219. Bipolar Disorder in Youth: Symptom Recognition and Diagnosis (pt 1)

In this episode, child psychiatrist Dr. Jeanette Scheid joins Dr. Lia Gaggino to discuss the complexities of pediatric bipolar disorder, and sorting through the diagnostic possibilities is central to making an accurate diagnosis  Dr. Scheid offers insights to tease out what are the childhood behaviors that are developmentally normal, for example imaginary friends, and  what are concerning symptoms such as auditory hallucinations.  Dr Scheid highlights the critical role pediatricians play in the early identification of youth bipolar disorder with enormous implications for decreasing serious illness in adulthood. With mental health in children becoming increasingly important, this conversation offers practical guidance for pediatric clinicians.[00:33 -10:49] Key Diagnostic Criteria for Bipolar DisorderMajor depressive episodes often appear as the first signs, lasting at least 2 weeks with predominantly low moodGrandiosity and racing thoughts are significant indicators, particularly when accompanied by uncharacteristic risk-taking behaviorsSleep patterns change dramatically, with some people feeling rested after less than 3 hours of sleepIncreased talkativeness, faster speech, and heightened distractibility are common symptoms[10:50 - 19:01]  Challenges in Early IdentificationDistinguishing between normal childhood behavior and pathological symptomsComplexity increases when combined with autism or intellectual disabilitiesInitial misdiagnosis as oppositional defiant disorder or treatment-resistant ADHDNeed to differentiate between typical defiant behavior and true mood episodes[19:02 -31:42]  Understanding Trauma's Relationship with Mental Health SymptomsTrauma symptoms can overlap with other mental health conditions, making diagnosis complexFlashbacks from trauma can present similarly to perceptual disturbances or hallucinationsContent of experiences often connects directly to past traumatic events and safety concernsBoth trauma and other mental health conditions can coexist - it's not an either/or situation[31:43 - 32:13]  Adapting Primary Care to Modern Mental Health ChallengesPediatricians can't opt out of mental health care, just as they didn't opt out of COVID carePrimary care providers are being called upon to manage medications when psychiatric access is limitedProfessional relationships and collegial connections make difficult cases more manageableThere's a growing recognition that early intervention in mental health can prevent future complications, including involvement in the juvenile justice system[50:51 - 58:26]  Closing segment TakeawayLinks to resources mentioned on the showAACAP Facts for Families:  Facts for FamiliesAACAP Resource Center Bipolar DisorderOther episodes you may like:Episodes - Pediatric Meltdown161 Menstrual Equity Changes Lives: The Power of Days151 American...

Fecha de Publicación: 6 de noviembre de 2024

Duración: 58 min