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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

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
OBJECTIVES
  • Overview of Bipolar Disorder
  • Signs and Symptoms
  • Strategies/Interventions
  • Classroom Accommodations
  • Developing a Plan
  • Case Study
childhood bipolar disorder
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
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
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
Etiology of Childhood Bipolar Disorder
  • Genetic
  • Chemical Imbalance
  • Life stressors exacerbate illness
signs and symptoms of childhood bipolar disorder
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
Symptoms Continued…..
  • Other possible symptoms:
    • Paranoia
    • Misinterpretation of social cues
    • Beliefs of special powers
activity
ACTIVITY
  • WHAT MIGHT CHILDHOOD BIPOLAR DISORDER LOOK LIKE IN YOUR CLASSROOM/SCHOOL ENVIRONMENT?
observable measurable behaviors of bipolar disorder in the classroom
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
Types of Treatment
  • Psychotherapeutic Treatments
    • Cognitive Behavioral Therapy
    • Family Therapy
    • Other Therapies
  • Medication Treatments
  • Other Services
slide12

STRATEGY INFORMATION SHARE

  • WHAT WORKS?
  • WHAT DOESN’T?
helpful accommodations
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
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

CASE STUDY

JESSICA- 9TH GRADE