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Bipolar

disorder

with

co-occurring

attentiondeficit/hyperactivity

disorder (ADHD) toady has became confront to cure for the medical department. The investigations have shown that the good in take of various nutrients .e.g. protiens, vitamins etc can help in cure of ADHD. Now the researchers are focused on the advantage from the micronutrient treatment for the diverse psychiatric symptoms, including mood off-on-off-on (ABAB) design with 1 year followup. An investigation (Rucklidge and Harrison, 2010) investigated A 21-yearold female with bipolar II disorder, ADHD, social anxiety, and panic disorder entered an open-label trial using a nutritional treatment alon with a documented 8 year history of ongoing psychiatric symptoms in the observant. The results showed that after a continues nutrient care and regular medication within 8 weeks the patient showed improvments in her moods the anxiety results, as well as the hyperactivity of the patient. The resukts of the Blood test report showed the exact normal after 8 weeks from this cure and formula. She had not reported any adverse or bad effects on the body from the treatment. Then the patient

had choosen to break the treatment and come in normal with in the next 8 weeks the outcomes were worst her depression came to the baseline, and anxiety as well as the ADHD symptoms blowed out. The formula was reapplied, and resulted in slow well being of the patient in psychiatric symptoms. After 1 year, the patient is presently remitted from all mental and physical illness and disease. Neurocognitive alteration reflected chage of behavious of patient, resulting in an improved grown up speed for the processing of the patient, the response of the patient improved consistently along with the memory retention odf the patient. Although the pior responses to cure along with the period of the current positive reaction decrease the likelihood that other factors better explain change(Rucklidge and Harrison, 2010). There are 3 divisions of ADHD: 1- inattentiveness predominantly, 2- impulsively being hyperactive, 3- combined the first and the second. The basic characteristics of being predominantly inattentive may include many careless mistakes, facing problem in paying attention, having problem to listen clearly, a common problem in the accomplishment of

task, home works and the class room assignments and easily distractible from the original task. Children who face hyperactivity- impulsiveness, may not be able to sit in a mannerism, show a non- quite behavior, the impulsive behavior of children shows that they are exclaim out the answers, they are unable to wait and resist for their own turn, and are often disturbing the whole scenario (Sharpe, 2002). The bipolar disorders (BPD) in the adults have not investigated still; the concern is common in the age group of twenty or below. In such a disorder the patient suffers with mania and depression with the continuous intervals of the both (Sharpe, 2002). Mania The irritated or prolonged elevated mood of the patient, showing an expensive respose towards life and the normal circumstances. In which the patient is irritated from the surroundings even, if such a sistauation prolongs for more than a week, the patient needs hospitalization and proper treatments. The major charcteristics of mania are as similar to the symtoms of grandiosity .i.e. leeser requirment of

sleep, high talking, the distraking of various ideas and plans from mind. The behaviour of the patient may be more stick with his goals and objectives, psychomotor agitation, and more involvment in the favourite activties, and the results may be even pain ful for the patient (Sharpe, 2002). Bipolar I include those characteristics of mania; however the Bipolar II is more concerned with hypomania. The patients of hypomania face less sever symptoms which last for a minimal of 4 days. (Sharpe, 2002). The survey showed that the children under the age of 9 years or less are more liable to be victim of bipolar disorders like emotional liability, irritability if compared with the euphoria elevated moods of children as well as the grandiose delusions in adult mania. Children under such circumstances face hyperactivity; mood lessens, and become enabling to concentrate on any particular task. The general report shows that children show the symptoms of mania and depression consectively (Sharpe, 2002). Numerous investigations have taken place in order to

diagnose the ADHD in children becoming the victim of the disease. In

the contrary, diagnosing the disease in correct pattern with its original symptoms is more compulsory. In our survey, I have focused to take my responses from the ADHD specialist doctors, however in the survey the responses from the panel of doctors, physicians are worthwhile. My panel of doctors to gave their precious time for the responses to validate my study includes, 40 ADHD specialist doctors, 20 General ward doctors, 20 child specialists, 12 psychiatrists, 8 child psychologists in various hospitals and those running their private clinics on their own. This sample of 100 had different level of practice. In my studies the 34 doctors had an experience of 5 years or less 28 doctors had been practicing for 5 years or even more additionally the 38 doctors and physicians had an experience of 10 years and practicing widely. The general ward doctors and the nurses related the
hyperactivity, impulsiveness, attention, concentration,

coordination, speech, short-term memory, inflexibility, low self-esteem, lack of sleep, and lack of appetite with the casual routine of the patient and have mostly responded as No for the basic features of ADHD, they relate he feature with anxiety of a school test, or a class performance, or some low grade, might be bullying, or unsatisfactory presentation, a fight with the best friend, or

the lost of pet animals cat, or dog, lost of a football match etc. they claim that the children of this group are in the growing age they face these circumstances on daily basis and depression is just hourly in this group. A survey showed that children under age of 12 faced depression for 50 to 60 minute a day on daily basis an average showed. The teenager group 13 to 20 years has a raised depression on average of 2- 3hours daily

(Sharpe, 2002). However it is a

general agreement among the doctors that if such situation prolonged for 3 days or more the patient is shifted to special treatments. Such a response has been established by the other doctors; they observe the patient for the upcoming 2- 3 days and then start the treatment accordingly. The treatment varies for each group range doctors have reported.

5- The bipolar disorder has characteristics of changes in mood, manic symptoms, and depressive symptoms and may as well force the child to have school issues.

Children as young as at the age of 6 are diagnosed with bipolar disorder.

Bipolar Disorder is not curable or preventable, but can be treated.

The heredity of bipolar disorder within the biological family increases the risk for the child to have the bipolar disorder.

Doctors need to be more careful when diagnosing children with ADHD or bipolar disorder.

Just because some of the symptoms of ADHD and bipolar disorder are the same, doctors should stop making a diagnosis between ADHD and Bipolar Disorder

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