Dealing With Bipolar Child: Early Signs

Dealing With Bipolar Child Dubai | Psychosocial Treatment & Medication Can Ensure That Genetics Isn’t Destiny

Dealing with bipolar child Dubai: Prevention and early intervention are key. Learn the early signs and the different treatments

Prevention and early intervention: Genetics is not destiny

Dealing with bipolar child Dubai: Dealing with a bipolar child is more comprehensive than in adults. Early intervention and prevention of full-blown bipolar disorder are becoming important.

Bipolar symptoms emerge during development, and there is a potential role of psychosocial and pharmacological interventions in the prevention of the onset of the disorder in adulthood.

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Dealing with bipolar child Dubai: Early signs

Early signs of bipolarity can be observed in children of bipolar parents in the form of

  • Mood lability
  • Episodic elation or irritability
  • Depression
  • Inattention that affects the child’s behaviour and learning

Between 50% and 60% of the children of BD, parents have some type of problems like mood lability, anxiety, and disruptive behavior disorders. However, many of these early presentations are do not fit into the DSM 5 (Diagnostic Statistical Manual for Mental Disorders) criteria of Bipolar Disorder. They are hence called SUBSYNDROMAL SIGNS of Bipolar Disorder. Some of these children grow up to suffer from Bipolar Disorder.

Future use of genetic or biological markers that may include amygdala size, prefrontal activation in response to affective stress, and the short allele of the 5-HTTLPR gene may help identify which children will grow up to have Bipolar Disorder.

Dealing with bipolar child Dubai: Effect of stress

Stress in these children wherein there is environmental conflict and adversity though not the cause can make these genetically and biologically vulnerable children suffer from a more serious disorder.

Dealing with bipolar child Dubai: Preventative intervention

Thus a preventative family-focused treatment for children with

  • (a) At least one first-degree relative with the suspected bipolar disorder.
  • (b) Subsyndromal signs of bipolar disorder are recommended.
  • The multiple interactions of psychosocial and biological risk factors in the onset and course of bipolar disorder are addressed.

Such children should be identified early and given intervention as to avoid the fully debilitating syndrome to occur. Both genetic and nongenetic factors clearly play a role in the disorder and several environmental factors can affect the child.

Dealing With Bipolar Child | https://www.singhaniaclinic.com/treatment-for-bipolar-disorder-in-children/dealing-with-bipolar-child/ Psychosocial Treatment & Medication Can Ensure That Genetics Isn't Destiny

Dealing With Bipolar Child

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Dealing with bipolar child Dubai: Factors that can precipitate bipolar

Research has shown that some factors that can adversely impact these vulnerable children are

  • High levels of criticism
  • Hostility
  • Emotional overinvolvement of parents towards their children.
  • Childhood sexual abuse
  • Parental neglect has been associated with worse prognosis in Bipolar Adults.
  • Lack of maternal warmth also worsens the outcome.
  • Severe, ongoing family conflict may interfere with the development of secure attachment relationships, emotional self-regulation skills, modulation of arousal and attention, and the development of a coherent self-organization in these children.

Thus interpersonal and family stress interferes with the child’s successful developmental adaptation and may interfere with pre-frontally-mediated mood regulation. In turn, poor emotional self-regulation may be associated with increased cycling and greater resistance to pharmacologic interventions.

Dealing with bipolar child Dubai: To receive information to help your child fill in your name and email ID in the form on the right

Dealing with bipolar child Dubai: Different treatments for early intervention

I. Psychosocial therapy

Psychosocial interventions have the potential to reduce the severity of psychosocial vulnerability factors and increase the at-risk person’s resiliency and coping skills when faced with adversity.

  • The family needs to be involved in the  treatment
  • The caregiving parent needs to recognize how his or her own vulnerabilities – such as an individual history of mood disorder – translate into aversive parent/offspring interactions that may contribute to the child’s mood lability.

Components of treatment

The therapy has the following objectives:

(1) To increase the family’s ability to recognize the escalation of early subsyndromal symptoms

(2) To decrease family criticism and hostility.

(3) To enhance the at-risk person’s ability to cope with stress and adversity.

How can these be achieved?

  • Providing information to the child and family about nature, causes, course, treatment, and self-management of bipolar illness.
  • Protective factors are taught and encouraged Maximizing the protective influences of the family environment.
  • Increase positive interaction between family members.
  • Effective and open communication
    • Teaching problem-solving skills to reduce the impact of specific family conflicts.
    • Identify stressors that are currently affecting the child: family conflicts, sibling rivalries, peer or romantic relationships, or school, neighborhood, or extended family stressors and correcting them.
    • Identify triggers, early warning signs of mood episodes, and make a plan of action on how to deal with them
    • Teaching appropriate lifestyles like sleep hygiene, a healthy diet, and relaxation

II. Pharmacological treatment for mood problems

  • Some studies have shown that treating children who have the risk for bipolar disorder with mood stabilizers is beneficial (Chang et al 2003, DelBello 2007)
  • In a 6-year follow-up of U.S. children (average age 9.7) with ADHD, 29% “switched” to bipolar I disorder by average age 16, but those who switched were less likely to have been treated with stimulants. Thus early treatment of ADHD prevented Bipolar

Dealing with bipolar child Dubai: Conclusion

To conclude, the risk for bipolar disorder is genetically mediated and can often be observed as subsyndromal signs of the illness. Moreover, adversity, interpersonal and family stress interferes with the child’s successful developmental adaptation and may interfere with pre-frontally-mediated mood regulation. In turn, poor emotional self-regulation may be associated with later increased cycling and greater resistance to pharmacologic interventions.

Thus, preventive interventions (i.e., those administered before the first fully syndromal manic episode) that alleviate early symptoms, enhance the ability to cope with dependent and independent stressors, and restore healthy prefrontal neural circuitry should reduce the likelihood of adverse outcomes of the disorder.

Dealing With Bipolar Child | https://www.singhaniaclinic.com/treatment-for-bipolar-disorder-in-children/dealing-with-bipolar-child/ Psychosocial Treatment & Medication Can Ensure That Genetics Isn't Destiny

Dealing With Bipolar Child

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Dealing With Bipolar Child Dubai | Psychosocial Treatment & Medication Can Ensure That Genetics Isn't Destiny
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Dealing With Bipolar Child Dubai | Psychosocial Treatment & Medication Can Ensure That Genetics Isn't Destiny
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Dealing with bipolar child Dubai: Prevention and early intervention are key. Learn the early signs and the different treatments. Get treated. Call +97144298498
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Dealing With Bipolar Child: Early Signs was last modified: October 4th, 2018 by Wilma Gervacio

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