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1805 – Child bipolar disorder: a case report

Article in European Psychiatry · December 2013

DOI: 10.1016/S0924-9338(13)76774-9

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Marcelo C Zappitelli Isabel Bordin

Universidade Federal de São Paulo Universidade Federal de São Paulo
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Article: 1805
Topic: 41 - Child and Adolescent Psychiatry

CHILD BIPOLAR DISORDER: A CASE REPORT

M.C. Zappitelli, M.L. Pereira, E.C. Gonçalves, I.A. Bordin

Federal University of São Paulo, São Paulo, Brazil

Background: The diagnosis of bipolar disorder in children and adolescents has increased in clinical settings throughout the
last two decades. Its prevalence is around 1.8% being similar in different countries. However, how it is diagnosed is still a
challenge due to its variability of clinical presentations, overlapping with other more commonly psychiatric disorders and high
rates of comorbidities. Therefore, it is still important to report cases in order to enhance our knowledge about this complex field
of the mental health in childhood and adolescence.
Objective: To present clinical characteristics and follow-up of a 12 year-old adolescent who met DSM-IV criteria for bipolar
disorder NOS.
Method: To describe the clinical trajectory from the diagnosis to the outcomes of the mentioned case, focusing on the main
symptoms and family functioning.
Results: The combination of mood stabilizers, family interventions and individual psychodynamic therapy resulted in an
improvement of the global functioning.
Conclusion: Even in a complex case of child bipolar disorder with early onset the treatment based on pharmacotherapy,
individual psychodynamic therapy and systemic family therapy was able to provide satisfactory results.

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