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Assessment and intervention for Bipolar Dlsorder EDS 249 CSUS Fall Semester 2007 Acknowledgements Assessment and Intervention 39 Adams mmquot for B1P0131 Dlsofde Hart 5 P Jeltuva l StElruek S E in preparatlun Best Practices for School Psychologim Assesslng identirying andlreallrlg blpoardlsorder alsonool NeWYurk Sprlnger St h E B PhD NCSP Hart s P ZEIEIE DeeernberE Blpoardlsorder The SP c mhfg ji wmvm sonoolpsyonologists role Wurksnup presented at New tne CASF39 WnterCunferenee SanJuse CA s m sem m mm Presentation Outline I Workshop Goals Diagnosis Come Attendees WIII Coemmg Digabiimeg 1 gain an overview of bipolar disorder Associated lrnpalrrnerits 2 acquire a sense ofwhat is like to have bipolar Etlologv Prevalence amp Prognosis d39 I Treatment 3 lsor er learn what to look for and what questions to ask when screening for bipolar disorder 4 understand important special education issues including the psychoeducational evaluation of a student with a known or suspected bipolar isor er Best Practices forScnool Psychologlsts Presentation Outline Diagnosis I Course I It is as ifmy li were mqgieally run by two electric currents 39oyoux positive and corexlstlng Disabilities despairing negative whichever is running Associated lrnpalrrnerits atthe moment dominates my life oods it Etlology Prevalence amp Prognosis I Treatment Sylvia Plath ZUEIEI I Best Practlces for School Psychologlsts The Unabridged fawnal ofsytvm Plain 9501962 New Yurk AnehurBuuks Stephen E Brock PhD NCSP Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 IDiagnosis I DSM IVTR Diagnosis 1 Importance of early diagnosis I Pediatric bipolar disorder is especially challenging to identify Severe quotlama li Characterized ov se i N vere affect dvsregulatioh high levels of I I I agitatioh aggress oh YF 39quotaquot39aI39quot d mum 39 amaI li Relative to adults childreh have a mixed oresehtatioh a chrohic course oor res Ol lSe to mood StablIlZel S hl I7 coyrnorbldlt nonnallbalanced mood Wm ADSD p g y Symptoms similar to other disorders F rhole ADHD depressioh oooositiohal Deriaht Disorder Obsessive Compulsive Disorder ahd Separatlol l Al lxleiy DlSOl del Treatments differ signi cantly mild to moderate depression 0 severe depression 5 5 The school psychologist may be the rst mental health professional to see bipolar N MH 2mm 7 Faraun etal ZEIEIS i I DSM IVTR Diagnosis I DSM IVTR Diagnosis I Diagnostic Classifications ii Bipolarl Disorder I One or more Manic Episode or Mixed Manic I Numerous periods with hypomanic and depressive Episode symptoms I Diagnostic Classifications ii Cyclothymia I Minor or Major Depressive Episodes o en present I May have psychotic symptoms in Bipolar Disorder I One or more Major Depressive Episode I One or more Hypomanic Episode I No Jll Manic or Mixed Manic Episodes I No Jll Manic Major Depressive or Mixed Episodes ii Bipolar Disorder Not Otherwise Specified I Bipolar features that do not meet criteria for any speci c bipolar disorder AF39A Zuuu AF39A mum in I DSM IVTR Diagnosis I DSM IVTR Diagnosis I Manic Episode Criteria u A distinct period ofabnormally and persistently 39 Manquot EPISOde Cr39tena cont el vated expansive or irritable mood u Causes marked impairment in occupational D Lasting at least 1 week Jnctioning in usual social activities or T more four ifthe mood is only relanon hlps or irritable ofthe following symptoms a Necessitates hospitalization to prevent harm to i Inflated selfresteern orgrahdiositv 59 hers 0 2 Decreased heed forsleep u Has psychotic features a Pressured speech or more tallltative than usual a Not due to substance use or abuse eg drug 4 Flight of ideas orracihg thoughts abuse medication other treatment or a 5 Distractioilitv general medial condition eg s Psvchorhotor agitatioh orihcrease ih goalrdll ected hyperthyroidism c ivi v Hedohistic ihterests AF39A Zuuu AF39A mum is Stephen E Brock PhD NCSP Assessment and Intervention for Bipolar Disorder S 249 CSUS Fall Semester 2007 From Lnilhnuse a rmamnnw 215 Diagnosis Manic Symptoms at School I Diagnosis Manic Symptoms at School Despne uhry sieepmg 3 hums1he night bEiuVE a CNN 15 SW energizedihruughuu he day MY dudmn h sreep yet Hg wen res12d 11 ring ea h hm ghls R epuriurubservaimn ramming speecmhai 15 um er eeehWhhhg urspeeeee charameriurihe who 1 e Jim germai m eheums1ahha reiaiediu any cugnmve m ianguage s impaiYmEM he who mrgm have From Lnilhnuse a mud annex 215 12 From Lnilhnuse a rmamnnw 215 fo feel we 1 x upercharged thh poxbele Ordinary amvxne m Extraan mryi quot1 become the Eng 2 Emmy rm 122px I brie y andzawake re exhed thinking The I going a be the 52 day afmy 1121 1 PamckE rmesane anA Rymanns I I Ild Rum Mm Rme 3 A Emma Anew ofOru Inmglr39 Expmmu szh Mpolw mmquot New York Oxfuxd Unvexsxty pm DSMVIVVTR Diagnosis l Hypomanic Criteria u Similarities with Manic Episode Same symptums DSMVIVVTR Diagnosis I Major Depressive Episode Criteria 1 A perrud er depressed muud uriuss ufmteres t ur pieasure 1h hearry aH aerwmes 1h hrrmeh and adDiEsEEnts the wand may be irritabie rather than sad 0 Dl erences from Mam EPISOde n Lashhg cunsrstentiyfuralieasti Weeks Length 1 hme mpamem m as were u fRepresents a significant change frum prevmus May at be viewed by the individuai as pathuiugmai MW 1 Heweveh u hers may be truubied by errau nehavrur APAQDDU u APAQDDU u Stephen E Brock PhD NCSP Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 a Five or which is either 1 or 2 i Depressed rnood 2 a insornnia orhvpersomni Fatigueloss of energy J J J J J J EJ J l DSM IVTR Diagnosis l Major Depressive Episode Criteria cont more of he following symptoms at least one of Dirninisned interest in activities a Significantweightlosaorgain Psychomotor agitation or retardation Feelings ofWorthlessnessinappropnate guilt Diminished ability to think or concenti39ateindecisiveness 9 Suicidal ideation orsuicide attempt DSM IVTR Diagnosis Major Depressive Episode Criteria cont u Causes marked impairment in occupational Jnctioning or in usual social activities or relationships Not due to substance use or abuse or a general medial condition a Not better accounted for by Bereavement Aitertne ioss ofa loved one the s m torns persist for ion ertnan Z rnontns orare cnaracterized by rnarilted functional irnpairrnent morbid preoccupation With Worthlessness suicidal ideation psvcnotic symptoms or pavchom otor retardation in AF39A ZEIEIEI AF39A ZEIEIEI 7n energy for an offeeling bored or or i month Diagnosis lVIajor Depressive Symptoms at School grodcnvin ciass and or a great deai heavier or no appetite oran exceSsive Frum Lu huuse StFnstad ZEIEIE p Zia Diagnosis lVIajor Depressive Symptoms at School staying orreports sieeping Waking uptoo early or i2 iongerand stiii feeling ofsleep Looks eecn or or slowed down sluggish orne avoids or of feeling tired aii tne Frum Lu huuse amp Fristad ZEIEIE p Zia 12 orExcessive or feeling extremely done or increase child s sorne tne corridororhaving not said Diagnosis lVIajor Depressive Symptoms at School l m no good i nate rnvseir one likes me i can t do anything feels bad about and dwells on one or choose Frum Lu huuse StFnstad ZEIEIE p Zia Diagnosis lVIajor Depressive Symptoms at School cnange Oi Will ever be War casdaities natural or famine He reports be dead not Wantingto Wisnin he d ne bom he draws pictures of orstaooing him Suicide Frum Lu huuse amp Fristad ZEIEIE p Zia a Stephen E Brock PhD NCSP Assessment and Intervention for Bipolar Disorder anlc and Major Depressive Episode c Itena are met nearly every day for a least a 1 week period Rapidly alternating moods sadness irritability euphoria accompanied by symptoms ofa Manic and Depressive episode Causes marked impai ment in occupational functioning or in usual social activ es or relationships or Necessitates hospitalization to prevent harm to self or others or I DSM IVTR Diagnosm Kg I Mixed Episode Criteria quot u Both M 39 n n n n Has psychotic features Not due to substance use or abuse or a general medial condition APA zoom 1 EDS 249 CSUS Fall Semester 2007 DSMJVJR Diagnosis I RapidCycling Speci er an be applied to Bipolar l or II a Four or mo e mood episodes ie Major Depressive Manic Mixed or Hypomanic per 12 months May occur in any order or combination a Must be demarcated a period of full remission or a sWitcn to an episode ofthe opposite polarity Manic Hypomanic and MlXEd are ontne same pole u NOTE This de nition is different from that used in some literature wherein cycling refers to mood changes within an episode Gel er et al 2004 APA mom a I Diagnosis Juvenile Bipolar Disorder I Terms used to de ne juvenile bipolar disorder a Ultrarapid cycling 5 to 364 episodesyear reouent manic episodes lasting nours to days but less tnan tne Ardays required underl lypomanla g0 Q Q E a o u Ultradian cycling gt365 episodesyear Repeated briet cycles lasting minutes to nours 77 cnronic baseline mania Woznlak et al l9 ultradian is Latin for manytimes perday AACAPZEIEI7 Geller et al ZDEIEI 77 Diagnosis Juvenile Bipolar Disorder I Adults in Discrete episodes of mania or depression lasting to 2 to 9 months in Clear onset and offset in Signi cant departures from baseline functioning I Juveniles ii Longer duration of episodes in Higher rates or rapid cycling in Lower rates of interepisode recovery I Chronic and continuous AACAPZEIEI7 NlMH ZEIEIl u Diagnosis Juvenile Bipolar Disorder I Adults o Manla includes marked eupnoria grandiosity and irritability Racing tnougnts increased psycnomotoractiyity and mood lability I Adolescents o Manla is frequently associated Witn psycnosis mood lability and depression Tendsto be m r nic and difficult to treat tnan adult EPD Prognosis similarto WurSE tnan adult EPD I Prepubertal Children o Manla inyolyes markedly labileerratic cnanges in mood energy levels and behavlor Predominant mood is VERY seyere irritability often associated vyitn yiolence ratnertnan eupnoria lrritability anger belligerence depression and leEd features are more common o Manla is commonly rnlxed Witn depression AACAF 2mm NlMH ZEIEIl Wqullak et al lBBS 2v Stephen E Brock PhD NCSP Diagnosis Juvenile Bipolar Disorder I Unique Features of Pediatric Bipolar Disorder a Chronic with long episodes u Predominantly mixed episodes 20 to 84 andor rapid cycling 46 to 87 u Prominent irritability 77 to 98 a High rate of comorbid ADHD 75 to 98 and anxiety disorders 5 to 50 Payuluri etal ZDEIE 3n Assessment and lntervenhon for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 I Diagnosis Juvenile Bipolar Disorder I Dia osis Juvenile Bipolar Disorder Tne mus1 Yaquem presenting symptomsarnengeutpatientelinie Elpular Dlsurderln enilenooe and aduleseenee appeartu 39E39m WWWW WWDW bghav u39a symp m e ne sarne elinieal Erlth Howeveri tnere are signitieant develupmental varlatluns in illness Expresslun Elpulav Dlsuldel Onset w d 3 t lt lt y lto epv gt s 99 wysgt yssg Oppusl lunalDe alesuvdEv L y g 9 L9 4 393 g 5 it 3 20 of gaffe we Masetal anus i Danlelysnetal 2on7 I Diagnosis Juvenile Bipolar Disorder Diagnosis Juvenile Bipolar Disorder l SleepWake eyele Disturbances NIMH Roundtable 2 ADHDrllkesymmums 3 Agg e signPeerFiostiaiienieleianee u Blpolar dlsol del exlsls among prepubertal 4 i m AW 5 WWW 5 Hussy and overbearing ememely oppositional Narmw Pnenotyoe E Feel etHann or suclal pneoia Meetmll DleVenteiia 7 Hypevsexuallty o More common in aduleseemrunset EPD E Lauahlna hysmlcallyadlna lnledluusly happy Em dPhEnu pa 9 samples l n o Dun tmee ullDSMeremella buthaveEPDsympmms m SansulySensmw les inat are sevelely impairing ll Carbonyeia Yawn o e e mmun in ehlldhuudrunset EPD Sernatie Camp a n s Suggesmd use ottne EPD NOS eategeiyte enileien Wne eei o eienemttne navdeE m lun ottne eisei 24 A D52 1n ms LJfS NlMH 2mm 11 Presentation Outline Diagnosis Ifelz eIuax a My 01d warmm 1M0 wax 39 course Corexlslll lg Disabilities Associated lrnoainnents reaa a die She had mf ered Waugh lung 771be Etiologyi Prevalence amp Prognosis Treatment may Anglada Best Practices for Scnool Psychologlsls Mm Mm Though the Ejtr aYmg Peepe we Byam Dzmrdn 20 06 Victoria BC Tmffoxd Publishing Stephen E Brock PhD NCSP e Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 I Course Pediatnc Bipolar Disorder I Remission u 2 to 7 weeks without mee ing DSM criteria Recover a 8 weeks without meeting DSM criteria a 40 to 100 will recovery in a period OH to 2 years Relapse u 2 weeks meeting DSM criteria a 60 to 70 of those hat recover relapse on average between 10to 12 months Chronic u Failure to recover for a period of at least 2 years Pavulurletal m5 7 I Presentation Outline I Diagnosis Course I Co existing Disabilities I Associated Impairments I Etiology Prevalence amp Prognosis I Treatment I Best Practices for the School Psychologist u PsychoEducational Assessment a Special Education amp Programming Issues a SchoolBased Interventions Co existing Disabilities I AttentiondeficitHyperactivity Disorder ADHD u Rates range be e 11 and 75 I Oppositional Defiant Disorder u Rates range between 464 and 75 I Conduct Disorder u Rates range between 56 and 37 I Anxiety Disorders in Rates range betwee125 and 56 I Substance Abuse Disorders 0 to 40 Pavulurletal ZEIEIS 3v I Io existing Disabilities ADHD Criteria Comparison Bipolar Disorder mania ADHD l Moretalkativetnanusual 2 l ortentalksekcessivelv or pressure to keep talking 2 Dl tractlblilw gt 2 ls often easlly distracted v ektraneous stirnu i 3 lncrease in goal directed l l gt 3 ls often on tne o or WW OIPSWW W O often acts as itlgdriven by agitation l Differentiation irritable andorelated rnood grandiositv decreased ed forsleep h n r iialit and age ors rnptorn n i ii i 1W Co existing Disabilities I Developmental Differences u cnildren have nignerrates ofADI ID tnan do adolescents u Adolescents have nigner rates of substance abuse Risk of substance abuse 8 a tirnes nignerin adolescentonset bipolardisordertnan chlldhuudrunset bipolar disor er a cnildren have nignerrates ofpervaslve developmental disorder particularlvAspergers Dlsol delquot 11 I Unipolar Depression I Schizophrenia Pavulurletal ZEIEIS u I Presentation Outline I Diagnosis Course I Co existing Disabilities I Associated Impairments I Etiology Prevalence amp Prognosis I Treatment I Best Practices for School Psychologists Stephen E Brock PhD NCSP Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 I Associated Impairments Suicidal Behaviors I Prevalence of suicide attempts a 4045 I Age of first attempt I Multiple attempts I Severity of attempts I Suicidal ideation I Associated Impairments Cognitive Deficits I Executive Functions I Attention I Memory I SensoryMotor Integration I Nonverbal ProblemSolving I Academic Deficits in Mathemat39cs I Associated Impairments Psychosocial Deficits I Relationships eers in Family members I Recognition and Regulation of Emotion I Social ProblemSolving I SelfEsteem I Impulse Control Presentation Outline Diagnosis Course I Co existing Disabilities Associated Impairments I Etiology Prevalence amp Prognosis Treatment I Best Practices for the School Psychologists I Etiology I Although the etiology of early onset bipolar spectrum disorder is not known substantial evidence in the adult literature and more recent researc w c i ren and ado scents suggest a biologicalbasis involving genetics v rious neurochemicals and certain affected brain regions It is distinctly possible that the differing clinical presen ations of pediatric D are not unitary entities but diverse in etiology and pathophysiology LurtnuuseaFristadauuam ZlZ Pavuluri etal muslin 853 Stephen E Brock PhD NCSP I Etiology l Genetics Family Studies Twin Studies rvz 2o concordance Adoption Studies Genetic Epidemiolog u Early onset BD confers greater nskto relatives Molecular genetic I Aggregates among family members I Appears highly heritable I Environment a minority of disease risk NA 0 m Eiaurn etal inunraraone etal innatrvavuiunetai m5 Assessment and Intervenhon for Blpolar Dlsorder S 249 CSUS Fall Semester 2007 I Ettolo l Neuroanatomical differences Wn te matter hyperll39ltel39lsltles Small abnulmal areas lnlne Wmle matter enne bvaln especlally ln lnerrenlal lube I Ettolo l Neuroanatomical differences El Re uced gray mattervolurne lrl the dorsolateral prefrorltal cortex DLPFC El Bllaterally largerhasal ganglla Specmcally larger pulamen El Smaller amygdala El Decreased nlpocampalvolume Halek etal meal Pavuluvl etal 2cm u Halek el al HIDE Pavuluvl el al Z s I Prevalence amp Epidemiology I Prognosis Wltnrespecttn pmgnusls early onsethlpolar I No data on the prevalence of preadolescent ipe llulu Murder may lnclUlfie a fr l nged and bipolar disorder ng y re apslng course Slgnl lcen lmpalrmen s nnrne scnnnl and peer funcllnnlng legal Lifetime prevalence among 14 to 18 year dlfl lcullles mullple nnsnltellzetlnns and old 1 lncreesedretes ufsubslance abuse and sulclde u Subsyndromal symptoms 5 7 ln snnrt enlldren wrtn early onset hlpolar I Mean age of onset 10 to 12 years spectrum dlsorder have a enrnnlc Dram dlearder l tnet lS blnpsychasaclal ln nature and at We l Flrst eplsode usually depression curr ent tlrne cannot be cured or grown out of Pavuluvl etal mus a tullnnuse a rrrstadgnnse mm I Prognosis Presentation Outline Outcome by subtype researcn Wltn adults Dlagnosls Blpolar Dlsor erl u Mere severe tend te experlence mere Eycllng amp mlxed I COWSe Eplsudes experlence mere substance abuse tend te recwertu prememld level errunctlemng between C0 mung D Sab m eg E WES Assoclated lmpalrments BlpolarDlsorderll a p M u Mere Ehrunlc mere eplsedes Wltn snunerlnterreplsude 0 0W re ewe rognog g ls ln erva l mere maler depresslve EplSDdESl WFlEally presentwltn less lntense and erten unrecegmzed mamc s ety Treatment pnase tend tn Experlence mere anxl Best Practlces ror Senool Psychologlsts Cyclotn mla u Can be lmpalrlrlg ctten unrecugnlzed many devele mere severe term eralpelarlllness Blpolar DlsorderNatOtnenmse Speclned NOS Stephen E Brock PhD NCSP Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 I Treatment ITreame t Psychopharmacology Cont Psychopharmacologlcal Lithium DEPRESSION MANIA a History o Mood Stabilizers o Mood Stabillizers dg g gjgljgg mequem Lafnictal thnlurn Depakote Depacon Weigntgain D Ami0bsessi nal Tegreloi anacLeSaesaedj tanrirfsgaincfeased unnationfwatefretention am a Atypical An ipsychotics Tremor a AmiDepress Egaltfogil zgirrya WW WeHbum AsiperdalfeeodonfAbilify El I1 I I39lXIe 39 D A YP39ca39Ampsycm cs Benzod azepmeg o Benefits amp protectlye qualities Zyprexa D monopm AW graln Derlved Neurotroplc FactorBDNF ampAp0pt05l5 LllCl e I Treatment I Treatment Therapy Alternative Treatments u PsychoEducation u LightTherapy D amquoty IllterVemons u ElectroConvulsive Therapy ECT amp Repeated D MUltlfamlly PsyChOeducanon Groups MFPG Transcranial Magnetic Stimulation rTMS u CognitiveBehavioral Therapy CBT D Circadian Rhythm u RAINBOW Program Melamnin u Interpersonal and Social Rhythm Therapy IPSRT D Nutritional Approaches u Schemafocused Therapy Omega3 Fatty Acids Presentation Outline Recognize Educational Implications Diagnosis I Course Grade retention Co existing Disabilities Associated Impairments tiology Prevalence amp Prognosis Adolescent onset signi cant disruptions o B fore onset Treatment Best Practices for School Psychologists 71 good to excellent work effort a Recognize Educational Implica ions 39 58 SDeCWC academic Strengths p on 83 college prep classes o Altefonset 67 significant difficulties in fnatn 38 graduated from nign scnool u sych d cal al Assessment a Special Education amp Programming Issues a SchoolBased Interven ions V Luftnuuse StFrlstad ZEIEIE an Stephen E Brock PhD NCSP 10 Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 I Psycho Educ ational Assessment I Identification and Evaluation in Recognize warning signs in Develop the PsychoEducational Assessment Plan in Conduct the Assessment I Psycho Educational Assessment I Testing Considerations I Who are the involved parties t Others7 I Release of Information I Referral Question in i Understand the focus of the assessment Elig bility Category I Psycho Educ ational Assessment I Special Education Eligibility Categories in Emotionally Disturbed ED in Other Health Impaired OHI I Psycho Educational Assessment I ED Criteria in An inability to learn that cannot be explained by other factors An inability to build or maintain satisfacto interpersonal relationships with peers and teachers Inappropriate types of behavior orfeelings under normal circumstances A general pervasive mood ofunhappiness or depress39on A tendency to develop physical symptoms or fears associated with personal or school pro ems I Psycho Educ ational Assessment I OHI Criteria in Having limited strength vitality or alertness including a heightened alertness to environmental stimuli that results in limited alertness with respect to the educational environment that I is due to chronic or acute health problems such as asthma attention de cit disorder or atten ion de cit hyperactivity disorder diabetes epilepsy a heart condition hemophilia lead poisoning leukemia nephritis rheumatic fever and sickle cell anemia and I adversely affects a child s educational performance Stephen E Brock PhD NCSP I Psycho Educational Assessment Assessment and Intervention for Bipolar Disorder I Psycho Educ ational Assessment I Health amp Developmental in Family History in Health History in Medical History EDS 249 CSUS Fall Semester 2007 I Psycho Educational Assessment I Current Medical Status in VisionHearing in Any medical conditions that may be impacting presentation in Medications I Psycho Educ ational Assessment I Observations in What do you want to know in Where do you want to see the child in What type ofinformation will you be collecting I Interviews El ii Questionnaires phone calls or facetoface I Psycho Educational Assessment I Socio Emotional Functioning a Rating Scales neral u ChidrBehavOI Checklist CBCL u BehaviorAssessnenl System for cnimen BASCrll u Develeux Scales ofMenlaDSodeS DSMD Mania u Wasning ton University in St Louis Kidde Schedule for Affective Disorders and Schizophrenia WASHVU KSADS a Young Mania Rating Scale a General Behaviornyenlolz GBl Depression u Beck Depression inventory BDl D Hamilton Rating Scale for Dege5 aion u Reynolds Adolescent Depression Scale RADSVZ I Psycho Educational Assessment I Socio Emotional Functioning cont a Rating Scales Comorbld conditions a Attention Bonnets Rating Scales gigen Alte lonrDefcIDSoldel Scales for Childe77 and o Seen 5 D Conduct Scale fOIASSeSS g Emotional Disturbance a Armler Revised Children 5 ManfeSlAnxely Scale R CMAS u Informal Measures Sentence Completions I Guess Nh am e SAED Stephen E Brock PhD NCSP I Psycho Educational Assessment I Cognitive Assessment u WoodcockJohnson Tests 0 Cognitive Abilities WJlll Wechsler Intelligence Scale for Children WISCIW Developmental Neuropsychological Assessment N EPSY Kaufman Assessment Batter for Children KABCZ u Differential Ability Scales DAS2 u u u Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 I Psycho Educ ational Assessment I Psychological Processing Areas u emory Wlde Range Assessment of Memory is Lear7mg WRAM L72 u Auditory Comprehenslve TestoanonooglcaProcesslng CTOPP Tests ofAudtory Processrig TAPSVS u sual Melonfree VlsusPemepmn TelelVPTrS u sualMotor Integration Beey Buklenlca Developmental Teslof VlsusMolon lnlegrallon Vivi l Bender VlsusrMolotGestaltTesltaenderreestalt ll I Psycho Educational Assessment I Executive Functions a Rating Scales I Behavior Rating Inventory 0 Executive Functions BRIEF Comprehensive Behaw39or Rating Scale for Children a Assessment Tools I NEPS Y I DelisKaplan Executive Function Scale Cognitive Assessment System CAS I Conners Continuous Perl nc Tes I Wisconsin Card Sorting Test I Trailmaking Tests t I Psycho Educ ational Assessment I The Report a Who is the intended audience a What is included I Referral Ouestlol l Background e g developmental health farnlly educatlorlal SoclorErnotlorlal Functlol lll lg ll lcludll lg ratll39lg scales observatlorls ll lteereWS and narratlve descrlptlorls Cogl lltlve Functlol lll lg ll lcludll lg Executlve Functlorls amp Processlrlg Areas Acadernlc Achlevern el lt Summa datlorls Ellglblllty Statern erlt I Delivery of information Special Education amp Programming lssues I Special Education or 504 Special Education amp Programming lssues I Consider referral options in Mental Health in MediCalAccess to mental health services ll SSI Special Education amp Programming lssues I Developing a Plan Stephen E Brock PhD NCSP Assessment and Intervention for Bipolar Disorder Special Education amp Programming Issues I Questions to ask when developing a plan What are the student s strengths What are the student s particular challenges What does the student need in order to get through hisher day successfully AccommodationsConsiderations Is student s behavior impeding access to hisher education Behavior Support Plan BSP needed ll ll ll I School Based Interventions I Possible elements of a counseling program in Education in Coping skills in Social skills in Suicidal ideationbehaviors in Substance use EDS 249 CSUS Fall Semester 2007 I School Based Interventions I Counseling ll Individual or group I VWI it be part ofthe IEP as a Designated Instructional Nice D S o Goals in Crisis Intervention I Mll it be written into the BSP I References AACAP 2on7 Practice parameter for the assessment and treatment or cnildren and adolescents Mtn oipolar disorder Journal of the American Academyorcnilda Adolescen Psycnazry 46 IEI7425 disorders 4 ed I 7eltt Rev WashlngtunI Dc Author EaumIA E Akula NICabanem MIcardonaIl ICoronaIvaklemensIo SchulzeIT a crmaa ICicnonIs RetscheIl M NuthenIM M IGeurglIAISchumache I IAbouamraI R IHufelsI s I Propping P I Satagupa I DemeradlelghI s D Hard IJ IiKMcMahunI F J oo7 Agenumerwlde association studyimplicates lycerol klnase eta DG H and sever diac dg alotner enes in tne etiologyor oipola diso er Molecular Psychlalry rpub anead or prin DanielyanIAI a a IsIkowatcnIR AIArszmanIS P IampJunesIE s 2on7 clinical gulardlsurderln very young cnildren JomnalofA ectlle Disorders 97 5175 FarauneIS v I GlattIS J IiKTsuan IM 7 zone The genencs ufpedlatncrurlsa oipolar disorder BiologicalPsycnazry 97D 77 GellerIE ITlllmanIR Icraney J LIiKEulhufnerIK 2mm Fourayear ros ective outcome and natural nistory of mania in cnildren mm a prepuoertal and earya olescent oipolar disorder pnenotype Arcnves DfGeneraPsychlary or 453467 GellerI o IvviliamsI IZimermanI I razierI I ennerI Law ne Ik L iaao Prepuoertal and early adolescent oipolarity dirreren ate from ADHD oy manic symptoms randiose delusionsI ultraarapld or ultradian cycling JournalofAWectlIe isorders 7 81791 Stephen E Brock PhD NCSP I School Based Interventions Specific Recommendations I Build maintain and educate the schoolbased eam Prioritize IEP goals 2 3 Provide a predictable positive and exible classroom environment 4 Be aware of and manage medication side effects 5 Develop social skills 6 Be prepared for episodes of intense emotion 7 Consider alternatives to regular classroom Lufthuuse StFrlstad zoooI pp 22mm References Neumanatumlcal ab allllES as VISK faEIDVS for 7 393435 PineID 5 mos Defining Psychlatry 760 430437 A ZEUS Elpular dlSDMErS IHG G Bear K M MINE ndlgervemonmp 2117224 HalekIT IcarreyI N IampAldaI M 2on5 oipolardisorder BipolarDisorders LEI enl I I ameyI I on inI E IEhangqu R k I a clinical pnenotypes oriuvenile mania Amencanjoumalof LufthuuseI Ia rista I Edscnl ren s needs lll Development re39iemon a etnesdaIMD MationalAssociationo l sycnologis MaSlIG IPerugiI c I MillepiediI s IMucciI M I Tom 0 I oertiniI N IPfannerI c IoerlorraI SI amp Pan 0 zone Developmental dll ference according to age at onset iniuvenile oi ola dis er JDUmaDfChld andAdoescenf Psychopharmacology 76 6797685 NIMH 2mm Natlunal lnstitute or Mental Health researcn roundtaole on prepuoertal Sgp tllaradlsaurder Journal thhe American Academy ofChldamp Adolescent Psycniatry NIMH hum Elpulardlsurder oetnesdaI MD Autnor RarlevedMayZEI 2oo7Irrom nttpMww nimn nin govpuolicatoipolar cfm PavuluriI M N IElrmaherIE IampNa orIM vv 2on5 Pediatric oipolardisorder Arele or tne past in years mumsoft e American AcademyorcnildandAdoescent P n 44848871 WuanakIJ I ie emanIJ IkielyIkIAolonIu SIFarauneIS VIMundyIEIiKMennlnID 199 Manlallkesymptumssuggestlveofchlldhuudrunsetblpulardlsurderln clinically referred cnildren Journa thhe AmericanAcademyorcnlda Adolescen Psycniazry 34 oe7o7e Assessment and Intervention for Bipolar Disorder EDS 249 CSUS Fall Semester 2007 Assessment and Intervention for Bipolar Disorder Best Practices for School Psychologists Stephen E Brock PhD NCSP California State University Sacramento brockcsus edu htgg Wwcsusedu ZmleZb brocksf Stephen E Brock PhD NCSP 15
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