Adolescent bipolar disorder: a nine-year experience.
The clinical records of 53 adolescent inpatients diagnosed with bipolar disorder were re-evaluated to examine their profiles and differential diagnoses. Seventy-two percent satisfied DSM-III-R Bipolar Disorder criteria and most presented with manic or mixed mood symptoms. Half were psychotic. Non-affective psychosis, unipolar depression, organic syndromes and disruptive behavioral disorders complicated the differential diagnoses, particularly among younger boys. The well-documented bipolars were characterized by affective symptoms prior to the first admission and shorter hospitalizations than the remaining subjects. A recent trend towards overdiagnosis of bipolar disorder is suggested in some patients.
Krasa
N R
NR
Department of Psychiatry, Ohio State University, Columbus 43210.
Tolbert
H A
HA
D000293:Adolescent; D001714:Bipolar Disorder / Q000145:classification / Q000175:diagnosis* / Q000235:genetics / Q000523:psychology; D016241:Child of Impaired Parents / Q000523:psychology; D003866:Depressive Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D010343:Patient Admission; D010553:Personality Development; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D012189:Retrospective Studies; D012307:Risk Factors