Eastman. 1 Megan Eastman Dr. Karin Mendoza Intermediate English Composition (ENGL-20 !" 1!

#e$r%ar& 201' G%iding (%estion) *hat are the e++e,ts o+ diagnosing a ,hild -ith $ipolar disorder at a &o%ng age. /n /nnotated 0i$liograph& Critical Preface Mental disorders are among all people in the -orld and ha1e $een $e,oming a h%ge +a,tor in o%r so,iet&. Mental disorders range +rom an2iet& to 3$sessi1e Comp%lsi1e Disorder (3CD" all the -a& %p to s,hizophrenia. *ith the ne- modeled Diagnosti, and 4tatisti,al Man%al o+ Mental Disorders (D4M"5 mental disorders are $eing diagnosed so easil& no- -hi,h ma6es me -onder i+ $eing diagnosed at an earl& age is health& +or the rest o+ a person7s li+e. More spe,i+i,all& I -anted to loo6 into diagnosing $ipolar disorder and i+ diagnosing a ,hild -ith this disorder -ill help them -hen the& get older. 8he main reason I ,hose $ipolar disorder o1er an& other mental disorder is $e,a%se this disorder is $e,oming ,ommon among people and I ha1e had e2perien,e -ith a ,hild that I $elie1ed -as $ipolar. I nann&ed a ,hild -ho had s&mptoms o+ $ipolar disorder and the parent7s did not $elie1e me5 so this topi, hits ,lose to home. 0eing ps&,holog& ma9or5 mental disorders is something I +ind intrig%ing and I ha1e ,ome in ,onta,t -ith a +e- 6ids that I thin6 ha1e this disorder5 so loo6ing into the resear,h -as something I de,ided to do. I ,ond%,ted m& resear,h the middle o+ #e$r%ar& 201' and loo6ed at di++erent t&pes o+ resear,h. I loo6ed into s,holarl& arti,les as -ell as

Eastman. 2 pop%lar arti,les and 9o%rnals as -ell. I ha1e a total n%m$er o+ ten reso%r,es that I ha1e ,ome a,ross. Loo6ing thro%gh all o+ these resear,h arti,les has helped me $ase m& de,ision on -eather diagnosing a ,hild -ith $ipolar disorder at an earl& age is $ene+i,ial or not. /nnotated 0i$liograph& Bipolar Disorders In Children Pediatrics Information. :ealthMedi,alIn+o5 201;. #ilm. < Mar 201'. =http)>>---.&o%t%$e.,om>-at,h.1?11@h'$szC@-A. In this &o%t%$e 1ideo5 Dr. 0en Danileson o+ 4eattleBs ChildrenBs :ospital tal6s a$o%t the main topi,s o+ $ipolar disorder and one topi, he spea6s a$o%t is the iss%es -ith diagnosing ,hildren -ith $ipolar disorder $e,a%se the& ma& $e misdiagnosed. :e mentions that sometimes pediatri,ians 9%mp to o1er diagnosing a ,hild and p%tting them right on medi,ation -hen in realit& the& ma& not need it. I thin6 this 1ideo -as $ene+i,ial $e,a%se it does mention the negati1e e++e,ts and the positi1e e++e,ts o+ diagnosing at a &o%ng age and is not 9%st stri,tl& &es or not.

0ro-n5 Kathr&n. C8he medi,ation merr&-go-ro%nd) -ith more ,hildren than e1er ta6ing ps&,hiatri, dr%gs5 resear,hers +ind the s,ienti+i, D%estions hard to s-allo-. (Ne-s #o,%s".E Science 2!!.F<1; (200;") 1<'<G. Opposing Viewpoints in Context. *e$. 1! #e$. 201'. 8his 9o%rnal arti,le starts o%t tal6ing a$o%t a ,hild -ho has $een on medi,ation +or < &ears and he sa&s he is on medi,ation merr& go ro%nd. :e is $eing treated -ith $ipolar disorder as -ell as mani, depression and is on a total o+ 20 di++erent medi,ations. 8he real D%estion is5 ,an this $e health& and is the medi,ine reall&

Eastman. ; -or6ing. Most medi,ations that are treated +or s,hizophrenia and di++erent disorders ha1e not $een tested on 6ids and are gi1en the same amo%nt or e1en more than ad%lts. Can this $e a health& thing to do to a ,hild that alread& has a mental disorder. 8his arti,le tal6s a$o%t the %n,ertaint& in medi,ations and -hat to do ne2t. Chang5 Ki6i D. HDiagnosing 0ipolar Disorder in Children and /doles,ents.H The Journal of Clinical Ps chiatr I0.11 (200!") E'1. Jrint. 8his s,holarl& 9o%rnal arti,le tal6s a$o%t the pro$lems -ith diagnosing and treating a ,hild -ith $ipolar disorder $e,a%se the& are pres,ri$ing the same medi,ine and ,riteria +or ad%lts as -ell as ,hildren. 8his ,o%ld $e a pro$lem d%e t o the +a,t that ,hildren ha1e higher meta$olism than ad%lts and less $od& +at res%lting in iss%es -ith ta6ing the same medi,ine as ea,h other. 8his -ill help me -ith thin6ing a$o%t -hi,h side I agree -ith5 meaning diagnosing a ,hild at a &o%ng age or not. #erg%son-No&es5 Nan,&5 NJ. H0ipolar Disorder in Children.H Bipolar Disorder in Children 1;.; (200F") ;F . !d"ance #ealthcare $etwor%. *e$. 8his arti,le is more li6e an in+ormational arti,le instead o+ a resear,h arti,le and I li6ed loo6ing into this $e,a%se it ga1e more eas& in+ormation to %nderstand. It reminded me o+ a pop%lar reso%r,e instead o+ a s,holarl& one. 8his 9o%rnal arti,le tal6s a$o%t ho- $ipolar disorder ,an $e missed treated +or /D:D as -ell as other mood disorders. It also tal6s a$o%t ho- ,hildren -ho ha1e $een diagnosed at the &o%ng age ha1e more o+ a ,han,e o+ s%i,ide as the& get older -hi,h is a s,ar& tho%ght. 8he li+etime pre1alen,e rate o+ s%i,ide in people -ith $ipolar disorder is

Eastman. ' 2 K and he li+etime ris6 o+ ma6ing at least one s%i,ide attempt is $et-een 2F and F0K. 8his is a s,ar& tho%ght -hen thin6ing a$o%t p%tting &o%r ,hild on medi,ation +or a disease that is so %npredi,ta$le. Egger5 :elen Lin65 and /drian /ngold. HCommon Emotional and 0eha1ioral Disorders in Jres,hool Children) Jresentation5 Nosolog&5 and Epidemiolog&.H Journal of Child Ps cholog and Ps chiatr 'I.;-' (200<") ;1;-;I. Jrint Loo6ing at this arti,le5 I noti,ed it had to do -ith anal&zing -ith F di++erent disorders in,l%ding /D:D. :&pera,ti1it& disorders5 an2iet& disorders and others and re1ie-ed ho- the& a,ted ,ompared to the normal ,hildren so to spea6. 8he& loo6ed at ho- the& a,ted and then loo6ed at them later in li+e and the res%lts -ere sho-n that the& -ere D%ite the same on ho- the& a,ted. 8his -as more o+ a $eha1ioral o$ser1ation than it -as medi,ine and I li6ed learning a$o%t that. 4ometimes it is not all a$o%t the treatment $%t reall& the diagnosis and ho- the ,hildren a,ted to get diagnosed. Espinosa5 Mia,hel5 Leila 0e,6-ith5 L%d& :o-ard5 Ma,helle 8&ler5 and Krista 4-anson. HMaternal Js&,hopatholog& and /tta,hment in 8oddlers o+ :ea1& Co,aine Nsing Mothers.H I$fant &ental #ealth Jounral 22.; (2001") ;1<-;;. *e$. 8his is the last arti,le I +o%nd and it got harder and harder to not +ind the same arti,les doing the same resear,h. 8his resear,h -as o1er ho- ,o,aine addi,ted mothers ,an res%lt in ha1ing ,hildren -ith $ipolar disorder. E1en tho%gh it does not dire,tl& related -ith diagnosing the disorder and i+ it is good or $ad5 it gi1es me more $a,6gro%nd in+ormation on ho- $ipolard disorder ,an e1en ,ome a$o%t

Eastman. F In a ,hild. 8o-ards the end o+ resear,hing5 there is onl& so m%,h &o% ,an +ind $e,a%se most resear,hers ha1e the same o%tloo6 on this iss%e. :amrin5 Oan&a5 MN5 and Mar&ellen Ja,hler5 MN. HJediatri, 0ipolar Disorder) E1iden,e0ased Js&,hopharma,ologi,al 8reatments.H Journal of Child and !dolescent Ps chiatric $ursing 20.1 (200I") '0-F . *e$. 8his arti,le tal6s a$o%t ho- it is ne,essar& to s,reen &o%th +or mood disorders in e1er& diagnosti, treatment the& ha1e. 8here are so man& di++erent t&pe o+ mood disorders and s&mptoms that a lot o+ ,hildren get diagnosed -ith more than one disorder and ha1e to ta6e mood sta$lizers -hi,h ,an hold promising res%lts +or &o%nger ,hildren a,,ording to this arti,le.

Jost5 Mo$ert M.5 Ga$riele 4. Le1eri,h5 G%oDiang Ping5 and 4%san M. 0. *eiss. HDe1elopmental O%lnera$ilities to the 3nset and Co%rse o+ 0ipolar Disorder.H De"elopment and Ps chopatholog 1;.; (2001") F 1-! . Jrint. I en9o&ed reading this arti,le $e,a%se it tal6s a$o%t the so%r,e o+ $ipolar disorder and ho- the ,hild gets it in the +irst pla,e. I thin6 this gi1es me a little more $a,6gro%nd on -hat I am resear,hing so I 6no- e1er& aspe,t o+ -hat to loo6 +or. 8iming and stress -hile preganant as -ell as i+ the mother had $ipolar disorder reall& determines i+ the ,hild -ill most lie6l& ha1e it. E1en tho%gh this did not ,o1er -h& diagnosing a ,hild at an earl& age is good or $ad5 it gi1es me a little $it o+ in+ormation that I thin6 -as ne,eassar&. 'aising Sadie( m )ipolar child. Great4,hools.in,5 201;. #ilm. < Mar 201'. =http)>>---.&o%t%$e.,om>-at,h.1?22K1;#-MhNMA.

Eastman. < 8his &o%t%$e 1ideo reall& opened m& e&es on the e2perien,es o+ $ipolar disorder and hothe ,hild a,ts. In this 1ideo5 4adie is a ; &ear old ,hild -ho -o%ld thro- +its and $e happ& one min%te and +%ming the ne2t. 4he -o%ld tal6 a$o%t not -anting to $e the earth5 -hi,h made her mother realize that something -as -rong. E1en her pres,hool s%ggested a ps&,hiatri, test +or 4adie and she -as onl& ; &ears old. /+ter the testing -as done5 4adie -as diagnosed -ith $ipolar disorder and it -as a relie+ to p%t a name to the disorder that -as ,a%sing 4adie so m%,h stress.

HMes%lt #ilters.H $ational Center for Biotechnolog Information. N.4. National Li$rar& o+ Medi,ine5 n.d. *e$. 1! #e$. 201'. 8his is a -e$site I +o%nd that had a 9o%rnal arti,le atta,hed $%t did not sho- the +%ll arti,le. I 6ept reading $e,a%se it ,a%ght m& e&e a$o%t /D:D and $ipolar disorer. 8his states that there are t-o ma9or di++i,%lties -ith diagnosing ,hildren -ith $ipolar disorder and (1" its o1erlap -ith attention-de+i,it>h&pera,ti1it& disorder and (2" its de1elopmentall& distin,t presentation +rom that in ad%lts5 -hi,h high rates i+ irrita$lit&5 ,hroni,all& and mi2ed states. 8his laid the $ipolar iss%e all on the line stating the t-o main reasons that diagnosing this at an earl& age is hard. I thin6 this -as help+%l $e,a%se no- I ,an $o%n,e o++ o+ this and loo6 into the similarities o+ $ipolar disorder and /D:D i+ I -anted more in+ormation. *agner5 K. D.5 M. /. Ko-at,h5 G. L. Emslie5 M. L. #indling5 8. E. *ilens5 K. M,,ag%e5 L. DBso%za5 /. *amil5 M. 0. Lehman5 D. 0er15 and D. Linden. H/ Do%$le-0lind5 Mandomized5 Jla,e$o-Controlled 8rial o+ 32,ar$azepine in the

Eastman. I 8reatment o+ 0ipolar Disorder in Children and /doles,ents.H !merican Journal of Ps chiatr 1<;.I (200<") 11I!-1 <. Jrint. 8his arti,le is di++erent +rom the rest I ha1e $een sear,hing +or $e,a%se this tal6s a$o%t a spe,i+i, medi,ine ,alled o2,ar$azepine that -as tested on ,hildren -ith mani, and $ipolar disorder. It -as tested -ith a pla,e$o dr%g5 meaning the dr%g had no e++e,t5 li6e a -ater pill and the res%lts -ere no di++erent +rom ea,h other. 8he reason I ,hose an arti,le li6e this to loo6 %p is $e1a%se it sho-s that this spe,i+i, pill that a ,hild ma& ta6e5 is o$1io%sl& not -or6ing at all. 8his ,o%ld also $e sho-n that the medi,ine the ,hildren are ta6ing are 9%st h%rting them instead o+ helping them. What I Learned /+ter reading all the arti,les a$o%t diagnosing $ipolar disorder at a &o%ng age I ha1e di++erent opinions +rom -hen I started. *hen I started o%t I tho%ght diagnosing at a &o%ng age -as o$1io%sl& a good thing to do $e,a%se then the ,hild -ill ha1e their disorder +ig%red o%t $%t a+ter reading some o+ the arti,les I thin6 that ma&$e diagnosing so &o%ng is a $ad thing. Di++erent do,tors ha1e their di++erent opinions and the& all ma6e 1alid points so it is hard to ,ome %p -ith a ,on,l%sion. Diagnosing $ipolar disorder earl& ,an ,a%se depression at an older age as -ell as ta6ing medi,ine that is not s%ited +or ,hildren ,an lead into iss%es as -ell. What To Do Next I thin6 I need to loo6 into more details on -h& diagnosing is s%,h a $ad thing. I thin6 I also need to loo6 at more 1ideos and real li+e sit%ations so I ,an reall& %nderstand the o%t,ome -ith diagnosing at a &o%ng age and see -hat the& are li6e later in li+e. /+ter

Eastman. reading these arti,les I 6no- no- to 6eep sear,hing more in depth instead o+ s6imming the arti,les $e,a%se I +eel li6e there is no right ans-er to this iss%e. Jeople are going to ha1e their opinions and I ha1e to resear,h more and see -hat I thin6 is the right thing to do.