Treatment of Patients With Bipolar Disorder 7 INTRODUCTION This practice guideline summarizes data on the specific somatic and psychosocial interventions that have been studied in the treatment of bipolar disorder. The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) distinguishes three subcategories of the disorder. 0000023838 00000 n The criteria used to diagnose bipolar disorder in children and adolescent populations are the same as those used for adults—fluctuations between depression, which can include extreme sadness, low energy levels, loss of pleasure and suicidal ideation, and hypomania or mania, which can involve periods of elevated mood, irritability, a decreased need for sleep, increases in goal-oriented behaviors and inflated self-esteem. “It’s great to have the research,” says Youngstrom, who also directs the Center for Excellence in Research and Treatment of Bipolar Disorder at UNC Chapel Hill. 51, No. For the treatment of children and adolescents with psychiatric disorders, practice guidelines, updates, and parameters are available from the American Academy of Child and Adolescent Psychiatry. 25, No. Am J Psychiatry. 10, 2016). In fact, clinicians can diagnose bipolar disorder in children more accurately when they ask the children, their teachers and their caregivers to fill out empirically validated questionnaires that ask about mood, energy levels and other factors, Youngstrom and Van Meter found in a meta­analysis (Youngstrom, E.A., et al., Archives of Scientific Psychology, Vol. In a three-site randomized trial involving children and teens who had mood instability and a family history of bipolar disorder, his group found that FFT elongated the intervals of wellness between mood episodes and reduced both depressive episodes and suicidal ideation (JAMA Psychiatry, Vol. Clinical practice guidelines for mood disorders (2015) Veterans Affairs/Department of Defense. 0000017402 00000 n Explain how the research base on pediatric bipolar disorder has evolved since 1990. Education about your condition can empower you and motivate you to stick to your treatment plan and recognize mood changes. 7, 2012). 133 0 obj<>stream As an APA member, take advantage of your five free CE credits per year. Researchers also began to develop and test treatments for pediatric populations—including mood stabilizers and antipsychotic drugs known to be effective for adults with bipolar disorder, as well as psychosocial interventions to help children and families cope with the diagnosis. 46, No. 2, 2020). Mood stabilizers and antipsychotic drugs, which have been used for decades to treat bipolar disorder in adults, are also effective in pediatric populations. H�T�=o� �w~ō�:`��N$d�M)C?Ԥ� >��j��3����T�_�t���i���[�g�z���s�G�����Y�`. 77, No. 0000007725 00000 n 3, 2016). Despite the paucity of data, pediatric treatment guidelines have evolved based on empirically derived plans. New research is helping practitioners better understand the symptoms of pediatric bipolar disorder. 0000027889 00000 n 0000001986 00000 n 0000036776 00000 n 0000017976 00000 n Goldstein adapted a model of dialectical behavior therapy for youth with bipolar disorder, finding that it decreased suicidal ideation compared with typical psychosocial treatment for the condition in a small randomized trial (Journal of Child and Adolescent Psychopharmacology, Vol. T2 - A review. Learning to manage bipolar disorder can take time. Evidence to support those interventions is growing, giving hope to children and teens for a less tumultuous transition to adulthood if bipolar disorder is diagnosed and addressed early on. Perez Algorta, G., et al., Journal of Clinical Child & Adolescent Psychology, 2018, The Bipolar Teen: What You Can Do to Help Your Child and Your Family �et�T#�aBLJ�l%c3�^�$khhh�JA!U0�jXh7H)D#�2b�tlJ\��G��=Ҩ��n6��H������ ���A������`�c{�X��C�_�d �D:��a8����p��`� ���Ljl���n�lY���X��#7!����*���{NX��,������@| � A�� family functioning, satisfaction w treatment 35 children, 54%depressed, 46% bipolar spectrum 165 children, 70% bipolar spectrum, 30% depressed 3 MF-PEP Effectiveness trials: feasible, improved mood 40, 41 and XX children—mixture of D & B 3 IF-PEP RCTs: improved mood 20 children, 100% bipolar spectrum Psychiatric disorders Veterans Affairs/Department of Defense or peer educator without a background in mental health topics says West s of!, Kowatch RA, Emslie GJ, Findling RL, Wilens TE, McCague,! Wagner KD, Kowatch RA, Emslie GJ, Findling RL, Wilens TE, pediatric bipolar disorder treatment guidelines K, et.... 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