse, name calling, control, alcoholism and cheating.

These were just some of things I had to endure. After I finally got free from this vicious dating spiral, I realized I‘d been dating versions of my dad and lost a lot of trust in people.

After years of torment, I developed a mental illness. Although doctors believe now, I had problems with my mental health from a young age as I would always struggle. But, after my entire trauma from both my childhood and from adulthood, I was diagnosed with post-traumatic stress disorder (PTSD.)

I tried to take my life many times and was in the hospital a lot. Slowly though I started to understand it was trauma from my past catching up with me and invading my life like a virus I couldn’t shake.

With a lot of support, I got my life back on track. It took a lot of strength and plenty of counseling, but I got there. But, this wasn’t the end of my struggles. It turns out I had Bipolar.

I was diagnosed with Bipolar disorder a couple of years ago but, they say it’s been around for awhile and just wasn’t being treated.

I hated getting this label. It made me feel like I must be some kind of crazy. But, you know what; it really doesn’t make me crazy at all. I can’t help that I have this. They say it was probably passed down to me because both my parents had it.

But each day after finding out I would wake up, realize I have this label, and it would get me down. So one day I decided to ditch the label. I decided I am who I am, and not the label I’d been given.

So this is me.
I’m intelligent and witty.
I’m not bipolar.
I have a positive outlook on life even if I have some really down days.
I’m not bipolar.
I can actually be pretty funny.
I’m not bipolar.
I’m good looking.
I’m not bipolar.
I’m an amazing mother.
I’m not bipolar.
I’m a great friend, partner, sister, daughter and aunt.
I’m not bipolar.
I am me.
I’m not bipolar.

So, although I have this label that I don’t really like, I try not to focus on it. I focus on all the other things that make me myself. I take my meds and get on with it. But, I do have days that are really fucking hard. I have anxiety attacks at times. Some days I don’t really feel like talking to anyone. But amongst all this I’ve decided Bipolarity doesn’t define me. It doesn’t make me a freak. It’s just something I’ve been dealt, and I’ve learned to be OK with that. So OK with it, that I’m now sharing this.

Most of my family and friends don’t even know I have this illness. This fact will probably even surprise some of them. I used to be so ashamed because of the stigma behind Mental Health that I didn’t want anybody to know, but not anymore.

There needs to be more awareness about mental health, and this is my part in spreading it.

There will probably be a few of you that will dislike my page because I’ve shared this. But my hope is most of you will ‘Share’ this post and help spread the awareness.

Mental Illness doesn’t define a person. But you still need to be aware it’s there. It’s a struggle, and if you think those with it can just suck it up and learn to be happy. They can’t. It doesn’t work like that. So please share my story as awareness is a key to removing the stigma and being more open about the struggles that some people face.

Also thanks so much for taking the time to read this.

Now click ‘SHARE’, and also make a note of yourself that you actually don’t know someone and their struggles unless they are open about it. So spread some awareness so more people feel they can open up. Also, try to be more understanding when they do, because if we can all do this it just might save a life.

Also here is a link to a short film I made a couple of years ago about my life.

Feel free to check it out at http://youtu.be/rZFmo6pWq7c

To follow more of my journey, come over and ‘like’ my page. I am a first time Mummy sharing the good, the bad and the totally muddled up world of parenting. I also share a whole lot of inspiration & some humor as well. So why not come over and check out Muddled Up Mummy and if you like what you see, how about giving us a ‘like.’

Traumas as Social Interactions and Self Love

Malignant Self Love – Narcissism Revisited

Read “Traumas as Social Interactions” by Dr. Sam Vaknin, l (accessed August 12, 2015)

We react to serious mishaps, life altering setbacks, disasters, abuse, and death by going through the phases of grieving. Traumas are the complex outcomes of psychodynamic and biochemical processes. But the particulars of traumas depend heavily on the interaction between the victim and his social milieu.

It would seem that while the victim progresses from denial to helplessness, rage, depression and thence to acceptance of the traumatizing events – society demonstrates a diametrically opposed progression. This incompatibility, this mismatch of psychological phases is what leads to the formation and crystallization of trauma.

Self Love

Victim Phase I – DENIAL

The magnitude of such unfortunate events is often so overwhelming, their nature so alien, and their message so menacing – that denial sets in as a defense mechanism aimed at self-preservation. The victim denies that the event occurred, that he or she is being abused, that a loved one passed away.

Society Phase I – ACCEPTANCE, MOVING ON

The victim’s nearest (“Society”) – his colleagues, his employees, his clients, even his spouse, children, and friends – rarely experience the events with the same shattering intensity. They are likely to accept the bad news and move on. Even at their most considerate and emphatic, they are likely to lose patience with the victim’s state of mind. They tend to ignore the victim or chastise him, to mock, or to deride his feelings or behavior, to collude to repress the painful memories, or to trivialize them.

Summary Phase I

The mismatch between the victim’s reactive patterns and emotional needs and society’s matter-of-fact attitude hinders growth and healing.
The victim requires society’s help in avoiding a head-on confrontation with a reality he cannot digest. Instead, the society serves as a constant and mentally destabilizing reminder of the root of the victim’s unbearable agony (the Job syndrome).

Victim phase II – HELPLESSNESS

Denial gradually gives way to a sense of all-pervasive and humiliating failure, often accompanied by debilitating fatigue and
mental disintegration. These are among the classic symptoms of PTSD (Post Traumatic Stress Disorder).
These are the bitter results of the internalization and integration of the harsh realization that there is nothing one can do to alter the outcomes of a natural, or man-made, catastrophe. The horror in confronting one’s finiteness, meaninglessness, eligibility, and powerlessness – is overpowering.

Society Phase II – DEPRESSION

The more the members of society come to grips with the magnitude of the loss, or evil, or threat represented by the grief inducing events – the sadder they become. Depression is often little more than suppressed or self-directed anger. The anger, in this case, is belatedly caused by an identified or diffuse source of threat, or of evil, or loss. It is a higher level variant of the “fight or flight” reaction, tempered by the rational understanding that the “source” is often too abstract to tackle directly.

Summary Phase II

Thus, when the victim is most in need, terrified by his helplessness and adrift – society is immersed in depression and unable to provide a holding and supporting environment.
Growth and healing are again retarded by social interaction.
The victim’s innate sense of annulment is enhanced by the self-addressed anger (=depression) of those around him.

PHASE III

Both the victim and society react with RAGE to their predicaments. In an effort to Narcissistically reassert himself, the victim develops a grandiose sense of anger directed at paranoidly selected, unreal, diffuse, and abstract targets (=frustration sources).
By expressing aggression, the victim re-acquires mastery of the world and himself.

Members of society use rage to re-direct the cause of their depression (which is, as we said, self-directed anger) and to channel it safely. To ensure that this expressed aggression alleviates their depression – real targets must are selected and real punishments meted out. In this respect, “social rage” differs from the victim. The former is intended to sublimate aggression and channel it in a socially acceptable manner – the latter to reassert narcissistic self-love as an antidote to an all-devouring sense of helplessness.

In other words, society, by itself, being in a state of rage, positively enforces the narcissistic rage reactions of the grieving victim. This, in the long run, is counter-productive, inhibits personal growth, and prevents healing. It
also erodes the reality test of the victim and encourages self-delusions, paranoid ideation, and ideas of reference.

Victim Phase IV – DEPRESSION

As the consequences of narcissistic rage – both social and personal – grow more unacceptable, depression sets in. The victim internalizes his aggressive impulses. Self-directed anger is safer but is the cause of great sadness and even suicidal ideation. The victim’s depression is a way of conforming to social norms. It is also instrumental in ridding the victim of the unhealthy
residues of narcissistic regression. It is when the victim acknowledges the malignancy of his rage (and its anti-social nature) that he adopts a depressive stance.

Society Phase IV – HELPLESSNESS

People around the victim (“society”) also emerge from their phase of rage transformed. As they realize the futility of their anger,
they feel more and more helpless and devoid of options. They grasp their limitations and the irrelevance of their good intentions. They accept the inevitability of loss and evil and Kafkaesque agree to live under an ominous cloud of arbitrary judgment, meted out by impersonal powers.

Summary Phase IV

Again, the members of society are unable to help the victim to emerge from a self-destructive phase. His depression is enhanced by their apparent helplessness. Their introversion and inefficacy induce in the victim a feeling of nightmarish isolation and alienation. Healing and growth are once again retarded or even inhibited.

Victim Phase V – ACCEPTANCE AND MOVING ON

Depression – if pathologically protracted and in conjunction with other mental health problems – sometimes leads to suicide. But more often, it allows the victim to process mentally hurtful and potentially harmful material and paves the way to acceptance. Depression is a laboratory of the psyche. Withdrawal from social pressures enables the direct transformation of anger into other emotions, some of them otherwise socially unacceptable. The honest encounter between the victim and his (possible) death often becomes a cathartic and self-empowering inner dynamic. The victim emerges ready to move on.

Society Phase V – DENIAL

Society, on the other hand, having exhausted its reactive arsenal – resorts to denial. As memories fade and as the victim recovers and abandons his obsessive-compulsive dwelling on his pain – society feels morally justified to forget and forgive. This mood of historical revisionism, of moral leniency, of effusive forgiveness, of re-interpretation, and of a refusal to remember in detail – leads to a repression and denial of the painful events in society.

Summary Phase V

This final mismatch between the victim’s emotional needs and society’s reactions is less damaging to the victim. He is now more
resilient, stronger, more flexible, and more willing to forgive and forget. Society’s denial is really a denial of the victim. But, having
ridden himself of more primitive narcissistic defenses – the victim can do without society’s acceptance, approval, or look. Having endured the purgatory of grieving, he has now re-acquired his self, independent of society’s acknowledgment.

Women’s Strengths Aid in Addiction Recovery

Addiction Recovery – Women’s Strengths Aid

When we think about addiction, it’s all too common that we focus on the negative aspects of the story: the toll that it takes on Treatment for Womenfamily and friends, as well as the addict themselves. This is especially true when it comes to women who are addicts, because narratives about women are more likely to center on how their families are impacted by addiction. The other side of the story is a much more positive one: women tend to have particular strengths that mean they often move through the recovery process more easily than men.

According to academic evidence, women recover from addiction at higher rates than men. One of the primary reasons for this is a simple matter of biology: women progress more rapidly through the various stages of addiction. They hit “rock bottom” sooner than men, and as a result, they get into recovery programs sooner than men. That means women, as a group, experience less of the physical devastation wrought by addiction, and this helps to make the recovery process less physically demanding.

womens-eyeAnother important difference is also related to biological factors. Women are more than twice as likely as men to develop mood disorders such as depression and anxiety, partly because women go through a wide variety of hormonal changes throughout their lives. Mental health issues often underlie addiction, and getting treatment helps female addicts address their addiction.

Finally, there are the social strengths of women. Girls and women are encouraged much more so than boys and men to express emotion, to develop expressive relationships, and to allow themselves the luxury of accepting help when they’re in need. All of these factors together are enormously important in the recovery process, which means that women tend to have more tools for coping with recovery in general.

Melissa Hilton

Bipolar II Rant from a Bipolar I

Ranting on Bipolar II

For starters – this is a pure opinion piece.  I am going to rant a bit about Bipolar II.

I read a lot of bipolar “stuff” – articles, study results, chat boards, Facebook pages – a lot.  Recently, once again, I have become irritated by the use of “Bipolar II”.

I recognize that Bipolar II is a DSM diagnosis that indicates that a person has cyclical periods of depression alternating with Bipolarity in Hellhypomania.  I know that is true – and that the diagnosis must fit some people. Bipolar I, on the other hand, is defined as cyclical periods of depression, alternating with manic episodes.  If you are a rapid cycler or have mixed state disorder – you are usually classified as Bipolar I.

My current irritation is with a story – not a celebrity this time – but an apparently real person from a news story.  The article reports that this particular woman had been diagnosed with Bipolar II when she was 20 and now 38, she is stable on a myriad of pharmaceuticals.  Fine.

The article goes on to say that she “experiences the manic phase” but mostly struggles with the severe depression, adding that she also has PTSD, anxiety and has been unemployed most of her life.  Let me repeat, she has manic phases, PTSD, and anxiety. She has always been unemployed (due to her psychiatric condition).  Doesn’t sound very stable to me…and doesn’t sound much like Bipolar II.

I have a problem with the fact that so many stories I read are about people who claim to have Bipolar II, and are careful to clarify that they don’t have Bipolar I.  Naturally, this would be a kinder, gentler form of Bipolar disorder.  A Bipolar disorder where we never bother anyone, get lots of stuff done in an organized fashion but sometimes get depressed.  A Bipolar disorder that makes us “better”.  Better than Bipolar I’s craziness – and even better than regular people.

I don’t live in that world, and I am not truly convinced that it exists.  I have known lots of people with Bipolar disorder – in fact, I used to go to a group just for people with Bipolar disorder.  Every single person there was initially told they were Bipolar II – and then once they got used to that… the real news came out.

Many of us were “high functioning”, many of us had “good jobs”, many of us were “organized”… except when we weren’t.  We didn’t come to the bipolar group because things were going great.  We had all had periods of depression, periods of extreme productivity and periods of crazy when we told the truth.

Bipolar RantIn my experience, people with Bipolar disorder don’t seek help.  They are driven to it – or dragged.  People are driven to help when they are depressed, and they are dragged to help when they are manic.  If they arrive when depressed, they don’t report the mania that gets them a Bipolar II diagnosis.  If they arrive when they are manic – they won’t listen to anything about “crazy manic depression” so they are told about how much better Bipolar II is.  They will take the diagnosis and take the meds.  Either way, the first diagnosis is probably going to be Bipolar II.

I could claim to be Bipolar II.  I could even get a couple of doctors to agree with me.  Most of the time, I am “high functioning” – except when I am not.  Bipolar I won’t ever lose the stigma if Bipolar II continues to be presented as “better” and people continue to be dishonest.

Take your meds!

Melissa Lind