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Adolescent bipolar disorder: a nine-year experience

N R Krasa1, H A Tolbert

  • 1Department of Psychiatry, Ohio State University, Columbus 43210.

Journal of Affective Disorders
|March 1, 1994
PubMed
Summary

This study re-evaluated adolescent bipolar disorder diagnoses. Many patients met criteria, but differential diagnoses like psychosis and depression were common, especially in boys, suggesting potential overdiagnosis.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Research
  • Clinical Psychology

Background:

  • Adolescent bipolar disorder diagnosis presents challenges.
  • Differential diagnoses are crucial for accurate treatment.
  • Understanding patient profiles aids diagnostic clarity.

Purpose of the Study:

  • To re-evaluate clinical records of adolescent inpatients diagnosed with bipolar disorder.
  • To examine patient profiles and differential diagnoses.
  • To investigate potential trends in bipolar disorder overdiagnosis.

Main Methods:

  • Retrospective analysis of clinical records.
  • Inclusion of 53 adolescent inpatients diagnosed with bipolar disorder.
  • Evaluation of diagnostic criteria (DSM-III-R) and symptom presentation.

Main Results:

  • 72% met DSM-III-R Bipolar Disorder criteria, often with manic/mixed symptoms.
  • Psychosis was present in half of the patients.
  • Differential diagnoses included non-affective psychosis, unipolar depression, organic syndromes, and disruptive behavioral disorders, particularly in younger males.
  • Well-documented bipolar patients had earlier affective symptoms and shorter hospitalizations.
  • A trend towards overdiagnosis was suggested.

Conclusions:

  • Adolescent bipolar disorder diagnosis requires careful consideration of differential diagnoses.
  • Younger males with disruptive behaviors may be misdiagnosed.
  • The study suggests a need to review diagnostic practices to avoid overdiagnosis.

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