The insistence on episodic
mood changes is crucial and prevents clinicians from rating symptoms such as the chronic concentration problems of a child with attention deficit hyperactivity disorder (ADHD) as evidence for mania.2 Manic episodes are
extremely rare in children and relatively rare in adolescents according to epidemiological studies in the UK and the USA.3
In nearly all our sessions, we therapists strive to help our those we treat get free of their unwanted patterns of
mood, behavior, thought, or somatization, but the ingrained, non-conscious emotional learnings that typically underlie those patterns are
extremely tenacious, and deep, lasting, liberating
change is too often an elusive goal.