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KMID : 1007420060040020049
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Mood and Emotion
2006 Volume.4 No. 2 p.49 ~ p.55
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How can Early Identification in Childhood and Adolescence Help Patients with Bipolar Disorder?
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Chun Keun-Ah
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Abstract
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Early detection and identification can favorably impact the course of bipolar disorder, a lifelong illness. Because
bipolar disorder can masquerade as various mental and physical illnesses-primarily major depressive disorder- patients
with this condition frequently go unrecognized for years. The reason of this recognition lag, clinical features in childhood and adolescence may be atypical and more various than those in adulthood. Accordingly, clinicians would
benefit from knowing the clues to early recognition of bipolar disorder in childhood or adolescence, because early
identification and management can reduce disability, improve social and employment stability, and result in improved functional outcomes. This review consists of 4 parts：1) Why are difficult to diagnosis bipolar disorder in
childhood and adolescence? 2) Precursors of bipolar disorder, 3) New phenotypic system of juvenile mania, 4)
How dose early intervention impact on favorable outcome? In conclusion, I recommend that the professionals working
in the filed of children and adolescent psychiatry should try to diagnose youth bipolar disorder correctly and manage
them appropriately.
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KEYWORD
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Bipolar disorder, Early identification, Childhood and adolescence
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