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Addressing Barriers to Learning: Helping Students Cope with Disruptive Behaviors. Bipolar Disorder Mental Health in the Schools Series Suzanne Rilling Mili Lal Susan Cole. OBJECTIVES. Overview of Bipolar Disorder Signs and Symptoms Strategies/Interventions Classroom Accommodations

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Addressing Barriers to Learning: Helping Students Cope with Disruptive Behaviors

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Addressing Barriers to Learning: Helping Students Cope with Disruptive Behaviors

Bipolar Disorder

Mental Health in the Schools Series

Suzanne Rilling

Mili Lal

Susan Cole


OBJECTIVES

  • Overview of Bipolar Disorder

  • Signs and Symptoms

  • Strategies/Interventions

  • Classroom Accommodations

  • Developing a Plan

  • Case Study


Childhood Bipolar Disorder

General Information:

  • Previously called manic depression

  • Alternate between “poles” of excessive energy and hopelessness

  • 1% of population

  • Usually diagnosed late adolescence or early adulthood

  • Recognized in children since 1995


Diagnostic Criteria

  • Symptoms are at an inappropriate severity level for age and developmental stage.

  • Must cause SIGNIFICANT functional impairment to be considered a disorder.


Essential Clinical Features

  • Marked by EXTREME changes in mood, thought, and behavior

  • Disturbance must be severe enough to cause impairment in school/family/peer functioning or need hospitalization.


Etiology of Childhood Bipolar Disorder

  • Genetic

  • Chemical Imbalance

  • Life stressors exacerbate illness


Poor behavior regulation

Irritability

Labile

Distractibility

Switches topics rapidly

Sensation Seeking

Racing thoughts

Inflated Self-Esteem

Indecisive

Change in eating habits

Sleep disturbance

Fatigue

Difficulty concentrating

Feelings of helplessness and hopelessness

Signs and Symptoms of Childhood Bipolar Disorder


Symptoms Continued…..

  • Other possible symptoms:

    • Paranoia

    • Misinterpretation of social cues

    • Beliefs of special powers


ACTIVITY

  • WHAT MIGHT CHILDHOOD BIPOLAR DISORDER LOOK LIKE IN YOUR CLASSROOM/SCHOOL ENVIRONMENT?


Off task/Inability to focus

Sleeping/Head on desk

Rages

Crying

Poor Initiation

Flat affect

Frequent school absences

Poor grades

Physical complaints

Observable/Measurable Behaviors of Bipolar Disorder in the Classroom


Types of Treatment

  • Psychotherapeutic Treatments

    • Cognitive Behavioral Therapy

    • Family Therapy

    • Other Therapies

  • Medication Treatments

  • Other Services


STRATEGY INFORMATION SHARE

  • WHAT WORKS?

  • WHAT DOESN’T?


Back and Forth Notebook between home and school

Extended time for tests/assignments

Late start to school day or shortened day

Unlimited access to bathroom/water

Extra set of books at home

Tool kit to manage emotions

Calculator for math

Break long tasks into smaller segments

Permission to have snacks

Alternative/Modified assignments

Books on tape

Natural Light

Hard copy of notes

Helpful Accommodations


Developing A Good Intervention Plan

STEP I: Establish a team

STEP 2: Get Student Input

STEP 3: Teach Self-Monitoring Techniques

STEP 4: Design Classroom Exit Strategy for the student


CASE STUDY

JESSICA- 9TH GRADE


AVAILABLE SCHOOL-BASED SUPPORT SERVICES


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