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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.

What Type of Bipolar Disorder Is It?

Each bipolar disorder illness is unique!

Uniqueness of Bipolar DisorderWhen nearly anyone thinks about bipolar disorder, they think of the symptoms of “regular” bipolar disorder.  Not that any person with bipolar disorder is “regular” (and most would not want to be), but there are several different subtypes of bipolar disorder.

One big problem with bipolar disorder is that each illness is unique.  Psychiatrists may classify them into categories – but they don’t always fit.  Here are some case scenarios: (bipolar episodesbipolar groups)

•    Jennifer has episodes where she is extremely agitated and unhappy and never seems to sleep very much.  These periods seem to last for a long period of time – but can alternate with months where she is simply unhappy and doesn’t feel like doing anything.
•    Max has had periods of depression before.  A lot of times, they go away after a couple of months and then he seems normal but recently he “disappeared” for a couple of weeks after some really bizarre behavior.  His friends never knew that he was any kind of bipolar until he told them he had been at the hospital.
•    Ben has periods of depression that can last for several months but when he is not depressed, he is productive and seems quite outgoing.
•    Sandra’s mood state can switch erratically.  One day she is all about shopping and the next time you call her, she is still in bed at noon.   This is a constant issue – and you never know what you are going to get.

These are three examples of bipolar disorder that don’t seem to fit the “normal” pattern.  None of these patients seems to be “regular” bipolar.

Bipolar disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM) as:

Bipolar Disorder TypeBipolar I Disorder: manic or mixed episodes that last at least 7 days – or if manic symptoms are severe enough to need hospitalization.  This, usually, includes periods of depression that last at least two weeks.
Jennifer and Max both fit into this category.  Even though Max never had a severe manic episode, having a bipolar episode that warrants medical attention, he qualifies for the Bipolar I category.  Jennifer has mixed episodes – rather than euphoria or traditional mania – she has periods of “dysphoria” where she is agitated, irritable and irrational but with an excess of energy.

Bipolar II Disorder: depressive and hypomanic episodes in a pattern – but manic episodes are not severe.
Ben has Bipolar II disorder.  He has periods of depression that are debilitating, but his non-depressed periods are quite productive, and he doesn’t exhibit manic behavior.

Bipolar Disorder Not Otherwise Specified: (Bipolar Disorder NOS) symptoms of illness don’t meet any other group, but the symptoms are clearly not within the standard range.
Sandra has BP-NOS.  She is what is commonly called a “rapid cycler,” meaning that she switches back and forth from mania to depression much faster than other people with bipolar disorder.

There is also a very mild form of bipolar disorder known as cyclothymia.  It is a cyclical pattern of hypomania alternating with periods of mild depression.  Many people would not even realize this is a problem.

Bipolar disorder is hard to classify.  It may be easy to determine that someone has a problem – but the uniqueness of each bipolar case makes it more difficult for even a patient to identify with the diagnosis.  Each type of bipolar disorder is, usually, treated the same medically. With an anti-manic agent (Lithium), anti-epileptic (Lamictal, Depakote) or atypical antipsychotic (Abilify, Zyprexa) – and sometimes with an antidepressant.

Melissa Lind

Bipolar Disorder Research Funding – Poorly Directed

Prepare yourself for a bit of a bipolar rant!

An article entitled “Bipolar Disorder in Youth Not as Chronic as Thought” in Medscape Pharmacists e-newsletter came across my email and while I was initially quite interested, I soon became annoyed.
Bipolar and Borderline (BPD)A recent study done at the University of Pittsburgh School of Medicine shows that bipolar disorder may not always be a chronic condition. While this may look like good news and you might see it pop up in the media as a big positive – cheerleader kind of thing, it really isn’t.

The study followed 413 children and adolescents who were 7 to 17 years of age and diagnosed with bipolar disorder at the time of study enrollment.  The patients and family members were interviewed about every eight months, for eight years.  What they found was that some of the patients were “ill” most of the time, some were “well” most of the time, and some were both ill and well.  Sorry, but that result isn’t astounding.

I find a couple of things wrong with the published results.

  1. They didn’t say whether the patients were stabilized on medication during the study – what medication, whether the medication was changed, whether the patients took the medication – in fact the publication doesn’t mention medication at all.
  2. The data collected was based on “interviews.”  Sorry, but being bipolar inherently predisposes you to lack of complete transparency.  Bipolar patients are likely to hide and lie – whether it is purposefully or subconscious behavior, it is a known problem.
  3. The patients were ages 7 to 17 when entering the study, meaning they were 15 to 25 at the end.  Many of the patients went through puberty during the study and what pubescent child or the post-pubescent adolescent is truly stable…or honest for that matter.  Interviews with the family may have partly balanced this but we also know how “well” our families may know us…some, not at all.

What I did find a little more relevant was that the patients tended to be “well” more of the time if they:

Though true, this is not astounding either.  It is easily recognized that if your family has a history of mental disorder, you are more likely to have a mental disorderBipolar disorder and substance abuse go hand in hand, and sexual abuse makes nothing more manageable.

Incidentally they also showed that patients would be more stable if they:

•    Had less history of severe depression, manic or hypomanic symptoms
•    Had fewer subsyndromal episodes

So basically, if the patients had a history of fewer episodes, they would have fewer episodes……really?
Not discounting the fact that any academic attention given to bipolar disorder, especially in juveniles should be welcome, I am disappointed because the study results didn’t show anything.  This is all information that anyone could guess – and the funding for mediocre “non-results” could have gone elsewhere.

This sort of news can easily lead to an “it will go away” thought process, lack of medication and lack of attention to and acknowledgment of the real and long-term challenges that a bipolar patient can face.  Yes, let’s all believe that bipolar disorder is not a chronic medical condition… let’s undo all the progress that has been made.

Melissa Lind

Academic attention given to bipolar disorder should be welcome!

Roots of Mental Health Issues

Some of the Basics of Mental Health Issues

Mental health Delirium Tremens Fantasy

There are several different types of mental illnesses, and they all have some essence that prompts them to manifest somewhere in a person’s life. There are various conditions that people may suffer from including:

Adjustment disorders are common when a person has a hard time adapting to stress in their life.  Bipolar is another common disorder diagnosed in individuals, but this condition can easily be misconstrued and can be misdiagnosed. Bipolar or manic depression affects individuals and often includes symptoms such as:

In just a matter of minutes, these individuals seem to suffer from extreme highs to extreme lows.

They can literally drive a person crazy, and they should get immediate treatment for their mental health problems. These Delirium Tremens Dreamindividuals often threaten suicide, although many are just looking for attention and never attempt suicide. Conditions like this have a direct link to a chemical imbalance in the brain, and the problem is more neurological than physiological.

This problem is likely to be passed on in a family and has also been linked to genetics.

Some patients diagnosed as bipolar, have a family history of similar behavior with mood swings. Several of these chemical disorders are usually happening in their childhood, and trauma that the person sustained never received treatment.

Bipolar symptoms will occur if the trauma allows festering and the person never has to accept and deal with it.

Sexual disorders also occur in a similar way. These mental disorders are different from bipolar and other adjustment disorders. Sexual deviation is often linked to abuse, although not always. Pornography and other types of negative sexual behaviors are not necessarily abuse related.

However, recent studies have proved serial killers, and sociopathic behaviors are genetic. Some studies have linked these conditions to child abuse, and this may be the case in some instances, but not necessary all instances. Sexual disorders are mental, and there have been links of psychological impairments that cause interruptions in the brain`s processes which cause this Dementiabehavior to manifest itself.

Dementia and delirium are brain disorders that tend to manifest themselves in older individuals.

These cause memory loss and confusion.

If the patient is in a developing face, memory loss and confusion might be difficult to determine since the condition could be caused by other mental health illnesses in young individuals.

Curse of the Ferrari Brain: the Other Side of Bipolar Disorder

Manic Episode: Another Side of Bipolar Disorder.

Welcome back, my friends!

My apologies for the extended absence. I’ve been very busy with other projects, which I’ll have to return to soon. Also, I wanted to make sure this article was perfect, because this one’s a little tricky.

So far, most of my articles have focused on depression. As someone with type II bipolar disorder, that’s the side I know best. Also, it’s the side that’s easiest for a person who doesn’t have bipolar disorder to understand. Everyone has been bummed at some point. Wanna understand bipolar depression? Take your depression, magnify by about a jillion, and there ya go. Pretty easy to understand, right? The other side of the coin isn’t as straightforward. A good metaphor, I hope, will make it easier to understand.

Let’s say that the average human brain is like a Volvo.The Volvo gets great mileage and is one of the safest, most dependable cars on the road. You wanna get to work on time, day after day and with very little fuss and worry? A Volvo is the car for you.Average human brain - Volvo

The bipolar brain is more like a Ferrari.

Bipolar brain - like a Ferrai

“Farrah”

The Ferrari is fast and flashy. Its sleek, predatory looks practically demand that you drive it at dangerous speeds. You want to make it to work in forty seconds flat? Then the Ferrari is the car for you. Unfortunately, it guzzles gas like your Aunt Janie guzzles gin and tends to spend more time in the shop than on the road. The insurance premiums are astronomical and you are almost guaranteed to wrap it around a tree someday.

Now then… bipolar depression is like the times when the Ferrari is in the shop. It’s up on the lift, and you’re going nowhere. You can’t even show it off by rolling it into your driveway. Not only that, but you gotta walk to work while all the Volvo drivers practically blaze by at 35 mph. In your mind’s eye, they laugh at you as it starts to rain. Your anxiety tells you they are ALL aiming for puddles near you, and the occasional sociopath WILL soak you for his or her amusement.

But then the shop owner calls. Your chariot awaits! You go down to the shop, pay the exorbitant bill, and fire up that 16-cylinder Italian ego trip.

“I’ve missed you, Farrah,” you say, not caring about the look the shop owner gives you. If HE had a Ferrari, he’d name her Farrah, too. Your foot barely taps her gas pedal and she purrs delightedly. She’s missed you, too.

“Good girl,” you say, then ease Farrah’s shifter into first, the action so smooth that instinct alone tells you that she’s out of neutral. You pull out of the shop’s parking lot and into traffic. At first, she’s just glad to be off of that horrible rack and back on the road where she belongs, but every red light, every school zone is an irritant, and sand only makes pearls in oysters. Sand in an engine is death, but Farrah complies and stays below the speed limit… for now.

As you pull into the parking lot at work, all eyes turn to you and your beautiful machine. You pull into your space and reach for the key to kill her ignition, but you stop short.

“It’s been so long. Just once,” she begs. “Pretty please?”

You know this is how it starts, but you’re still in control. Just once won’t hurt anything, right? It’s not like you’re doing anything dangerous. Besides, what’s the point in owning a car like Farrah if you can’t show her off?

With Farrah’s gears in neutral, your foot presses hard on her accelerator and her engine screams ecstatically. Those who weren’t looking before certainly are now. Many are impressed. Many others are jealous. And Farrah, at long last, feels warm and tingly.

“Mmm… baby,” she purrs. “You’re the only one who knows how to touch me right. Again. Please.”

“Sorry, babe,” you say, a little defeated. “I gotta go to work now.”

Farrah pouts as you shut off the engine, sputtering just a little to let you know she’s put out. You promise her a full tank of premium and a stretch of deserted highway tonight followed by a loving sponge bath. You know that will make her happy, but she’s still sulking.

When five o’clock rolls around, you dash into the parking lot to find Farrah waiting. It’s a beautiful day, so you decide a little sun would be good for you both. You drop her top, fire up her engine and gun the accelerator—just a little—as you exit the parking lot. No harm done, and at last you’re out on the open road where both of you are more happy… for all of about twenty seconds.

Gridlock. No one’s going anywhere fast. The traffic jam drives you nuts, but you try to smile regardless. You’ve gotten so many “nice car, man” comments from the Volvos that your ego has slipped into overdrive. Eventually, though, it gets old. You’re sick of hearing how nice your car is. You wanna FEEL how nice she is, and in this traffic, how can you? You can’t even get out of first gear! You’ve got to MOVE!

Speed isn’t Farrah’s only good quality. She maneuvers like… well… like a gdamn Ferrari! Each time you see an opening in traffic, you seize it. At first, you make sure there’s plenty of space, but soon ANY amount of space is enough as long as it moves you forward. Other drivers stop saying “nice car” and start saying “watch it, a-hole!”

“Fuc.. them,” Farrah says. “They’re just jealous, baby.”

Finally, you come upon a stretch of open highway, just begging to be devoured. You stomp Farrah’s accelerator and instantly know that what she said is true. Who wouldn’t be jealous of this speed? This freedom?

“At last!” she screams as you tear away from the nightmare behind you. The wind whips your hair as the speedometer climbs. This is what she’s DESIGNED to do, you tell yourself. It’s just you and Farrah and all is well in the world. You drive off into the sunset, victorious, just like in the movies.

But real life isn’t the movies, and sunset only means the end of the day, not the end of the film. You pull into your garage and park Farrah for the night. You have to work in the morning, but you’re too wired to sleep. You try watching TV. You try a hot shower. Nothing works. Sleep just won’t come, not with Farrah calling to you from the garage.

“Sleep is for those Volvo people,” she says, spitting out the word Volvo as if it had the arsenic taste of bitter almonds. “You’re better than them, baby. All you need is me. Come on. Let’s go for a drive.”

But you know better. You’ve been down this road before. With the help of a few Benadryl, you ignore her voice and drift off, but your sleep isn’t like real sleep. Your body lays motionless but your mind spins like a screeching tire. Dreams and reality melt together for a few fitful hours of sleep and traffic nightmares.

You’re awake long before sunrise, but you force yourself to stay in bed until the alarm goes off, then you’re up in a flash. You sing in the shower. You skip breakfast. You rush to the garage.

“Good morning, sexy,” she says. “Ready to play?”

“Are you?” you ask, smirking as you sink into a kid leather bucket seat that fits you like a glove. You deftly slip your key in her ignition and give it a twist. As you pull on your driving gloves, the temperature gauge begins to rise. “Like that, do you?”

“Sailor baby, you get me hotter than Georgia asphalt,” she purrs.

You bet your sweet a-h I do, you think as the garage door rises to release you from your prison. Your house isn’t your home. Here with her. This is home. This is where you belong.

Now, there are two different ways this scenario can end…

END #1

The garage door is barely up before you’re skidding out of the garage and into… another fu–ing traffic jam! No! No no no no NO NO NO!!! You honk madly. Farrah’s engine growls at any Volvos who get too close. The admiration in the Volvo drivers’ eyes is gone. Today, they look upon you with fear, but you don’t give a damn. They’re just in your way, anyway, right? One Volvo tries to pull in front of you. You stomp the accelerator and he weaves out of your way just in time.

“My lane, a-hole,” you shout. “Mine!”

Your lane or not, the traffic light turns red and you’re stuck. Time stands still. You scream and rev your engine, both you and Farrah quickly reaching redline. The temperature warning light comes on, but you ignore it. It just wants to slow you down, too. You smell oil smoke, but don’t care.

“Go baby,” Farrah shrieks. “Go! Go! GOOOO!”

KABLAM!

Something snaps. Thick gray smoke boils from the engine compartment. Farrah’s engine chokes and sputters as the light turns green. She’s got just enough strength to ease to the side of the road.

“This is all your fault,” she says, dying. You weep at what your anger has done.

The tow truck guy clucks his tongue as he winches Farrah’s front end into the sky. “Damn shame,” he says. “Such a nice car.”

In your mind, you finish his sentence. If only you knew how to treat it.

Welcome back to depression.

Or, it could end like this…

END #2

The garage door is barely up before you’re skidding out of the garage and onto the open road. Your floor it and Farrah jumps over the speed limit like an antelope. There’s no traffic, no cops, nothing but miles of open road. You cut each corner closer, but not because you’re out of control. You do it because you’re fucking amazing! Every move you make is the right one. The world is yours and everything is perfect…

…until you run out of gas in the middle of nowhere during a thunderstorm and have to walk to the nearest payphone (you forgot your cell in your hurry to hit the road) only to find you don’t have any change, so you have to walk all the way back to your house. Once at your house, you reach into your pocket and find that you’ve lost your keys somewhere along the way.

Welcome back to depression.

George Carlin, one of the funniest men to ever live, once said that the cliché phrase “more than happy” sounded like a medical condition.” Well, he was right. “More than happy” is called euphoria, and euphoria is sometimes a symptom of a manic episode. Sometimes, bipolar disorder feels WONDERFUL. At the beginning of the upswing, you have hypomania, and hypomania can be very, very good. It’s your chance to really shine.

Sometimes, when you’re hypomanic, you are the life of the party—charming, witty, friendly and filled with energy. Your mind becomes razor sharp, your reflexes like those of a kung fu master. You make friends easily, accomplish incredible amounts of work, and have flashes of brilliance that astound and amaze everyone around you. I LOVE it when hypomania works that way!

Sometimes, however, it doesn’t. Sometimes when you’re hypomanic, you are the total buzzkill—cranky, bitter, sullen… and yet still filled with energy. Your mind is sharp, but it’s your tongue that’s the razor. You’re nerves are so jittery you twitch. Fine silk feels like sandpaper against your skin. You still have that keen focus, but all you focus on is the neighbor’s g-damn stereo and if you had one ounce less of willpower, you’d crash right over and shove the thing straight up his a-h. But that wouldn’t fix the problem, because dammit, you’re pissed and you’re gonna stay that way. I HATE it when hypomania works that way.

Now, if you’re bipolar type II like me, hypomania is the ceiling. You hit it, stay there for anywhere from a few hours to a few weeks (depending on how rapidly you cycle) and then spiral back down into depression. If you’re type I bipolar, then hypomania is just the beginning.

Hypomania basically means “little mania,” so for a full-tilt manic episode, take my description of hypomania and magnify it exponentially: the occasional sleepless night becomes days on end without sleep; the occasional ego trip gives way to full-blown narcissism and delusions of grandeur; euphoria becomes psychosis; irritability becomes hostility and anxiety becomes outright paranoia. Some even experience hallucinations.

No matter how high the ladder goes, unless you drop dead from exhaustion (which does happen occasionally) or wrap your Ferrari around a tree (yes, those on the upswing really do tend to speed) then you’re going to find yourself right back where you started. For some, that’s a relatively normal mood. For others, it’s welcome back to depression. Hope you enjoyed the ride.

And on that note, I hope you, my readers, have enjoyed the ride. I’ll be taking a break from this blog now, but I’m sure I’ll be back I’ve got so many other stories, poems, screenplays and articles to write. I’ve got sketches to draw and music to compose. I’ve got a life without bipolar disorder… or at least a life without thinking about it all the time.

The one thing I want you to remember most of all is that NO ONE IS A DISEASE. They are a person with a disease. Their disease is not their life, at least not unless they allow it to be. Don’t do that, folks. It sucks. Be people. People are OK unless they won’t turn their g-damn stereos down.

Keep fighting, folks!

-Bruce Anderson