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Improving the Diagnosis and Treatment of Pediatric Bipolar Disorder

J Clin Psychiatry 2018;79(2):su17023ah3c
​​Reconsidering Insomnia as a Disorder Rather Than Just a Symptom in Psychiatric Practice

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Awareness of the prevalence and impact of bipolar disorder in pediatric patients has grown in recent years. Youths with this disorder are at risk for poor long-term outcomes, but with careful screening, clinicians may be able to detect early signs or subthreshold symptoms and provide a timely diagnosis and effective treatment. Although several pharmacologic options are available for patients aged 10 years and up, they differ in their safety and tolerability profiles. Clinicians should select the agent that best balances benefit and risk—at the lowest efficacious dose—and provide careful monitoring for adverse events throughout treatment.

Johns Hopkins University and the Kennedy Krieger Institute, Baltimore, Maryland. (Dr Findling); Private practice, Menlo Park, California (Dr Chang)