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Childhood Onset Bipolar Disorder Essay

Childhood Onset Bipolar Disorder Essay (COBPD) is one of the
most debilitating mental disorders affecting children today.
Bipolar Disorder is a mood disorder usually affecting adults
that causes sometimes severe changes in mood. Childhood
Onset Bipolar disorder is just what it sounds like, a
bipolar disorder that occurs during childhood. Persons
suffering from a bipolar disorder experience mood swings
ranging from depression to mania. During a depressive
episode patients can experience feelings of extreme
hopelessness or sadness, inability to concentrate and
trouble sleeping.

Symptoms of mania include rapidly changing
ideas, exaggerated cheerfulness and excessive physical
activity. Hypomanic symptoms are the same as in mania,
however, they are not so severe as to require
The fourth edition of the Diagnostic and Statistical
Manual of Mental Disorders (DSM-IV) outlines the diagnostic
criteria for mood disorders. According to the DSM-IV, a
person must have at least 5 of the following symptoms during
the same 2 week period to qualify as a major depressive
episode: a depressed mood lasting most of the day for
several days; a significant weight gain or weight loss; a
loss of interest in activities; difficulty sleeping
(insomnia) or an increased need for sleep (hypersomnia);
restlessness or slowed pace observable by others; daily
fatigue; feelings of guilt or worthlessness; inability to
concentrate; or recurrent thoughts of death. These symptoms
can only be diagnosed as a depressed episode if they are not
better explained by grief, effects of a drug, or a medical
condition. The person experiencing these symptoms must, also
report an interference in their daily functioning because of
the symptoms. Finally, the persons symptoms do not meet the
The criteria for a mixed episode state that the person
must display symptoms of depression and mania every day
For an episode to be categorized as manic, the
patients mood has been irritable or abnormally elevated for
at least 1 week.

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A person must also exhibit at least 3 of
the following symptoms (4 if the mood is only irritable):
extreme feelings of personal greatness; a decreased need for
sleep, marked talkativeness; distractibility; extreme focus
on a goal-directed activity; reports of racing thoughts or
a flight of ideas; or excessive involvement in pleasurable
activities that have a high potential for painful
consequences (i.e. sexual indiscretions or unintelligent
business investments). As in the criteria for a depressed
episode, the DSM-IV specifies that these symptoms should not
be better explained as being a side effect of a drug or
illness to qualify as a manic episode. These symptoms must
interfere with the persons normal functioning and must not
meet the criteria for a mixed episode.
As with adults, childhood-onset bipolar disorder has
many faces.

Children with Bipolar I Disorder have episodes
of mania and episodes of depression, sometimes there are
long periods of normal moods between episodes. Adults
usually tend to have more depressed episodes than manic
episodes. However, some children will have chronic mania
(symptoms of mania lasting for long periods of time or
marked by frequent recurrence) and seldom experience a
depressed episode. Bipolar II Disorder causes depressive
episodes, sometimes lasting for long periods of time. It can
also cause hypomanic episodes, but manic episodes are not
present. Unlike Bipolar I Disorder, for persons with Bipolar
II Disorder, periods of normal moods are virtually
nonexistent.

Cyclothymia is characterized by frequent
hypomanic episodes and occasional episodes of mild
depression only. Some children have repeated hypomanic
episodes a year. Persons showing signs of depression and
mania at the same time is referred to as being in a mixed
state. Bipolar I Disorder, Bipolar II Disorder, Cyclothymia,
and Mixed State Bipolar Disorder are all very rare in
For many years it was assumed that children could not
suffer the mood swings of mania or depression, but as more
research has been done, we have realized that bipolar
disorder can occur in children, and it is much more common
than previously thought. Althoug, the DSM-IV does touch on
the subject of children with mood disorders, they are still
diagnosed according to adult criteria. In children, mania
and hypomania appear as more of an irritable mood.

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These
features come and go throughout the day and are not as
persistent as in adults. When bipolar disorder is present in
children it is more severe and harder to treat. Children
tend to experience extremely rapid mood swings, often
cycling from mania to depression and back to mania several
times a day. The most typical pattern of cycling among those
with COBPD, called ultra-ultra rapid or ultradian, is most
often associated with low arousal states in the mornings
followed by increases in energy towards late afternoon or
evening(Facts about COBPD;http://www.mhsource.com/hy/
Difficulties with early onset bipolar disorder begin
with .

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Childhood Onset Bipolar Disorder Essay
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Childhood Onset Bipolar Disorder Essay (COBPD) is one of the most debilitating mental disorders affecting children today. Bipolar Disorder is a mood disorder usually affecting adults that causes sometimes severe changes in mood. Childhood Onset Bipolar disorder is just what it sounds like, a bipolar disorder that occurs during childhood. Persons suffering from a bipolar disorder experience mood swings ranging from depression to mania. During a depressive episode patients can e
2019-02-12 07:43:18
Childhood Onset Bipolar Disorder Essay
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