13
May 24

Book Review: The Bipolar Teen by David J. Miklowitz and Elizabeth George

Teenager“…helping a teen recover from bipolar disorder requires an all-out effort”

The Bipolar Teen is the most important book you can own if your teen has been diagnosed with bipolar disorder. If your teen has not been diagnosed, but you are wondering if his or her depression or ADHD could actually be bipolar disorder, this book is for you as well. Davd J. Miklowitz has written some of my favorite books on teen mental illness. I was especially interested in this one with coauthor Elizabeth George because it approaches bipolar disorder from the family’s viewpoint.

We all know what a difference families can make. The first part of the book helps parents face the overwhelming diagnosis itself. The authors provide case histories to help parents understand what bipolar disorder can look like. They explain how to hold your marriage and family together. The frustrating behavior of a bipolar child can wear parents down. Miklowitz and George describe some of the unhelpful approaches parents often take with their bipolar teen. Then they explain constructive ways to deal with your teen’s difficult behaviors. If your teen is angry or explosive, this book will save you a great deal of heartbreak.

There can be many types of conflict within a family struggling through bipolar disorder. Sometimes a sibling feels shoved aside and resents the sick teen. Sometimes a sibling provokes the sick teen. The authors provide deep insight into the many dynamics that can arise between family members. One important point they make is that the sick teen’s place in the family must be preserved. It is important not to let the behaviors of the sick teen make him or her become the family scapegoat.

It can be difficult to determine whether a teen’s behavior is part of the illness or simply part of being an adolescent. The chapter “A Close Look at the Symptoms” will help you to understand how your teen experiences bipolar disorder. This chapter describes the sometimes subtle and sometimes not-so-subtle symptoms of bipolar disorder. It describes the criteria that physicians use to make a diagnosis. It also explains the different types of bipolar disorder.

One of the most challenging issues in treating bipolar disorder is getting the medicine right. The authors explain the different types of medicine available and the advantages and disadvantages of each. They explain how to work with your teen and the doctor in figuring out the right medicine combination. Again, this savvy author pair can prevent you from making mistakes. For example, they point out that parents and doctors often rush to an unnecessary and even risky medicine change when the teen is just going through normal adolescent angst.

The authors describe the different types of therapy in detail and even make recommendations based upon your teen’s personality and style. They also explain the benefit of therapy for siblings as well as family therapy. Although it may seem as though the authors ask a lot of parents, helping a teen recover from bipolar disorder requires an all-out effort. If you think about it, the sacrifices are actually quite small. The teen years are tough no matter what. By pulling together, your family will develop a strength and intimacy that will yield amazing rewards in the years to come.

 


17
Apr 24

Changing Psychiatrists or Therapists Without Hurting Feelings

Teenager“Therapists know that comfort level is the most crucial qualification and will not take it personally.”

It can be awkward to leave a professional with whom you have established a relationship. Many parents don’t realize how worried therapists and psychiatrists get when a patient suddenly stops showing up. Mental health specialists appreciate the courtesy of being informed if they will not be seeing your teen again simply because they want the assurance that the teen will remain in treatment. A quick phone call is greatly appreciated.

If your teen has found a new therapist, call the previous one and thank her for her past work. You can provide a detail about the new person you have hired. For example, you can say that you thought your teen would do better with a male therapist or a therapist who practices your family’s religion. You can even simply say that your child hit it off better with a different therapist. Therapists know that comfort level is the most crucial qualification and will not take it personally.

If you are changing psychiatrists, I recommend the following approach, which I received on the advice of a new psychiatrist I hired for my daughter. Call the previous psychiatrist (you can leave a  message) and explain that you sought a second opinion. It is a nice courtesy to name the new psychiatrist. Then say that your teen felt really comfortable with this new person and that you are going to stick with her for a while, but that you hope she will remain open to letting your teen return if they change their mind. When I left this message, the psychiatrist went out of her way to say how much she appreciated me letting her know and that certainly I could bring my teen back anytime.