Monthly Archives: December 2012

Bed Wetting Stresses Not Only Children and Teenagers, But Their Mothers

Bed wetting has been studied and determined to have a negative impact on the self-esteem of children and teenagers.  A recent study published in the Journal of Urology last month examined the health related quality of life of children with bed wetting and that of their mothers.

The study reached the same conclusion as the Center for Bedwetting Treatment. The quality of life can be improved after the successful treatment of nocturnal enuresis.  With over thirty years of research and successfully treating thousands of children, teenagers and adults, this Bed Wetting Clinic continues to offer comprehensive treatment for the real cause of bed wetting; an abnormally deep sleep that does not allow the brain to interpret the full signal from the bladder and properly respond.

Please review their website www.nobedwetting.com 

Health Related Quality of Life for Monosymptomatic Enuretic Children and Their Mothers

Purpose

There have been few reports addressing how nocturnal enuresis affects the health related quality of life of patients and their mothers. Thus, we evaluated the health related quality of life of enuretic children and their mothers.

Materials and Methods

The health related quality of life of 139 patients with nocturnal enuresis and that of their mothers were evaluated before and after treatment. The children’s health related quality of life was evaluated with the Kid-KINDL® protocol. The mothers’ health related quality of life was evaluated using the SF-36®, the SDS (Self-Rating Depression Scale) for rating depression and the STAI (State-Trait Anxiety Inventory) for assessing anxiety.

Results

In the health related quality of life of enuretic children, the family domain score was significantly lower than that of controls (p = 0.02). In the health related quality of life of the mothers as shown by SF-36, the vitality domain score was significantly lower compared to controls (p = 0.01). The evaluation of the STAI score demonstrated a higher state anxiety score (p = 0.003), which represents current suffering from anxiety, and a similar trait anxiety score (p = 0.22), which represents a similar level of underlying tendency to anxiety. There was no significant difference between the mothers of enuretic children and the controls in the SDS evaluation. After treatment for enuresis the health related quality of life score was improved not only for the enuretic children as assessed by the Kid-KINDL protocol, but also for the mothers of enuretic children as assessed by the SF-36 and STAI.

Conclusions

Similar to other pediatric chronic diseases, nocturnal enuresis is a condition that negatively affects the health related quality of life of children and their mothers. Impaired health related quality of life can be improved after the successful treatment of nocturnal enuresis.

http://www.jurology.com/article/S0022-5347(12)04188-2/abstract

Bedwetting and Bipolar Disorder In Children – Another Myth From The Mental Health Community

USA Today, in it’s December 11, 2012 article, “Parents of bipolar kids face hard questions” reports that Dr. Dimitri Papolos, child psychiatrist, reports in his book  The Bipolar Child, that bedwetting is a symptom of bipolar disorder.

Dr. Papolos’ inaccurate assertion continues to perpetuate a major myth and misunderstanding about bed wetting, i.e. that it is the result of a psychological or psychiatric disorder.  That myth leads to inappropriate treatments for bed wetting that can damage the child and will fail to end the bed wetting.

Overwhelming clinical and research evidence points to bedwetting as an inherited deep sleep disorder that can lead to emotional and psychological symptoms; but is not the result of them.

Any mental health provider, child psychologist or child psychiatrist who equates bedwetting with bipolar disorder and treats accordingly is perpetuating this dangerous myth.  Additionally, they are misdiagnosing the bed wetting and dooming the child to further suffering from the disorder.

 

Author: Dr. Lyle Danuloff Ph.D. is a clinical psychologist and past President of the Michigan Psychological Association. Dr. Danuloff is an international expert in the field of enuresis. He is a consulting psychologist at the Center for Bedwetting Treatment that treats children, teenagers and adults worldwide.  http://www.nobedwetting.com

 

 

 

 

 

 

Excerpts from the book The Bipolar Child by Dimitri Papolos, M.D.

Diagnosing early-onset bipolar disorder is not just the responsibility of a doctor, but parents, friends and teachers.

  • Abrupt rapid cycling of mood throughout the day.  The child may be silly, goofy and giddy one moment, and the next, irritable, angry and/or aggressive.
  • Racing thoughts and rapid speech.
  • Periods of unusually elevated self-confidence, possibly with delusions of grandeur, such as believing one can fly.
  • Sleep disturbances (i.e., difficulty in going to sleep, difficulty getting up in the morning, frequent nightmares and terrors, bed-wetting, teeth-grinding).
  • Significant episodes of aggression in response to perceived threats, such as vicious cursing and explosive tantrums that can last for hours (15 minutes is typical for a normal tantrum).
  • Fears of death and dying, separation and abandonment. Perceiving even the most benign stimuli as threatening, even in familiar surroundings.
  • Difficulty in making transitions and handling disappointment, criticism, limit-setting and loss.
  • Extreme sweet cravings. An example:  Child likes candy vs. child eats an entire box of sugar.
  • Auditory hallucinations and delusions, vivid images that involve gore and blood.
  • Unusual display of sexuality for a child’s age group.  Example: A 3-year-old lifting her skirt up in class is one thing, but an 8-year-old doing the same is another. The older child should have learned to control impulses like that.
  • Other signs include poor frustration tolerance and frequent complaints of extreme boredom.

Entire article can be found in USA Today, December 11, 2012