Collaborative Role of the Pediatrician in the Diagnosis and Management of Bipolar Disorder in Adolescents

被引:7
作者
Shain, Benjamin N.
机构
关键词
adolescent bipolar disorder; interview guidelines; psychiatric diagnosis; psychotropic medication; collaboration; OPEN-LABEL TRIAL; PLACEBO-CONTROLLED TRIAL; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DOUBLE-BLIND; HOSPITALIZED CHILDREN; ACUTE MANIA; ADJUNCTIVE TOPIRAMATE; PRACTICE PARAMETER; DIVALPROEX SODIUM; LITHIUM TREATMENT;
D O I
10.1542/peds.2012-2756
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Despite the complexity of diagnosis and management, pediatricians have an important collaborative role in referring and partnering in the management of adolescents with bipolar disorder. This report presents the classification of bipolar disorder as well as interviewing and diagnostic guidelines. Treatment options are described, particularly focusing on medication management and rationale for the common practice of multiple, simultaneous medications. Medication adverse effects may be problematic and better managed with collaboration between mental health professionals and pediatricians. Case examples illustrate a number of common diagnostic and management issues. Pediatrics 2012;130:e1725-e1742
引用
收藏
页码:E1725 / E1742
页数:18
相关论文
共 80 条
[1]   The evolving bipolar spectrum - Prototypes I, II, III, and IV [J].
Akiskal, HS ;
Pinto, O .
PSYCHIATRIC CLINICS OF NORTH AMERICA, 1999, 22 (03) :517-+
[3]  
[Anonymous], 2004, J CLIN PSYCHIAT, V65, P267
[4]  
[Anonymous], D 00 DISR MOOD DYSR
[5]  
[Anonymous], 2007, J AM ACAD CHILD ADOL, V46, P107
[6]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[7]  
Axelson DA, 2011, J AM ACAD CHILD ADOL, V50
[8]   Phenomenology of children and adolescents with bipolar spectrum disorders [J].
Axelson, David ;
Birmaher, Boris ;
Strober, Michael ;
Gill, Mary Kay ;
Valeri, Sylvia ;
Chiappetta, Laurel ;
Ryan, Neal ;
Leonard, Henrietta ;
Hunt, Jeffrey ;
Iyengar, Satish ;
Bridge, Jeffrey ;
Keller, Martin .
ARCHIVES OF GENERAL PSYCHIATRY, 2006, 63 (10) :1139-1148
[9]   The effectiveness and tolerability of aripiprazole for pediatric bipolar disorders: A retrospective chart review [J].
Barzman, DH ;
DelBello, MP ;
Kowatch, RA ;
Gernert, B ;
Fleck, DE ;
Pathak, S ;
Rappaport, K ;
Delgado, SV ;
Campbell, P ;
Strakowski, SM .
JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY, 2004, 14 (04) :593-600
[10]   Adjunctive topiramate in hospitalized children and adolescents with bipolar disorders [J].
Barzman, DH ;
DelBello, MP ;
Kowatch, RA ;
Warner, J ;
Rofey, D ;
Stanford, K ;
Rappaport, K ;
Daniels, JP ;
Strakowski, SM .
JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY, 2005, 15 (06) :931-937