Childhood bipolar disorder: a clinical vignette

Bipolar disorder in children and adolescents can easily be misdiagnosed, as symptom patterns overlap with other mood disorders and attention-deficit/hyperactivity disorder and commonly differ from adult presentations. A detailed description of the child's behavioral history and previous treatment response is critical to accurate diagnosis. Although studies with children are limited, a number of psychopharmaceuticals have been shown to provide therapeutic benefit. Parent/caregiver and educational support are essential components of successful treatment. This article describes an 11-year-old patient with bipolar disorder and then summarizes related treatment issues and options.