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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A Giraffe On Roller Skates, [Mental Illness]

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People will sometimes ask me, “What its like to be a Christian and to have a mental illness?” I’m not entirely sure I can really answer, but I do try. It seems almost always there are misconceptions, or even a stigma attached to their curiosity. But here goes.

It’s like I’m a ‘giraffe on roller skates’, It seems like I’m always lurching and tottering— always on the verge of total collapse. (It’s a wonder I’m even ‘standing.’) Careening from one side to another, I’m aware that I’m becoming quite the spectacle, and I imagine I hear whispers about the ‘splash’ I’m making today.

I’m uneasy and unsure. (Am I being inappropriate?) I seem to speak too loud and pressured, I feel conspicuous; like I’m slightly inebriated at a party of Mormons. I’m aware of nervous glances and uneasy whispers.

Welcome to the world of bipolar mania.

I have a mental illness. ‘Rapid cycling’ bipolar disorder is my particular ‘flavor.’ I’m on meds (and have been for some time) but it only seems to do is to take of edge off— but I’m grateful for even that small mercy. Over time I’ve been able to accrue some coping mechanisms.  Identifying my paranoia and random delusions is simple ‘Bipolar 101’. It has become the present state of my world.  I don’t always do it well— but I do ”do it’. (And I take my lithium daily.)

There is a learning curve to all of this. It must be discovered. I have tried ‘avoidance tactics’, and I suppose most of the time they seem prudent. But life can’t really be lived cloistered in your room. That is safe, but also very dull. The isolation becomes more toxic than ‘the spectacle.’

Being a disciple of Jesus Christ, and having bipolar disorder creates some problems. I’m aware of the incongruity. But my faith often uses these issues I face; they propel me closer to Him.

Being ‘broken’ has become a real blessing.

28 “Then Jesus said, “Come to me, all of you who are weary and carry heavy burdens, and I will give you rest. 29 Take my yoke upon you. Let me teach you, because I am humble and gentle at heart, and you will find rest for your souls.”

Matthew 11:28-29, NLT

The promise of Jesus is for those who carry extra weights (like mental or physical illness). It’s for those whose ‘cheese has slipped off their cracker.’ It’s for giraffes on roller skates. Anything we bear is endurable, and easy. He carries us far beyond every weight and every burden. He alone gives rest to the troubled, and real peace to those troubled by their souls.

30″ For my yoke is easy to bear, and the burden I give you is light.

(verse 30).

What Jesus actively does is to puncture my pride, and then release His spirit and grace over me. But He also makes things ‘light’. The reality is that I bear nothing. All that He does is ‘light’. My blundering is seen and never belittled. But His grace only gets revealed in my weakness.

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Choosing to Walk With the Broken

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It seems the world is divided into two groups.

  1. Those all together, happy, healthy, and reasonably sane and ‘self actualized’.
  2. Those with significant issues, have hang-ups, and who are lesser sane.

We gravitate toward success. Even in a spiritual sense we do so. No one wants to be associated with a ‘washed-up’ loser.  We expect success (at least in its fundamental form) to ooze out of every preacher, teacher or ‘wanna-be’ that intends to lead us to ‘the promised land’. We expect (or demand) it to be so.

But there are those broken ‘on the wheels of life’ who offer nothing at all. They are busted and broke. They may once have been noble and keen; they might have stared at life as if it were their own already. They were gifted, but breakable. Alas, and they broke. And they have nothing to give. So many things have disintegrated around them, they are left without a clue, and certainly without hope from a ‘fickle’ Church.

What makes a man or woman ‘spiritual’ or holy? Is it living up to a special standard or calling? Or maybe they look and sound good at what they do? Perhaps it is none of these. Maybe it really comes down to brokeness and humility? Perhaps we’ve looked at it all wrong. Perhaps the real yardstick is spiritual poverty?

“They are blessed who realize their spiritual poverty, for the kingdom of heaven belongs to them.

Matthew 5:4, NCV

Make no mistake, the ‘good’ seems very good. It is easy to ‘receive’ from some preachers. They do it so seamlessly, and so correctly. We often wonder why we haven’t been so receptive before. But ‘polish’ can never replace ‘broken’ prayer. I will trust my soul to those ‘busted’ by the meanness of life, rather than those who pretend that things are ‘rosy’ all over. Brokenness is not a given. But it really is ‘the coin of the realm’. It is how the Kingdom does ‘business.’

 But he said to me, “My grace is enough for you. When you are weak, my power is made perfect in you.” So I am very happy to brag about my weaknesses. Then Christ’s power can live in me.”

2 Corinthians 12:4, NCV

I hate to say this, but if being broken is the desperate need of the moment, then hammer me over and over again. I can’t imagine or even explain a better calling. “Bring it Father God”, (but help me if I stumble.) Oh, and one more thing: typically ‘mercy’ is absent for those who seem to live so ‘perfectly.’ (You just don’t see them with any.)

Look for mercy, and you will probably find someone truly authentic.

Take your candle, run to the darkness, and light your world, and love the unlovely while on your way.

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Shameful Memories

So when the woman saw that the tree was good for food, and that it was a delight to the eyes, and that the tree was to be desired to make one wise, she took of its fruit and ate, and she also gave some to her husband who was with her,and he ate. 7 Then the eyes of both were opened, and they knew that they were naked. And they sewed fig leaves together and made themselves loincloths.

And they heard the sound of the LORD God walking in the garden in the cool of the day, and the man and his wife hid themselves from the presence of the LORD God among the trees of the garden. But the LORD God called to the man and said to him, “Where are you?” 10 And he said, “I heard the sound of you in the garden, and I was afraid, because I was naked, and I hid myself.” 

Genesis 3:6-10, ESV

There is a good chance that some of your memories are pretty awful. When we get looking back we can see shameful, dark things.  Some of us carry things that are profoundly evil, and they go with us wherever we go. It’s no secret that  guilt and mental illness travel hand in hand, for they are brothers. They have tormented us for ta erribly long time. They are like playground bullies who have no fear– they  only have hatred for us.

I’m quite convinced that the only way to move on is to have Jesus Christ to fully cleanse you; and that includes your dark humiliations.  The human tendency is for concealment. We take considerable effort to conceal and cloak our past lives. (Both Adam and Eve understood personal shame.)

I remember back when my dad discovered that one of our dogs had killed a chicken.  He took that dead chicken and wired it around that dog’s neck. That dog wore that chicken for weeks.  It was awful, and it began to putrefy. The smell was terrible.  I can still see that dog, staggering and tongue lolling out and slobbering.  My dad said it was the only cure for a “chicken killer.”  The dog would get very sick, attached to this rotting carcass.  It was sobering lesson for a boy to see.

Somehow, that is what our past disgrace has done to us.  Sure we have moments when we can almost forget.  But, for the most part, it is just a temporary reprieve.  We slide back and rediscover the pain; it’s just waiting for us.   The cost on our mental health is staggering.  Many of us are driven in a mad movement to drugs and alcohol.  We are compelled to escape the pain, and for a little while it seems to work. (This is called “co-morbidity.” Which is ‘fancy talk’ for a dual problem.)

Most of us, would quickly trade this mental pain, this misery;  for a physical one. Something shameful that was done 20 or 30 years ago continues its destructive work.  It’s like filling a bucket with corrosive acid.  It will “eat” its way out.  Our conscience will not allow us to dispose of our self-disgust in this easy, cavalier manner.  We need a ‘hazmat’ crew to help us clean-up mentally and spiritually.

You have to forgive yourself.  You must (!), or you will destroy yourself and those closest to you as well.  Often these things are a moldy wall; they seem to just need a coat of paint. Our problem is that it will only cover for a short time.  After 20-30 layers are applied, we realize this isn’t really the answer. Nothing we can do is ever enough.  We must have Jesus– we must!

A full repentance is critical. Don’t scuff off this first step.  The blood of Jesus isn’t some nicety. It is foundational for salvation. We are to, by faith, start the obedience. Our blistering sin and guilt are absorbed in Jesus’ death and resurrection. He took away every ounce of sin. believe that and freedom is yours.

No matter what the sin it is forgiven.

“Therefore if anyone is in Christ, he is a new creature; the old things passed away; behold, new things have come.”

2 Corinthians 5:17

 
 

Poetry of the Broken

Last Saturday I purchased a wonderful find at Powell’s Books (Portland, Oregon’s own homegrown new and used bookstore) – a used book called “Invisible Light: Poems about God” – for only $4.50. And it is in excellent condition. It is a collection of poems by various poets, some well known and some not so well known, as well as a few Psalms and other pieces of poetic scripture. I noticed in the table of contents that there were two poems by William Cowper, who I first heard of when reading “When the Darkness Will Not Lift” by John Piper. (See my book review of that book here).

Both of Cowper’s poems were so beautiful; made me wonder why I even try to write poetry. (But I do know my poetry is getting better, and reading poems like Cowper’s just makes me want to learn more about poetry and get better at writing it).

I want to share one of Cowper’s poems with the readers at Broken Believers. I do so because it is a great reminder that even when we think we are too lost and broken to be of any use to God, even then God can do the impossible. He can take a broken vessel and cause great light and wonder pour from its cracks. I am thankful for the poetry Cowper wrote, and for the witness that he provides of the truth that God uses the broken for astonishing things.

William Cowper, English poet and hymnodist
(1731-1800)

You see, Cowper suffered from recurrent bouts of depression and severe mental illness. At times he was convinced that he was damned for all eternity, and that he was a lost soul. Nonetheless, he was able to write some truly inspiring poetry and hymns to glorify God. This particular poem will cause the “Comfortless, broken, afflicted to delight in the joy of a life to come where all pain and sorrow will cease, and the glory of Jesus will be all we need.”

If you are struggling, feeling like you can never be of any use to God, take heart. God is in the business of using His power and wisdom in tandem with the broken believer to accomplish great things.

The Future Peace and Glory of the Church
by William Cowper

Hear what the Lord hath spoken:-
O my people, faint and few;
Comfortless, afflicted, broken,
Fair abodes I build for you:
Thorns of heart-felt tribulation
Shall no more perplex your ways;
You shall name your walls, Salvation,
And your gates shall all be Praise.
There, like streams that feed the garden,
Pleasures, without end, shall flow;
For the LORD, your faith rewarding,
All his bounty shall bestow:
Still in undisturb’d possession,
Peace and righteousness shall reign;
Never shall you feel oppression,
Hear the voice of war again.
You no more your suns descending,
Waning moons no more shall see;
But, your griefs for ever ending,
Find eternal noon in me:
God shall rise, and shining o’er ye,
Change to day the gloom of night;
He, the LORD, shall be your glory,
God, your everlasting light.

Hymn No. 10 of The Olney Hymns

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Peace, Linda K.

You can find Linda’s own blog at http://lindakruschke.wordpress.com/

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One Strange Trip, [Honesty]

Pastor Bryan Lowe

I’m sure about this: the one who started a good work in you will stay with you to complete the job by the day of Christ Jesus.”

Philippians 1:6, CEB

I was ‘saved’ in my early twenties.  With that salvation came a sense of what really was true.  And perhaps a real hope of what life could become.  I’m  now 55, I can only shake my head.  It certainly has not been as rosy as I first thought.  I blame myself, and go on to understand that maybe this is the way it was supposed to turn out.

But my walk with Jesus has been real.  I haven’t given up on my pitiful faith and I haven’t apostatized.  And yet I am aware of a confusion, and  a disconnectedness that is a bit odd.  I sort of realize that my soul has been hunted, and that I’m vulnerable.

But I can’t let go of Him who I call Savior.  It certainly has not been easy.  Sometimes it seems that I am perhaps the most troubled of all His followers. I’m sure some of you might understand.

You see, I have a disease called “loving Jesus” from which know I will never recover.

The promises that have been given to me can’t be diminished or revoked.  He has dedicated Himself to reaching me.  I’ve been told that He not only plucks me out of my darkness, but His intention is to heal and balance me.  My confusion is not enough to sidetrack His will.

I don’t know what my future holds.  But to be honest, I don’t anticipate anything magical,  or some fantastically creative spirituality.  I do not think things will suddenly get bright all of a sudden.  But I can tell you this much, that I will never turn from His grace or goodness.  I hang on them as a shipwrecked man clings to a log, out in the middle of the ocean.

I am most unorthodox, I know.  I do not fit the mold of the average believer.  I am too blunt, direct and disconnected. I have considerable issues, compounded by my mental illness. But I do know Jesus.  He has come to save the broken-hearted, and come as a physician to a very sick soul.  I trust Him to fix me. In 2 Timothy 1:7, Paul writes us:

 “For God has not given us a spirit of fear, but of power and of love and of a sound mind.”

It seems we stand on the threshold of a real and authentic life.  For some, we must work especially hard to understand  this walk of authentic discipleship.   Unquestionably, we must trust in His love.  But being stable and established will not save us. (Although, it would be nice). Salvation has always been by grace through faith.

My dysfunctional life doesn’t incur His rejection, the opposite is true.  He loves losers, and looks especially on losers who know they are very lost.

I especially want to encourage my brothers and sisters who struggle with a mental illness.  You’ve been dealt a severe blow.  Others will never understand your “limp.”  But Jesus does. You have a gift to bring to the table.  He can pour much more grace into you.  Don’t be discouraged by the resistance coming out of your thinking.  You are especially His.  He holds you with a transforming love.

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Being Honest As I Can

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 “So stop telling lies. Let us tell our neighbors the truth, for we are all parts of the same body.”

Ephesians 4:25, NLT

I intend to be simple.  I am worried and distressed by my own confusion and a simple disorientation about my own detachment to what is spiritual.  I confess a trust in Him, but am wary of  an evil attachment to things that take me away from Him.  I know this sounds confusing, please bear with me.

I turn to Him, and yet I know that I know that a small part of me does not really belong to Him.  I want to belong, but am conscious that I just don’t work into the Kingdom.  I am a liability.  I quickly will admit to some confusion, but I have no real intention to deceive anyone.  I desperately want to be His, but I’m aware of issues that would defy such a connection.

I have an incredible infatuation with Jesus, and His teaching.  He is the most amazing man to step out out of the ‘river’ of the human race.  I see in Him so much, and deep down I want to fall on my knees and worship Him.  The things He did are honestly the most sublime in the history of man.  He is astonishing.

And yet, I continue to struggle.  I see all of this and yet I’m confronted with my own issues.  I know what I would like to be.  But if I press, I begin to short-circuit.  I do, certainly turn it over to Him.  But I also am aware of a certain antipathy or rebellion (although that word seems too harsh) against the whole idea of grace.  I can not figure ‘grace’ out.  Grace perplexes me.  It is the ‘Gordian Knot’ of the entire human race.

But I do connect with Him.  My bipolar would quickly render me a traitor.  I vacillate much more then the average person.  Ultimately, I do turn and trust Him.  He has led me to a wonderful place.  If it is all a delusion, then so be it.  But I will still believe in Him who gave Himself for me.

If that makes me a disciple, then so be it.  But I know I am the least of His.  I guess faith would venture more.  But I scrape up all that I have and a saving hope it is enough.  I look at the accounts of Him and am pretty much astonished.  Jesus did things, consistently, above others before Him and after Him.  He is quite exceptional.

I am a follower.  I will struggle, and then have to deal with that sin.  But I do believe and intend to keep believing.  I only wish I was more consistent.  I sometime wonder that in the “Book of Life’ if my name would include an asterisk.  (“Made it, but by the skin on his teeth.”)

Don’t fret, I am under His hand.  He deals with me, and fully intends to lead me, home.  I so do want that.  If on that Day, you hear someone hollering, it will be me back in the 715,426,488th row, shouting ‘I am finally here”, in the fellowship of heaven.

Some will understand this:

He who has this disease called Jesus will never be cured.”

Doestevesky

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