Bipolar disorders in children and adolescents

Stanganelli, Veronica (2010) Bipolar disorders in children and adolescents. In: Presentations from the Royal Australian and New Zealand College of Psychiatrists 2010 Congress. From: RANZCP 2010: Royal Australian and New Zealand College of Psychiatrists Congress, 2-6 May 2010, Auckland, New Zealand.

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Abstract

[Extract]

• Bipolar disorder within young people has been debated for years. It is still controversial in DSM V (1), whether is possible or not, to find paediatric mania in the spectrum of bipolar disorders.

• "Irritability" is a target symptom in childhood bipolarity. According to DSM IV TR (2), irritability is a core criteria in oppositional defiant disorder (ODD), major depressive disorder (MDD) and mania. In relation to this classification, irritability qualifies only in childhood as unique criteria for MDD. Besides, it is a major cause of morbidity and distress among children with pervasive developmental disorder (PDD), anxiety disorders, and attention deficit hyperactive disorder (ADHD) (3,4)

• Furthermore, DSM V tries to describe a new disorder called temper dysregulation with dysphoria, pointing out the quality of temper outbursts.

• However, "irritability" is widely used to illustrate youth's behaviours but is poorly defined and is often misdiagnosed with aggression, violent outbursts, hostility, short-temper and poor impulse control.

• Irritable mood last for days or weeks, displays cognitive compromise and may not have specific facial expression like emotions.

• It should be distinguished from long-term traits, including unstable personality styles with emotional dysregulation.

Item ID: 34712
Item Type: Conference Item (Presentation)
Keywords: bipolar, children, adolescent
Date Deposited: 28 Aug 2014 06:04
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110319 Psychiatry (incl Psychotherapy) @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 100%
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