Mental Illness in Children & Teens

Does your child go through intense mood changes?

Does your child have extreme behavior changes too? Does your child get too excited or silly sometimes? Do you notice he or she is very sad at other times? Do these changes affect how your child acts at school or at home?

Some children and teens with these symptoms may have bipolar disorder, a serious mental illness. Read on to understand more.

What is bipolar disorder?

Bipolar disorder is a serious brain illness. It is also called manic-depressive illness. Children with bipolar disorder go through unusual mood changes. Sometimes they feel very happy or “up,” and are much more active than usual. This is called mania. And sometimes children with bipolar disorder feel very sad and “down,” and are much less active than usual. This is called depression.

Bipolar disorder is not the same as the normal ups and downs every kid goes through. Bipolar symptoms are more powerful than that. The illness can make it hard for a child to do well in school or get along with friends and family members. The illness can also be dangerous. Some young people with bipolar disorder try to hurt themselves or attempt suicide.

Children and teens with bipolar disorder should get treatment. With help, they can manage their symptoms and lead successful lives.

Who develops bipolar disorder?

Anyone can develop bipolar disorder, including children and teens. However, most people with bipolar disorder develop it in their late teen or early adult years. The illness usually lasts a lifetime.

How is bipolar disorder different in children and teens than it is in adults?

When children develop the illness, it is called early-onset bipolar disorder. This type can be more severe than bipolar disorder in older teens and adults. Also, young people with bipolar disorder may have symptoms more often and switch moods more frequently than adults with the illness.

What causes bipolar disorder?

Several factors may contribute to bipolar disorder, including:

  • Genes, because the illness runs in families. Children with a parent or sibling with bipolar disorder are more likely to get the illness than other children.
  • Abnormal brain structure and brain function.
  • Anxiety disorders. Children with anxiety disorders are more likely to develop bipolar disorder.

The causes of bipolar disorder aren’t always clear. Scientists are studying it to find out more about possible causes and risk factors. This research may help doctors predict whether a person will get bipolar disorder. One day, it may also help doctors prevent the illness in some people.

What are the symptoms of bipolar disorder?

Bipolar mood changes are called “mood episodes.” Your child may have manic episodes, depressive episodes, or “mixed” episodes. A mixed episode has both manic and depressive symptoms. Children and teens with bipolar disorder may have more mixed episodes than adults with the illness.

Mood episodes last a week or two—sometimes longer. During an episode, the symptoms last every day for most of the day.

Mood episodes are intense. The feelings are strong and happen along with extreme changes in behavior and energy levels.

Children and teens having a manic episode may:

  • Feel very happy or act silly in a way that’s unusual
  • Have a very short temper
  • Talk really fast about a lot of different things
  • Have trouble sleeping but not feel tired
  • Have trouble staying focused
  • Talk and think about sex more often
  • Do risky things.

Children and teens having a depressive episode may:

  • Feel very sad
  • Complain about pain a lot, like stomachaches and headaches
  • Sleep too little or too much
  • Feel guilty and worthless
  • Eat too little or too much
  • Have little energy and no interest in fun activities
  • Think about death or suicide.

Do children and teens with bipolar disorder have other problems?

Bipolar disorder in young people can co-exist with several problems.

  • Substance abuse. Both adults and kids with bipolar disorder are at risk of drinking or taking drugs.
  • Attention deficit/hyperactivity disorder, or ADHD. Children with bipolar disorder and ADHD may have trouble staying focused.
  • Anxiety disorders, like separation anxiety. Children with both types of disorders may need to go to the hospital more often than other people with bipolar disorder.
  • Other mental illnesses, like depression. Some mental illnesses cause symptoms that look like bipolar disorder. Tell a doctor about any manic or depressive symptoms your child has had.

Sometimes behavior problems go along with mood episodes. Young people may take a lot of risks, like drive too fast or spend too much money. Some young people with bipolar disorder think about suicide. Watch out for any sign of suicidal thinking. Take these signs seriously and call your child’s doctor.

How is bipolar disorder diagnosed?

An experienced doctor will carefully examine your child. There are no blood tests or brain scans that can diagnose bipolar disorder. Instead, the doctor will ask questions about your child’s mood and sleeping patterns. The doctor will also ask about your child’s energy and behavior. Sometimes doctors need to know about medical problems in your family, such as depression or alcoholism. The doctor may use tests to see if an illness other than bipolar disorder is causing your child’s symptoms.

How is bipolar disorder treated?

Right now, there is no cure for bipolar disorder. Doctors often treat children who have the illness in a similar way they treat adults. Treatment can help control symptoms. Treatment works best when it is ongoing, instead of on and off.

1. Medication. Different types of medication can help. Children respond to medications in different ways, so the type of medication depends on the child. Some children may need more than one type of medication because their symptoms are so complex. Sometimes they need to try different types of medicine to see which are best for them.

Children should take the fewest number and smallest amounts of medications as possible to help their symptoms. A good way to remember this is “start low, go slow”. Always tell your child’s doctor about any problems with side effects. Do not stop giving your child medication without a doctor’s help. Stopping medication suddenly can be dangerous, and it can make bipolar symptoms worse.

2. Therapy. Different kinds of psychotherapy, or “talk” therapy, can help children with bipolar disorder. Therapy can help children change their behavior and manage their routines. It can also help young people get along better with family and friends. Sometimes therapy includes family members.

What can children and teens expect from treatment?

With treatment, children and teens with bipolar disorder can get better over time. It helps when doctors, parents, and young people work together.

Sometimes a child’s bipolar disorder changes. When this happens, treatment needs to change too. For example, your child may need to try a different medication. The doctor may also recommend other treatment changes. Symptoms may come back after a while, and more adjustments may be needed. Treatment can take time, but sticking with it helps many children and teens have fewer bipolar symptoms.

You can help treatment be more effective. Try keeping a chart of your child’s moods, behaviors, and sleep patterns. This is called a “daily life chart” or “mood chart.” It can help you and your child understand and track the illness. A chart can also help the doctor see whether treatment is working.

How can I help my child or teen?

Help your child or teen get the right diagnosis and treatment. If you think he or she may have bipolar disorder, make an appointment with your family doctor to talk about the symptoms you notice.

If your child has bipolar disorder, here are some basic things you can do:

  • Be patient
  • Encourage your child to talk, and listen to him or her carefully
  • Be understanding about mood episodes
  • Help your child have fun
  • Help your child understand that treatment can help him or her get better.

How does bipolar disorder affect parents and family?

Taking care of a child or teenager with bipolar disorder can be stressful for you too. You have to cope with the mood swings and other problems, such as short tempers and risky activities. This can challenge any parent. Sometimes the stress can strain your relationships with other people, and you may miss work or lose free time.

If you are taking care of a child with bipolar disorder, take care of yourself too. If you keep your stress level down you will do a better job. It might help your child get better too.

Where do I go for help?

If you’re not sure where to get help, call your family doctor. You can also check the phone book for mental health professionals. Hospital doctors can help in an emergency.

I know a child or teen who is in crisis. What do I do?

If you’re thinking about hurting yourself, or if you know someone who might, get help quickly.

  • Do not leave the person alone
  • Call your doctor
  • Call 911 or go to the emergency room
  • Call a toll-free suicide hotline: 1-800-273-TALK (8255) for the National Suicide Prevention Lifeline.

Contact NIMH to find out more about bipolar disorder.

National Institute of Mental Health
Science Writing, Press & Dissemination Branch
6001 Executive Boulevard
Room 8184, MSC 9663
Bethesda, MD 20892-9663

Phone: 301-443-4513 or
Toll-free: 1-866-615-NIMH (6464)
TTY Toll-free: 1-866-415-8051
Fax: 301-443-4279
E-mail: nimhinfo@nih.gov
Web site: www.nimh.nih.gov

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Kiss the Son

“Serve the Lord with fear,
    and rejoice with trembling.
12 Kiss the Son,
    lest he be angry, and you perish in the way,
    for his wrath is quickly kindled.
Blessed are all who take refuge in him.”

Psalm 2:11-12

“You gave Me no kiss; but she, since the time I came in, has not ceased to kiss My feet.”

Luke 7:45

A kiss defined is the act of  two people putting their lips together. It’s a declaration of their love and esteem for all to see. That is I suppose is the dictionary definition. (How absolutely dreadful.)

But a kiss is living! It should never be defined only but lived.

Now a kiss could imply honor, or even direct submission to another. A knight would kiss his liege lord before going into battle or on some kind of hero quest. But when a man kisses a woman, it can mean something else entirely. It seems true love likes to kiss!

But I think the references have both kisses in mind. Yes, it can be a way of showing deference to the King, (which can be critical in its own way.)  But it also means I’m passionately in love with someone or something.

I honestly think that these are healthy for the believer. There is definitely room for these two in our discipleship today. Intimacy welded to strength. It’s wonderful to have both!

Consider opening your heart to both. Come to  Jesus as both Savior and Lord. Don’t hesitate to kiss Him as your King, as well as your Friend.

“Father, open my eyes to what I should honor and love. Keep my heart both warm and true. Guide me into an understanding of this and help me be a companion of truth. Let me kiss you with both kisses. Amen.”

 

 

 

 

Christ and Cancer

NIH illustration
illustration by NIH

by John Piper

Before I entered college I hardly gave a thought to cancer and terminal illness. But ever since those college days death by disease has walked beside me all the way. Two of my college acquaintances died of leukemia and cancer of the lymph glands before they were 22. At seminary I watched Jim Morgan, my teacher of systematic theology, shrivel up and die in less than a year of intestinal cancer. He was 36. In my graduate program in Germany my own “doctor-father,” Professor Goppelt, died suddenly just before I was finished. He was 62—a massive coronary. Then I came to Bethel, the house of God! And I taught for six years and watched students, teachers, and administrators die of cancer: Sue Port, Paul Greely, Bob Bergerud, Ruth Ludeman, Graydon Held, Chet Lindsay, Mary Ellen Carlson—all Christians, all dead before their three score and ten were up. And now I’ve come to Bethlehem and Harvey Ring is gone. And you could multiply the list ten-fold.

What shall we say to these things? Something must be said because sickness and death are threats to faith in the love and power of God. And I regard it as my primary responsibility as a pastor to nourish and strengthen faith in the love and power of God. There is no weapon like the Word of God for warding off threats to faith. And so I want us to listen carefully today to the teaching of Scripture regarding Christ and cancer, the power and love of God over against the sickness of our bodies.

I regard this message today as a crucial pastoral message, because you need to know where your pastor stands on the issues of sickness, healing, and death. If you thought it was my conception that every sickness is a divine judgment on some particular sin, or that the failure to be healed after a few days of prayer was a clear sign of inauthentic faith, or that Satan is really the ruler in this world and God can only stand helplessly by while his enemy wreaks havoc with his children—if you thought any of those were my notions, you would relate to me very differently in sickness than you would if you knew what I really think. Therefore, I want to tell you what I really think and try to show you from Scripture that these thoughts are not just mine but also, I trust, God’s thoughts.

Six Affirmations Toward a Theology of Suffering

So I would like everyone who has a Bible to turn with me to Romans 8:18–28. There are six affirmations which sum up my theology of sickness, and at least the seed for each of these affirmations is here. Let’s read the text:

I consider that the sufferings of this present time are not worth comparing with the glory that is to be revealed to us. For the creation waits with eager longing for the revealing of the sons of God; for the creation was subjected to futility, not of its own will but by the will of him who subjected it in hope; because the creation itself will be set free from its bondage to decay and obtain the glorious liberty of the children of God. We know that the whole creation has been groaning in travail together until now; and not only the creation, but we ourselves, who have the first fruits of the Spirit, groan inwardly as we wait for adoption as sons, the redemption of our bodies. For in this hope we were saved. Now hope that is seen is not hope. For who hopes for what he sees? But if we hope for what we do not see, we wait for it with patience.

Likewise the Spirit helps us in our weakness; for we do not know how to pray as we ought, but the Spirit himself intercedes for us with sighs too deep for words. And he who searches the hearts of men knows what is the mind of the Spirit, because the Spirit intercedes for the saints according to the will of God.

We know that in everything God works for good with those who love him, who are called according to his purpose. (RSV)

1. All Creation Has Been Subjected to Futility

My first affirmation is this: the age in which we live, which extends from the fall of man into sin until the second coming of Christ, is an age in which the creation, including our bodies, has been “subjected to futility” and “enslaved to corruption.” Verse 20: “The creation was subjected to futility.” Verse 21: “The creation will be freed from slavery to corruption.” And the reason we know this includes our bodies is given in verse 23: not only the wider creation but “we ourselves (i.e., Christians) groan in ourselves awaiting sonship, the redemption of our bodies.” Our bodies are part of creation and participate in all the futility and corruption to which creation has been subjected.

Who is this in verse 20 that subjected creation to futility and enslaved it to corruption? It is God. The only other possible candidates to consider would be Satan or man himself. Perhaps Paul meant that Satan, in bringing man into sin, or man, in choosing to disobey God—perhaps one of them is referred to as the one who subjected creation to futility. But neither Satan nor man can be meant because of the words “in hope” at the end of verse 20. This little phrase, subjected “in hope,” gives the design or purpose of the one who subjected creation to futility. But it was neither man’s nor Satan’s intention to bring corruption upon the world in order that the hope of redemption might be kindled in men’s hearts and that someday the “freedom of the glory of the children of God” might shine more brightly. Only one person could subject the creation to futility with that design and purpose, namely, the just and loving creator.

Therefore, I conclude that this world stands under the judicial sentence of God upon a rebellious and sinful mankind—a sentence of universal futility and corruption. And no one is excluded, not even the precious children of God.

Probably the futility and corruption Paul speaks of refers to both spiritual and physical ruination. On the one hand man in his fallen state is enslaved to flawed perception, misconceived goals, foolish blunders, and spiritual numbness. On the other hand, there are floods, famines, volcanoes, earthquakes, tidal waves, plagues, snake bites, car accidents, plane crashes, asthma, allergies, and the common cold, and cancer, all rending and wracking the human body with pain and bringing men—all men—to the dust.

As long as we are in the body we are slaves to corruption. Paul said this same thing in another place. In 2 Corinthians 4:16 he said, “We do not lose heart, but though our outer man (i.e., the body) is decaying (i.e., being corrupted) yet our inner man is being renewed day by day.” The word Paul uses for decay or corrupt here is the same one used in Luke 12:33 where Jesus said, Make sure your treasure is in heaven “where thief does not come near and moth does not corrupt.” Just like a coat in a warm, dark closet will get moth eaten and ruined, so our bodies in this fallen world are going to be ruined one way or the other. For all creation has been subjected to futility and enslaved to corruption while this age lasts. That is my first affirmation.

2. An Age of Deliverance and Redemption Is Coming

My second affirmation is this: there is an age coming when all the children of God, who have endured to the end in faith, will be delivered from all futility and corruption, spiritually and physically. According to verse 21, the hope in which God subjected creation was that some day “The creation itself also will be set free from its slavery to corruption into the freedom of the glory of the children of God.” And verse 23 says that “We ourselves groan within ourselves waiting eagerly for our adoption as sons, the redemption of our bodies.” It has not happened yet. We wait. But it will happen. “Our citizenship is in heaven from which we await a Savior, the Lord, Jesus Christ, who will transform the body of our lowliness to be like the body of his glory” (Philippians 3:20, 21). “In a moment, in the twinkling of an eye, at the last trumpet, for the trumpet will sound and the dead will be raised incorruptible and we shall be changed” (1 Corinthians 15:52). “He will wipe away every tear from our eyes, and there shall be no longer any death; and there shall be no longer any mourning or crying or pain; the first things have passed away” (Revelation 21:4).

There is coming a day when every crutch will be carved up, and every wheelchair melted down into medallions of redemption. And Merlin and Reuben and Jim and Hazel and Ruth and all the others among us will do cartwheels through the Kingdom of Heaven. But not yet. Not yet. We groan, waiting for the redemption of our bodies. But the day is coming and that is my second affirmation.

3. Christ Purchased, Demonstrated, and Gave a Foretaste of It

Third, Jesus Christ came and died to purchase our redemption, to demonstrate the character of that redemption as both spiritual and physical, and to give us a foretaste of it. He purchased our redemption, demonstrated its character, and gave us a foretaste of it. Please listen carefully, for this is a truth badly distorted by many healers of our day.

The prophet Isaiah foretold the work of Christ like this in 53:5–6 (a text which Peter applied to Christians in 1 Peter 2:24):

But he was wounded for our transgressions, he was bruised for our iniquities; upon him was the chastisement that made us whole, and with his stripes we are healed. All we like sheep have gone astray; we have turned every one to his own way; and the Lord has laid on him the iniquity of us all. (RSV)

The blessing of forgiveness and the blessing of physical healing were purchased by Christ when he died for us on the cross. And all those who give their lives to him shall have both of these benefits. But when? That is the question of today. When will we be healed? When will our bodies no longer be enslaved to corruption?

Continue reading “Christ and Cancer”

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