|Collage, Oil Relief Ink on BFK Rives paper|
Sunday, September 14, 2014
Saturday, September 13, 2014
We have all heard of bipolar disorder. It seems that most children in the recent years have been diagnosed with this. If a child acts out, has a tantrum, he/she could be characterized as bipolar.
An article in the September 2014 issue of the American Journal of Psychiatry brought up a new psychiatric nosology to address the need for improved classification and treatment of children displaying temper tantrums or outbursts. Disruptive mood dysregulation disorder (DMDD) is a new diagnostic for children (age 5-18) with chronic irritability. It was first proposed in October 2013, but it didn’t have sufficient empirical support. Partly because it was studied by a single group who focused only on adolescents temporarily hospitalized. Either way, the study was introduced to prevent erroneous diagnosis of bipolar disorder.
“It is likely that [bipolar disorder] diagnostic approach has contributed to the dramatic rise in the rate of pediatric visits for bipolar disorder in the United States, from an estimated 25 per 100,000 in 1994-95 to 1,003 per 100,000 in 2002-2003” (Moreno C, 2007)
Am J Psychiatry shared a case study of an 8-year-old boy name Dillon who has DMDD. It shares how Dillon’s tantrums would cause impairment at home, in school, at family gatherings, in church and various places, causing the parents to avoid including Dillon on errands and events to avoid the embarrassment.
Since this diagnostic approach to chronic irritability in youth is so new, no controlled trials were conducted in DMDD. Treatment decisions are currently made based on other diagnostics related to psychopathology.
From reading the case study on Dillon, I wonder how art can help him. He punched holes through walls, gave his mother bruises, and appeared agitated, restless and often requested to be left alone. He “expressed the negative thought that no one liked him, that he did not have any friends, and that his parents did not love him.”
Since I have never worked or seen a child who has outbursts, I really do not have any idea what type of art session I would offer. Most of the time, when my nieces or nephews demonstrate bad manners, I would raise my voice a little and tell them that they are behaving badly and nobody likes a little brat. I let them sit by themselves for a few minutes, then grab some papers and oil pastels. I would ask them who their favorite character was and would draw it on the paper for them to color. This usually helps them to behave better and everyone is happy again.
This may work for spoiled brats, but I am not sure if it will work for children diagnosed with DMDD.
Would love any input from you.
Roy AK, Lopes V, Klein RG. (2014, Sept. 1) Am J Psychiatry 171:918-24. Disruptive mood dysregulation disorder: a new diagnostic approach to chronic irritability in youth.
Moreno C, Laje G, Blanco C, Jiang H, Schmidt AB, Olfson M (2007) Arch Gen Psychiatry 64:1032-1039
Friday, September 12, 2014
Wednesday, September 10, 2014
This creative practice was to take Sharpie and draw a line on a blank piece of paper without taking you marker off the page. This can be hard, because you really have to let the line guide you! There were many times I wanted to pick up the marker, but kept with the rule. The first photo is my result with the lines. The video clips talks about what I did (and I wanted to learn how to do videos). The last photo is of the final project. This practice would be good for people who are controlling and wants everything to be perfect or well thought out. I can see it working with patients who need to keep their hands busy. I personally did not like it because I'm a control freak, but I do appreciate the pretty pattern and colors.