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Dustin, a broad-shouldered 15-year-old, has become a surrogate father. Brian yelled at his mother one day last winter when he was told he couldn't have a glass of Nestle Quik before dinner. Dustin slammed a fist on the kitchen counter. "I'm sick of this!" Christina retreated to her bedroom. Brigitte's plan to become a special education teacher ended last year, a few credits short of a degree from Eastern Washington University, when emergency trips to Brian's school made a student-teaching practicum impossible. She now works as a nursing home aide for $7.75 per hour. The stress of raising bipolar children "is off the charts, " said Dr. Mary Fristad, a professor of psychology at Ohio State University. Her studies have found unusually high rates of divorce, bankruptcy and stress-related illness. Fathers often cope by drinking, and mothers wrestle with guilt, afraid to take their volatile child into social settings, she said. Siblings feel resentful and mortified. "It's not your fault, but it's your problem, " Fristad tells parents in her training groups. "If you don't deal with it, the rest of your life will be hell." Brigitte asked for additional help from Gene Hunter, a state social worker in the Family Reconciliation program that helps families with unruly teens. She needed an occasional break from Brian's swings, what Manz called "time for an undisturbed bubble bath. Those are the things that make a child last at home, " he said. Taxpayers have a financial incentive to keep kids at home: A mentally ill kid living at home, getting outpatient treatment, costs $15 a day; foster care, $50. A hard-to-get spot in a long-term juvenile mental health center: $339 and up. But Hunter had no money available for respite care, unless Brigitte wanted to sign away parenting rights and put Brian in a foster home. Brigitte, the former foster kid, protested. "Everyone's option is to put him in a home, put him in an institution. What does that do when he's 18 or 20 years old? He's not a dog. You don't just get rid of him. I want him here, but I need help and leflunomide.
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