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Bipolar disorder in children.

W K Mohr1

  • 1Indiana University School of Nursing, Indianapolis, Indiana, USA. wkmohr@iupui.edu

Journal of Psychosocial Nursing and Mental Health Services
|April 3, 2001
PubMed
Summary

Childhood bipolar disorder (BPD) is often missed due to diagnostic challenges and unique presentations. Early recognition and treatment are crucial for managing this chronic condition in children.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Pediatric Mental Health
  • Neurodevelopmental Disorders

Background:

  • Bipolar disorder (BPD) in children is a recently recognized diagnosis.
  • Underrecognition stems from limited awareness, diagnostic complexity, and distinct pediatric presentations.

Purpose of the Study:

  • To provide an overview of bipolar disorder in children.
  • To highlight challenges in diagnosis and treatment.
  • To emphasize the urgency of early identification and intervention.

Main Methods:

  • Review of available data on prepubertal childhood BPD.
  • Analysis of diagnostic criteria and clinical presentations in children.
  • Discussion of comorbidities and treatment considerations.

Main Results:

  • Prepubertal childhood BPD often presents as a non-episodic, chronic, rapid cycling, mixed manic state.
  • Comorbidity with attention-deficit/hyperactivity disorder (ADHD) and conduct disorder (CD) is common.
  • Features of ADHD and CD can complicate BPD recognition and treatment.

Conclusions:

  • Childhood bipolar disorder requires specific diagnostic approaches.
  • Early recognition and treatment are vital due to the chronic nature and potential for severe comorbidity.
  • Addressing diagnostic confusion is key to improving patient outcomes.

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