Rebecca Riley. She was diagnosed with bipolar disorder at the mind-boggling age of two. She died in Hull at age four, of an overdose of psychiatric medications. Her mother, Carolyn Riley, was convicted of second-degree murder in February. But the reverberations of her death continue, in discussions about what is wrong with our mental health system and what is to be done about disturbed children.
Claudia M. Gold, a pediatrician who blogs, has just posted some thoughts about the lessons from the Rebecca Riley case, and dares to hope that a new entry in the “bible of psychiatry” might help:
A recent announcement by the American Psychiatric Association that it intends to include a new diagnosis in its upcoming fifth edition of the Diagnostic and Statistical Manual (DSM-V) has me feeling optimistic. The new condition will be called temper dysregulation with dysphoria (TDD). The hope is that new label will be used instead of the bipolar label, allowing clinicians to describe a serious behavior problem without committing children to a chronic lifelong disorder.