Document Detail

Differential diagnosis of bipolar disorder in children and adolescents.
MedLine Citation:
PMID:  23024665     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Issues complicating the differential diagnosis of bipolar disorder in young people are discussed. They include: a) the subtype of bipolar disorder being considered; b) the person's age and stage of development; c) whether one views bipolar disorder more conservatively, requiring clear episodes that mark a distinct change from premorbid levels of function, or more liberally, focusing for instance on severe irritability/explosive outbursts as the mood change; d) who is reporting manic symptoms, and whether symptoms are past and must be recalled or current and more likely to be observed; e) impact of family history. The diagnosis of mania/bipolar I disorder may not become clear for a number of years. This is an impairing disorder, but so are the conditions from which it must be distinguished. Family history may increase the odds that certain symptoms/behaviors are manifestations of bipolar disorder but it does not make the diagnosis. Until there are biomarkers that can confirm the diagnosis, and treatments unique to the condition, it is wise to make a diagnosis of bipolar disorder in children and adolescents provisionally and keep an open mind to the likelihood that revisions may be necessary.
Gabrielle A Carlson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World psychiatry : official journal of the World Psychiatric Association (WPA)     Volume:  11     ISSN:  1723-8617     ISO Abbreviation:  World Psychiatry     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-01     Completed Date:  2012-10-05     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101189643     Medline TA:  World Psychiatry     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  146-52     Citation Subset:  -    
Department of Psychiatry and Behavioral Sciences, Stony Brook University School of Medicine, Putnam Hall-South Campus, Stony Brook, NY 11794-8790, USA.
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