Sue Scheff: “Boy Interrupted” Documentary About Bipolar and Teens Today

by Sue Scheff on Jul 16, 2009


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

by Sue Scheff on Jun 22, 2009


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

www.KidsAwarenessSeries.com

 

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Sue Scheff: Teen Intervention

by Sue Scheff on Feb 06, 2009


Are you struggling with debating whether you need to look for outside help with your troubled teenager?

Are you ready to make some very difficult decisions?  Are you at your wit’s end?

Do you believe you need teen intervention from outside resources? Struggling financially and emotionally with this decision?

Are you willing to share your story on TV?  This is not about exploiting your family, but helping others that are silently suffering and not realizing they are not alone as well as giving your teen a second opportunity at a bright future.  Most remember Brat Camp – this is a bit different.  Starting with educating parents about the first steps in getting your teen help - determination and transportation.

If you are interested in participating, read below and contact Bud and Evan directly.  

Brentwood Communications International is an award-winning television production company in Los Angeles, California.  We have recently begun work on a new television series about the real life work of interventionist / transporter Evan James Malmuth of Universal Intervention Services (“UIS”).

 

If you would be willing to allow us to film your case / intervention for the television series, Evan Malmuth and Universal Intervention Services will provide intervention / transportation services at no charge to you.  In addition, we will negotiate at least one month of treatment services at a qualified treatment center at no charge with the purchase of at least two additional months of treatment at pre-negotiated discount rates.  At the current rate of these services, this represents thousands of dollars in savings.

 

BCII and Evan Malmuth are not interested in making exploitative reality television.  We are committed to helping you and your family and improving lives through the media. 

 

If you are interested in participating in the show and using the services of Evan Malmuth and UIS, please contact us right away.  Every day counts.

 

Email:  tvhelp@bciitv.com

Phone: 818-333-3685

 

 

With best regards,

 

Bud Brutsman                                                            Evan James Malmuth

CEO                                                                              CEO

Brentwood Communications Intl., Inc.                       Universal Intervention Services

 

  

Brentwood Communications International, Inc.

3500 N. San Fernando Blvd., Burbank, CA 91505

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Sue Scheff – ADHD and ODD: Parenting The Defiant Teen

by Sue Scheff on Jan 07, 2009


As a mom of an ADHD son, I remember the adolescent years – they were not always the easiest.  ADDitude Magazine has some great parenting tips, ideas and answers to help parents today.  Years ago I don’t recall as much information was available to us. 
Source: ADDitude Magazine
ADHD behavior issues often partner with oppositional defiant disorder (ODD) — making discipline a challenge. Try these strategies for parents of ADD kids.
Every parent of a child with attention deficit disorder knows what it’s like to deal with ADHD behavior problems — sometimes a child lashes out or refuses to comply with even the most benign request. But about half of all parents who have children with live with severe behavior problems and discipline challenges on an almost daily basis.

That’s because 40 percent of children with ADHD also develop oppositional defiant disorder, a condition marked by chronic aggression, frequent outbursts, and a tendency to argue, ignore requests, and engage in intentionally annoying behavior.

How bad can it get? Consider these real-life children diagnosed with both ADHD and ODD:

  • A 4-year-old who gleefully annoys her parents by blasting the TV at top volume as soon she wakes up.
  • A 7-year-old who shouts “No” to every request and who showers his parents with verbal abuse.
  • An 11-year-old who punches a hole in the wall and then physically assaults his mother.

“I call them tiny terrors,” says Douglas Riley, Ph.D., author of The Defiant Child and a child psychologist in Newport News, Virginia. “These children are most comfortable when they’re in the middle of a conflict. As soon as you begin arguing with them, you’re on their turf. They keep throwing out the bait, and their parents keep taking it — until finally the parents end up with the kid in family therapy, wondering where they’ve gone wrong.”

The strain of dealing with an oppositional child affects the entire family. The toll on the marital relationship can be especially severe. In part, this is because friends and relatives tend to blame the behavior on ‘bad parenting.’ Inconsistent discipline may play a role in the development of ODD, but is rarely the sole cause. The unfortunate reality is that discipline strategies that work with normal children simply don’t work with ODD kids.

Fortunately, psychologists have developed effective behavior therapy for reining in even the most defiant child. It’s not always easy, but it can be done — typically with the help of specialized psychotherapy.

Looking for links

No one knows why so many kids with ADHD exhibit oppositional behavior. In many cases, however, oppositional behavior seems to be a manifestation of ADHD-related impulsivity.

“Many ADHD kids who are diagnosed with ODD are really showing oppositional characteristics by default,” says Houston-based child psychologist Carol Brady, Ph.D. “They misbehave not because they’re intentionally oppositional, but because they can’t control their impulses.”

Another view is that oppositional behavior is simply a way for kids to cope with the frustration and emotional pain associated with having ADHD.

“When under stress — whether it’s because they have ADHD or their parents are getting divorced — a certain percentage of kids externalize the anxiety and depression they’re feeling,” says Larry Silver, M.D., a psychiatrist at Georgetown University Medical School in Washington, D.C. “Everything becomes everyone else’s fault, and the child doesn’t take responsibility for anything that goes wrong.”

Riley agrees. “Children with ADHD know from a young age that they’re different from other kids,” he says. “They see themselves as getting in more trouble, and in some cases may have more difficulty mastering academic work — often despite an above-average intellect. So instead of feeling stupid, their defense is to feel cool. They hone their oppositional attitude.”

About half of all preschoolers diagnosed with ODD outgrow the problem by age 8. Older kids with ODD are less likely to outgrow it. And left untreated, oppositional behavior can evolve into conduct disorder, an even more serious behavioral problem marked by physical violence, stealing, running away from home, fire-setting, and other highly destructive and often illegal behaviors.

Getting treatment

Any child with ADHD who exhibits signs of oppositional behavior needs appropriate treatment. The first step is to make sure that the child’s ADHD is under control. “Since oppositional behavior is often related to stress,” says Silver, “you have to address the source of the stress — the ADHD symptoms — before turning to behavioral issues.”

Says Riley, “If a kid is so impulsive or distracted that he can’t focus on the therapies we use to treat oppositional behavior,” he says, “he isn’t going to get very far. And for many ADHD kids with oppositional behavior, the stimulant medications are a kind of miracle. A lot of the bad behavior simply drops off.”

But ADHD medication is seldom all that’s needed to control oppositional behavior. If a child exhibits only mild or infrequent oppositional behavior, do-it-yourself behavior-modification techniques (see Getting Your Child to Behave) may well do the trick. But if the oppositional behavior is severe enough to disrupt life at home or school, it’s best to consult a family therapist trained in childhood behavioral problems.

Continue reading this article…

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Sue Scheff – The Secret Life of Kids (Parenting) – What Your Kids are Doing Shouldn’t Be a Mystery

by Sue Scheff on Dec 28, 2008


Offered by Connect with Kids

Who’s pressuring your kids? Who’s offering them alcohol or drugs? Who’s talking to them on the Internet? Whether we’re teachers, parents, counselors…sometimes we just don’t know what’s really going on in a child’s life. If you want to talk to your kids about the challenges they face, but aren’t sure what to say, our programs will help…with real kids sharing their true stories, and advice from experts, educators and parents who have “been there.”

The Secret Life of Kids is a series of award-winning programs giving you an inside look at the pressures children face. Learning and talking with children about these issues is one of the best ways we can help keep them safe. These 30-minute programs are not only educational, they also offer a springboard for discussion — instead of talking “at” your child, you can discuss what you’ve just seen together. Along with this four-program set covering important, real-life issues, you’ll also receive the four accompanying resource guides FREE along with a FREE copy of the show you just watched, Against All Odds. Don’t let your child’s life remain a mystery — let us help you protect them. Order this unique program series now!

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Sue Scheff – Is It More Than ADHD? Diagnosing & Treating Bipolar Disorder

by Sue Scheff on Dec 20, 2008


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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