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12 - Therapeutics of pediatric bipolar disorder

from Section 2 - Medical management

Published online by Cambridge University Press:  05 May 2013

By
Robert A. Kowatch ,
Melissa P. DelBello  and
Barbara L. Gracious
Edited by
J. John Mann
Edited in association with
Patrick J. McGrath  and
Steven P. Roose
J. John Mann
Affiliation:
Columbia University, New York
Patrick J. McGrath
Affiliation:
Columbia University, New York
Steven P. Roose
Affiliation:
Columbia University, New York
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Summary

This chapter reviews the diagnostic features of pediatric bipolar disorder (BPD) patients, co-morbidity, and the evidence for various medications, including complementary treatments, and offers a treatment algorithm. Co-morbid disorders are the rule rather than the exception among children and adolescents with BPD. Lithium is the only mood stabilizer approved by the United States Food and Drug Administration (FDA) for use in the treatment of mania in adolescents. Valproic acid (VPA) is a chemical compound that has found clinical use as an anticonvulsant and mood stabilizer. Treatment of bipolar depression (BD) can be complicated because of the often necessary use of combinations of medications, including antidepressants, that may induce mania, hypomania, or rapid cycling. It is important for clinicians to be familiar with complementary and alternative medicine (CAM) and integrative therapies for bipolar disorder, as parents may well be using them for their affected children, with or without informing the clinician.

Keywords

psychotic depressionnorepinephrine reuptake inhibitorspharmacotherapypsychotherapyselective serotonin reuptake inhibitorsmajor depressive disorderantidepressant effectDSM-IV
Type
Chapter
Information
Clinical Handbook for the Management of Mood Disorders , pp. 165 - 180
Publisher: Cambridge University Press
Print publication year: 2013

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