Interesting Article

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Registered: 12-22-2003
Interesting Article
3
Fri, 04-09-2010 - 4:17pm

http://www.psychologytoday.com/blog/dsm5-in-distress/201004/psychiatric-diagnosis-gone-wild-the-epidemic-childhood-bipolar-disorder

I'm not sure that I agree with everything the writer has to say. In fact, I always thought Claire was one of the rare kids to be dx'd with childhood bipolar disorder. For our daughter, it's not about temper tantrums. It's more about her inability to function in society because she spends more time talking to the imaginary cartoons in her head, than she does to humans. These are her "mania" states...where she's completely out of touch with reality. Yes, she does have meltdowns...but those are not what brought about the diagnosis.

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Amy

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Registered: 11-28-2006
Sat, 04-10-2010 - 1:45am

Great article and great discussion!

I agree with mostly what the article says. BPD is many times over dx'd in kids with rages. In fact the first Doc I took Chris too tried to say BPD with Asperger Traits, along with all the other co-morbids Asperger brings.

I told the Doc after reading about BPD that I just couldn't agree. It just didn't fit him. Rages, yes, but all of the other stuff like you mention Amy, or what Dee mentions is just not my son. Is he in his own world? Yes. But it's more like a kid in a box thing. Like for example his teachers have described him as acting like he is all alone.
He didn't go high, he didn't go low. He would just rage over things that changed in his life and it was all very OCD. Thats where I knew he wasn't BPD and just plain Autistic.

I know I have talked about this many times, but would like to repeat it so maybe some newbies or lurkers will read this. When my now adult dd was 5 and had many problems (she was like my younger child with Aspergers) she had a team of docs that dx'd her with ADHD and Borderline Personality Disorder. There is no way in hell you can dx a 5 yr old with that. At least in 2010. Plus she got better after alot of therapy when she was little (in fact alot of things that were similar to floor time, social skills etc...) and with Borderline personality disorder there is no known therapy or medication that can help these poor people. YOu are stuck and life sucks.
She is now a successful adult with some weakness's and strengths. She will do great but to hell with the Doc's that mis-dx'd her when she was little. It was in 1992 and at the time Aspergers hadn't even hit the DSM yet.

Momma's go with your gut imo.

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Registered: 03-26-2003
Sat, 04-10-2010 - 10:39pm

Ohhhh Good discussion.

Actually, I can't tell you how many times BPD was mentioned for Mike because of his rages and mood instability. We finally had a big eval by the state diagnostic center and we had some WONDERFUL evaluators.

They ruled out BPD with Mike based on many traits and discussed how exactly his rages and mood lability were directly related to his autism and NOT a comorbid diagnosis. Mike just happens to have a significant autistic impairment and part of it is significant behavioral challenges.

They also let me know that while Mike did meet the criteria for other diagnosis such as OCD and tourettes they were secondary to his autism and caused by his autism.

This was a huge relief for us because we had tried every medication for BPD and mental health issues and they only made Mike worse. It was kind of justification for us that we were doing what was right by taking him off meds. He does not have a secondary mental health issue and as such those medications were not working to help him and only making things worse. We needed a different approach for mike.

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Registered: 04-28-2007
Sun, 04-11-2010 - 7:19pm

Hmm...our current (and awesome) pdoc has suggested to me Liam's issues pretty much all stem from his primary dx of ASD. I tend to agree. However, we do need to treat the symptoms that are making his daily life unbearable.

Liam's mood disorder and his adhd symptoms are the most important to manage because then and only then can more mainstream Autism therapies help and make an impact.

I knew the day would come where EOBD would hit the backlash of the aging psych community (remember the backlash to adhd 5 or so years ago). I still believe there are many kids misdiagnosed with adhd and really are struggling with mood issues.

Dee