“…28,29 Although international differences in BD are less well studied in youth as compared to adults, there now are PBD data from multiple countries including Australia/New Zealand, Brazil, China, France, India, Italy, South Korea, Spain, the Netherlands, Turkey, and the UK. 30 In addition to the epidemiologic studies reviewed above, international BD data now include phenomenological, 19,31–33 comorbidity, 19,34 longitudinal, 35,36 treatment, 37,38 neuroimaging and biomarker, 39–41 and high-risk studies. 42,43 Numerous commentaries discuss purported international differences in the prevalence of PBD, which may be attributable to including more subtypes, 1 differences in the interview method, 44 training, 23,45 or the type of sample studied (predominantly manic, depressive, treatment-seeking or registry), or a combination of these.…”