- Series: Childhood in America
- Hardcover: 184 pages
- Publisher: Praeger; 1 edition (March 3, 2011)
- Language: English
- ISBN-10: 0313381348
- ISBN-13: 978-0313381348
- Product Dimensions: 6.1 x 0.5 x 9.2 inches
- Shipping Weight: 1 pounds (View shipping rates and policies)
- Average Customer Review: 15 customer reviews
- Amazon Best Sellers Rank: #1,440,398 in Books (See Top 100 in Books)
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Your Child Does Not Have Bipolar Disorder: How Bad Science and Good Public Relations Created the Diagnosis (Childhood in America) 1st Edition
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. Dr. Kaplan's book is an essential guide for clinicians and parents for understanding, diagnosing, and treating what is often mistakenly referred to as pediatric bipolar disorder.
--Susan D. Mayes, Ph.D., Chief Clinical Psychologist and Professor of Psychiatry, Penn State College of Me
I'm glad there's a book out there for parents who want to dispute the bipolar diagnosis-there are certainly enough on the other side. Lawrence Diller, M.D. Developmental Pediatrician and author of Running on Ritalin, Remembering Ritalin and others.
Kaplan's contrarian perspective would be mainstream in Australasian or European psychiatry, where pre-pubertal cases of bipolar disorder are still considered extremely rare. ...this scholarly yet fast paced read has a place on ... bookshelves. Dr. Peter Parry, consultant child psychiatrist, Aus. Australasian Psychiatry, Vol 19, October 2011
"With his carefully crafted examination of the lack of a substantial basis for the existence of Bipolar Disorder in prepubescent children, Kaplan throws down the gauntlet to the media, the pharmaceutical companies hawking drugs to 'stabilize moods' and the researchers who have 'invented' this condition. Parents reading this book should be assured that their preadolescent child does not have bipolar disorder, and Kaplan not only describes some of the sources of the worrisome behaviors of aggression, anger, hyperactivity, mood swings, and difficulties negotiating the social and educational demands of childhood, but also strongly endorses effective treatments, including medication, behavioral interventions, and family support." (Lee Combrinck-Graham, MD, Associate Clinical Professor, Yale Child Study Center)
"At last there is a book that clinicians can refer parents for an alternative view of the 'bipolar child.' Dr. Kaplan has tackled a highly controversial topic area and with his significant experience and familiarity with the relevant research literature has crafted a work that provides parents a guide to better understand the symptoms, classification, and treatment of the child with severe mood dysregulation and problematic, highly labile behavior. The author has not disguised his own views but does provide both sides of the bipolar disorder diagnosis and its treatment in grade-school children. This is done in an easily led, almost chatty manner for parents and those caring for this very difficult pediatric population. The book should be of value to primary care physicians and related health sector and school personnel and parents of these children." (Theodore A. Petti, MD, MPH, Professor of Psychiatry and Director of Child and Adolescent Psychiatry, Robert Wood Johnson Medical School – University of Medicine and Dentistry of New Jersey)
"Your Child is Not Bipolar presents in clear prose a very well-informed, solidly argued expose of a current, highly problematic, and misleading psychiatric diagnosis in children. The author is a seasoned clinician, researcher and academic who is passionate about improving diagnostic accuracy in the field." (Daniel Safer, MD, Associate Professor, Departments of Psychiatry and Pediatrics, Johns Hopkins University School of Medicine)
"Stuart Kaplan has written a brilliant, scholarly, and long overdue book providing compelling evidence that what is often diagnosed as pediatric bipolar disorder is not true bipolar disorder. In over 30 years of clinical practice, I have seen many children considered to have pediatric bipolar disorder and have yet to meet one whose symptoms are not better explained by combined ADHD and ODD, consistent with Dr. Kaplan's contention. He eloquently interweaves clinical case examples with research evidence producing a convincing argument against pediatric bipolar disorder. His book is an essential guide for clinicians and parents for understanding, diagnosing, and treating what is often mistakenly referred to as pediatric bipolar disorder." (Susan D. Mayes, PhD, Chief Clinical Psychologist and Professor of Psychiatry, Penn State College of Medicine)
"Dr. Kaplan's book carries an extremely important message to parents, one that could change the course of your child's health and well-being. These psychotropic medications which are given so freely to every misbehaving child who has been wrongly labeled bipolar, have serious side effects and consequences, some of which cannot be reversed. Before you jump to the conclusion that your child has bipolar disorder, you owe it to your child to read this book. You could be saving your child's future and maybe his life." (Elizabeth J. Roberts, MD, Child and Adolescent Psychiatrist; Author of Should You Medicate Your Child's Mind?)
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Thomas McKnight, Ph.D., ABPP
Having said that: I agree that giving stimulants to all children is a mistake. I suspect with future genomic studies we will be able to test and tell which children may benefit and who won't - and probably determine many other medical conditions patients are at risk for developing. Perhaps in the near future we will be able to prevent patients from even having a first mania... pre-treat hypertension, cancer, cystic fibrosis, bipolar, depression, etc...
But one thing is certain: Statements that contain 'all or none' or 'black and white' thinking can lead to misdiagnosis... there will always be shades of grey. How you label 'grey' is irrelevant - but please recognize it exists... and in an all white world, you just might not see grey or black because you are not looking.
Dr. Kaplan is very thorough with his evidence of studies as he presents his argument against childhood bipolar disorder. He does not leave anything out of his opinions and professionally presents the reasons why diagnosis of this disorder greatly expanded in the last two decades. He effectively presents an alternative diagnosis, gives specific examples, and suggests treatment for them. He also suggests why some parents do not want to treat ADHD with pharmaceuticals and how this affects their children. He describes the similar symptoms of different diagnoses and conditions and gives examples of his own specific treatments for each in the ending chapters.
Dr. Kaplan's credentials, professor of psychiatry at Penn State College of Medicine, has board certification in child and adolescent psychiatry, allowing him to challenge popular views of pediatric bipolar disorder and guide parents to understand diagnoses of mood disorders and aggressive behaviors. Many parents, teachers, and therapists seem to want a quick, catchall group with which to categorize children with bad behaviors, and Dr. Kaplan explains the effect this has on untreated or wrongly diagnosed children. He challenges leading mental health therapists and backs his evidence with a convincing presentation of facts and figures that are given to the public. Your Child Does Not Have Bipolar Disorder informed me about other mental health conditions in addition to bipolar disorder, specifically, oppositional defiant disorder, attention deficit hyperactivity disorder, and adult bipolar disorder. This is an excellent learning book. Dr. Kaplan also explains how these conditions are defined and explained in the DSM-IV. He says that many studies group children and adolescents together; this affects statistics that the public sees.
Chapter one describes adult bipolar disorder and the DSM System of diagnostics. Chapter two describes pediatric bipolar disorder in depth and explains the difference between it and the two conditions it is most commonly confused with, ADHD and ODD. Chapter three reviews studies and causes of pediatric bipolar disorder that support Dr. Kaplan's assertion that bipolar disorder is not present in children under 12 years of age. Chapter four explains the how cultures influence shape mental illness, how the media and professionals have supported the diagnosis of pediatric bipolar disorder, and the consequences of misdiagnosis on children. Chapter five introduces child and adolescent depression, its symptoms, and coexistence with other disorders, while chapter six acknowledges the existence of adolescent bipolar disorder along with its misdiagnosis.
Part two of the book discusses the merits of three medications for bipolar disorder, slanted clinical trials, and how they contribute to public misinformation and diagnostic errors. Dr. Kaplan discusses stimulant medications used to treat ADHD, the Multimodal Treatment of ADHD study undertaken in the later 1990s, and its findings. I understood that he felt that ADHD was the main condition that is mistaken for pediatric bipolar disorder. Dr. Kaplan is very much in favor of treating ADHD with stimulants because of the improvement in behavior and life circumstances that children enjoy with a correct diagnosis and treatment.
Dr. Kaplan ended the book with, what I thought, was the best part: treatment advice for parents. This came from his own practice and included thoughts on stimulant and antipsychotic medications. He outlines the four stages of his Family Based Behavior Modification Program for Oppositional Children and explains family dynamic considerations and the therapist's role in supportive family therapy.
Your Child Does Not Have Bipolar Disorder: How Bad Science and Good Public Relations Created the Diagnosis (Childhood in America)