Bipolar disorder often presents initially with one or more episodes of major depression, and an episode of mania or hypomania may first occur during initial treatment. More on “switching” of mood from depression to mania here.
Evidence suggests that co-occurrence with ADHD is a marker of preadolescent-onset mania. This article provides some of this evidence so that you may be able to decide whether this form of very early-onset mania represents a developmental subtype of the disorder.
This case study of a 21-year-old female—referred by a relative because of longstanding severe interpersonal, academic, and occupational impairment—illustrates the importance of screening patients with brief episodes of depression for mixed features.
Do children with manic symptoms continue to experience mania? How common are suicidal ideation and attempts in bipolar youth? How severe is bipolar depression in children and adolescents? Answers to these and other questions from recent studies here. . .
The relationship between bipolar disorder and ADHD remains unclear; however, this combined condition may represent an important genetic and clinical subtype with distinct psychopathology, familiality, and treatment response.
As practicing physicians, we constantly ask ourselves when and where to alert patients to bad possibilities that may occur in the future. More in this installment of "Why Psychiatrist Are Physicians First," by Sharon Packer, MD.
There are many rapidly effective treatments for mania in bipolar disorder. However, there are relatively few options for bipolar depression, and none that are rapidly effective—even though bipolar depression constitutes between 20% to 50% of all depressive disorders.