Do We Really Know How to Treat a Child with Bipolar Disorder or One with Severe Mood Dysregulation? Is There a Magic Bullet?
Joint Authors
Prabhuswamy, Mukesh
Dullur, Pravin
Jairam, Rajeev
Source
Depression Research and Treatment
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-12-01
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Despite controversy, bipolar disorder (BD) is being increasingly diagnosed in under 18s.
There is scant information regarding its treatment and uncertainty regarding the status of “severe mood dysregulation (SMD)” and how it overlaps with BD.
This article collates available research on treatment of BD in under 18s and explores the status of SMD.
Methods.
Literature on treatment of BD in under 18s and on SMD were identified using major search engines; these were then collated and reviewed.
Results.
Some markers have been proposed to differentiate BD from disruptive behaviour disorders (DBD) in children.
Pharmacotherapy restricted to short-term trials of mood-stabilizers and atypical-antipsychotics show mixed results.
Data on maintenance treatment and non-pharmacological interventions are scant.
It is unclear whether SMD is an independent disorder or an early manifestation of another disorder.
Conclusions.
Valproate, lithium, risperidone, olanzapine, aripiprazole and quetiapine remain first line treatments for acute episodes in the under 18s with BD.
Their efficacy in maintenance treatment remains unclear.
There is no validated treatment for SMD.
It is likely that some children who are currently diagnosed with BD and DBD and possibly most children currently diagnosed with SMD will be subsumed under the proposed category in the DSM V of disruptive mood dysregulation disorder with dysphoria.
American Psychological Association (APA)
Jairam, Rajeev& Prabhuswamy, Mukesh& Dullur, Pravin. 2011. Do We Really Know How to Treat a Child with Bipolar Disorder or One with Severe Mood Dysregulation? Is There a Magic Bullet?. Depression Research and Treatment،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-512118
Modern Language Association (MLA)
Jairam, Rajeev…[et al.]. Do We Really Know How to Treat a Child with Bipolar Disorder or One with Severe Mood Dysregulation? Is There a Magic Bullet?. Depression Research and Treatment No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-512118
American Medical Association (AMA)
Jairam, Rajeev& Prabhuswamy, Mukesh& Dullur, Pravin. Do We Really Know How to Treat a Child with Bipolar Disorder or One with Severe Mood Dysregulation? Is There a Magic Bullet?. Depression Research and Treatment. 2011. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-512118
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512118