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Adjunctive antipsychotic treatment is necessary for adolescents with psychotic mania
V Kafantaris1, R Dicker, D J Coletti
1Department of Psychiatry, Hillside Hospital, North Shore-Long Island Jewish Health System, Glen Oaks, New York, USA. kafantar@lij.edu
Journal of Child and Adolescent Psychopharmacology
|February 13, 2002
Abstract:
Adolescents with acute psychotic mania were treated with lithium and adjunctive haloperidol as part of a lithium efficacy study. If the psychosis completely resolved, haloperidol was discontinued after 1 week of therapeutic lithium levels. Our first five subjects experienced a rapid exacerbation of symptoms, which responded to restarting haloperidol. A longer duration of adjunctive antipsychotic treatment is necessary in adolescents with bipolar psychosis.