Chapter 6.Bipolar Disorder
Sections
Excerpt
Pharmacological treatment (mood stabilizers or atypical antipsychotics) is considered the first-line approach to manage pediatric bipolar disorder (McClellan et al. 2007). However, childhood-onset and early adolescent–onset bipolar disorder appear phenotypically similar to adult mixed manic, chronically cycling, and frequently treatment-resistant bipolar disorder; thus, these youth, even when medicated, are likely to relapse (Geller et al. 2002). The refractory nature of pediatric bipolar disorder underscores the important, albeit adjunctive, role of psychotherapy in treating the disorder, especially from the standpoint of illness management (e.g., mitigating symptom exacerbation, preventing or delaying the onset of future mood episodes, promoting healthy and affectively moderating lifestyle choices, and addressing psychosocial stressors that may impact the course of disorder).
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