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Posted by Troll on February 14, 2000 at 00:30:18:

In Reply to: Blind Rage - Possible Bipolar Disorder? posted by Gary V on January 20, 2000 at 00:21:18:

: A month ago one of our five grandchildren (six years old) was said to experience 'blind rage' - a few times a day he 'goes off' in the presence of an adult, usually Mom, Stepdad, Grandpa, Grandma, teacher, karate coach, or several of the above. Punching, throwing things, destroying things, even talk of hurting himself lately. For little reason - time to go to bed, school, pick up his room, etc. Tonight's 20/20 show had Dr. Demetri Papalos introduce a few cases of young children with extreme cases of Bipolar Disorder (what used to be called Manic/Depressive Disorder). One point he makes is that more than 80% of kids with such a diagnosis also have ADHD. Suspect trouble when violence is part of the package. Gouging a parent's face, stabbing the back with anything sharp, foul language, whatever is available to bring Mom to tears... Ritilin and other stimulants are counterproductive in these cases. But, most doctors will not identify Bipolar in a young child. They cannot be helped without mood stabilizers (eg. Lithium) and sometimes tranquilizers. The ADHD treatment will be very disappointing.

While children with ADD are often somewhat argumentative and of strong opinions,I don't believe that it normally goes to the extent that you've described. I've read that in children with this kind of a problem, Bipolar Disorder may be present. Another one to definitely check out is Oppositional Defiant Disorder (ODD). There's a web page for this at:

Also, keep in mind that these disorders very often overlap with ADD, so you may have a multiple issue to deal with here.

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