Archives for 

brain

Kids and Mental Disorders – ADHD

Children and mental disorders – when is too soon for diagnosis?

I spend a decent chunk of my time cruising chat boards and reading journals, news, social media posts and such about mental disorders.  My own “specialties” are Bipolar Disorder, Adult ADHD, Autism Spectrum DisorderBorderline Personality Disorder, Anxiety Disorder, Depression, Abuse Disorders, OCD… nevermind – I really “specialize” in them all, because I know most Attention Deficit Hyperactivity Disorderof these disorders within my social circle, and I know them on a professional level.

Anyway, I was on a Facebook page the other day for ADHD. (attention deficit hyperactivity disorder)  A woman posted a question about how to manage a kid with ADHD who wakes up and wreaks havoc within the house while everyone is trying to get ready for school and work.  Naturally he was disagreeable, confrontational, oppositional, had “meltdowns” – and it was all exhausting.  (pretty typical behavior for a truly ADHD kid)  A therapist once told me that the ADHD brain doesn’t “wake up” right away and cause all this trouble partly because their brain is not actually engaged yet.  The mom was asking for advice.

Comments on the page gave some really good answers. Some of them are common. Like plan your morning before you go to bed (get out clothes, get backpack ready, make lunch), let the kid make some choices – blah blah blah, stuff we have all heard.

Others were less common, but possibly better advice. Advices like; give the kid an extra 30 minutes to “wake up” in silence, give the child an incentive to get dressed NOW – like playing Minecraft after he is dressed.  I handle mine with the “don’t talk to him yet” option – waiting about 20-30 minutes before making him get busy.  His siblings aren’t allowed to bug him during this time either.  He can wrap himself in a blanket, stare at the wall or whatever – just don’t go back to sleep.

One lady suggested that the kid should be woken to take his meds an hour before he has to be out of bed. Then let him go back to sleep so that his medicines are working by the time he actually gets up.  I found that last piece of advice to be very helpful. My husband with adult ADHD takes his meds about 4 am and gets up at 6, ready to go rather than rude, obnoxious and unhelpful.

Mental Disorders - ADHDWhat troubled me was a comment from a woman who didn’t actually give advice, but chimed in to complain about how hard her four-year-old was to manage.  She said that he had been diagnosed with ADHD and was on meds, but also said that he had bipolar disorder, and still was a screaming banshee in the morning.  This gives me pause for concern.

I certainly can’t do anything about this particular kid, and I don’t really know the exact circumstances but I find the dual diagnosis with bipolar disorder very troubling for a four-year-old child.  Certainly, kids can exhibit ADHD symptoms at 4, and some will benefit from treatment.  But the medications weren’t working, and I am not so sure about the bipolar disorder.

Traditionally, until a few years ago, no one was willing to consider bipolar disorder as a pediatric concern.  Still today, though bipolar disorder obviously exists in childhood – most of the major issues don’t come out until adolescence.

The Diagnostic and Statistical Manual of Mental Disorders does not recognize the bipolar disorder in children under the age of 13

The National Institutes of Mental Health does acknowledge that bipolar disorder in children MAY exist but also warns that many children are misdiagnosed when the main problem is ADHDNIMH recommends that these children be labeled with Mood Dysregulation Syndrome until such time as a diagnosis can be relied upon.

The main problem in diagnosing young children with any mental disorder is that symptoms in children are vastly different from those in adults.  To complicate matters, symptoms of various Cerebrum Lobesdisorders in children are similar to one another.

Symptoms such as irritability, excessive mood swings, meltdowns, oppositional behavior, trouble in school, social inadequacies, explosive behavior, frequent frustration, and hyperactivity, etc. can point to a number of disorders.  Frankly the child may be ADHD, Bipolar, Depressed, Autism Spectrum… or even have food intolerance.

Because of our family history (not just mine), I watch my children very carefully.  I do analyze everything that happens, and I know that all of them probably have a disorder of one type or another.  Two may have ADHD, one is likely bipolar and one has Asperger’s or mild ASD.  I have sought treatment for some issues – but with others, I hesitate to run to a physician – likely a pediatrician who just doesn’t really know.

Our understanding of mental disorders is still evolving

I was personally diagnosed with the wrong disorder for over 15 years – and I was an adult.  How damaging would it have been if I had been labeled with a disorder that I did not have when I was only four years old?
The particular woman I described with the dual diagnosis child was beside herself.  Despite the fact that the four-year-old was receiving medical treatment for both disorders – it wasn’t working.  To me, this means that the treatment was with the wrong meds and for the wrong disorder(s).  In addition, her management skills weren’t the best.

As I said, I know that my children are likely to have disorders of their own but I don’t want to treat them for just any disorder.  I will want them to be treated for the right disease.  My advice to this parent, or any parent whose child had been put on medication that wasn’t working would be to seek a second opinion.

I am more emphatic about that advice if the doctor was willing to “add” a diagnosis to provide more medication; she should definitely seek another opinion.  Preferably the opinion of a pediatric Ritalin - ADHD Medicinepsychiatrist – or even a pediatric behavioral neurologist.  These specialists are few and far between, but it isn’t worth doing anything, but suffering through all the misery because the treatment isn’t working.

Medications are beneficial in the treatment of some types of mental disorders, but they do “change the brain”.  That is how they work – changing the brain can be harmful if you are changing it in the “wrong” directions.  Just seems like common sense.

Melissa Lind

Bipolar Disorder and Exercise

Does Exercise Help with Bipolar Disorder?

Everyone knows that exercise is good for your health.  It is a no-brainer, and it is repeated so often that you have probably gotten tired of it.  I know I should do some physical activity. It is good for my heart, my bones… blah, blah, blah.

Bipolar DepressionOn the other hand, aside from needing to exercise because I am getting old and tired – the idea, that exercise might be good for my Bipolar Disorder, might just motivate me to do it.
Nothing else has.

A research study conducted in 2012 showed that exercise may have positive benefits for people with Bipolar Disorder.  I should have thought of that – but I didn’t (probably because I am bipolar and tend to ignore obvious things that might help me).

When asked – I have given advice to those who have depression (major depressive disorder, clinical depression, situational depression – or even bipolar depression).  What I tell those people is in addition to taking their meds, they should get up.  Get out of bed, get outside, and get some exercise – even if it is just around the kitchen.  Exercise increases the blood supply to your brain and helps to rise your energy levels – even if you don’t want to, it will do you some good.

Bipolar Disorder ShadowI give that advice to people when they are depressed, but I am not usually depressed.  My disorder tends toward mania or at least a mixed mood state.  So I don’t think about the need to increase my energy level.

Evidence has shown that exercise has some positive effects for people with Bipolar Disorder – even those that are not depressed.  In addition to the obvious health benefits, it can help to regulate your mood levels and “bring structure to chaos”.

As “bipolar“, we are often subject to disorderDisordered mind, disordered days, disordered environment.  One of the biggest tools for a bipolar patient to get and keep their body and mind regulated is the establishment of a schedule.

Go to bed at bedtime (and not at 2 am when you fall asleep in front of the TV). Get up in the morning, go to work on time, eat on a schedule – and take your meds when you should.
Establishing a routine does, in fact, help to keep from extreme ups and downs.

Exercise can be a big part of this – and physically reinforce a schedule on your body – that then affects your brain.  Just like getting up at the same time and going to sleep at the same time helps to establish a normal circadian rhythmexercise can reinforce that in a big way.

There are other benefits to exercise as well.  Physical activity naturally increases blood flow to the brain, which gives it the best chance of functioning at optimum level. It also helps to “clear out the cobwebs” that can be especially important if you are teetering on the edge.
Bipolar ExerciseExercise can increase your self-esteem that may have taken many blows in the past.  It can also increase social activity – that is apparently good for you, even if you don’t like people.  I don’t.

In my opinion, the biggest benefit may be “getting in touch” with your body.  When you exercise, you are more likely to stay within yourself.  One of the greatest problems in people with any mental disorder, and one of the reasons why people abuse drugs or perform any other risky behavior is the inability to be comfortable within your skin.  If you are exercising, you don’t really have a choice; you have to stay there.  Over time, you feel better about yourself, you feel more comfortable there, and you learn what is and isn’t “normal” within your body.

Perhaps this can lead you to better response when something is going amiss – when you may be slipping into disorder.

I tend to disregard the advice given by those who are not bipolar experts… either those with Bipolar Disorder or those who know the disease intimately, but this advice looks pretty solid to me.

Exercise and take your medicines!

Melissa Lind

Bipolar Disorder and Exercise as text to speech article

(Mental health video for blind and partially sighted people)

Knowledge Conquer the Shame of Mental Disorder

People Do Not Understand Mental Illness

Article as text, and with Video for blind and partially sighted people (Text-to-Speech Video article)


Suicide is not a weak or cowardly person that takes the lightweight solution. Suicide is a result of a disease called depression. With increased knowledge, understanding, with an increased understanding the shame disappears.

Bipolarity - Catherine Zeta-JonesCatherine Zeta-Jones has got a place in our hearts. Now that she has stood out as a bipolar, we love her only more. She is not only a great artist, but a woman with courage, rant, empathy and honesty. She is a role model for all girls who grow up in the day, and a daughter-in-law all mothers want.

But what about the ordinary man or lady in the street that does not have any film career behind him or her, that is not a familiar face among the population?

To expect a person that we have never heard of, or meant something about, should open and stand naked in front of a whole country and tell about his (or her) inner hell, is a lot to claim. But it is needed to break down the taboo by having it painful.

The constant negativity is not something a depressed person has decided to have, but the result of the disorder depression.

And when it`s downward spiral no end will take, suicide thoughts come.
Suicide is not a selfish act!

Not Like in the Movies

People with cancer can also have good times, even though the physical pain is present. I think some program for people with a
mental disorder would have the same effect. It would scare away all horror stories about the psychiatric department is a “mad house” and that people with furthering psychosis are crazy.

It is no secret that people who have never experienced or seen mentally ill people at close range only refer to what they have seen the movie or even imagined. All based on the little knowledge they have about what a mental disorder is.

And just this little knowledge people who do not have experienced mental illness is sitting inside with, is crucial to do something about. With increased knowledge comes understanding. And with understanding it will be easier to deal with the shame for the mentally ill, and openness will appear.

A Taboos’ Disease

The question is how to reach out with this knowledge.

A solution could be to have designated subjects in high school that was mandatory for all Mental Disorder Taboostudents where they taught young people about what a mental disorder is. Inform about why it occurs, how to help people who suffer and how one can help themselves and seek help if they should be hit by a mental disorder.

A depression is not a bad day. A depression is not whining over a couple of weeks.
Depression is a disease in the head. A disease in the same line as cancer and other diseases that are not equally taboo’s.
If one is in a state of depression, one loses oneself? It can feel as if life is completely meaningless. One can’t get out of bed. Curtains are pulled down. Darkness – a depressive person wants the darkness.

SSRIs – Not a Pill of “Happiness”

Selective Serotonin Reuptake Inhibitors (SSRIs)

The balance in the brain is gone, and it is here the anti-depressive pills come into the picture – a means to restore balance in the brain. But it is not a “pill of happiness“.

Pills don`t make you happy automatically. Antidepressant does only half the job. The psychologist can do something, your friends and family also, but the rest is up to the depressed him or herself.

The depressed must have determination of another world and a false belief that everything is going to be OK. For the depressed it never feels like anything it’s ever going to be OK again. The depressed will get a different view of the world than before, and the pain feels like unbearable.

We Must Try to Understand Mental Disorder!

If You Have Got BPD You Are Hurting Right Now

Recovery and Roadblocks with Borderline Personality Disorder, Part II

So, when we left our hero (me) last week, I had been dumped by my girlfriend, was incredibly depressed, got on a dating site, found four smoking hot ladies who wanted to meet me within a week, had another friend who wanted to introduce me to her smoking hot friend that’s ten years younger than me, and managed to pull off the Holy Grail of masculine seduction: I got the phone number for a stripper while she was working!

So no problems, right?  WRONG.  It’s a very, very big problem. If I was capable of casual sex, I’d have been in hog heaven, especially with the stripper girl (they really are as good in bed as you think they are).

But for me, sex is about love.  And love, REAL love, takes time.

Borderline Personality DisorderSee, I had been in a committed, stable and loving relationship for three years.  Sure, it was long distance, but this woman really cared about me (still does) and I really cared about her (still do).  But rather than heal from the break, I immediately set out to “fill the void she left.”  But here’s the kicker.  That hole in me?  That was there long before she left.  Chances are, it’s part of the reason why she left to begin with.

But that hole hurts so much when it’s empty, you just gotta fill it.  Well, hooking up with any of those women would be just as effective as slapping a Hello Kitty Band-Aid on a sucking chest wound.

You see, I don’t know any of those women from the dating site.  I’ve never met my friend’s friend in person.  And after having been married to an exotic dancer once before, I know better than to get involved with another one.  I have no reason to love any of those women.  But within a week of meeting any of them, I’d have slept with them (I’m attractive, charming… and manipulative), and I would have made up a reason to instantly be in love with any one of them.

I’ve done it before, well, with every woman I’ve ever been with except this last one.  That one took time.  The relationship developed slowly.  If she wasn’t the right woman for me (something I’m still not prepared to admit), then I at least went about things the right way with her.

Remember that I promised news about my Borderline Personality Disorder that shocks even me?  Well here it is:

I shut down my dating site account.  And some of you guys out there are going to think I’m the dumbest man on earth, but I deleted the stripper’s phone number, too.  Sorry, ladies.  It’s not that I’m not interested.  It’s that I’m too interested.  Not in you, but in filling the hole.

And right now, I’m poison, baby.  Which, in a sick sort of way, makes me even sexier to some women.  Chances are, they’ll stumble across this blog for the same reasons you’re reading it and I’m writing it.  Because women who dig the damaged guys are probably damaged themselves.  Like attracts like, remember?

All hooking up with someone this soon after a breakup would do would be to continue the cycle.  You gotta hurt to heal, and in my case, it means I have to be alone.  And that absolutely terrifies me.  But I’m gonna do it.  I don’t feel like a “whole person” right now, but I realize, at least on an intellectual level, that no other person can “complete” me.  Only I can complete myself.

Now, I just gotta figure out a way to make my heart believe what my brain has known all along.

So if you’ve got BPD, chances are you’re hurting right now.  Just know you’re not the only one.  You got me, kiddies.  I’m right there in the trenches with you.  I know it’s cold comfort, but it’s all I can offer at the moment.

Your brother in arms,

Bruce

Read more from Bruce Anderson here: How I Became the Freak in the Corner

(A page that tells his story from the beginning and has links to several of his mental health related articles)