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Discussion Starter · #1 ·
So ds1 is diagnosed with pdd-nos. I truly believe with all my being he is autistic. He has always been very much on since birth. When we were researching autism it clicked. His ped and many others have pushed for meds since he was three. These same people would say that no they weren't just throwing drugs at any autistic child, he really was in need of something. Fast forward almost 2 years and after working on his aggression for a year with a behavior analyst, we are making some progress and both his aggression and SIB's are reduced. Until about 2 months ago. The transition from winter break to school and then having the chickenpox and being out again has made his brain just flip a circuit. He had a good week of mania and has been had daily cycles of mania and depression since then. We have often thought he might be bipolar(very strong family incedence) but have always thought the pdd symptoms kind of muddied the line.<br><br>
So now we have our first psychiatric consult for this on thursday and we go back in less than a month. We are hoping by then to figure out some meds because he is really suffering. The first consult is a quick fit in and only 30 minute so more of a meet and greet. So does anyone have experience with both going on in a young child? Any experince with both at all? My brother is bipolar and very likely an Aspie but he did not get the right kind of help as a child and he has spent years self medicating.
 

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My mother is bipolar (diagnosed) and (we believe) on the spectrum. I'm pretty leery of childhood bipolar diagnoses, but it can certainly be concurrent with autism.<br><br>
One thing you might want to look at, though, is that sometimes an in-between stage, as an autistic child gets older and becomes (hate this term) "higher-functioning", can look like bipolar. I've heard of this happening and in fact wondered at one point in adolescence if I was bipolar (or "manic-depressive" as we called it then, and I wasn't).<br><br>
Best of luck with this. I wish I wasn't so hellishly busy (researching PhD programs to apply to, which is very cool) and could talk more about this.<br><br>
FWIW, I don't think medication would be the worst idea. I have a long Risperdal post to make, though... I have some issues with Risperdal as the new autism wonderdrug.
 

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Discussion Starter · #3 ·
My ped has only mentioned risperdal but didn't say anything this time. She sees his issues now as bigger than just the autism, really she always has because ds2 is autistic but there has been no mention of meds for him. She feels totally not comfortable with even thinking about what he needs. We will be seeing a child psychiatrist from Cedar Sinai so hopefully we will get good help instead of throwing drugs our way. I know we had thought bipolar and then the nurse mentioned it after we mentioned only symptoms and and none of our thoughts.<br><br>
My thought on childhood bipolar disorder are kind of weird. I know that my brother was bipolar at a young age. At the time he would have been better off had he gotten any real help but he is very intelligent and manipulated his psychiatrist quite a bit. Interestingly since my mom has read some about Asperger's in young children, she totally sees it in my brother. I do think that many kids are over diagnosed though.<br><br>
It is interesting about his "functioning" level improving. He has been much more engaged in the last few days and very spontaneous in his affection and telling us he loves us. I do believe his conversations have been more advanced. We went through a hell stage before when he had some skill improvements but it wasn't totally like this. That probably has to do with the fact that he is much more advanced than he was before. The only thing that kept him from a classic autism dx 18 months ago was his displays of affection and engagement with us. Now he seems like he will end up with an Asperger's diagnosis when he is reevaluated in the fall. I'm just very concerned because we went though about a month when he was very unhappy and unable to handle his emotions. We have had a couple of good days now but we did have a pretty big incedent two days ago.
 

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"I'm pretty leery of childhood bipolar diagnoses"<br><br>
I'm pretty leery of people who are leery of childhood bipolar diagnoses. I mean, by all means, lets leave my 7 year old suicidal and completely non-functional.<br><br>
BTW I am bipolar and most likely have Asperger's but I don't really have any input on that issue.
 

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<div>Originally Posted by <strong>Heavenly</strong> <a href="/community/forum/post/10730010"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">"I'm pretty leery of childhood bipolar diagnoses"<br><br>
I'm pretty leery of people who are leery of childhood bipolar diagnoses. I mean, by all means, lets leave my 7 year old suicidal and completely non-functional.<br><br>
BTW I am bipolar and most likely have Asperger's but I don't really have any input on that issue.</div>
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OK, let me clarify:<br><br>
"I'm pretty leery of childhood bipolar diagnoses in girls, since often they're a misdiagnosis of an autism spectrum condition because girls supposedly don't really get those. I'm leery of childhood bipolar diagnoses in boys, because I've known boys to get the diagnosis for really poor reasons. NOT your reasons, but in the case I'm thinking of being mis-diagnosed with ADHD, having a poor reaction to Adderall, and then being diagnosed bipolar because now his frustration in school came in tandem with a "manic episode." In addition, I find that lately many clinicians are just saying 'oh, it's bipolar' and not looking further for things like a serious food allergy."
 
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