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Mitzi Waltz - Bipolar disorders: a guide to helping children & adolescents

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Page iii
Bipolar Disorders
A Guide to Helping Children & Adolescents
Mitzi Waltz
Bipolar disorders a guide to helping children adolescents - image 2
BeijingCambridgeFarnhamKolnParisSebastopolTaipeiTokyo
Page iv
Bipolar Disorders: A Guide to Helping Children and Adolescents
by Mitzi Waltz
Copyright 2000 Mitzi Waltz. All rights reserved.
Printed in the United States of America.
Published by O'Reilly & Associates, Inc., 101 Morris Street, Sebastopol, CA 95472.
Editor: Linda Lamb
Production Editor: Sarah Jane Shangraw
Cover Design: Edie Freedman
Printing History:
Picture 3
January 2000: First Edition
The O'Reilly logo is a registered trademark of O'Reilly & Associates, Inc. Many of the designations used by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book, and O'Reilly & Associates, Inc. was aware of a trademark claim, the designations have been printed in caps or initial caps.
This book is meant to educate and should not be used as an alternative for professional medical care. Although we have exerted every effort to ensure that the information presented is accurate at the time of publication, there is no guarantee that this information will remain current over time. Appropriate medical professionals should be consulted before adopting any procedures or treatments discussed in this book.
Library of Congress Cataloging-in-Publication Data:
Waltz, Mitzi.
Bipolar disorders : a guide to helping children and adolescents / Mitzi Waltz--1st ed.
p. cm.
Includes bibliographical references and index.
ISBN 1-56592-656-0 (pbk. : acid-free paper)
1. Depression in children. 2. Depression in adolescence. 3. Manic-depressive illness in children. 4. Manic-depressive illness in adolescence. 5. Adolescent psychopathology. I. Title.
RJ506.D4 W35 2000
618.92'895--dc21
99-056646
[M]
Page v
For Carmen
Page vii
Table of Contents
Preface
ix
1. What Are Bipolar Disorders?
1
2. Getting a Diagnosis
31
3. Living with Bipolar Disorders
66
4. Medical Interventions
115
5. Therapeutic Interventions
206
6. Other Interventions
234
7. Insurance
278
8. School
316
9. Transitions
372
Resources
389
Notes
423
Index
427

Page ix
Preface
There are two sides to every story, and the tale of my daughter's experience with childhood-onset bipolar disorder is no exception. The difference in age, experience, priorities, and perceptions between child and parent can create two very different versions of the same events.
Carmen knew at a very young age that her brain worked differentlyand I did not. She sometimes saw things that weren't there and was afraid. As a young single mother, I dismissed her hallucinations as bad dreams, wiped away her tears, soothed over her moods, and relished her joy for life. She was a lovable, bright, pretty girl with a passionate disposition that seemed no more important a quirk than her enthusiasm for the Barbies and girlish clothes I had disdained in my tomboy childhood. That was just Carmen:
quick to laugh, quick to cry, always dramatic, curious, and on the move.
A neurological difference becomes a neurological disorder gradually. It can happen so quietly that parents are shocked when difficult symptoms emerge, even though problems have been bubbling under the surface for years. As Carmen came closer to puberty, others were quicker to notice than I. A concerned fifth-grade teacher thought an alternative school known for its creative bent might be a better fit than our neighborhood elementary, so we transferred her. Carmen's new stepfather raged over her sassy, smart-mouth attitude and bouts of tears, so we sought marriage counseling. At her new school, reports of misbehavior filtered homefighting, moodiness, crying, oppositional behavior in the classroom, rumors of an eating disorderso we stuck up for our daughter, angry that the school blamed our parenting skills and stepfamily blending problems.
But as such things progress, there comes a time when you can no longer deny that something is wrong. Perhaps you are at that stage right now: your child has just been diagnosed with a bipolar disorder, or you fear that he or she will be. Perhaps you're a professional who works with children and teens
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