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pediatric bipolar disorder controversy

Posted Saturday, January 16th, 2021

Despite Kraepelin’s early observation and description of childhood-onset and adolescent-onset bipolar disorders, the controversy about diagnosing bipolar disorder in young persons persists. This essay has been submitted by a student. The issues of bipolar disorder are severe menace globally. Thus, every age group should have its diagnostic criteria. The point of contention is the risk of misdiagnosis or mistreatment. Youngstrom et al. should be diagnose. Starting in the 1990s, 1 a controversy in child psychiatry centered on whether bipolar disorder (BD) presents differently in children vs adults. From the above analysis, Sahling has serious and issues that could be of interest to many, but he has many assumptions that stain the article. Irrespective of the age, those diagnosed with bipolar disorder are likely to experience suicidal thoughts or action, functional impairment among other irrational action resulting from rapid fluctuation of mood. Correspondence. : Pediatric Bipolar Disorder Controversy Use the Argument Analysis Worksheet provided in the Resources section to analyze the Sahling and Post articles. According to Sahling (2009), PBD was previously confused for attention-deficit/hyperactive disorder (ADHD). This disorder is commonly referred to as manic-depression but is now formally referred to as bipolar disorder, referring to the two “poles” of depression and mania. Recent progress in understanding pediatric bipolar disorder. Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. The lack of data and specialist is a consequence of the denial of the presence of PBD. Other event can change how people think and feel about the environment, leading them to unthinkable actions. Sahling (2009) argues that the increase in the case could because the condition was earlier unrecognized and undiagnosed or it is a result of iatrogenic medication or an improvement in the diagnosis technology. What I’d like to do in this videoconference is discuss Pediatric Bipolarity and explain a bit about why the confusion exists, what the symptom presentation looks like in children, discuss possible causes, as well as  touch upon how inflammation and immunologic factors may play an important role in approaching bipolar disorder in children. Australas Psychiatry. Goldstein, B. I. On the other hand, there are many physicians that feel that the diagnosis has been used too loosely and ascribed to too many children who in reality suffer from other primary diagnoses, most notably Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD) and Major Depressive Disorder (MDD). Any subject. We’ll even meet a 3-hour deadline. Assessment Instructions To prepare for this assessment, complete the following: Read Post’s 2009 article “Childhood-onset Bipolar Disorder: The Perfect Storm,” linked in the Resources under the Required Resources heading. should be diagnose. Discussion: Pediatric Bipolar Depression Disorder Debate Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. The most important thing is that the government must play its regulatory roles and provide enough funds for research and treatment. In this aspect, the psychologist must be able to have a universal meaning of abnormal; there are behaviors in infants that make part of their development that when exhibited by teenagers of adults is considered abnormal. Even though it’s been more than two decades since the diagnosis of pediatric bipolar disorder (PBD) became a significant subject in psychiatric research papers, and then subsequently popular literature  (Time Magazine, Newsweek etc.) However, what has gotten to the attention of scholars is that despite the increasing expenditure and epidemiology there is no improvement in cases related by bipolar disorder. Childhood-onset bipolar disorder: the perfect storm. This commentary grows out of an interdisciplinary workshop focused on controversies surrounding the diagnosis and treatment of bipolar disorder (BP) in children. Pediatric bipolar disorder is a diagnosis that arose in the mid 1990s in the USA and has mostly remained confined to that nation. January 2, 2016 January 2, 2016 admin. With Veronica Bird she co-produced the educational video Rescuing Child:  Understanding Bipolar Disorders in Children and Adolescents, which was funded by the Veronica Bird Charitable Foundation. It this is the case, then the health professionals in this area have failed the public by not upholding their work ethics. According to Sahling (2009), the primary challenge is that the cause of PBD is not well-understood making physician to diagnose normal behavior as a psychological problem leading to a greater mess. This situation suggests a misdiagnosis or creation of another problem by offering the wrong solution. The two authors appreciate the work of other scholars who looked into the matter. NEEDS 3 EDUCATIONAL APA REFERENCE WITH CITATION. The existence of a mood disorder in adults involving severe mood swings from states of deep depression to states of elation has been recognized now for over a century. After identifying the problems, Post offered a list of solutions that can address the issues he highlighted. Sandra Mullen, PharmD, BCPP, shared her expertise at CPNP 2015 addressing this topic in her session entitled Riding the Roller Coaster: Exploring the Controversy Surrounding the Diagnosis and Treatment of Bipolar Disorder in Children and Adolescents. Having trouble finding the perfect essay? We apologize for the inconvenience. While some have anecdotally argued that it is not possible for … More people being diagnosed for PBD could also be a result of the increase in population. 2008 Aug;16(4):293. In this case, Post is more convincing because of the manner that he outlines his finding. She is a Huffington Post Blogger on issues related to mental health, as well as creator, producer, and host of the three (3) time Telly Award winning New Jersey cable show Kids First With Rosalie Greenberg, MD, a show for parents on a variety of topics relevant to raising children in today’s world. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact. Post provides a different view of the situation of PBD. On the other hand, Post assumed that assumed that very few people had had the interest of researching on the condition. 2008 Aug;16(4):295. Host: Peter S. Jensen, MD Guest: Gabrielle A. Carlson, MD Host Dr. Peter Jensen welcomes Gabrielle A. Carlson, MD, Professor of Psychiatry and Pediatrics and Director of Child and Adolescent Psychiatry at Stony Brook University School of Medicine in Stony Brook, NY. However, Post describes more concrete problems that many people can understand. Pediatric Bipolar Disorder Controversy. Pediatric bipolar disorder is surrounded by controversy, including diagnosis and management. The controversy in the field about pediatric bipolar disorder is focused on whether the current diagnostic criteria apply to children and teens, especially the criteria for duration of mood episodes. This point of view confirmed Sahling theory that the primary cause of PBD was the iatrogenic side effects. In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose. Benjamin I. Goldstein. We’ve got you covered. Also symptoms vary drastically in bipolar in children than adults, but they use the same adult criteria to diagnose children with bipolar. Pediatric bipolar disorder (PBD) accounts for one of the lethal psychiatric diseases especially when it first manifest at adolescent or childhood. Some of the observation made on adults are normal development behavior in children. Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. NOT AGAINST. Sahling, D. L. (2009). www.ibpf.org contains links to outside websites that are not maintained by International Bipolar Foundation. N.B: YOU ARE DEBATING FOR. The finding made by Sahling opens a case that is controversial and can lead to severe consequences. According to Sahling (2009), it is normal for children to have depression from their experience and that is curable by psychological counseling and not administering drugs that come with consequences. This is partially driven by the requirement of discrete episodes of disturbed mood to diagnose bipolar disorder. Daatiscussion: Pediatric Bipolar Depression Disorder Debate. But this is a Eurocentric view that ignores just how big a country the United States is – it contains multitudes, to paraphrase Walt Whitman writing in the aftermath of the Civil War. Dr. Greenberg is active in a variety of professional organizations including The American Psychiatric Association; The American Academy of Child and Adolescent Psychiatry; The International Society of Bipolar Disorders and the International Lyme and Associated Disease Society. Second, there is no consensus on the appropriate diagnosis means. Finally, the increase in cases of suicide and homicide can be from other experience later in life and not entirely because of failure to treat PBD. Don't use plagiarised sources.Get your custom essay just from $11/page Diagnosing pediatric bipolar disorder is a challenge in itself mainly because it takes on average 10 years before bipolar clients are accurately diagnosed and treated. Pediatric Bipolar Disorder Controversy. Students looking for free, top-notch essay and term paper samples on various topics. Please Note: Due to technical difficulties, the talk begins at approximately 9:35 minutes and slides are archived seperately. Based on the position FOR, justify that pediatric bipolar depression disorder. Post also believes that while PBD is a common disorder, its deficiency can be critical and may have difficult treatment. In addition, there are issues of environmental pollution, and changes in genetic makeup that could lead to an increase in the number of victims that he ignored. The misdirection on PBD could also be the reason why there is little data on that can be used for policymaking. Dr. Greenberg was the 2012 recipient of the National Alliance of Mental Illness Exemplary Psychiatrist Award. The growing prevalence and cases of diagnosis have raised topics that have sparked debates on the cause, management, and treatment of the disease. Debate: Fomenting controversy regarding pediatric bipolar disorder. Any type of essay. The work of Sahling opens up a debate since he makes inferences by comparing the finding of one research to another. Source: bizjournals.com Health Care:Physician Practices headlines - October 9, … International Bipolar Foundation is not intended to be a substitute for professional medical advice, diagnosis or treatment. The implication of the conclusion of the authors. PEDIATRIC BIPOLAR DISORDER CONTROVERSY 3 fear to speak up about the symptoms and behavior of their children due to various stigmas applied to it [Pos09]. Corresponding Author . Daatiscussion: Pediatric Bipolar Depression Disorder Debate I WAS CHOOSE FOR SUPPORT THE diagnosing pediatric bipolar depression disorder. The state of bipolar disorder and the intervention to reduce the risk has prompted many scholars to research where the problem exists. This field is for validation purposes and should be left unchanged. Goldstein BI(1)(2), Post RM(3)(4), Birmaher B(5)(6). Moreover, the ration of specialist and facilities to patients do not match. Post, R. M. (2009). Benjamin I. Goldstein, Centre for Youth Bipolar Disorder, Sunnybrook Health Sciences Centre 2075 Bayview Avenue, Room EG‐48, Toronto, ON, M4N‐3M5 Canada; Email: benjamin.goldstein@sunnybrook.ca. The worst case is that regulatory authorities and the government have also failed its subject by not prioritizing public health. Psychiatric Annals, 39(10), 879-886. peter.parry@fmc.sa.gov.au Comment in Australas Psychiatry. Bipolar disorder in children, or pediatric bipolar disorder (PBD), is a mental disorder in children and adolescents that, like bipolar disorder (BD) in adults, is characterized by extreme changes in mood and behavior accompanying periods of depressed or irritable moods and periods of elevated moods called manic or hypomanic episodes. All you need to do is fill out a short form and submit an order. Search for more papers by this author We apologize for the inconvenience. Although debate about the occurrence and frequency of BP in children is more than 50 years old, it increased in the mid 1990s when researchers adapted the DSM account of bipolar symptoms to diagnose children. Post and Sahling have a different argument point about the problems with the diagnosis of pediatric bipolar disorder, but their argument leads to solving the problem of increasing diagnostic cases and other associated issues. E-mail address: [email protected] Centre for Youth Bipolar Disorder, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. Based on the position FOR, justify that pediatric bipolar depression disorder. It can be argued that the controversy over paediatric bipolar disorder has been useful in highlighting the issue of bipolar disorder in youths generally. Most kids who receive a bipolar diagnosis don’t meet the criteria, primarily because their mood episodes are too short. The information contained in or made available through www.ibpf.org cannot replace or substitute for the services of trained professionals in the medical field. ), it remains an area of controversy in the minds of many psychiatric practitioners. There is a likelihood that the medication induces another problem that surface later or it does not have the solution. We offer a brief … If the post by Sahling can be verified, the people responsible must be held accountable. Please Note: Due to technical difficulties, the talk begins at approximately 9:35 minutes and slides are archived seperately. The Foundation is not responsible for the content or endorse any site. The companies leading such business got their operating license from the government and passed the quality regulatory standard from concerned authority. Finally, even after identifying the problem, a significant portion of the population cannot afford treatment. He also accuses ignorance as to the reason why the problem persists. What is evident is that the study did not answer the questions leading to misdiagnosis. (2012). Another assumption that Sahling made is that the population has been constant in the course of discovery of the disease. Dr. Greenberg is the author of Bipolar Kids:  Helping Your Child Find Calm InThe Mood Storm, as well as the author/editor of two other books. Sit back relax and leave the writing to us. Unlike Sahling that leaves the article hanging, post provides some solution to the problem he stated. According to Post (2009), there are five major problems. While some have anecdotally argued that it is not possible for children to develop bipolar disorder (as normal features of childhood confound the diagnosis), other sources argue that pediatric bipolar disorder is a fact. Moreover, he states that when the reasons he dismissed are used to make the wrong diagnosis, the problem emerges where there was none because of iatrogenic side effects. Both Post and Sahling confirmed that diagnostic criteria available was only meant for adults yet they were implied on children. The two articles have some assumptions in coming up with the conclusions. Sahling used the same argument to dismiss claims by some researcher who were arguing that PBD was inherited when the test subjects were treated with ADHD. Additionally, other childhood disorders present with similar symptoms yet may be connected to abuse not diseases make the proper diagnosis difficult (Daruy-Filho, Brietzke, Kluwe-Schiavon, Fabres, & other childhood disorders present with (4)George Washington University School of Medicine. The issues mentioned by post and Sahling had credible supporting evidence borrowed from other scholars. If all is observed the problems highlighted by Post and Sahling will be things of the past. First, though it is easy to diagnose the disease, and identify the adverse effect, treatment is a challenge. It is fascinating- to those directly involved in the research and clinically focused on this disorder, childhood onset bipolar disorder is viewed as an established entity, one that just requires more clarification and elucidation but whose existence is irrefutable. Arising out of this controversy is the recognition that, besides a more uniformed approach to diagnosis, the issue of the disparity in treatments between the US and UK, especially psychopharmacology, needs addressing. (2)Department of Psychiatry, University of Toronto Faculty of Medicine. Pediatric Bipolar Disorder: The Controversy and the Reality. On the other hand, the article by Post has little implication. The medication that was available for ADHD like Ritalin induced psychiatric symptoms such as depression or mania in patients, leading to the manifestation of symptoms that were in existence. He spotted some of the problems in the diagnosis and treatment of PBD and provided the corresponding solution. N.B: YOU ARE DEBATING FOR. These shifts are sometimes quick, but usually are gradual. FDA advisers set stage for approval of schizophrenia, bipolar disorder drug Alkermes hopes to introduce a new treatment for schizophrenia and bipolar disorder that minimizes weight gain. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Australas Psychiatry. of the work written by professional essay writers. Pediatric bipolar disorder (PBD) accounts for one of the lethal psychiatric diseases especially when it first manifest at adolescent or childhood. What are your thoughts on this controversy? According to Post, the available diagnostic and treatment procedure do not handle the problem because it resurfaces after some years. Discussion: Pediatric Bipolar Depression Disorder Debate Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. is a Board Certified child and adult psychiatrist who specializes in the psvchopharmacologic treatment of youth with psychiatric disorders, with special expertize in the area of pediatric mood disorders. Parry P(1), Allison S. Author information: (1)Child and Adolescent Mental Health Service, Southern Adelaide Health Service, SA, Australia. And specialist is a consequence of the problems in the Resources section to analyze the Sahling Post! 2012 recipient of the remedies he offered of another problem that surface later or it does not have the.. Not replace or substitute for the services of trained professionals in the course of discovery of the famous contributors this... 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