depression and bipolar disorder in children presented by alexa hartrich ms, msw community liaison...
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Depression and Depression and Bipolar Disorder in Bipolar Disorder in
ChildrenChildren
Depression and Depression and Bipolar Disorder in Bipolar Disorder in
ChildrenChildrenPresented by Alexa Hartrich MS, MSWPresented by Alexa Hartrich MS, MSW
Community Liaison Community Liaison Riveredge HospitalRiveredge Hospital
www.riveredgehospital.com
Riveredge Hospital
• Our missionOur mission: : We strive to foster an environment that demonstrates compassion and caring with timely and effective communication through comprehensive behavioral health care services of clinical excellence.
www.riveredgehospital.com
Riveredge Treatment• Riveredge offers Inpatient and Partial
Hospital Programs. Our treatment is client-centered with a commitment to Trauma Informed Care.
• Inpatient Programs • Partial Hospitalization • Intensive Outpatient Programs• Residential
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Overview
• Mental Health/Mental Illness• Mood Disorders• Bipolar Disorder in Children/Adolescents • Treatment Options• Depression in Children/Adolescents• Treatment Options• Family Support• Q & A
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Mental Health is characterized by…
• Ability to engage in productive activities
• Fulfilling relationships with others
• Ability to adapt to change• Capacity to cope with adversity
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US Surgeon General’s landmark report on Mental Health, released in December of 1999
Mental Illness is NOT..• The result of poor
parenting• Anyone’s fault• A personal
weakness
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Bipolar Disorder/ Depression has
affected:• Isaac Newton• Abraham Lincoln• Winston Churchill• Beethoven• Charles Dickens• Virginia Woolf• Ernest Hemingway…And probably enhanced their brilliance
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Mental Illness is …• A health condition characterized by ALTERATIONS
IN THINKING, MOOD OR BEHAVIOR. (or a combination of the above ) associated with distress or impaired functioning.
• Mental illness is an “equal opportunity destroyer” – It can affect persons of all ages, races, socio-
economic level, religion, educational background, and gender
TREATMENT WORKS!Most people can and do Recover with
proper treatment!
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Statistics
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•Fewer than 1/2 of adults and 1/3 of children with diagnosable mental disorders receive any mental health treatment in a given year.
•The majority of persons with serious mental illness--55%--deny that they have any problem, and so do not seek treatment.
Mood Disorders• Mood disorders include:
– Major Depressive disorders (MDD)– Bipolar disorders
• Mood disorders are characterized by persistent disturbances, either highs or lows, in mood (emotions / affect).
• Everyone experiences ups and downs in response to events (good or bad) in their lives. Short-term ups and downs are normal; persistent ones lasting for days or weeks are not.
• Persistent highs or lows are mood disorders and need medical treatment.
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Mood Disorders:Major Depressive
Disorder• Depression is more than
the blues. • Depression is not a
personal weakness.• Depression is a
treatable illness.• MDD affects 8% of
children and teens *
Schaffer et al. 1996
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Symptoms of Depression in Children/Adolescents vs. Adults
• Frequent sadness, or crying • Decreased interest in activities • Persistent boredom; low energy • Social isolation • Low self-esteem and guilt • Extreme sensitivity to rejection or
failure • Increased irritability, anger, or
hostility • Frequent absences from school or
poor performance in school • Difficulty concentrating • A major change in eating and/or
sleeping patterns • Talk of, or efforts to run away from
home• (In older children) :
– Drug abuse or alcohol abuse
• Persistent sadness• Feelings of guilt, worthlessness,
helplessness• Lost interest in pleasurable
activity• Lack of energy• Fatigue• Anxiety, irritability• Thoughts of suicide• Digestive problems• Difficulty concentrating
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Bipolar Disorder:• Bipolar disorder is a combination
of depressive and manic episodes.• Remember that during a
depressive episode, suicide is a considerable risk.
• Bipolar disorder is more than highs and lows.
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Bipolar Facts & Stats• Bipolar disorder is more likely to affect the children of parents who
have the disorder. When one parent has bipolar disorder, the risk to each child is l5 to 30%. When both parents have bipolar disorder, the risk increases to 50 to 75%. (National Institute of Mental Health)
• Some 20% of adolescents with major depression develop bipolar disorder within five years of the onset of depression. (Birmaher, B., "Childhood and Adolescent Depression: A Review of the Past 10 Years." Part I, 1995)
• Up to one-third of the 3.4 million children and adolescents with depression in the United States may actually be experiencing the early onset of bipolar disorder. (American Academy of Child and Adolescent Psychiatry, 1997)
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Symptoms/Behaviors of Bipolar Disorder in Children/Adolescents
vs. Adults• Destructive rages• Impulsive behaviors• Extreme emotions • Oppositional behavior• Sensitivity to stimuli• Problems with peers• Temperature dysregulation• Craving carbs/sweets• Bedwetting and soiling• Hallucinations• Suicidal ideation• Easily startled/excitable• Separation distress• Overly sensitive to rejection
• Major mood swings• Sad or empty moods• Thoughts of death/suicide• Chronic pain• Excessive crying• Rash behavior like shopping
sprees, hyper-sexual• Poor judgment• Racing thoughts, pressured
speech• Grandiose delusions;
exaggerated optimism• Lack of sleep/excessive sleep• Lack of hunger/overeating• Rigid/less flexible
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Mental Illness and the Impact on the Family
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Financial
Marital
Stress/Time
Sibling Relationships
Treatment for Mood Disorders in
Children/Adolescents• Medication• Therapy
– Play therapy– Family therapy– CBT, etc
• Exercise • Group Therapy/ Support Groups • Eliminate/Minimize Video Games & TV• Diet
– Sugar intake reduced• Supplements
– Omega 3
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Helpful supports …
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Support GroupsNAMI DBSA
Educational Programming
Peer Support
Literature
Advocacy
Contact Info• Alexa Hartrich
– 773-991-2398– [email protected]
• 24 hour assessment and referral– 708-209-4181
www.riveredgehospital.com