The difficulties of diagnosing Bipolar Disorder in infancy: a case study
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Bipolar disorder, infancy, irritabilityAbstract
Bipolar Disorder in infancy has been the subject of debate for a considerable number of years. The fact that its presentation differs from the classic presentation in adulthood, together with the absence of specific diagnostic criteria for this age group, make its diagnosis significantly more difficult.
The subject of the present study is a nine year-old patient diagnosed with “Type I bipolar disorder, single manic episode”. He presented with marked irritability, labile affect, euphoria, pronounced psychomotor restlessness, rapid speech and raised tone of voice, diminished hours of sleep and an increase in appetite, within the framework of high emotional volatility characterized by sudden changes of mood.
It is generally accepted that irritability is the most characteristic symptom of Bipolar Disorder in infancy. This however is not sufficient for its diagnosis because the same symptom frequently occurs in other disorders observed in infancy and adolescence.
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