Are we all we need? - Can You Answer This?

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BPD in Children?

I am often asked about the BPD diagnosis in children. By definition, it does not occur since the BPD is defined as developing since early adulthood. Since the problem appears to be primarily in the brain’s limbic system, and since the limbic system goes into hyperdrive at puberty, it makes logical sense that the BPD would begin at puberty.

While some authors have made their own diagnoses of BPD in children, the literature has not shown consistent findings in this regard - and a study in the 1980’s showed that children diagnosed as having BPD in childhood did not have the diagnosis in adulthood.

Many children show symptoms similar to the BPD: inappropriate moodiness, self-destruction, impulsiveness, impulsive aggressiveness, jumping to the wrong conclusions, chronic anger, lack of temper control, irritability, and rejection sensitivity. I’ve treated many, many children for similar problems, and successful treatment has never included diagnosing the BPD in pre-pubertal children.

Attention deficit disorder, depression - especially with psychotic features, what I call “fractured enjoyment” (which is really the formerly diagnosed “depressed personality”), the generalized anxiety disorder, panic disorder, post-traumatic stress disorder, bipolar disorder, and the obsessive compulsive disorders. Bipolar in children is most likely to be confused as “childhood BPD.”

Since most of these diagnoses are genetic, I will often have both biological parents do the screening test for themselves and prioritize treating the diagnoses that all three seem to have. This has been a remarkably effective technique, particularly for smaller children.

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Attention Deficit Hyperactivity Disorder (ADHD) is a condition that becomes apparent in some children in the preschool and early school years. It is hard for these children to control their behavior and/or pay attention. It is estimated that between 3 and 5 percent of children have ADHD, or approximately 2 million children in the United States. This means that in a classroom of 25 to 30 children, it is likely that at least one will have ADHD.

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Depression is a serious medical condition that involves the body, mood, and thoughts. People with a depressive illness cannot merely “pull themselves together” and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who have depression.

Depression: Free Report

Anxiety is a normal reaction to stress. It helps one deal with a tense situation in the office, study harder for an exam, keep focused on an important speech. In general, it helps one cope. But when anxiety becomes an excessive, irrational dread of everyday situations, it has become a disabling disorder.

(Anxiety) Free Report

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One Response to “Are we all we need? - Can You Answer This?”

  1. ADHD Report» Blog Archive » Are we all we need? - Can You Answer This? Says:

    […] Dr. SpiegelReally interesting read I found today:Attention Deficit Hyperactivity Disorder (ADHD) is a condition that becomes apparent in some children in the preschool and early school years. It is hard for these children to control their behavior and/or pay attention. … […]

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