Bipolar disorder from childhood to adolescence: A review about diagnostic difficulties and comorbidities

Abstract

Bipolar disorder, the course of which shows alterations between depressive and elated moods, is a chronic psychiatric disorder impairing the patients’ psychosocial functioning dramatically. Childhood bipolar disorder, which has recently begun to be researched, is a clinical condition that represents some differences than the adult type bipolar disorder. These differences mostly mislead the clinicians and cause diagnostic confusion. Therefore, diagnostic consistency and good understanding of co-morbid disorders are important from the treatment perspective. Particularly the comorbidities and various clinical presentations may prevent clinicians from reaching correct treatment strategies. Diagnostic consistency and comorbidities of bipolar disorder in children and adolescents were reviewed in this article.

Keywords

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Çocukluktan ergenliğe iki uçlu bozukluk: Tanı zorlukları ve ekhastalıklar üzerine bir gözden geçirme

Öz

İki uçlu bozukluk; çökkün ve taşkın duygudurum arasında değişimlerle seyreden, etkilediği bireyi önemli ölçüde psikososyal işlevsellik kaybına uğratan süreğen psikiyatrik bir bozukluktur. Çocukluk çağı iki uçlu bozukluğu son zamanlarda sıklıkla incelenmeye başlanmış, erişkin çağda görülenden bazı klinik farklılıklar gösteren bir durumdur. Bu farklılıklar klinisyenleri çoğu zaman yanıltmakta ve tanı karmaşasına yol açmaktadır. Bu açıdan tanı tutarlılığı ve ekhastalıklarının iyi anlaşılması tedavi açısından önemli bir konudur. Özellikle ekhastalıklar ve farklı klinik görünümler klinisyenlerin doğru tedavi stratejilerine ulaşmalarını engellemektedir. Bu yazıda çocuk ve ergenlerde bipolar bozukluk tanı tutarlılığındaki zorluklar ve ekhastalıklar gözden geçirilmiştir.

Anahtar Kelimeler

• İki uçlu bozukluk, psikiyatri, ergen, çocukluk çağı, ekhastalık

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