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| Case series - Bipolar Disorder |
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Diagnosis: Manic Depression
(Bipolar Disorder)
ID. Number: B074-TB
Address: Midwest U.S.A.
D.O.B.: 1994
Date of Diagnosis: September 1, 1998
Prescribed Medications: Carbo-Lith 450
mg./day Risperidal
Starting Date on Supplements: July 15,1999
Monitored By: Mother & Dr Rich Ferre,
Chief of Psychiatry, University of Utah, Primary Children's
Hospital
The following information was provided from the mothers
log or journal:
Age 12 Months - "He would run at every possible chance.
He would often dump out entire cupboards or entire boxes
of cereal (as many as he could as quickly as he could
before I could get over to him) onto the floor, almost
as if to see how we would react or just to get our attention.
Age 19 Months - "He would scream out in sudden outbursts
of kicking, hitting, and screaming. He had difficulty
listening to the lesson in nursery, being quiet or sitting
down in a restaurant or sitting still for a few minutes
in a family gathering. He had two volumes of speaking:
shouting or whispering.
Age 2-3 Years - "excessive hitting tantrums, tantrums
before going to bed every night - it often would require
us to hold him down or contain him so that he could calm
down and talk to us instead of screaming, hitting or destroying
things. He was waking up frequently every night, and it
was hard getting him to eat regular meals (he wanted to
eat snacks and candy all day). He had a problem of leaving
the house without us knowing and walking to someone’s
home to find someone to play with. We usually had to call
four or five homes before we located him. He would cry
almost uncontrollably over small things - we would whisper
to him to help him realize that he was so loud. He would
try to gain control of his emotions by whispering back
to us to tell us what he wanted. We had 'time-out' for
him often just for him to calm down. If the time-out was
in his room, he would often throw things at the door,
breaking things, or completely destroy what he could by
making a mess of things. The entire floor would be covered
with things from his closet or drawers. Very good at puzzles."
Age 3 ½ - 4 First year of school - He seemed to
like school. He had problems hitting other children. We,
as parents, were not aware of it until about December.
Mom had a baby March 1998. He was very emotional the two
or three months prior to the new baby coming. This would
include not participating in some class activities at
school by hiding under a table sulking or pouting. At
home he would burst into extreme crying fits or shouting,
stomping his feet, and throwing things. Sometimes he would
have moments of destroying things - his room, a toy, etc.
It was usually a sudden outburst of anger while we were
standing there. He would try to knock over chairs, push
a stack of magazines off a table, throw his favorite toy,
all within three or four minutes. We would always have
him participate in the clean up after the fit was all
over so that he would understand the consequence of his
outburst. He seemed to be an entirely different person
during these clean up sessions - listening, pensive, sorry.
His bedroom door is scarred from objects being thrown
at it. When playing with friends, about 1/3 of the time
he had hitting problems.. On the other he was a child
who is very eager to learn. When he was not "wired"
he enjoyed organizing his room, help in the kitchen, and
played well with his younger brother.
Observations prior to beginning the nutrient program -
Increasingly we have seen an abrupt change in emotions;
he is overly tired often. If he does not nap he at least
has a "quiet time" to watch TV. or read books
(which he has had for the last year anyway). He will suddenly
become hyper and out of control. When being reprimanded
he gets his feelings hurt and it immediately turns to
anger and physical actions. He has less tolerance for
babysitters and friends, his shouting has returned somewhat.
Results of the Nutrient Program - Baseline data reports
indicate a high component of aggressive, explosive behavior,
combined with irritability and hyperactivity. The mother
reported that his behavior in the past three months has
been particularly difficult. This was prior to the initiation
of the open case trial using the nutrients. As noted in
the chart below his recovery was very dramatic. His mother
has expressed complete surprise at the changes that taken
place in his attitude and behavior. He now sleeps very
well, his mood and emotional control are excellent, with
no explosive mood swings.
Note: In Dec/1999 He received the most improved
student award for his class. |
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Starting Symptoms: July 15,1999
| PARTICIPANT
REPORTED SYMPTOMS |
NOT
AT ALL |
JUST
A LITTLE |
PRETTY
MUCH |
VERY
MUCH |
| AD1 Restless
or Overactive |
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| AD2 Excitable,
Impulsive |
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| AD3 Fails
To Finish Things, Short Attention Span |
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| AD5 Demands
Must Be Met Immediately |
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| AD6 Easily
Frustrated |
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| AD7 Cries
Often And Easily |
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| AD8 Mood
Changes Quickly, Drastically |
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| AD9 Temper
Outbursts, Explosive, Unpredictable |
|
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| D4 Hard To
Concentrate or Decide |
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| B1 An Excessively
High or Elated Mood |
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| B2 Unreasonable
optimism / poor judgment. |
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| B3 Hyperactivity
or racing thoughts. |
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| B4 Talkativeness,
rapid speech, incoherent. |
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| B5 Irritability |
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| B7 Rapid
shifts to rage or sadness. |
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| S13 Unusual
Sensitivity To Stimuli |
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Last reported Symptoms: August 21, 1999
| PARTICIPANT
REPORTED SYMPTOMS |
NOT
AT ALL |
JUST
A LITTLE |
PRETTY
MUCH |
VERY
MUCH |
| AD1 Restless
or Overactive |
|
|
|
|
| AD2 Excitable,
Impulsive |
|
|
|
|
| AD3 Fails
To Finish Things, Short Attention Span |
|
|
|
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| AD5 Demands
Must Be Met Immediately |
|
|
|
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| AD6 Easily
Frustrated |
|
|
|
|
| AD7 Cries
Often And Easily |
|
|
|
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| AD8 Mood
Changes Quickly, Drastically |
|
|
|
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| AD9 Temper
Outbursts, Explosive, Unpredictable |
|
|
|
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| D4 Hard
To Concentrate or Decide |
|
|
|
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| B1 An Excessively
High or Elated Mood |
|
|
|
|
| B2 Unreasonable
optimism / poor judgment. |
|
|
|
|
| B3 Hyperactivity
or racing thoughts. |
|
|
|
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| B4 Talkativeness,
rapid speech, incoherent. |
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| B5 Irritability |
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|
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| B7 Rapid
shifts to rage or sadness. |
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| S13 Unusual
Sensitivity To Stimuli |
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