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Hi, I'd like to help you with your question.
Bipolar disorder is much different than ADHD. It also happens to be one of the most over diagnosed disorders (in children) in clinical psychology. What you are describing sounds very much like a conduct related disorder and not Bipolar. I say this only because the mood stabilizers that are used to treat this disorder are harmful to the kidneys and liver and are not to be used lightly in children.
I see a variety of ADHD related medications in her past history. Please know that ADHD medications, when prescribed by themselves, (if the child has true ADHD) should have had a greater impact on the child. ADHD is biochemical and once the medications are given, there should be a significant change in behavior. If there is not a significant change in behavior it is usually a combination of problems and it sounds in your case that it is primarily conduct related.
As a result, the proper treatment for your daughter is medications and behavioral based therapy. Medications by themselves are usually only 50% effective and therefore therapy is needed to help address the rest of the issues. With both therapies, effectiveness is often 80 to 85%.
I would strongly recommend your daughter be seen by a child and family therapist. Her pediatrician should be able to provide a good referral.
I also recommend some resources for you: These books are inexpensive on amazon.com and are soundly behaviorally based, and when applied, work. They are to be used in conjunction with therapy.
10 Days to a Less Defiant Child: The Breakthrough Program for Overcoming Your Child's Difficult Behavior - Paperback (May 19, 2006) by Ph.D. Jeffrey Bernstein Ph.D.
Also: Your Defiant Child: Eight Steps to Better Behavior by Russell A. Barkley PhD ABPP ABCN and Christine M. Benton PhD (Paperback - Oct 6, 1998)
And a final resource:
The Challenging Child: Understanding, Raising, and Enjoying the Five "Difficult" Types of Children by Stanley I. Greenspan and Jacqueline Salmon (Paperback - Sep 10, 1996)
The missing piece here is customized behavioral based therapy. With the introduction of child and family therapy you should see a significant improvement. Kate
.OKMH53016130 My son is very anxious. He gets like