Difficulties in Diagnosing Manic Disorders among Children and Adolescents

Bowring, Margaret Ann; Kovács, Mária

doi:10.1097/00004583-199207000-00006

Cited by 106 publications

(62 citation statements)

References 17 publications

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“…Although these studies have increased understanding of EOBSD, there is still need for research that would enhance diagnostic accuracy and help in better understanding the overlap of symptoms with other childhood and adolescent disorders (Biederman, 1998;Carlson, 1990;Klein, Pine, & Klein, 1998). Until there is agreement on the diagnostic criteria and how children and adolescents display manic and depressive symptoms, it will be difficult to study and develop effective treatments for EOBSD (Bowring & Kovacs, 1992;Kafantaris, 1995;E.B. Weller et al, 1995;Wozniak et al, 2003).…”

Section: Overview Of Eobsdmentioning

confidence: 99%

“…Developmental influences, atypical presentation, comorbidity, symptomatic overlap with other disorders, and occasional clinician reluctance to diagnose result in misdiagnosis and underdiagnosis of EOBSD in children (Biederman, 1998;Bowring & Kovacs, 1992;Carlson, Bromet, & Sievers, 2000;Emslie, Kennard, & Kowatch, 1995;Faraone et al, 2003;Steele & Fisman, 1997). Unlike adults with BPD, children with mania typically do not manifest euphoria, but severe irritability (Carlson, 1984;Davis, 1979;Emslie et al, 1995).…”

Section: Overview Of Eobsdmentioning

confidence: 99%

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Early onset bipolar spectrum disorder: Psychopharmacological, psychological, and educational management

McIntosh

Trotter

2006

Psychology in the Schools

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Although published research continues to advocate medication as the first line of treatment for early onset bipolar spectrum disorder (EOBSD; N. Lofthouse & M.A. Fristad, 2004), preliminary research demonstrating the utility of cognitive, cognitive-behavioral, and psychoeducational therapies is promising. It appears as if future treatment of EOBSD will most likely include a combination of psychosocial treatments and medications; however, additional research needs to be conducted to support this assumption. This article provides a brief overview of published research related to EOBSD, the most common medications used to treat EOBSD, and preliminary research on the effectiveness of psychological treatments with children and adolescents classified with EOBSD. Finally, due to the lack of published behavioral and educational management strategies, this article provides practical suggestions for helping children and adolescents with EOBSD within the home and school settings.

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Section: Overview Of Eobsdmentioning

confidence: 99%

Section: Overview Of Eobsdmentioning

confidence: 99%

Early onset bipolar spectrum disorder: Psychopharmacological, psychological, and educational management

McIntosh

Trotter

2006

Psychology in the Schools

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“…6,7 In addition, the common presence of psychotic symptoms, disorganized thoughts, behavioral change and use of psychoactive substances lead to mistaken diagnoses, such as schizophrenia, conduct disorder, oppositional-defiant disorder and attention-deficit/hyperactivity disorder. 2,[8][9][10][11] EBD-CA is a severe disease, since it causes major losses in the individual's life, such as social maladaptation, school dropout, difficulty in learning, involvement with illegal practices, contact with psychoactive substances, problems of family relationship, etc. 12 The pharmacological treatment aims at reestablishing the child's baseline pattern.…”

Section: Introductionmentioning

confidence: 99%

Uso de quetiapina em transtorno de humor bipolar de início precoce

Boarati

Cavalcanti

Fu‐I

2006

Rev. psiquiatr. Rio Gd. Sul

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O transtorno do humor bipolar de início na infância e adolescência tornou-se um grande desafio aos profissionais que atendem a essa população, bem como a quem se dedica a estudá-la com mais profundidade. Primeiramente, isso se deve à dificuldade em se fechar o diagnóstico clínico e também em se estabelecer uma terapêutica medicamentosa eficaz, segura e permanente. Diferenças no padrão de ciclagem, predominância de fases mistas, gravidade das crises e a necessidade de se utilizar associações farmacológicas tornam o tratamento do transtorno bipolar de início precoce bastante complexo, exigindo uma gama maior de possibilidades terapêuticas. O caso apresentado relata a experiência com o uso da quetiapina em um paciente com o diagnóstico clínico de transtorno do humor bipolar de início na infância e adolescência, que começou aos 12 anos, e cuja resposta aos diferentes esquemas se mostrou insatisfatória. O uso da quetiapina mostrou-se eficaz no controle da crise e na estabilização do humor neste caso.

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“…At present it is still unclear whether these differences in clinical presentation are a result of developmental differences in symptom expression and/or differences in the aetiology of paediatric versus adult-onset BD [2,3].…”

mentioning

confidence: 99%