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Event Related Potentials (ERPs) and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder (ADHD)
10:02

Event Related Potentials (ERPs) and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder (ADHD)

Published on: March 12, 2020

[Bipolar paediatric disorder early diagnosis]

M Macias1, C Bryois

  • 1Service médico-pédagogique vaudois 15, avenue de la Gare, 1110 Morges. Manuel.Macias@hospvd.ch

Revue Medicale Suisse
|July 25, 2007
PubMed

Insights

Bipolar Disorder in children is underdiagnosed. Early identification of risk indicators like irritability and impulsivity, alongside comorbidities, aids timely diagnosis and treatment.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Neuroscience

Context:

  • Bipolar Disorder (BD) in infants and children is frequently overlooked and underdiagnosed.
  • Existing diagnostic criteria may not fully capture the presentation in pediatric populations.
  • Comorbidities such as Attention-Deficit/Hyperactivity Disorder (ADHD) often complicate the clinical picture.

Purpose:

  • To delineate the clinical features and risk indicators of Bipolar Disorder in pediatric populations.
  • To explore common comorbidities that may obscure or mimic Bipolar Disorder symptoms.
  • To establish a framework for assessing clinical risk based on observable indicators.

Summary:

  • Key prodromal symptoms include irritability, impulsivity, hyperactivity, frustration intolerance, and sleep disturbances.
  • The presence of suicidality, substance abuse (cannabis, alcohol), or psychotic symptoms warrants strong consideration for Bipolar Disorder.
  • A significant family history of psychiatric illness is a crucial factor in risk assessment.

Impact:

  • Improved early detection and diagnosis of Bipolar Disorder in children and adolescents.
  • Facilitation of prompt and appropriate treatment initiation, potentially altering long-term outcomes.
  • Enhanced clinical guidance for child psychiatrists encountering complex pediatric presentations.

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