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Age of onset for mental health issues?  

post #1 of 7
Thread Starter 
Dd has been in therapy for about 2-2 1/2 years for what has been called anxiety disorder. We all thought she was doing well and had moved away from the raging and panic attacks. She is now almost 12, and yesterday had a very severe episode of . . . I'm not even sure what to call it. She was basically accusing herself of having done something really awful (I don't really want to say what) to another person. When the other person was asked about it, that person denied it vehemently. We called a crisis session with dd's therapist, who believes that nothing actually happened -- but rather that dd, feeling guilt over an original action, had morphed that into something much worse and BELIEVED that it had actually happened.

Immediately after the "confession", dd was hysterical, screaming, pacing, and sobbing -- we were very concerned for her physical safety. Within a half hour or so of this event, dd was what I call manic -- talking very rapidly, jumping topics, nearly oblivious to the bomb she had dropped on us. Dh and I looked at each other and thought, WTF?

Dh's family has a strong history of mental illness in the females, though primarily undiagnosed. We believe both sisters have bi-polar or schizophrenia, along with his mother, grandmother, aunt and at least one female cousin. Because their conditions are undiagnosed and untreated, we feel they are a threat to our family so we do not associate with them and dh is fuzzy on the onset details.

Is there a pattern of onset for these types of disorders? I had heard that puberty can trigger this, and dd has developed quite a bit over the last 3 months or so. Does this sound like something along those lines?
post #2 of 7
Bipolar disorder has only recently been widely diagnosed in children and adolescents.

Schizophrenia is never diagnosed in someone this young, but schizoaffective disorder (sometimes considered a precursor) is a label sometimes given to teens. I believe that's more controversial.
post #3 of 7
http://www.nimh.nih.gov/publicat/schizkids.cfm

That is a link to some information on childhood onset schizophrenia. I'm not saying I think your child has this! But with the family history, I don't blame you for being concerned. Have you spoken with a psychiatrist?
post #4 of 7
it is not uncommon for bipolar disorder to present at this age.

i had my first major episode when i was 12. unfortunately, i was misdiagnosed with depression until i was 17 (then diagnosed as bipolar 1). bipolar disorder and major depression run on my father's side of the family -- four siblings with bipolar, father, brother and he himself with major depression.

in my early teens, mania was often misinterpreted as rebellious and hyperactive behavior. my parents only sought medical attention when i fell into deep depressions. unfortunately, antidepressants only made mania worse (and therefore the depression) and i was finally hospitalized when i was 17.

thankfully i survived and have been effectively treated for bipolar 1 for almost 10 years. and thanks to my parents' experience with my illness, they were able to find a good doctor to help my little brother (9 years my junior) when he first showed signs of the illness in his early teens.

he began therapy and medication at 13 and has had a MUCH smoother ride through his highschool years!!
post #5 of 7
A lot of these more controversial diagnoses an occur in children as we in the field are learning. They are often misdiagnosed as ADHD, Oppos. Defiant Dis. or Conduct Dis. What you described does sound like an episode of bipolar disorder (with the mania reported). Check out the book The Bipolar Child. An evaluation with a child psychiatrist is highly recommended.
post #6 of 7
My brother is bipolar and it without a doubt presented itself with the onset of puberty. I don't pretend to be an expert or to give you a definite answer- just stating my experience.



editing because I idiotically left out that he is now married, happy, and very functioning. I have a close friend with this as well (presented in college). She is now a lawyer and a BF, attached mama to a wonderful baby boy--- If this is what your dd has. It is not an easy illnness, but it is treatable
post #7 of 7
Thread Starter 
I did stop in at the bookstore and read through Parenting the Bipolar Child and some other book, and lots of what they mentioned really struck a chord. For now, I'm just staying really aware of dd's moods, her behavior, etc. Her therapist has been very helpful and spoke w/dd's school about the issues, so hopefully that will help.

I think it's probably not a coincidence that this episode happened within a month of us deciding that dd didn't need to be going to therapy anymore since she had had a long stretch of feeling good
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