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Is the pre-teen flitting around her bedroom late at night showing normal girlhood energy or the beginnings of mania? Those worries have been aggravated by a dramatic increase in the diagnosis of bipolar disorder in children and the resulting attention in the mainstream media.An issue once discussed primarily in medical journals is now a frequent topic on everything from the evening news to The Oprah Winfrey Show.“They do have an increased risk, but most won’t be bipolar.” And other experts fear that many children are being misdiagnosed. Carlson, MD, director of child and adolescent psychiatry at Stony Brook University Medical Center, for example, says that many children who have problems regulating their emotions or who suffer from ADHD are now being labeled bipolar.“There are a million different reasons” children have trouble regulating their mood, she says.But the stress can be amplified in families with a history of bipolar disorder, who must worry about distinguishing normal, childhood upheavals from signs of an emerging illness.

Still others believe publicity generated by the pharmaceutical industry may be driving the increase. Others, however, contend children must clearly exhibit bipolar symptoms, as classified in the DSM-IV, including elation, grandiosity and decreased need for sleep. often catches herself watching and waiting for something she hopes will never happen.Ever since she learned that bipolar disorder has a strong genetic component, Donna has been angst-ridden that her child, John, will inherit her illness.“Because I was looking for something, I thought there was something.” The psychiatrist agreed that John was anxious, but said it was understandable given that his grandmother, to whom he was extremely close, had been diagnosed with cancer and that his mother was periodically hospitalized for bipolar episodes. He is a member of his high school football team, participates in school musicals and shows more than a passing interest in girls.Still, Donna admits that the possibility of John developing a mood disorder “is always in the back of my mind.” Child rearing can be a challenging, emotional process for anyone.

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I don’t know.” All parents want to keep their children safe.

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