Sue Scheff Blog » Bipolar http://suescheffblog.com Parent Advocate and Author - Founder of Parents' Universal Resource Experts Tue, 24 Apr 2012 11:57:09 +0000 en hourly 1 http://wordpress.org/?v=3.3.2 Sue Scheff: Bipolar Depression – Be an Educated Parent http://suescheffblog.com/2009/07/sue-scheff-bipolar-depression-be-an-educated-parent/ http://suescheffblog.com/2009/07/sue-scheff-bipolar-depression-be-an-educated-parent/#comments Sun, 19 Jul 2009 17:11:13 +0000 Sue Scheff http://suescheffblog.com/?p=1901
boyinterruptedI just watched the most profound documentary that I believe any parent with at risk teens should take the time to watch. How many of us have “typical teens” and start making excuses for their negative behavior? We watch as they slowly start failing in school, dropping off of sports activities (or being expelled from them), changing friends, not having friends, the list goes on.  I am certainly not saying your teen has Bipolar or any diagnose for that matter, however being aware of the symptoms is part of being a responsible parent.
“Boy Interrupted” moved me in such a way that I can barely put it into words. Dana and Hart Perry are filmmakers – they are the Director’s of this film, but first and foremost – they are Evan Scott Perry’s parents. Evan tragically ended his life at 15 years old on October 2, 2005. He struggled with depression and finally was diagnosed with Bipolar.
So, how do these professional filmmakers complete such a film? It is straight up raw emotion – and at the end of the day, it is about helping that next family so they may not have to endure the pain the Perry’s went through.
I cannot express how unselfish Dana and Hart Perry are in giving us this opportunity as they share their private lives, including the suicide note which was very compelling as it was typical. The note itself can be a wake up call to all parents of at risk teens. Evan’s older brother (Nick) bravely admits that his note is how he (when he was 15 felt) and typically how most teens feel. If Nick only knew – he could have answered all those questions and negative feelings to Evan.  It seems with Bipolar children/teens – the typical teen feelings are usually escalated many times worse than the average person.
Boy Interrupted interviews the doctors, teachers, friends, family members as well as intimate conversations with Dana and Hart (Evan’s parents). The footage they have is amazing and gives an indepth look at their private lives and allows the viewers to see, hear and “feel” their love and their pain.
This documentary will be airing on HBO on Monday August 3rd (check your local listings) as well as being sold on Amazon.
BI 1 (2)Remember, don’t be a parent in denial – be an educated parent and proactive!
Read my Blog from earlier this week prior watching this film – click here.
I commend Dana and Hart Perry for their strength in sharing such a personal part of their lives with us.  I am positive this film will change lives and bring awareness to a new level.  This film deserves all the praise it will undoubtedly bring.
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Sue Scheff: “Boy Interrupted” Documentary About Bipolar and Teens Today http://suescheffblog.com/2009/07/sue-scheff-boy-interrupted-documentary-about-bipolar-and-teens-today/ http://suescheffblog.com/2009/07/sue-scheff-boy-interrupted-documentary-about-bipolar-and-teens-today/#comments Thu, 16 Jul 2009 19:00:48 +0000 Sue Scheff http://suescheffblog.com/?p=1863 Is Bipolar the new ADHD?  I don’t have the answer for it – however I believe there are many that go undiagnosed just as ADD/ADHD did years ago, and the kids are suffering, failing, raging, and more.  Boy Interrupted seems like it is going to be a wake up call for parents that suspect their child may have some issues, as well as an inspirational film that took guts and courage to document.  I applaud these parents, Dana and Hart Perry, for sharing their story in an effort to bring more awareness to this more and more common disease, Bipolar.  My sympathy for the loss of their son, Evan and gratitude for their unselfishness.  I will be previewing this film this weekend and can’t wait to share it with you.

BI 1 (2)BOY INTERRUPTED Tells the story of a teenager who lost his battle with Bipolar Disease. This heartbreaking documentary debuts on Monday, August 3rd on HBO

On the night of Oct. 2, 2005, 15-year-old Evan Scott Perry ended a lifelong struggle with bipolar disorder by jumping from his New York City bedroom window, leaving behind heartbroken parents, beloved brothers and many friends.  Director Dana Perry, along with her husband Hart Perry, tells the story of their son’s life and death in the heartbreaking documentary BOY INTERRUPTED.

Dana and Hart Perry share the intensely personal story of every parent’s worst nightmare:  the death of a child by suicide.  As professional filmmakers, they were accustomed to making extensive personal films and videos of the family, but never suspected that their footage of son Evan – taken from the moment of his birth throughout childhood and adolescence – would end up becoming the primary source material for this moving account.  Casual and innocuous before his death, the home movies provide a visual record of Evan’s life, and help create an intimate portrait of this vibrant, troubled young man, supplemented by interviews with family, friends, doctors and teachers.

Evan Perry’s life was marked by intense mood swings that alarmed both his parents, who were determined not to allow him to follow in the footsteps of his uncle Scott, who had committed suicide in 1971.  Despite his family’s vigilance, along with a new school, new friends and numerous therapy sessions and medication, Evan’s obsession with ending his life proved overwhelming.  His 2005 suicide sent his reeling parents looking for answers from experts, friends and family members, as well as from the reams of video they’d taken of Evan through the years.  BOY INTERRUPTED is a touching documentary showing that even the best defenses – love, vigilance and treatment – cannot always protect those most vulnerable from themselves.

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Sue Scheff: Kids Awareness Series – Anxiety Disorders in Children and Teenagers http://suescheffblog.com/2009/06/sue-scheff-kids-awarness-series-anxiety-disorders-in-children-and-teenagers/ http://suescheffblog.com/2009/06/sue-scheff-kids-awarness-series-anxiety-disorders-in-children-and-teenagers/#comments Mon, 22 Jun 2009 20:50:15 +0000 Sue Scheff http://suescheffblog.com/?p=1583 KidsAwareness Kids Awareness  Series has a variety of excellent parenting articles for children with ADD/ADHD, Anxiety disorders, learning differences and more.  I recently read “Understanding My ADHD” by the founder of Kids Awareness, Kara Tamanini, a therapist and Author.  It is a clear and concise book that children will be able to understand and relate to. Below is one of the articles Kara wrote, and I think many parents will gain from. 

Anxiety Disorders in Children and Teenagers When anxiety is seen in children or teenagers it is the result of excessive worry, whether it is over relationships at home or at school and their anxiety is also related to fears they are experiencing. Children that suffer from anxiety do not feel that they have control over their current situation and their fears are usually irrational; however the fears are very real for the child. A child’s temperament also has a lot to do with anxiety seen in children and there are a variety of different types of anxiety disorders that are seen in a mental health setting.

One type of anxiety disorder that is seen in a very young child is Separation Anxiety Disorder. To have fear or anxiety when a child is separated at a very young age from their parents is absolutely normal. However, when a child’s fears are irrational and their level of anxiety is excessive when they are separated from their parents, this may be separation anxiety. This disorder will usually present itself at a very young age, however to qualify for this diagnosis the symptoms of anxiety persist for a period of at least four weeks.

An anxiety disorder that is seen in children a bit older, approximately between the ages of six to nine years is specific phobias. A specific phobia is the marked or persistent fear that is excessive and unreasonable and the fear or anxiety is cued by the presence of a particular object or situation. Phobias that are very common in children are fear of heights, fear of being in the dark, or dogs or cats, loud noises, or thunderstorms. If the fear is excessive and persists, then professional help is needed. Research has shown that most anxiety disorders that are left untreated during childhood will continue to persist and the symptoms will be exacerbated by adulthood.

Anxiety disorders that are often seen during middle childhood are generalized anxiety disorder, panic disorder, and social anxiety disorder. While panic disorder is not seen as much in teenagers or during adolescence, it is often seen and can be very scary for older children and teenagers. Generalized anxiety disorder (GAD) is a very common anxiety disorder that is seen in children, adolescents, and adults alike. GAD is when a child or teenager has excessive anxiety or worry occurring more than days than not over a period of six months over a number of events. In essence, these children seem to worry about everything and they find it difficult to control their worry symptoms. They also experience a number of physical symptoms such as fatigue, difficulty sleeping, irritability, muscle tension, and they have difficulty relaxing or winding down.

Social anxiety disorder is the persistent fear or one or more social or performance situations in which is a person is exposed to unfamiliar people or to possible scrutiny by others. In children, there must be evidence of the capacity for age-appropriate social relationships with familiar people and the anxiety must occur in peer settings, not just in interactions with adults.

Panic Disorder, whether a child or adolescent experiences the panic attack with or without Agoraphobia, is truly a very scary experience for them. Patients that I have seen over the years describe having a panic attack as the feeling that they are having a heart attack or that they are going to die. A panic attack is defined as a discrete period of intense fear or discomfort, in which four (or more) of the following symptoms developed abruptly and reached a peak within ten minutes. The symptoms of a panic attack are the same whether they are seen in a child or in an adult. They are heart palpitations, feeling dizzy, feeling of choking, trembling or shaking, shortness of breath, sweating, fear of dying, nausea, chest pain, feelings of unreality, chills or hot flashes, numbness or a tingling sensation, and the fear of going crazy.

While this list is not conclusive of all of the anxiety disorders, the preceding anxiety disorders listed are those that are frequently seen in children and adolescence in a mental health setting. While children will experience the symptoms of anxiety in a very similar way as those seen in adult, the way that they handle or cope with the anxiety is very different and adults are often at a loss as to what to do to help their child. First, by understanding what constitutes an anxiety disorder, a parent is able to identify the symptoms and then develop a plan of action to obtain help for their child.

Kara T. Tamanini, M.S., LMHC

Author and Therapist

Founder of Kids Awareness Series

 

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Sue Scheff Parenting, Teens, Diets and DX’s http://suescheffblog.com/2008/12/sue-scheff-parenting-teens-diets-and-dxs/ http://suescheffblog.com/2008/12/sue-scheff-parenting-teens-diets-and-dxs/#comments Fri, 26 Dec 2008 14:52:41 +0000 Sue Scheff http://suescheffblog.com/2008/12/sue-scheff-parenting-teens-diets-and-dxs/ Source: Author Jane Hersey (Why My Child Can’t Behave)

A Message to Our New Leaders
It’s human nature to believe that huge problems need huge,
expensive remedies, but that is often not the case.
Many of the domestic problems facing Americans today have
surprisingly simple, inexpensive, and effective solutions.
The cost of healthcare, for example, is enormous -
not only in terms of money, but also in terms of
human suffering.
Below is a discussion of some inexpensive and simple solutions.

 Depression – What is the cost to an individual and to society? Before it was replaced with the inexpensive generic versions, Prozac typically sold for $247.47 for a bottle of 100. But according to the U.S. Department of Commerce the actual cost of the ingredients used to make it was 11 cents. This translates to a mark-up of 249,973%. (It also helps explain why Big Pharma can afford to pay for three lobbyists for every lawmaker in Washington, DC.)
Contrast the cost of Prozac to a bottle of 100 gelcaps of 2000 mg of vitamin D3, which is an effective treatment for depression. The bottle of vitamins is available for a fraction of that cost, around $7.47. This is $240.00 less than the Prozac. Or compare a bottle of cod liver oil or other omega-3 source, also shown to be an effective treatment for depression. Again, the cost difference is astonishing.
That same inexpensive vitamin, D3, has been found to help protect us against a remarkable assortment of problems, including: asthma, skin disorders, autoimmune disorders, bone loss, muscle weakness (which can lead to falls in the elderly, and the many problems that follow), and cancer. See The Vitamin D Council.
Research shows that omega-3 essential fatty acids (EFAs) and St. John’s wort can also be used to treat moderate depression. And another inexpensive supplement, chromium picolinate, has been shown to be effective for the most common form of depression.
Offices and schools designed to provide natural sunlight have shown that productivity increases and illness is reduced because sunlight enables our bodies to create vitamin D3. The value of exposure to sunlight is another good reason for schools to be sure that recess is a part of the school day.
Drugs and surgery are not always the solutions for our health issues; they are often an acknowledgement that current methods have failed.
New research with animals suggests that the onset of Alzheimer’s disease can be delayed by giving patients vitamin B3. The emotional and monetary costs of addressing Alzheimer’s are staggering. Vitamin B3 can also help patients with a history of heart disease, at a fraction of the cost of statin drugs, and without risky side effects. See Pure Facts, Nov. 2008.
Of course, another way to increase the intake of important vitamins and minerals is to consume a healthier diet. A simple first step is removing the worst of the additives and gradually upgrading one’s food choices; the Feingold Association has been teaching people how to do this for more than three decades.  Education – As with healthcare, the United States leads the world in spending, but trails in results. Most American communities devote the lion’s share of their tax revenue to schools, and for most schools, their largest budgetary item is special education. But some schools in the United States and Europe have shown that an effective way for a school to increase test scores and enhance learning, as well as improve behavior, is to reform their cafeteria.
New York City brought about a dramatic increase in test scores without constructing new buildings, hiring more teachers or reducing classroom size. They made some simple changes in the food served to the children. The savings in special education costs could reduce taxes as well as free up funds to build more schools, reduce class size, hire more teachers, pay them more, etc. In fact, schools can actually serve much healthier, tastier foods in their cafeterias for less than they are now spending. See www.School-Lunch.org.
 Criminal behavior - Because the things we eat affect the way we behave, nutrition can play a key role in preventing antisocial behaviors and in rehabilitating offenders. Drs. Barbara Reed Stitt, Stephen Schoenthaler and Bernard Gesch have all shown how to do this. Simple changes in food and the addition of needed nutrients can help the “starving brains” of people whose antisocial behavior is the result of a diet filled with foodless food.
 ADHD, PDD, OCD, autism, seizures, asthma, ear infections, obesity, diabetes, as well as many other problems that afflict children today have a nutritional component. Removing the worst of the chemicals in their food and adding needed nutrients is a simple first step.
New research shows that the very inexpensive vitamin D3 can provide significant benefits for children on the autism spectrum.
A growing number of parents and professionals have already found effective ways to help these issues. Our government does not need to throw money at these problems, but to take a look at the programs that are already working.
We can bring change!
Improve health care while spending less.
Improve education while spending less.
Improve social problems while spending less.
The Feingold Program has often been called the country’s “best kept secret” by grateful families. Now you can help to see that it no longer remains a secret.

Some Resources:
Feingold Association of the United States – non-profit support group established in 1976 addressing the dietary connection to better behavior, learning and health. www.feingold.org
School-Lunch.org – improving behavior and learning by improving the school food program.
Crime Times publication – a quarterly publication of The Wacker Foundation concentrating on the links between brain dysfunction and disordered/ criminal/ psychopathic behavior.
HRI-Pfeiffer Treatment Center – a not-for-profit medical research and treatment facility specializing in research and treatment of biochemical imbalances.
Autism Research Institute

Developmental Delay Resources – a resource network integrating conventional and alternative approaches for parents and professionals who support children with special needs.
Sensory Processing Disorder (SPD) Foundation
December 21, 2008

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Sue Scheff – Is It More Than ADHD? Diagnosing & Treating Bipolar Disorder http://suescheffblog.com/2008/12/sue-scheff-is-it-more-than-adhd-diagnosing-treating-bipolar-disorder/ http://suescheffblog.com/2008/12/sue-scheff-is-it-more-than-adhd-diagnosing-treating-bipolar-disorder/#comments Sat, 20 Dec 2008 14:53:15 +0000 Sue Scheff http://suescheffblog.com/?p=156 ADD, ADHD, Bipolar, Conduct Disorder, Mood Disorder….. Learn more!

Source: ADDitude Magazine

Symptoms of ADHD and bipolar disorder are often confused—and often coexist in the same person. How to make the distinction, and suggestions for treating bipolar disorder along with ADHD.

It can be difficult enough to obtain a diagnosis of attention deficit disorder (ADD ADHD), but to complicate matters further, ADHD commonly co-exists with other mental and physical disorders. One review of ADHD adults demonstrated that 42 percent had one other major psychiatric disorder. Therefore, the diagnostic question is not “Is it one or the other?” but rather “Is it both?”

Perhaps the most difficult differential diagnosis to make is between ADHD and Bipolar Mood Disorder (BMD), since they share many symptoms, including mood instability, bursts of energy and restlessness, talkativeness, and impatience. It’s estimated that as many as 20 percent of those diagnosed with ADHD also suffer from a mood disorder on the bipolar spectrum — and correct diagnosis is critical in treating bipolar disorder and ADHD together.

ADHD

ADHD is characterized by significantly higher levels of inattention, distractibility, impulsivity, and/or physical restlessness than would be expected in a person of similar age and development. For a diagnosis of ADHD, such symptoms must be consistently present and impairing. ADHD is about 10 times more common than BMD in the general population.

Bipolar Mood Disorder (BMD)

By diagnostic definition, mood disorders are “disorders of the level or intensity of mood in which the mood has taken on a life of its own, separate from the events of a person’s life and outside of [his] conscious will and control.” In people with BMD, intense feelings of happiness or sadness, high energy (called “mania”), or low energy (called “depression”) shift for no apparent reason over a period of days to weeks, and may persist for weeks or months. Commonly, there are periods of months to years during which the individual experiences no impairment.

Making a diagnosis

Because of the many shared characteristics, there is a substantial risk of either a misdiagnosis or a missed diagnosis. Nonetheless, ADHD and BMD can be distinguished from each other on the basis of these six factors:

1. Age of onset: ADHD is a lifelong condition, with symptoms apparent (although not necessarily impairing) by age seven. While we now recognize that children can develop BMD, this is still considered rare. The majority of people who develop BMD have their first episode of affective illness after age 18, with a mean age of 26 years at diagnosis.

2. Consistency of impairment: ADHD is chronic and always present. BMD comes in episodes that alternate with more or less normal mood levels.

3. Mood triggers: People with ADHD are passionate, and have strong emotional reactions to events, or triggers, in their lives. Happy events result in intensely happy, excited moods. Unhappy events — especially the experience of being rejected, criticized, or teased — elicit intensely sad feelings. With BMD, mood shifts come and go without any connection to life events.

4. Rapidity of mood shift: Because ADHD mood shifts are almost always triggered by life events, the shifts feel instantaneous. They are normal moods in every way, except in their intensity. They’re often called “crashes” or “snaps,” because of the sudden onset. By contrast, the untriggered mood shifts of BMD take hours or days to move from one state to another.

5. Duration of moods: Although responses to severe losses and rejections may last weeks, ADHD mood shifts are usually measured in hours. The mood shifts of BMD, by DSM-IV definition, must be sustained for at least two weeks. For instance, to present “rapid-cycling” bipolar disorder, a person needs to experience only four shifts of mood, from high to low or low to high, in a 12-month period. Many people with ADHD experience that many mood shifts in a single day.

6. Family history: Both disorders run in families, but individuals with ADHD almost always have a family tree with multiple cases of ADHD. Those with BMD are likely to have fewer genetic connections.

Treatment of combined ADHD and BMD

Few articles have been published about the treatment of people who have ADHD and BMD. My clinical experience, having seen more than 100 patients with both disorders, shows that coexisting ADHD and BMD can be treated very well. It’s important to always diagnose and treat the BMD first, as ADHD treatment may precipitate mania or otherwise worsen BMD.

Outcomes for my patients treated for both ADHD and BMD have thus far been good. The majority have been able to return to work. Perhaps more importantly, they report that they feel more “normal” in their moods and in their ability to fulfill their roles as spouses, parents, and employees. It is impossible to determine whether these significantly improved outcomes are due to enhanced mood stability, or whether treatment of ADHD makes for better medication compliance. The key lies in the recognition that both diagnoses are present and that the disorders will respond to independent, but coordinated, treatment.

 

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