Practice tolerance in dealing with minor problems and, instead of focusing on negative conduct, recognize and praise the positive behavior. School Zone. Students with bipolar disorder usually show some of the following symptoms in the classroom. Students with bipolar disorder in school are very bright but have difficulty performing to their full potential. Victoria, BC: Trafford Publishing. Biederman, J., Mick, E., Spencer, T. J., Wilens, T. E., & Faraone, S. V. (2000). Contemporary Psychiatry, 1 (1), 1-9. As research continues to define the nature of the disorder in children, school psychologists require current knowledge about treatment in order to develop intervention plans for the child to be successful in the educational setting. A Postgraduate Medicine Special Report,1-8. Papolos, J., Hatton, M. J., Norelli, S., Garcia, C. E., & Smith, A. M. (2002).Challenging negative remarks that threaten to derail the IEP process. Why Should School Psychologists Care About Medicaid? Side effects of Lithium include weight gain, sedation, tremors, acne, hypothyroidism, increased urination, and gastro-intestinal symptoms, and it can be lethal in overdose (Kusumakar, Lazier, MacMaster & Santor, 2002). There are two laws that are designed to protect bipolar students in the classroom. You will need to adapt these ideas based on your individual learners and your classroom setting. (2004). Anger in children with bipolar is often triggered by stress. Cognitive and Behavioral Practice, 11, 283-297. NASP Members: Log in to access this article, By Elizabeth Chesno Grier, NCSP; Megan L. Wilkins, & Laura Szadek, CPNP. However, initial findings suggest that the use of antipsychotics can be effective by decreasing symptoms that occur in a manic state. The Food and Drug Administration (FDA) has only approved Lithium for use in children older than 12 years of age (Giedd, 2000). What is the Difference Between Blended Learning & Distance Learning? Consultation with family members of children with bipolar disorder may involve serving as a support system for the family and providing information and resources. When you model a task, you remove any confusion or anxiety students may have about what they should do when it's their turn to practice. Common side effects include weight gain, gastro–intestinal complaints, sedation, and dizziness. The pharmacological treatment of child and adolescent bipolar disorder. School psychologists can provide families with support proactively by listening and offering suggestions for references (e.g., internet sources, books, or handouts). See below for further details. Rapid cycling bipolar can be extremely difficult to deal with. Finally, you may consider some accommodations for students with bipolar disorder. Bipolar disorder is a chronic mental illness which causes severe shifts in mood ranging from extreme highs (mania) to extreme lows (depression). Danielson, C. K., Feeny, N. C., Findling, R. L., & Youngstrom, E. A. Mood stabilizers include Lithium, divalproex, and carbamazepine. 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Lack of approval is mostly due to limited availability of controlled research studies, not lack of efficacy or appropriate safety profile. Some children and teens with bipolar disorder may try to hurt themselves or attempt suicide. Frazier, J. Less common side effects include rash, Steven-Johnson syndrome (i.e., severe reaction to medication), blood dyscrasia, cardiac arrhythmias, bone marrow suppression, and liver inflammation (Schapiro, 2005). Students who have been diagnosed with a bipolar spectrum disorder can take steps to minimize the risk of a relapse and stay balanced. Periodic blood counts (e.g., CBC) and liver/thyroid/kidney function tests also are recommended because of the potential impact these medications may have on those particular body systems (Kahn et al., 2000). Bipolar disorder in childhood and early adolescence. Help these children by implementing effective classroom management strategies like following a predictable routine and allowing frequent breaks. The best thing you can do for your child is to learn as much as you can, says Dr. Brister. A student experiencing great irritability or rage episodes may be assigned a “safe zone” during times of great duress. Coping with bipolar disorder is difficult, and it's hard for people who don't have it to truly understand what you're going through. They also may be used in combination with mood stabilizers to aid in controlling aggression often exhibited by children with bipolar disorder (Pavuluri, Naylor, & Janicak, 2002). You may want to come up with a list of acceptable activities your students can do to rest and relax. To learn more, visit our Earning Credit Page. During the lows of bipolar disorder, individuals experience symptoms of depression, which can be incredibly debilitating. A recent review investigating the effects of antipsychotic medication in children with bipolar disorder revealed that the majority of studies are anecdotal and/or short term in nature (Cheng-Shannon, McGough, & Pataki, 2004). You can test out of the Depressed children may not appear to be sad. (2004). Antipsychotics are used to control psychotic symptoms (e.g., delusions and hallucinations), stabilize mood, and decrease agitation (Fristad & Goldberg-Arnold, 2004). This allows students to focus on one step at a time, so they don't get overwhelmed trying to tackle the entire skill in one move. 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