Dr. Birmaher famous that younger individuals with bipolar condition usually have recurring episodes of major melancholy, but that “depressive episodes are not essential for creating the prognosis.” For some, mania is the principal symptom.
When despair is the symptom that brings people to skilled interest, the suitable analysis can be particularly challenging. As Dr. Ketter stated, depressed people today might be unable to recall prior episodes of mania that occurred when they had been not depressed.
Dr. Miklowitz claimed 1 of the initially signs of bipolar disorder is “mood dysregulation — the youngster is indignant or frustrated one particular minute, then is excited and joyful and total of suggestions moments afterwards.”
He detailed attributes of mania that can assist mothers and fathers distinguish them from standard teenage highs and lows. The signs or symptoms, various of which ought to be apparent to other folks, can include “grandiose imagining, lessened need for slumber, speedy or pressured speech and/or flight of tips, racing thoughts, distractibility, extreme objective-pushed action, and impulsive or reckless actions,” Dr. Miklowitz claimed.
With depressive symptoms, he suggests hunting for “an impairment in working — instantly not likely to faculty or heading late, not ending homework, sleeping by way of lessons, a drop in grades, not wanting to try to eat with everyone else, speaking about suicide, self-chopping.”
Depending on the severity of a child’s impairment, if nonlife-threatening indicators are caught in the early teens, Dr. Miklowitz claimed it may perhaps be achievable to get started with psychotherapy and prevent medicine, which has side effects. “But if the child’s existence is at hazard, if he cannot function at property or at school, medication may well be the reply,” he explained. “There are hazards to not medicating.”
When medication is needed, he stated, the dosage need to be just significant sufficient to handle indications and not be extremely sedating.