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Bipolar
Disorder (also known as manic-depression), refers to episodes
of mania (or hypomania or mixed states) alternating with clinical
depression that typically recur and become more frequent over
a significant period of time.
However children
with bipolar disorder do not often meet the strict DSM-IV definition.
Children with bipolar disorder tend to have rapid-cycling
or mixed-cycling. Rapid cycling occurs when the cycles between
depression and mania occur quickly, sometimes within the same
day or the same hour. When the symptoms of both mania and depression
occur simultaneously, mixed cycling occurs.

 
Bipolar children are often both bullies, and the victims
of bullies. They rarely see how their actions result in severe
social problems at school, home, and elsewhere. These children
are confusing for parents, teachers and other professionals, because
bipolar disease is one that cycles. Bipolar children may have
periods of sweetness, success, creativity, and other wonderful
behaviors. Unfortunately, they may also show behaviors that are
also extremely negative. This combination makes parenting, teaching,
and counseling these children challenging.
During severe episodes of mania and mixed states, a child may
also suffer from symptoms of psychosis. These episodes can be
negative (such as thinking their poster on the wall is staring
at them angrily) or positive (such as telling people that a rock
band is coming to his or her birthday party).
Family and friends of the parents of bipolar children rarely
understand how difficult things can get when the child is having
severe symptoms. This may lead to strained relations with the
friends and families of the parents of the affected child.


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