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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. 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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  1. Addressing Barriers to Learning: Helping Students Cope with Disruptive Behaviors Bipolar Disorder Mental Health in the Schools Series Suzanne Rilling Mili Lal Susan Cole

  2. OBJECTIVES • Overview of Bipolar Disorder • Signs and Symptoms • Strategies/Interventions • Classroom Accommodations • Developing a Plan • Case Study

  3. 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

  4. Diagnostic Criteria • Symptoms are at an inappropriate severity level for age and developmental stage. • Must cause SIGNIFICANT functional impairment to be considered a disorder.

  5. 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.

  6. Etiology of Childhood Bipolar Disorder • Genetic • Chemical Imbalance • Life stressors exacerbate illness

  7. 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

  8. Symptoms Continued….. • Other possible symptoms: • Paranoia • Misinterpretation of social cues • Beliefs of special powers

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

  10. 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

  11. Types of Treatment • Psychotherapeutic Treatments • Cognitive Behavioral Therapy • Family Therapy • Other Therapies • Medication Treatments • Other Services

  12. STRATEGY INFORMATION SHARE • WHAT WORKS? • WHAT DOESN’T?

  13. 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

  14. 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

  15. CASE STUDY JESSICA- 9TH GRADE

  16. AVAILABLE SCHOOL-BASED SUPPORT SERVICES

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