Practitioner Review: The Treatment of Bipolar Disorder in Children and Adolescents

James, Anthony; Javaloyes, Auxi M.

doi:10.1111/1469-7610.00738

Cited by 23 publications

(17 citation statements)

References 72 publications

(95 reference statements)

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“…Weller et al, 1995;Wozniak et al, 2003). To date, minimal EOBSD treatment research has been published (James & Javaloyes, 2001;McClellan & Werry, 1997). Interestingly, the consensus is that EOBSD continues to be underdiagnosed (Cassano, McElry, Brady, Nolen, & Placidi, 2000;Robertson et al, 1994;R.A.…”

Section: Overview Of Eobsdmentioning

confidence: 99%

“…Symptoms such as impulsivity, hyperactivity, irritability, and distractibility are shared by both disorders (Emslie et al, 1995;James & Javaloyes, 2001). The ease of misdiagnosis is highlighted by the findings of Biederman et al (1996), where 96% of children who meet the criteria for EOBSD also meet the criteria for ADHD; however, only 16% of ADHD patients met the criteria of mania/hypomania (Biederman et al, 1996).…”

Section: Overview Of Eobsdmentioning

confidence: 99%

“…However, differentiation is not impossible. James and Javaloyes (2001) suggested that the two disorders can be distinguished by examining the history of the child to determine the persistence and earlier onset of ADHD versus the lack of euphoria or depressed mood of EOBSD. Children with EOBSD also may be more irritable compared to children classified with ADHD.…”

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%

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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“…It seems likely that the 'truth' is somewhere in the middle, but it is simply not yet clear exactly where the line should be drawn. Further discussion of this problem is beyond the scope of this article but is well reviewed by James & Javaloyes (2001).…”

Section: Coghillmentioning

confidence: 99%

Current issues in child and adolescent psychopharmacology. Part 1: Attention-deficit hyperactivity and affective disorders

Coghill¹

2003

Adv. psychiatr. treat

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Drug treatments play an important role in the treatment of child and adolescent psychiatric disorders. However, there is often a long delay before research findings are translated into clinical practice; furthermore, changes in clinical practice outstrip the available evidence. This paper focuses on current issues and research findings on the pharmacological treatment of attention-deficit hyperactivity disorder (ADHD) and affective disorders. Clinical findings from a US study of the treatment of ADHD with extended-release stimulants and non-stimulants, and the development and use of clinical guidelines are discussed. Clinical trials of selective serotonin reuptake inhibitors for early-onset depression, approaches to managing treatment-resistant depression and guidance on the drug treatment of early-onset mania are considered.

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“…The main alternatives to include in the differential diagnosis of bipolar disorder are ADHD, conduct disorder, schizophrenia, drug abuse, endocrinopathies such as hypertyroidism and neurological conditions such as temporal lobe epilepsy [92,112,113]. Youngsters with bipolar disorder, like those with ADHD, may show distractibility, impulsivity and over-activity.…”

Section: Assessmentmentioning

confidence: 99%

Evidence-Based Treatment

2007

PsycEXTRA Dataset

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Objective: The literature on bipolar in children and adolescents was reviewed to provide an update for clinicians. Review process: Literature of particular relevance to evidence-based practice was selected for critical review. Outcomes: An up-to-date overview of clinical features, epidemiology, prognosis, aetiology, assessment and intervention was provided. Conclusions: Bipolar disorder in children and adolescence is a relatively common, multifactorially determined and recurring problem which persists into adulthood. Psychometrically robust screening questionnaires and structured interviews facilitate reliable assessment. Multimodal chronic care programmes involving medication (notably lithium) and familyoriented psychotherapy are currently the treatment of choice. Keywords: Paediatric bipolar disorder, bipolar disorderResumen Objetivo: Se revisó la literatura sobre el trastorno bipolar en niñ os y adolescentes para ofrecer una actualizació n al médico. Proceso de revisión: Se seleccionó para una revisió n crítica la literatura que tuviera una relevancia concreta en relació n a la práctica basada en la evidencia. Resultados: Se brinda una revisió n actualizada sobre las características clínicas, la epidemiología, el pronó stico, la evaluació n y el manejo. Conclusión: El trastorno bipolar es un problema recurrente y relativamente comú n en niñ os y adolescentes, determinado a partir de mú ltiples factores, y que persiste hasta la edad adulta. La aplicació n de cuestionarios psicométricos de tamizaje y de entrevistas estructuradas permite una evaluació n confiable. El tratamiento de elecció n son los programas multimodales de cuidado cró nico, que incluyen el uso de medicamentos (particularmente litio) y psicoterapia orientada a la familia.

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Practitioner Review: The Treatment of Bipolar Disorder in Children and Adolescents

Cited by 23 publications

References 72 publications

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

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

Current issues in child and adolescent psychopharmacology. Part 1: Attention-deficit hyperactivity and affective disorders

Evidence-Based Treatment

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