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by Gianni L. Faedda
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Bipolar Kids: Helping Your Child Find Calm in the Mood Storm by Rosalie Greenberg |
The Ups and Downs of Raising a Bipolar Child: A Survival Guide for Parents by Judith Lederman |
by Mani Pavuluri MD PhD
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by George T. Lynn
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The Psychiatric Times review, reviewed by Amy E. West, PhD, May 1st, 2007
Childhood bipolar disorder is a devastating illness that affects emotional, social, and cognitive development. In recent years, increased attention devoted to the study of bipolar disorder in childhood has resulted in greater information regarding the cause, phenomenology, and treatment of the disorder. However, despite improved understanding and awareness, the diagnosis of bipolar disorder in children is still plagued by confusion and misunderstanding because of the complex and diverse presentations of the condition, difficulties in diagnosis, and overlap with other disorders.
The aim of Understanding the Mind of Your Bipolar Child is to provide a comprehensive overview of bipolar disorder in childhood, including diagnosis, developmental issues, common co-occurring disorders, and treatment options. What is most unique about this book, in comparison with others that discuss diagnostic issues and treatments, is that it focuses on considering bipolar disorder within a developmental framework, informed mostly by psychodynamic principles. The emphasis on development leaves the reader with a comprehensive and integrated notion of how symptoms of bipolar disorder interact dynamically with other personal characteristics and contextual variables of the child in affecting his or her developmental trajectory.
The book is divided into 3 parts: "Diagnosis," "Development," and "Treatment." Part I focuses on the complexities of diagnosing bipolar disorder in children. The author outlines clearly the types of symptoms that suggest a bipolar spectrum disorder and then discusses the different types of bipolar disorder. A strength of this section is the attention paid to the complications encountered when diagnosing bipolar disorder, including different sources of information, the varying spectrum of the disorder, the varying age at onset, and overlapping conditions.
Part II, the longest and most involved section, undertakes a comprehensive exploration of bipolar disorder within the developmental context of the individual child. This section is organized into the developmental periods of infancy, toddlerhood, school age, preadolescence, early adolescence, adolescence, and late adolescence. For each stage, the important developmental milestones that are optimally achieved are discussed, as well as crucial transitions that the child must negotiate during each stage.
The author impressively integrates information about normative development, individual differences, interpersonal relationships, and identity issues into a fluid and thoughtful account of the development of a bipolar spectrum illness over the course of childhood and adolescence. Concepts are illustrated using detailed case examples and formulations that help the reader integrate and consolidate the information presented. Part II concludes with a detailed explanation of disorders that commonly accompany bipolar disorder and how the co-occurrence may affect development, prognosis, and treatment.
Part III discusses the various treatment options available to children with bipolar disorder and their families. Different kinds of providers are discussed, as well as the types of therapy (individual, group, and family) that are used and how these therapies work to alleviate the suffering of children with bipolar disorder and their families.
This book is highly recommended as an excellent resource for parents of patients and for health care professionals who work with children and families affected by bipolar disorder. In particular, the book will benefit those who want to understand the disorder's emergence within a comprehensive developmental framework.
Help and hope for parents of children who suffer from this prevalent and puzzling disorder
Bipolar disorder has an impact not only on children’s mood and behavior but on the way they experience the world, and consequently on the way they think. The intensity with which a bipolar child perceives things can be the source of creativity and talent, but it can also be a source of confusion and disorganization. If parents can understand the effects of bipolar disorder on their child, they can help him or her to better navigate school, friendships, and family relationships.
Dr. Lombardo provides comprehensive information on:
Professional diagnosis
Developmental issues
Disorders that go hand-in-hand with bipolar, including ADHD and oppositional defiant disorder
Effective treatment – including psychotherapy and medication
Understanding the Mind of the Bipolar Child is essential reading for all parents who want to better understand their child and provide support every step of the way.
Gregory T. Lombardo, M.D., Ph.D., is board certified in adult psychiatry, as well as in child and adolescent psychiatry, and is a diplomate of the American Society of Clinical Psychopharmacology. He is highly trained and experienced in the treatment of children with bipolar disorder. His practice includes biological diagnosis, clinical psychopharmacology, and psychotherapeutic techniques. He also collaborates closely with psychologists and other therapists in the treatment on children with this disorder. Additionally, he has a background in teaching and writing literature at the college and secondary-school level.
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