title: Tourette syndrome and bipolar disorder: unique problems with pediatric comorbidity.
abstract: Tourette syndrome and bipolar disorder are frequent comorbidities in pediatric age group. They provide a clinician with certain unique challenges. While on one hand the tics mask manifestation of affective symptomatology, the latter makes it difficult to elicit tics with certainty. Data suggest that they might share genetic and neurobiological basis and this is currently an area of extensive research. These clinical and biological overlaps provide grey areas in our understanding, which not only complicates the diagnosis, but also poses problems with management.
authors.affiliation: Department of Psychiatry, Erna Hoch Centre for Child and Adolescent Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India.
authors.forename: Anjana Rao
authors.initials: AR
authors.lastname: Kavoor
authors.affiliation: Department of Psychiatry, Erna Hoch Centre for Child and Adolescent Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India.
authors.forename: Sayantanava
authors.initials: S
authors.lastname: Mitra
authors.affiliation: Department of Psychiatry, Erna Hoch Centre for Child and Adolescent Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India.
authors.forename: Varun S
authors.initials: VS
authors.lastname: Mehta
authors.affiliation: Department of Psychiatry, Erna Hoch Centre for Child and Adolescent Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India.
authors.forename: Nishant
authors.initials: N
authors.lastname: Goyal
authors.affiliation: Department of Psychiatry, Erna Hoch Centre for Child and Adolescent Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India.
authors.forename: Vinod Kumar
authors.initials: VK
authors.lastname: Sinha
keywords: Bipolar disorder; pediatric comorbidity; tourette syndrome