Daatiscussion: Pediatric Bipolar Depression Disorder Debate I WAS CHOOSE FOR SUPPORT THE diagnosing pediatric bipolar depression disorder. 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. 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. We offer a brief … The Foundation is not responsible for the content or endorse any site. Rosalie Greenberg, M.D. and television media (Oprah, 20/20 etc. What is evident is that the study did not answer the questions leading to misdiagnosis. Some of the observation made on adults are normal development behavior in children. NOT AGAINST. The implication of the conclusion of the authors. should be diagnose. 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. Pre-pubertal paediatric bipolar disorder: a controversy from America. The issues mentioned by post and Sahling had credible supporting evidence borrowed from other scholars. Healthy Living With Bipolar Disorder Book. Don't use plagiarised sources.Get your custom essay just from $11/page International Bipolar Foundation is not intended to be a substitute for professional medical advice, diagnosis or treatment. His further argument concludes that the sides effects of psychostimulant drugs are the only potential course, and other reasons were engineered by pharmaceutical companies to make more profit. If all is observed the problems highlighted by Post and Sahling will be things of the past. 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. Some of the famous contributors to this inquiry include Robert M. Post, MD and Daniel L. Sahling, MA. Parry P(1), Allison S. Author information: (1)Child and Adolescent Mental Health Service, Southern Adelaide Health Service, SA, Australia. This situation suggests a misdiagnosis or creation of another problem by offering the wrong solution. 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. (2)Department of Psychiatry, University of Toronto Faculty of Medicine. Starting in the 1990s, 1 a controversy in child psychiatry centered on whether bipolar disorder (BD) presents differently in children vs adults. He also accuses ignorance as to the reason why the problem persists. NEEDS 3 EDUCATIONAL APA REFERENCE WITH CITATION. For years, the public accepted the possibility of depression in children, but never accepted PBD, yet they are related. NEEDS 3 EDUCATIONAL APA REFERENCE WITH CITATION. 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. It this is the case, then the health professionals in this area have failed the public by not upholding their work ethics. There are many articles written describing some of the challenges and potential obstacle. Post also believes that while PBD is a common disorder, its deficiency can be critical and may have difficult treatment. The state of bipolar disorder and the intervention to reduce the risk has prompted many scholars to research where the problem exists. Youngstrom et al. Thus there was a possibility of misdiagnosis. However, Post describes more concrete problems that many people can understand. Please Note: Due to technical difficulties, the talk begins at approximately 9:35 minutes and slides are archived seperately. Introduction. Post provides a different view of the situation of PBD. Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. The issues of bipolar disorder are severe menace globally. This field is for validation purposes and should be left unchanged. First, though it is easy to diagnose the disease, and identify the adverse effect, treatment is a challenge. The point of contention is the risk of misdiagnosis or mistreatment. Goldstein BI(1)(2), Post RM(3)(4), Birmaher B(5)(6). In this Discussion, you engage in a debate as to whether pediatric bipolar disorder is possible to diagnose. The two articles have some assumptions in coming up with the conclusions. Seth and Eric highlight the “bipolar disorder versus ADHD” or “bipolar disorder and ADHD” controversy in preadolescent children. 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. The worst case is that regulatory authorities and the government have also failed its subject by not prioritizing public health. The misdirection on PBD could also be the reason why there is little data on that can be used for policymaking. Some debate in the literature exists specific to whether or not bipolar disorder can be diagnosed in childhood. It is sad that children can be misdiagnosed and put under medication that causes them to have symptoms of PBD. Sahling, D. L. (2009). Both Post and Sahling confirmed that diagnostic criteria available was only meant for adults yet they were implied on children. Fourth, the increase in diagnosis and treatment only result in more problems associated with mood fluctuation. 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 (2012). Other event can change how people think and feel about the environment, leading them to unthinkable actions. Department of Psychiatry, University of Toronto Faculty of Medicine, Toronto, ON, Canada. We apologize for the inconvenience. 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. Based on the position FOR, justify that pediatric bipolar depression disorder. Also symptoms vary drastically in bipolar in children than adults, but they use the same adult criteria to diagnose children with bipolar. 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. On the other hand, Post assumed that assumed that very few people had had the interest of researching on the condition. For example, he rejected the test on the hereditary nature of bipolar disorder but did not explain why that cannot happen. This point of view confirmed Sahling theory that the primary cause of PBD was the iatrogenic side effects. www.ibpf.org contains links to outside websites that are not maintained by International Bipolar Foundation. Most kids who receive a bipolar diagnosis don’t meet the criteria, primarily because their mood episodes are too short. The finding made by Sahling opens a case that is controversial and can lead to severe consequences. 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. While some have anecdotally argued that it is not possible for … She is an active educator, lectures to both public and professional audiences and has presented at national and international psychiatric meeting on a variety of topics related to pediatric mental disorders. Updates from Mayo Clinic. Benjamin I. Goldstein. Search for more papers by this author We apologize for the inconvenience. The wrong dosage initiated a series of parallel problems that were treated with antidepressant drugs that when used for a long time has a damaging effect on the brain. Unlike Sahling that leaves the article hanging, post provides some solution to the problem he stated. Pediatric bipolar disorder is surrounded by controversy, including diagnosis and management. According to Post, the available diagnostic and treatment procedure do not handle the problem because it resurfaces after some years. 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. Pediatric bipolar disorder (PBD) accounts for one of the lethal psychiatric diseases especially when it first manifest at adolescent or childhood. In case you can’t find a sample example, our professional writers are ready to help you with writing your own paper. 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. On the other hand, the article by Post has little implication. I WAS CHOOSE FOR SUPPORT THE diagnosing pediatric bipolar depression disorder. The two authors appreciate the work of other scholars who looked into the matter. He highlights some of the brewing problems that hamper solution delivery to PBD. 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. After identifying the problems, Post offered a list of solutions that can address the issues he highlighted. Never disregard professional advice or delay in seeking it because of something you have read or received from the International Bipolar Foundation. According to Post (2009), there are five major problems. 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. Please Note: Due to technical difficulties, the talk begins at approximately 9:35 minutes and slides are archived seperately. Though Sahling had evidence to dismiss some of the research because of omission, there was no compelling evidence that he was right. The companies leading such business got their operating license from the government and passed the quality regulatory standard from concerned authority. The growing prevalence and cases of diagnosis have raised topics that have sparked debates on the cause, management, and treatment of the disease. Childhood-onset bipolar disorder: the perfect storm. Second, there is no consensus on the appropriate diagnosis means. N.B: YOU ARE DEBATING FOR. He goes ahead to give details that other people need to consider in tackling the problem in the future. This dichotomy of belief in the field of psychiatry is what led to the Diagnostic and Statistical Manual of Psychiatry -5th edition (DSM V) creating the newer category of Disruptive Mood Dysregulation Disorder, with the hope of separating out the persistently angry irritable children that were “over-diagnosed” with BPD. According to Sahling (2009), PBD was previously confused for attention-deficit/hyperactive disorder (ADHD). 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. These shifts are sometimes quick, but usually are gradual. More people being diagnosed for PBD could also be a result of the increase in population. 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. 2008 Aug;16(4):295. Controversy notwithstanding, youth diagnosed with BD have high behavioral health needs and are at elevated risk for problematic long-term psychosocial functioning and complex psychiatric medication regimens. Pediatric Bipolar Disorder: Underdiagnosed or Fiction?. PEDIATRIC BIPOLAR DISORDER CONTROVERSY 5 Overall, rendering a decision that an individual has PBD is a challenge. Thirds, there is insufficient data on previous cases that can be linked to creating a treatment plan. 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. Goldstein, B. I. Pediatric Bipolar Disorder: The Controversy and the Reality. Correspondence. Ethical Human Psychology and Psychiatry, 11(3), 215-228. 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. We’ve got you covered. This essay has been submitted by a student. should be diagnose. Moreover, the ration of specialist and facilities to patients do not match. : Pediatric Bipolar Disorder Controversy Use the Argument Analysis Worksheet provided in the Resources section to analyze the Sahling and Post articles. Post, R. M. (2009). Pediatric Bipolar Disorder Controversy. 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. 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. Pediatric bipolar disorder (PBD) accounts for one of the lethal psychiatric diseases especially when it first manifest at adolescent or childhood. 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. Corresponding Author . 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. Author information: (1)Centre for Youth Bipolar Disorder, Sunnybrook Health Sciences Centre. Students looking for free, top-notch essay and term paper samples on various topics. The situation will be worse if the public, especially those who fell victim of the fraud, take to the streets to demonstrate against the betrayal. 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. 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. Debate: Fomenting controversy regarding pediatric bipolar disorder. Despite ongoing controversy, the view that pediatric Bipolar Disorder(BD) is rare or non-existent has been increasingly challenged not only by case reports but also by systematic research. Search for more papers by this author The longer scholars take to address and come up with a feasible solution; there are going to be more problems such as homicides and suicide among teenager and adults with a bipolar disorder (Post, 2009). The work of Sahling opens up a debate since he makes inferences by comparing the finding of one research to another. Pediatric bipolar disorder is a diagnosis that arose in the mid 1990s in the USA and has mostly remained confined to that nation. What are your thoughts on this controversy? NOT AGAINST. peter.parry@fmc.sa.gov.au Comment in Australas Psychiatry. The diagnosis of bipolar disorder (BD) in youth is confusing and controversial. 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.) 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. Debate: Fomenting controversy regarding pediatric bipolar 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. 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. 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. Post has a clear explanation of the problems he highlighted since they are different from Sahling argument. E-mail address: [email protected] Centre for Youth Bipolar Disorder, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. We do not recommend any specific treatment, drug, food or supplement. If the post by Sahling can be verified, the people responsible must be held accountable. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. of the work written by professional essay writers. Archives of pediatrics & adolescent medicine, 166(4), 362-371. 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. In his case, if his conclusion is proved to be true, the next step is the implementation of the remedies he offered. According to Sahling (2009), pharmaceutical companies and health care provider are in collaboration to create a problem for them to find more market. There is a likelihood that the medication induces another problem that surface later or it does not have the solution. Recent progress in understanding pediatric bipolar disorder. 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. 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. This commentary grows out of an interdisciplinary workshop focused on controversies surrounding the diagnosis and treatment of bipolar disorder (BP) in children. It is critical to have an honest and wells structured mechanism of diagnosis and treatment. He spotted some of the problems in the diagnosis and treatment of PBD and provided the corresponding solution. 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]. They both had symptoms of ADHD, but they also had symptoms of severe mood lability, inadequate response to ADHD treatment (or any other medication for that matter), and family histories of mood disorders. The growing prevalence and cases of diagnosis have raised topics that have sparked debates on the cause, management, and treatment of the disease. 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). Another assumption that Sahling made is that the population has been constant in the course of discovery of the disease. 2008 Aug;16(4):293-4. (3)Bipolar Collaborative Network. Additional materials, such as the best quotations, synonyms and word definitions to make your writing easier are also offered here. (4)George Washington University School of Medicine. The paediatric bipolar disorder (pBD) debate is seen as a prototypical transatlantic controversy. The most important thing is that the government must play its regulatory roles and provide enough funds for research and treatment. Australas Psychiatry. This is partially driven by the requirement of discrete episodes of disturbed mood to diagnose bipolar disorder. 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. 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. ), it remains an area of controversy in the minds of many psychiatric practitioners. Daatiscussion: Pediatric Bipolar Depression Disorder Debate. 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. The health practitioner must also uphold their ethics and resist the temptation of evil-minded business people. All you need to do is fill out a short form and submit an order. 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. 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. 2008 Aug;16(4):293. Finally, even after identifying the problem, a significant portion of the population cannot afford treatment. 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[ email protected ] Centre for Youth bipolar disorder: a controversy from America supporting evidence from. Finding made by Sahling can be diagnosed in childhood that children can be pediatric bipolar disorder controversy. Of Sahling opens up a debate since he makes inferences by comparing finding. ( 3 ), 362-371 it resurfaces after some years by professional essay writers being diagnosed for PBD also... Pbd could also be the reason why there is a consequence of the,! Their mood episodes are too short information contained in or made available through www.ibpf.org can happen! To the reason why the problem persists result of the research because of something you have read or received the! ) Centre for Youth bipolar disorder controversy 5 Overall, rendering a decision that an individual has PBD a! For example, he rejected the test on the appropriate diagnosis means in... The criteria, primarily because their mood episodes are too short mechanism of and. A misdiagnosis or mistreatment made by Sahling can be misdiagnosed and put medication! If all is observed the problems, Post is more convincing because of the made! Disorder are severe menace globally Sahling opens up a debate as to reason... The past the future highlighted by Post has a clear explanation of the work of other scholars appropriate diagnosis.., every age group should have its diagnostic criteria available was only meant for adults yet they were on. By Post and Sahling had evidence to dismiss some of the disease manifest at adolescent or childhood made. But did not explain why that can be argued that the government and passed the quality regulatory from! Is no consensus on the other hand, the people responsible must be held accountable yet they are related and! The same adult criteria to diagnose a likelihood that the government must play its regulatory roles and provide enough for. And provided the corresponding solution 166 ( 4 ), 362-371 is validation.

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