Pediatrics

Clinical Manual for the Management of Bipolar Disorder in by Robert A. Kowatch, Mary A. Fristad, Visit Amazon's Robert L.

By Robert A. Kowatch, Mary A. Fristad, Visit Amazon's Robert L. Findling Page, search results, Learn about Author Central, Robert L. Findling,

Scientific handbook for administration of Bipolar illness in little ones and teens used to be written in accordance with the growing to be physique of data surrounding pediatric bipolar disorder and the underlying organic, environmental, and psychosocial affects that exacerbate signs and behaviour. Written to supply clinically important information regarding analysis and administration, this handbook is a accomplished number of empirical proof, case experiences, and the starting to be variety of evidence-based experiences on pediatric bipolar ailment over the last 5 years. This revised and prolonged guide completely examines how the earlier dualism of nature as opposed to nurture might be changed with the extra actual nurture bettering or igniting nature in younger sufferers dealing with bipolar ailment. This more desirable textual content additionally positive aspects a number of new chapters by means of Dr. Mary Fristad and workforce on the Ohio kingdom collage, who're specialists within the kinfolk and psychosocial features of pediatric bipolar sickness.

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The chronic and evolving nature of bipolar disorder in adults further supports the importance of assessing the disorder’s longitudinal course in children and adolescents. Because adults with bipolar disorder have been studied more extensively than youths, the existing data in adults serve as a benchmark against which to compare children. Pediatric bipolar I disorder is a chronic disorder that appears to be characterized by few euthymic periods and substantially more manic or hypomanic episodes than depressed episodes.

This study was significant for its thorough diagnostic evaluation and careful clinical characterization of these subjects. The diagnosis of bipolar I disorder was established in these patients by 1) an interview based on the Present and Lifetime Version (K-SADS-PL) or Epidemiologic Version (K-SADS-E) of the K-SADS administered by a research assistant and 2) a clinical assessment by a child and adolescent psychiatrist. The course of bipolar disorder in 57 subjects also was assessed with the life charting method.

Of the 1,507 interviewed at T2, 893 participants returned for the interview at T3. Study Age range (years) N Diagnosis Length of follow-up Key findings Lewinsohn et al. 2000 1. 1 year after first 14–18 1,507 Bipolar I disorder, interview bipolar II disorder, cyclothymic disorder, 2. At age 24 subsyndromal bipolar disorder, MDD 1. Elevated mood occurred more frequently than irritable mood 2. High rate of suicide attempts in syndromal and subsyndromal bipolar disorder groups 3. High rates of illness progression (see Figure 3–1) Strober et al.

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