Manic-depressive disorders are confused with hyperactivity
In this sense, De Dios highlighted the importance of making a good diagnosis between both disorders: “If you start from an adequate psychopathological study, it is not so difficult to differentiate them.” I have seen cases of children diagnosed with a hyperkinetic Disorder, who do not respond to the medication and that observing them shows that what they actually present is a very large elevation of the mood. ”
In these cases it has been shown that the combination of methylphenidate, the drug of choice for hyperkinetic disorders, such as hyperactivity, with lithium, used in bipolar disorders, “achieves very good results”.
However, a diagnosis of poorly concluded hyperactivity does not always hide a bipolar disorder. As De Dios has explained, “sometimes it is simply children who are too restless or of some kind of behavioral disorder, such as defiant opposition, in which minors tend to adopt attitudes that coincide with those that define hyperactivity.” To avoid this variegation, the expert has stressed the need for “more rigorous diagnosis”.
Although published epidemiological studies indicate adolescence as the age of onset of bipolar disorder, De Dios’s opinion differs on this point, since “this psychopathology usually begins in childhood, although it usually goes unnoticed and is not diagnosed until later.”
The importance and suitability of using pharmacological treatments in children, discussed until not long ago, has been highlighted by the psychiatrist. Nowadays, according to a review carried out by a group of experts from Madrid, among which is De Dios, the drugs are used in more than 50 percent of children who suffer some psychopathology, although with certain guidelines according to the differences in absorption, in elimination, etc.
They, more aggressive
For each girl who suffers from a disocial disorder and aggressiveness, five or six children present it. “Violence in the family environment can be a fundamental trigger in the emergence of these disorders,” as explained by Josep Toro Trallero, head of the Department of Psychiatry and Child and Youth Psychology Hospital Clinic of Barcelona.
Dissocial disorder is understood as an alteration of behavior that entails certain irregularities of an asocial character and against established norms. Normally, this psychopathology is usually associated with aggression. As Toro said, “about 5 percent of the adolescent population can be affected by this disorder.”
Although the causes that originate it are several, and include sociological and biological factors, Toro has pointed out that children who suffer from disorder are characterized by what is called “hunger stimuli”, that is, they crave high-risk situations without caring the consequences, which is related to the presence of dysfunctions in the serotoninergic system and less emotional physiological activation than in the normal population.
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