Can children with Aspergers also get diagnosed with Bipolar Disorder?

Question

Could you tell me if some children with Asperger's also get diagnosed with Bipolar Disorder? Our daughter has always had mood issues but we can usually identify causes, such as sensory issues, anxiety or overstimulation. We have just had an IEE FBA done on my daughter at school. The school has not been implementing her BIP, and she has been running the show. She is in 7th grade. The school district is so out of compliance with IDEA 2004. None of the Teacher's or staff are trained.

This behavior specialist wants us to go to a Psychiatrist to get a "clean diagnosis." We have had numerous testing done on her over the years. She was diagnosed at 4 years with ADHD, then at 5 with PDD-NOS. We took her to University of Texas Health Science Center and they diagnosed "High Functioning Autism" at 6 years. The doctor told us that it was essentially the same as Asperger's.

Answer

A diagnosis of both Aspergers and Bipolar is especially problematic because there are fundamental differences between ‘Aspergers mood states’ versus ‘mood states of a child without Aspergers’. Four specific domains need to be considered in the process of diagnosis:

• ‘Psychosocial masking’ make some unusual behaviors seem like disorders when they are not.
• ‘Intellectual distortion’ involves confusion in communication; a person may say he is afraid instead of angry.
• ‘Cognitive disintegration’ may interfere with proper diagnosis since a child may exhibit odd behavior in response to seemingly insignificant occurrences.
• ‘Baseline exaggeration’ differences suggest that unusual base behaviors can interfere with proper diagnosis.

Bipolar Disorder (BD) can be misdiagnosed as Aspergers (AS) because BD can present itself via symptoms such as obsessive compulsive behavior, odd habits, and bouts of rage. Children with BD and AS both have symptoms that lead to lacking social development skills, educational issues, behavioral issues, and anger issues.

BD can also be present in conjunction with AS. Typically, this is the case. It is unknown, however, if the BD is a result of the AS, or if the same neurological issues that cause AS are related to the chemical imbalances in the brain thought to be the cause of BP. Answers to these questions will likely come to light as research in neurological, technological and psychiatric areas continue to progress.

Medication treatments for BD and AS are quite similar. There are no medications for AS; however, medications exist to treat the symptoms of AS. Since the symptoms of AS (e.g., depression, obsessive compulsive disorder, and anxiety) are the same symptoms often experienced with BD, the medications used in both instances are the same.

Counseling treatments are also commonly used for both BD and AS, used in conjunction with medication or alone. Most AS children do not need medication. Counseling is required, however, to help the child cope with her disability. Counseling treatments for BD are considered necessary, with or without medication. These treatments can help the child learn to recognize and correct irrational emotions or behavior.

My Aspergers Child: Preventing Meltdowns

Does Your Child Have Asperger Syndrome, ADHD, or Both?

"Is ADHD a result/symptom of Aspergers, or do the two disorders tend to coincide with one another?"

People often wonder if these two disorders are opposite, independent, or correlated. At first blush, ADHD seems to be short attention span and inability to focus, and Aspergers (high functioning autism) the opposite problem. But then, descriptions of ADHD also mention ‘hyper-focus’. If they do turn out to be correlated or similar, then what are the differences between the two?

Aspergers and ADHD share some similarities that can make diagnosis challenging. However, a close examination of their definitions reveals that the attention problems in Asperger are quite different from ADHD symptoms. The fact that a child can have both Aspergers and ADHD further adds to the confusion. Roughly 60-70 % of children with Aspergers have symptoms which are compatible with an ADHD diagnosis.

Here are some of the similarities between ADHD and Aspergers:

• Attention problems
• Irrationally energetic activity
• Learning problems
• Often appears to not be listening to someone during a conversation
• Problems following directions
• Says inappropriate things and has problems figuring out the appropriate response to some situations
• Talking at someone or talking nonstop
• Tantrums
• When younger, difficulty accepting soothing or holding

Both Aspergers children and ADHD children have serious sensory integration problems, can be uncoordinated and impulsive, and they both very much respond positively to structure and routine. Whenever there is a deficit in executive functions, it manifests itself in inattentiveness, distractability and impulsivity – three areas recognized on both the Aspergers and ADHD checklist of behaviors.

Here are some of the differences between ADHD and Aspergers:

1. Aspergers focuses more on attention problems related to (a) a need for strict routines, (b) language difficulties, (c) obsessive rituals, and (d) self-stimulating behaviors. Conversely, ADHD focuses more on attention problems related to (a) impulsivity and (b) hyperactivity.

2. A child with Aspergers has the ability to focus on an activity of interest. A child with ADHD does not.

3. An Aspergers child tends to focus on only one activity with a level of intensity that excludes everything else in his environment (e.g., he may spin an object for hours and refuse to engage in any other activity). On the other hand, an ADHD child tends to be interested in multiple activities, but is easily distracted by the environment and jumps from one activity to the next.

4. A child with Aspergers may get angry if his routine or favorite activity is interrupted, but he does not generally show a wide range of emotions in public. A child with ADHD may be prone to express emotions directly and clearly.

5. An Aspergers child can stick with one activity for long periods of time. The child with ADHD may not be able to focus on any activity or subject for more than a few minutes.

6. Children with Aspergers and children with ADHD usually want to have friends. Both groups have poor “rite-of-entry” skills and both groups play badly. Yet both groups usually fail socially for different reasons. With Aspergers, the behavior is so unusual and idiosyncratic that the child is viewed as a “nerd” or a “weirdo”. With ADHD, the behavior is so loud and chaotic that the child is viewed as annoying or disruptive.

7. Children with Aspergers like rules, but break the ones they don’t understand. Children with ADHD frequently break rules they understand, but defy and dislike.

8. Children with Aspergers are often oppositional in the service of avoiding something that makes them anxious. Children with ADHD are often oppositional in the service of seeking attention.

9. Children with Aspergers crave order, hate discrepancy, and explode (or withdraw) in the face of violation of expectations. Thus, they are very brittle and fragile. Children with Aspergers are much more tyrannized by details – they accumulate them, but cannot prioritize them. Children with ADHD also have poor organizational skills, but can be much more fluid in their thinking, more inferential in their comprehension, and less rigid in their treatment of facts that they are able to organize.

10. An Aspergers child can talk or play quietly. An ADHD child finds talking or playing quietly very difficult.

11. An Aspergers child has difficulty waiting for his turn in games or activities due to a lack of social intelligence. An ADHD child has difficulty waiting for his turn due to impulsivity.

12. Both groups seem not to listen when spoken to directly, but for different reasons. It appears that the Aspergers child is not paying attention because he avoids direct eye-contact. It appears that the ADHD child is not listening because he is focused on other things at the time.

The main differences between Aspergers and ADHD deal with focused attention ability as well as whether or not obsessive behaviors and sensory issues are present.

It is possible for a child to have a cormorbidity of ADHD and Aspergers (i.e., both conditions are present). A child with both conditions will have more ADHD symptoms (e.g., impulsivity and hyperactivity) than common in Aspergers.

The problem with the Aspergers - ADHD overlap is that, at the more severe margins of the ADHD spectrum and the less extreme margins of the Aspergers spectrum, clinicians can legitimately argue for one over the other diagnosis. It is common for a child with Aspergers to first be diagnosed with ADHD due to attention and behavioral issues. As further tests are done and more specialists get involved, a more specific diagnosis of Aspergers is often made.

Most of the processes to get these labels placed are not an exact science, and the frustrating process for parents, teachers, and medical professionals is finding the right label to make sure that the right approaches are taken to help the child progress in the best manner possible.

More resources for parents of children and teens with High-Functioning Autism and Asperger's:

==> How To Prevent Meltdowns and Tantrums In Children With High-Functioning Autism and Asperger's

==> Parenting System that Significantly Reduces Defiant Behavior in Teens with Aspergers and High-Functioning Autism

==> Launching Adult Children with Asperger's and High-Functioning Autism: Guide for Parents Who Want to Promote Self-Reliance

==> Teaching Social Skills and Emotion Management to Children and Teens with Asperger's and High-Functioning Autism

==> Parenting Children and Teens with High-Functioning Autism: Comprehensive Handbook

==> Unraveling The Mystery Behind Asperger's and High-Functioning Autism: Audio Book


==> Parenting System that Reduces Problematic Behavior in Children with Asperger's and High-Functioning Autism

Aspergers and Insecure Attachments

Question

Our foster son was diagnosed with ASD at the age of 3 years. When he was 3 1/2, he was taken into foster care and placed with us because of his mother's physical and mental health issues. She has since passed away. He is now 12 years old. He has come a long way with his autism and is a loving, verbal boy who interacts well with adults and children for the most part. He attends a regular public school with full-time support of an educational assistant in the classroom.

Over the past two years approximately, he has developed an issue with diapers and underwear. He will find a diaper (new or used) and urinate in it, sometimes leaving it in the bathroom, other times hiding it somewhere. He does the same thing with underwear - his own or other people's, especially that of younger children. He sometimes puts on 5 or 6 pair of his own undershorts at a time - and sometimes urinates in them, or not - just seems to like the way it feels to wear multiple pairs at once. We have grandchildren and have also had younger foster children in our home, so he has access to diapers and underwear. He feels bad when this happens and usually tells me about it when we are going through our bedtime routine. He is confused about this behaviour and angry with himself for doing it and that he cannot control it. We have talked about what he can do if he feels the urge - get busy with another activity, come and talk to me, etc. When the urge hits, it seems to overpower all reason. The incidents often occur when our routine is disrupted or there is stress of some kind - for example, it happened several times before, during and after a recent trip out of the country.

I am wondering if counselling would help. Could this behaviour possibly be related to neglect experienced in his baby years? Any insight on the reasons for this fixation and strategies for addressing it would be welcome.

Answer

There are certainly a number of issues with the way he is developing. A combination of some cognitive-behavioral therapy for him and some parent guidance for you may well make a difference. The sorts of behaviors you describe are often a result of inadequate parenting during the early years. Inadequate parenting results in children who feel vulnerable and insecure and who do not have solid attachments to others.

Click here for important information on Reactive Attachment Disorder.