EVIDENCE AGAINST THE DIAGNOSIS OF PEDIATRIC ESSAY

EVIDENCE AGAINST THE DIAGNOSIS OF PEDIATRIC ESSAY

Introduction

Bipolar disorder was known as manic depression, and it is a mental illness that affects as many as 10 million individuals in the United States alone. It is called bipolar disorder because there are 2 phases to the illness: an \"up,\" or manic phase, and a \"down,\" or depressive phase. The inclusion of the two phases of this disorder is a significant challenge facing providers in accurately diagnosing bipolar in children. Aside from the controversies of its existence, the array of symptoms, how they present and the complexities of ages all pose a problem. Therefore, a provider cannot conclusively pinpoint a diagnosis, and there is a host of overlapping symptoms, especially in children\'s disorders. It is one of the more argumentative issues in children\'s mental health involves pediatric bipolar disorder (BD)EVIDENCE AGAINST THE DIAGNOSIS OF PEDIATRIC ESSAY. We now know that when BD presents in children, it tends to be a severe form of the illness. However, children diagnosed with the pediatric bipolar disorder (BD) may, in fact, have different diseases requiring different treatments. Therefore, I believe that children should not be given a diagnosis of Bipolar Disorder. Also, there are backlashes in diagnosing a child with (BD).

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Pediatrics Should Not Be Diagnosed with Bipolar

Emotional outbursts and unruly behaviors are a regular part of childhood and the teen years, and in most cases, this is not a sign of a mental health problem that requires treatment. All children have rough periods and seeking attention by acting out. Therefore, it\'s normal for a child to feel down, irritable, angry, hyperactive or rebellious at times. Recent epidemiological data indicate that 4% of the general adult population will have either bipolar II or I disorder at some point in their lives (Kessler, Berglund, Demler, Jin, & Walters, 2005)EVIDENCE AGAINST THE DIAGNOSIS OF PEDIATRIC ESSAY. BD takes a tremendous toll, with mood disorders ranking in the top ten causes of death and disability around the world (Lopez, Mathers, Ezzati, Jamison, & Murray, 2006). These numbers also omit the \"spectrum\" cases affected by cyclothymia, or bipolar disorder \"not otherwise specified;\" but these appear to be even more common in adults, and they are associated with high rates of impairment, treatment seeking, and suicide risk (Judd & Akiskal, 2003). Also, medical history and physical examination should be performed to look for other causes of symptoms, and the child may be having if the unruly behavior becomes severe.

The Backlash Against Bipolar Diagnoses in children

The death in December 2006 of a 4-year-old girl named Riley from an overdose of drugs prescribed to treat bipolar disorder and attention deficit hyperactivity disorder has triggered a growing backlash against Biederman and his followers (Walker&Kelly, 2011). Dr. Joseph Biederman of Massachusetts General Hospital, one of the world\'s most influential child psychiatrist who regards bipolar disorder as a disease that begins in young adulthood, but now some diagnose it in children scarcely out of diapers, treating them with powerful antipsychotic medications based on Biederman\'s work (Walker&Kelly, 2011)EVIDENCE AGAINST THE DIAGNOSIS OF PEDIATRIC ESSAY. Riley\'s parents have been charged with deliberately giving the child overdoses of Clonidine; a medication sometimes used to calm aggressive children (Walker & Kelly, 2011). Still, many wondered why a girl so young is receiving treatment in the first place with Clonidine and two other psychiatric drugs, including one not approved for children\'s use. Riley\'s psychiatrist has said she was influenced by the work of Biederman and his protégé, Dr. Janet Wozniak (Walker&Kelly, 2011)EVIDENCE AGAINST THE DIAGNOSIS OF PEDIATRIC ESSAY.

Conclusion

Symptoms can be initially mistaken for healthy behaviors and emotions of children and adolescents. A child\'s constant motion, lack of impulse control, vivid imagination and difficulty dealing with frustration could describe any child on any day of the week. Distinguishing between pathological and healthy behaviors in a young child is even more challenging since there\'s an insufficient time span to establish a course of illness. Even though, Joseph Biederman, MD from Massachusetts General Hospital introduced the idea that young children could have bipolar disorder and bipolar disorder was thought not to occur in pre-adolescent children because of the constant rollercoaster of emotions, defiant, disobedient, and rebellious behavior are normal in children. EVIDENCE AGAINST THE DIAGNOSIS OF PEDIATRIC ESSAY