Tag Archives: rosenberg

Normal or not? When temper tantrums become a disorder

Angry kids who throw excessive, explosive tantrums now have their own disorder: disruptive mood dysregulation disorder. Whereas this new addition to the mental health dictionary, the DSM, has prompted protests that psychiatrists are turning a normal part of childhood into a mental disorder, proponents say it will address the skyrocketing rate of another diagnosis that is leading to the inappropriate use of powerful medications on children. The soaring diagnoses belong to pediatric cases of bipolar disorder. Between 1994-1995 and 2002-2003, the diagnosis of bipolar disorder in children grew by 40-fold, according to research published in 2007 in the journal Archives of General Psychiatry. [11 New Warning Signs Help Spot Mental Illness in Children] Many of these children exhibited a pattern not consistent with a bipolar diagnosis. Specifically, bipolar disorder involves episodes of mania, which can show up in children as irritability. However, many of the children diagnosed did not have clear-cut episodes of irritability, instead, they were constantly irritable. As a result, experts believe many children are being misdiagnosed. Bipolar disorder is often treated with medications that bring worrisome side effects that are worse in children, according to the advocacy group the National Alliance on Mental Illness. These include weight gain that brings increased risk of diabetes or heart problems later in life, movement abnormalities and other problems. When it came time to put together the new edition of the mental health manual, called the DSM-5, officials at the American Psychiatric Association, which publishes the manual, wanted to include a better-fitting diagnosis for kids with persistently angry, irritable dispositions, hence the addition of disruptive mood dysregulation disorder (DMDD). However, the addition is controversial. Allen Frances, who chaired the task force for the previous edition of DSM, charges that this new DMDD diagnosis “will exacerbate, not relieve, the already excessive and inappropriate use of medicationin young children.” The addition of DMDD could prove helpful, because it will enable researchers to study these symptoms in children who have previously been diagnosed with bipolar disorder, but who dont fit the profile for that disorder, said Robin Rosenberg, a clinical psychologist and co-author of the psychology textbook “Abnormal Psychology” (Worth Publishers, 2009). “The concern is that it will lower the threshold for diagnosing kids who are just having a hard time,” Rosenberg said. “There is a gain and there is a risk. If it becomes overly diagnosed, it will prevent us from figuring out what is going on with kids who really have this persistent problem with mood and behavior and, more importantly, needlessly put children on dangerous medications.” Tantrums and bad moods are normal parts of childhood. But to receive a DMDD diagnosis, a child must have rages that are “grossly out of proportion” three or more times per week, on average. The child's mood between outbursts must be “irritable or angry most of the day, nearly every day,” according to the DMDD criteria, which set a threshold of at least 12 months. Kids who might qualify for this new diagnosis may come to the attention of mental health professionals because they have serious behavioral trouble at school or their parents may be unable to control them at home, Rosenberg said. Copyright 2013 LiveScience, a TechMediaNetwork company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.source : http://www.foxnews.com/health/2013/06/17/normal-or-not-when-temper-tantrums-become-disorder/

California man fights hepatitis A after eating tainted berries

Geoff Soza was celebrating his 30th wedding anniversary in Yellowstone National Park when the 64-year-old man learned the hard way that his seemingly healthy breakfast habit of mixing thawed berries with Greek yogurt had exposed him to a national outbreak of hepatitis A. Dozens of illnesses have been reported, and federal officials have recalled a frozen berry mix sold by Costco and Harris Teeter in seven states. Soza, a semi-retired contractor, was resting at his Encinitas home this week after an ordeal that threatened to put him on a liver transplant list. He hadn't felt right in the weeks before leaving for Yellowstone on May 29 -- but his lack of appetite and disorientation didn't merit canceling the trip. “I thought, `I'm getting something. I'm coming down with something' and I thought I'd just ride it out and live with it,” he said. His wife, Rita, said he doesn't complain much as “a very active, tough kind of person,” but he seemed lethargic when they flew to Salt Lake City and rented a car to drive to the park. On the second night of their trip, the Sozas called paramedics who examined Geoff and recommended he visit St. John's Medical Center. They didn't think a medical evacuation was necessary. They thought they could wait until morning, but after a few hours, Rita drove three hours on dark rural roads to Jackson, Wyo. Doctors initially thought Geoff Soza's gall bladder needed to be removed after finding signs of inflammation and stones. But general surgeon Dr. Michael Rosenberg halted the surgery, scheduled for June 1, because of Soza's elevated liver enzymes. After more tests, Soza was diagnosed with hepatitis A, Rosenberg said. Soza could have suffered liver damage or excessive bleeding if the surgery had gone ahead as planned, Rosenberg said. Doctors told Soza they could treat him, but if it didn't go well, they would have him taken to a regional liver transplant center in Utah. “That's when it really struck me, like, `Really? Liver transplant?' ” Geoff Soza said. Luckily, such measures are rarely, if ever, necessary for hepatitis A, Rosenberg said. Hepatitis A can be spread by the ingestion of a microscopic amount of fecal matter from an infected person, typically a food worker who hasn't washed their hands. Symptoms include fever, fatigue, loss of appetite, abdominal pain and jaundice -- a yellowing of the skin or eyes. There is no specific treatment. The ill can feel sick for weeks -- or up to six months -- as their body heals itself. Healthy and health-conscious, the Sozas always inspect their foods and select organic produce. They were surprised to learn that some of the fruit from Townsend Farms of Fairview, Ore., was from outside the United States. The Centers for Disease Control said the recalled berries included products from Argentina, Turkey and Chile, in addition to the United States. But the packaging convinced the Sozas the fruit was all-American because it bears the slogans “Grower. Processor. Distributor.” and “Field to Farm to Family, since 1906.” “It was our distinct impression that these are raised under U.S. standards, especially organic food standards,” Rita Soza said. Geoff Soza said he chose the berries to have for breakfast for about 6 months. The Sozas are fairly adventurous eaters who like to experiment with new foods. Frozen berries were the last thing he thought would make him sick. “I would have thought it would be from fish or something like that, but not ever from fruit, especially berries,” Soza said. Rita Soza said after she learned of the berries, she was upset by Costco's response, saying she unsuccessfully tried to call the number on her membership card for information -- but she couldn't get a live person on the phone. She returned home to find a message on her answering machine Tuesday. Costco Vice President for food safety Craig Wilson said the company contacted 240,000 members with information about the outbreak and received more than 10,000 calls over the weekend. Some of those sickened by the berries have filed lawsuits seeking medical costs and damages, and at least one suit filed in Los Angeles this week seeks class action status. The Sozas say they haven't decided to take legal action.source : http://www.foxnews.com/health/2013/06/06/california-man-fights-hepatitis-after-eating-tainted-berries/