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Why Bipolar Kids Can’t Get Up and Get Going

In Conclusion

From all of the above, it is easy to surmise that morning alertness is dependent upon a complex set of factors: side effects of medications; chemical cascades that affect sleep architecture, thermoregulation, and mood; as well as the subjective feelings of the child when that morning alarm rings—anxiety, depression, or stress. No one can predict any one factor, several may be contributing, and all must be examined in order to find a solution for the child. The school administration and IEP team must understand the biological and psychological factors at play and accommodate the morning difficulties which, after all, are not volitional or oppositional on the part of the child.

We hope the above discussion helps parents who dread the split-second timing of a school morning, realize that they are not alone, and that they are not inadequate if the morning is tumultuous. For a while, at least, it is going to have to be okay if the child goes to school without breakfast, or leaves looking like he or she has just rolled out of bed (which he or she probably has).

Hopefully one of the suggestions above, and an understanding of what may be happening for the child at reveille, will result in a less gut-wrenching start to the day.


Janice Papolos and Demitri Papolos, M.D. are publishers of the book and newsletter, The Bipolar Child.

Bibliography

Krauchi, K., Cajochen, C., and Wirz-Justice, A. “Waking up properly: is there a role of thermoregulation in sleep inertia?” Journal of Sleep Research 2004; 13: 21-127.

Krauchi, K., Cajochen, C., and Wirz-Justice A. “Warm feet promote the rapid onset of sleep.” Nature 1999; 401: 38-39.

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“Light” (Talk of the Town). New Yorker, January 14, 1985.

Papolos, D. and J. Overcoming Depression, Third Edition. New York: HarperCollins, 1997.

Papolos, D. and J. The Bipolar Child, Revised Edition (Chapter 11). New York: Broadway Books, 2002.

Papolos, J. and D. “Night Terrors.” The Bipolar Child Newsletter, July 2000, Vol. 4 (www.bipolarchild.com).

Reiter, R. “The Pineal Gland: An intermediary between the environment and the endocrine system.” Psychoneuroendocrinology 1983; 8: 31-41.

Tassi, P. and Muzat, A.,”Sleep Inertia.” Physiological Behavior 1999; 68: 55-61.

Wehr, T., Goodwin, F.,and Wirz-Justice, A. et al. “48-hour sleep-wake cycles and manic-depressive illness.” Archives of General Psychiatry 1982; 39: 559-565.

Why Bipolar Kids Can’t Get Up and Get Going


Demitri Papolos

APA Reference
Papolos, D. (2020). Why Bipolar Kids Can’t Get Up and Get Going. Psych Central. Retrieved on October 23, 2020, from https://psychcentral.com/lib/why-bipolar-kids-cant-get-up-and-get-going/
Scientifically Reviewed
Last updated: 17 Jan 2020 (Originally: 17 May 2016)
Last reviewed: By a member of our scientific advisory board on 17 Jan 2020
Published on Psych Central.com. All rights reserved.