Pediatric Bipolar Disorder. Mani N Pavuluri, MD, PhD Berger Colbeth Chair in Child Psychiatry Pediatric Brain Research and Intervention Center University of Illinois at Chicago @ copy righted. Overview of the presentation. How does it look? Measurement
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Mani N Pavuluri, MD, PhD
Berger Colbeth Chair in Child Psychiatry
Pediatric Brain Research and Intervention Center University of Illinois at Chicago
@ copy righted
Elevated, expansive mood or Irritable mood
constantly on the go
joking and feels invincible
“ like wanting to jump on the bed”Equivalent description in a child
1) Generous gave money to the school’s mission collection
2) Friendly to everyone
3) Share my lunch with my friends
getting up every morning at the regular time not tired
I eat breakfast, lunch and dinner
Major Depressive Disorder
Birmaher et al, AACAP, 2003
Birmaher et al, AACAP, 2003
The following questions concern your child’s mood and behavior in the past month. Please place a check mark or an ‘x’ in a box for each item. Please consider it a problem if it is causing trouble and is beyond what is normal for your child's age. For example, check ‘never' if the behavior is not causing trouble.
1. Have periods of feeling super happy for hours or days at a time, extremely wound up and excited, such as
feeling "on top of the world"
2. Feel irritable, cranky, or mad for hours or days at a time
3. Think that he or she can be anything or do anything
(e.g., leader, best basketball player, rap singer,
millionaire, princess) beyond what is usual for that age
4. Believe that he or she has unrealistic abilities or powers that
are unusual, and may try to act upon them, which causes trouble
Never Sometimes Often Very Often
Child Mania Rating Scale, Parent Version
Pavuluri et al, aacap 2004
DD 1. (w/3 main symptoms)
Mother - Dev. Hx Personality
(knowledge, skills, attitude, motivation)
Attachment/Goodness of Fit
Temperament and Personality Style
*EMIC vs. ITIC
*Find the Person/s
Structural (roles, relationships) C – C, M – C, F – C, etc.
Strategic (problem solving, family beliefs)
Geller & Zimerman 2002.
Childhood Onset BD
Adolescent Onset Bipolar Disorder (AO-BD)Pediatric Bipolar Disorder
> 12 yr.
Diagnostic interviews with 1709high school students, ages 14-18 years
1.0% prevalence of BP (primarily BP II
5.7% prevalence of BP NOS
Lag to Diagnosis = 8 Years
Years of Age
CAN DO IT
O NEGATIVE THOUGHTS; LIVE IN THE NOW
E A GOOD FRIEND: BALANCED LIFESTYLE
H! HOW CAN WE SOLVE IT?!
AYS TO GET SUPPORT