Treatments in child and adolescent bipolar disorders

Consoli, Angèle; Deniau, Emmanuelle; Huỳnh, Christophe; Purper, D.; Cohen, David

doi:10.1007/s00787-006-0587-7

Cited by 33 publications

(17 citation statements)

References 81 publications

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“…Several medications originally prescribed as anticonvulsants (sometimes called antiepileptics) have demonstrated effi cacy for the treatment of bipolar disorder in adults; however, existing data regarding early-onset bipolar disorder is typically restricted to case reports, retrospective chart reviews, open trials, and combination studies (Consoli, Deniau, Huynh, Purper, & Cohen, 2007 ;Smarty & Findling, 2007 ). The most common anticonvulsants currently being used with youth appear to be divalproex sodium or valproate, and carbamazepine.…”

Section: Anticonvulsantsmentioning

confidence: 99%

Identifying, Assessing, and Treating Bipolar Disorder at School

Hart

Brock

Jeltova

2014

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Section: Anticonvulsantsmentioning

confidence: 99%

Identifying, Assessing, and Treating Bipolar Disorder at School

Hart

Brock

Jeltova

2014

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“…Again, viewing youth behavior through the lens of what is developmentally appropriate, taking into consideration the means available to express internal states, is essential to accurate diagnosis (Consoli et al 2007). To improve diagnostic clarity across age groups, an expert consensus group recommended using FIND (Frequency, Intensity, Number, and Duration) guidelines to determine if a behavior is a symptom (Kowatch et al 2005).…”

Section: Symptom Presentationmentioning

confidence: 99%

Early-Onset Bipolar Spectrum Disorders: Diagnostic Issues

Danner

Fristad

Arnold

et al. 2009

Clin Child Fam Psychol Rev

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Since the mid 1990s, early-onset bipolar spectrum disorders (BPSDs) have received increased attention in both the popular press and scholarly press. Rates of diagnosis of BPSD in children and adolescents have increased in inpatient, outpatient, and primary care settings. BPSDs remain difficult to diagnose, particularly in youth. The current diagnostic system makes few modifications to accommodate children and adolescents. Researchers in this area have developed specific BPSD definitions that affect the generalizability of their findings to all youth with BPSD. Despite knowledge gains from the research, BPSDs are still difficult to diagnose because clinicians must: (1) consider the impact of the child’s developmental level on symptom presentation (e.g., normative behavior prevalence, environmental limitations on youth behavior, pubertal status, irritability, symptom duration); (2) weigh associated impairment and course of illness (e.g., neurocognitive functioning, failing to meet full DSM criteria, future impairment); and (3) make decisions about appropriate assessment (differentiating BPSD from medical illnesses, medications, drug use, or other psychiatric diagnoses that might better account for symptoms; comorbid disorders; informant characteristics and assessment measures to use). Research findings concerning these challenges and relevant recommendations are offered. Areas for further research to guide clinicians’ assessment of children with early-onset BPSD are highlighted.

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“…A decision-making strategy regarding when to augment, switch, or continue a medication for a child with BPD is available [36] that is based on expert consensus. There is a dire need for more double-blind, placebo controlled trials, and studies of treating the depressed phase of BPD, comorbidities, and relapse-prevention [35,37]. …”

Section: Treatmentmentioning

confidence: 99%

Pediatric bipolar disorder: recognition in primary care

Cummings¹,

Fristad

2008

Current Opinion in Pediatrics

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Purpose of Review-Bipolar disorder (BPD) is increasingly diagnosed in youth in both outpatient and inpatient settings. Research on BPD in youth has also increased dramatically; this paper summarizes issues of clinical relevance in primary care, advancements in the past year, and areas where more research is needed.Recent Findings-Key issues and new developments are summarized in the following areas: epidemiology and relevance; assessment and differential diagnosis; patient and family decision support; shared decision making and triage; treatment; and monitoring and collaboration with mental health professionals. Recent practice guidelines have important implications for diagnosis and treatment.Summary-Early-onset BPD appears to have a more severe course and more comorbidity than later life onset, as well as longer delays in treatment-seeking. Affected children show differences in cognitive functioning and neuroanatomy compared to the general population. Assessment of BPD in children needs to be comprehensive and longitudinal, as diagnosis remains a debated topic. Medications are a primary part of treatment, but more double-blind, placebo controlled trials are needed. Psychosocial adjunctive treatment is important. Children with a family history of BPD are at-risk for impaired functioning and psychopathology; high-risk studies will increase our understanding of the onset and course of BPD.

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Treatments in child and adolescent bipolar disorders

Cited by 33 publications

References 81 publications

Identifying, Assessing, and Treating Bipolar Disorder at School

Identifying, Assessing, and Treating Bipolar Disorder at School

Early-Onset Bipolar Spectrum Disorders: Diagnostic Issues

Pediatric bipolar disorder: recognition in primary care

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