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Your Child Does Not Have Bipolar Disorder: How Bad Science and Good Public Relations Created the Diagnosis (Childhood in America)
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Review
.  Dr. Kaplan's book is an essential guide for clinicians and parents for understanding, diagnosing, and treating what is often mistakenly referred to as pediatric bipolar disorder.--Susan D. Mayes, Ph.D., Chief Clinical Psychologist and Professor of Psychiatry, Penn State College of MeI'm glad there's a book out there for parents who want to dispute the bipolar diagnosis-there are certainly enough on the other side. Lawrence Diller, M.D. Developmental Pediatrician and author of Running on Ritalin, Remembering Ritalin and others.Kaplan's contrarian perspective would be mainstream in Australasian or European psychiatry, where pre-pubertal cases of bipolar disorder are still considered extremely rare. ...this scholarly yet fast paced read has a place on ... bookshelves. Dr.  Peter  Parry, consultant child psychiatrist, Aus.  Australasian Psychiatry, Vol 19, October 2011
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"With his carefully crafted examination of the lack of a substantial basis for the existence of Bipolar Disorder in prepubescent children, Kaplan throws down the gauntlet to the media, the pharmaceutical companies hawking drugs to 'stabilize moods' and the researchers who have 'invented' this condition. Parents reading this book should be assured that their preadolescent child does not have bipolar disorder, and Kaplan not only describes some of the sources of the worrisome behaviors of aggression, anger, hyperactivity, mood swings, and difficulties negotiating the social and educational demands of childhood, but also strongly endorses effective treatments, including medication, behavioral interventions, and family support." (Lee Combrinck-Graham, MD, Associate Clinical Professor, Yale Child Study Center)"At last there is a book that clinicians can refer parents for an alternative view of the 'bipolar child.' Dr. Kaplan has tackled a highly controversial topic area and with his significant experience and familiarity with the relevant research literature has crafted a work that provides parents a guide to better understand the symptoms, classification, and treatment of the child with severe mood dysregulation and problematic, highly labile behavior. The author has not disguised his own views but does provide both sides of the bipolar disorder diagnosis and its treatment in grade-school children. This is done in an easily led, almost chatty manner for parents and those caring for this very difficult pediatric population. The book should be of value to primary care physicians and related health sector and school personnel and parents of these children." (Theodore A. Petti, MD, MPH, Professor of Psychiatry and Director of Child and Adolescent Psychiatry, Robert Wood Johnson Medical School – University of Medicine and Dentistry of New Jersey)"Your Child is Not Bipolar presents in clear prose a very well-informed, solidly argued expose of a current, highly problematic, and misleading psychiatric diagnosis in children. The author is a seasoned clinician, researcher and academic who is passionate about improving diagnostic accuracy in the field." (Daniel Safer, MD, Associate Professor, Departments of Psychiatry and Pediatrics, Johns Hopkins University School of Medicine)"Stuart Kaplan has written a brilliant, scholarly, and long overdue book providing compelling evidence that what is often diagnosed as pediatric bipolar disorder is not true bipolar disorder. In over 30 years of clinical practice, I have seen many children considered to have pediatric bipolar disorder and have yet to meet one whose symptoms are not better explained by combined ADHD and ODD, consistent with Dr. Kaplan's contention. He eloquently interweaves clinical case examples with research evidence producing a convincing argument against pediatric bipolar disorder. His book is an essential guide for clinicians and parents for understanding, diagnosing, and treating what is often mistakenly referred to as pediatric bipolar disorder." (Susan D. Mayes, PhD, Chief Clinical Psychologist and Professor of Psychiatry, Penn State College of Medicine)"Dr. Kaplan's book carries an extremely important message to parents, one that could change the course of your child's health and well-being. These psychotropic medications which are given so freely to every misbehaving child who has been wrongly labeled bipolar, have serious side effects and consequences, some of which cannot be reversed. Before you jump to the conclusion that your child has bipolar disorder, you owe it to your child to read this book. You could be saving your child's future and maybe his life." (Elizabeth J. Roberts, MD, Child and Adolescent Psychiatrist; Author of Should You Medicate Your Child's Mind?)
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Product details
Series: Childhood in America
Hardcover: 184 pages
Publisher: Praeger; 1 edition (March 3, 2011)
Language: English
ISBN-10: 0313381348
ISBN-13: 978-0313381348
Product Dimensions:
6.1 x 0.5 x 9.2 inches
Shipping Weight: 1 pounds (View shipping rates and policies)
Average Customer Review:
3.5 out of 5 stars
15 customer reviews
Amazon Best Sellers Rank:
#888,018 in Books (See Top 100 in Books)
Dr. Kaplan has provided a quality review of the non-science that led to the dramatic increase in the diagnosis of biopolar disorder in children; the disorder that never was. Thus, we have another, on a very short list, who is willing to stand and proclaim that the king has no clothes. It is beyond understanding to note that physicians have elected to medicate thousands of children who present "symptoms," consistent with a variety of other diagnoses, normal development, or rather common behavioral problems. This book is a must read for every physician (including psychiatrists), psychologist, social worker, and counselor in practice or training.Thomas McKnight, Ph.D., ABPP
Medical Diagnosis has become a "check list" and this book helps to bring some common sense to a diagnosis that has become the "flavor of the month", often misdiagnosed and which often opens the channel to inappropriately medicate children with very powerful pharmaceutical agents.
Dr. Kaplan has hit on a topic that is very interesting and manages to bring to the forefront aspects of mental illness that have been long overlooked. He is not afraid to challenge the leading authorities on mental health and in the process shows that there are misleading "facts" that dictate care which has infiltrated mainstream medicine. He shows how a misdiagnosis has even prevented the administration of proper care under the guise of 'contraindications'. This is a must-read for anyone who has a child with a mental health disorder to become fully aware and informed, and makes the correction of a lot of misinformation being fed to the public.
While perhaps rare, to say childhood bipolar does not exist is fallacy. This thinking is exactly what led to a misdiagnosis in my bipolar child. Several hospitalizations later, with the help of lithium and abilify all mania has subsided. With a little SSRI to assist with depressive symptoms and adjudicative light therapy my child is back to a normal baseline. Please explain to me, Dr. Kaplan, how lithium was the key medication to normalizing mood swings in a 9 year old? From so depressed he would not smile and slept all day to inability to sit still, pressured speech, loss of cognitive function, agitation and anger? A child who was performing GT math to failing grades - and within weeks of lithium reaching therapeutic levels the return to cognitive ability? This is the response of a bipolar brain to lithium. It may be rare, but do those few rare patients a favor and at least acknowledge THERE ARE SOME BIPOLAR CHILDREN. I know - I live with one.Having said that: I agree that giving stimulants to all children is a mistake. I suspect with future genomic studies we will be able to test and tell which children may benefit and who won't - and probably determine many other medical conditions patients are at risk for developing. Perhaps in the near future we will be able to prevent patients from even having a first mania... pre-treat hypertension, cancer, cystic fibrosis, bipolar, depression, etc...But one thing is certain: Statements that contain 'all or none' or 'black and white' thinking can lead to misdiagnosis... there will always be shades of grey. How you label 'grey' is irrelevant - but please recognize it exists... and in an all white world, you just might not see grey or black because you are not looking.
Your Child Does Not Have Bipolar Disorder took me a long time to read; however, it was worth it. It is written in an academic style and geared towards professionals and lay people that have an intense interest in pediatric bipolar disorder. I was fortunate to be able to review of free copy of the book.Dr. Kaplan is very thorough with his evidence of studies as he presents his argument against childhood bipolar disorder. He does not leave anything out of his opinions and professionally presents the reasons why diagnosis of this disorder greatly expanded in the last two decades. He effectively presents an alternative diagnosis, gives specific examples, and suggests treatment for them. He also suggests why some parents do not want to treat ADHD with pharmaceuticals and how this affects their children. He describes the similar symptoms of different diagnoses and conditions and gives examples of his own specific treatments for each in the ending chapters.Dr. Kaplan's credentials, professor of psychiatry at Penn State College of Medicine, has board certification in child and adolescent psychiatry, allowing him to challenge popular views of pediatric bipolar disorder and guide parents to understand diagnoses of mood disorders and aggressive behaviors. Many parents, teachers, and therapists seem to want a quick, catchall group with which to categorize children with bad behaviors, and Dr. Kaplan explains the effect this has on untreated or wrongly diagnosed children. He challenges leading mental health therapists and backs his evidence with a convincing presentation of facts and figures that are given to the public. Your Child Does Not Have Bipolar Disorder informed me about other mental health conditions in addition to bipolar disorder, specifically, oppositional defiant disorder, attention deficit hyperactivity disorder, and adult bipolar disorder. This is an excellent learning book. Dr. Kaplan also explains how these conditions are defined and explained in the DSM-IV. He says that many studies group children and adolescents together; this affects statistics that the public sees.Chapter one describes adult bipolar disorder and the DSM System of diagnostics. Chapter two describes pediatric bipolar disorder in depth and explains the difference between it and the two conditions it is most commonly confused with, ADHD and ODD. Chapter three reviews studies and causes of pediatric bipolar disorder that support Dr. Kaplan's assertion that bipolar disorder is not present in children under 12 years of age. Chapter four explains the how cultures influence shape mental illness, how the media and professionals have supported the diagnosis of pediatric bipolar disorder, and the consequences of misdiagnosis on children. Chapter five introduces child and adolescent depression, its symptoms, and coexistence with other disorders, while chapter six acknowledges the existence of adolescent bipolar disorder along with its misdiagnosis.Part two of the book discusses the merits of three medications for bipolar disorder, slanted clinical trials, and how they contribute to public misinformation and diagnostic errors. Dr. Kaplan discusses stimulant medications used to treat ADHD, the Multimodal Treatment of ADHD study undertaken in the later 1990s, and its findings. I understood that he felt that ADHD was the main condition that is mistaken for pediatric bipolar disorder. Dr. Kaplan is very much in favor of treating ADHD with stimulants because of the improvement in behavior and life circumstances that children enjoy with a correct diagnosis and treatment.Dr. Kaplan ended the book with, what I thought, was the best part: treatment advice for parents. This came from his own practice and included thoughts on stimulant and antipsychotic medications. He outlines the four stages of his Family Based Behavior Modification Program for Oppositional Children and explains family dynamic considerations and the therapist's role in supportive family therapy.Your Child Does Not Have Bipolar Disorder: How Bad Science and Good Public Relations Created the Diagnosis (Childhood in America)
Dissuading people from reading this book is doing a disservice to anyone affected by the issue it addresses. Read with an open mind, this book may be an invaluable resource to parents, professionals, and others struggling to help a child with symptoms that may be mistakenly ascribed to pediatric bipolar disorder. Written by a prominent child and adolescent psychiatrist, this book presents a clear and logical argument that should be heard and considered, if not embraced by anyone involved in the care of a child whose symptoms have resulted in a diagnosis of pediatric bipolar disorder.
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