“…However, other studies refer EOBD with an outstart before age 18, thus considering the onset of the disease to be in the period of childhood and adolescence (Connor et al, 2017; Joslyn et al, 2016; Liu et al, 2020; Schürhoff et al, 2000) and LOBD as BD occurring in the middle phase of adult life, that is, at ages over 40 years old (Beyer et al, 2003; Schürhoff et al, 2000). In addition, a recent systematic review indicated that a three‐component model (early, middle and late onset) best describes the age at onset distribution of BD (Bolton et al, 2020).…”