Skip to main content
SpringerLink
Log in

Thinking Adult in Adolescent Psychiatry

  • Chapter
  • First Online:
The Psychiatric Interview for Differential Diagnosis

  • 1802 Accesses

Abstract

In this chapter we will briefly address aspects of adolescent psychiatry of special significance for adult psychiatry. Mental illness often makes its first appearance in the early years. Mental difficulties in childhood and adolescence predict adult mental difficulties. The early course of schizophrenia is characterized in most cases by premorbid personality disorder and a prodromal break of the functional curve. Self-disorders, considered specific of the schizophrenia spectrum, may be detected during adolescence. Disorganized schizophrenia has an earlier (adolescent) onset than the paranoid subtype. An important differential diagnosis of early symptom-poor schizophrenia is the autism spectrum disorders. Temperamental and behavioral traits in childhood and adolescence portend bipolar disorder. The early course of bipolar disorder is often neglected, and especially hypomania is misjudged or overlooked.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Magical ideation; unusual perceptual experiences; social isolation/withdrawal; markedly impaired role function; blunted, flat, or inappropriate affect; digressive or overelaborate speech; marked lack of initiative or energy; markedly peculiar behavior; and marked impairment in personal hygiene.

  2. 2.

    Peculiar behavior, magical thinking, and unusual perceptual experiences.

References

  • Akiskal HS (1994) The temperamental borders of affective disorders. Acta Psychiatr Scand 89(Suppl 379):32–37

    Article  Google Scholar 

  • Arseneault L, Cannon M, Poulton R et al (2002) Cannabis use in adolescence and risk for adult psychosis: longitudinal prospective study. Br Med J 325:1212–1213

    Article  Google Scholar 

  • Axelson D, Goldstein B, Goldstein T et al (2015) Diagnostic precursors to bipolar disorder in offspring of parents with bipolar disorder: a longitudinal study. Am J Psychiatry 172:638–646

    Article  PubMed  PubMed Central  Google Scholar 

  • Berk M, Dodd S, Callaly P et al (2007) History of illness prior to a diagnosis of bipolar disorder or schizoaffective disorder. J Affect Disord 103:181–186

    Article  CAS  PubMed  Google Scholar 

  • Biederman J, Monuteaux MC, Mick E et al (2006) Young adult outcome of attention deficit hyperactivity disorder: a controlled 10-year follow-up study. Psychol Med 36:167–179

    Article  PubMed  Google Scholar 

  • Carlson GA, Kashani JH (1988) Manic symptoms in a non-referred adolescent population. J Affect Disord 15:219–226

    Article  CAS  PubMed  Google Scholar 

  • Carlson GA (2012) Differential diagnosis of bipolar disorder in children and adolescents. World Psychiatry 11:146–152

    Article  PubMed  PubMed Central  Google Scholar 

  • Chilakamarri JK, Filowski MM, Ghaemi SN (2011) Misdiagnosis of bipolar disorder in children and adolescents: a comparison with ADHD and major depressive disorder. Ann Clin Psychiatry 23:25–29

    PubMed  Google Scholar 

  • Costello EJ, Erkanli A, Angold A (2006) Is there an epidemic of child or adolescent depression? J Child Psychol Psychiatry 47:1263–1271

    Google Scholar 

  • Daraszkiewicz L (2005) Ueber Hebephrenie in besondere deren schwere Form. Elibron Classics, Lexington

    Google Scholar 

  • Faraone SV, Biederman J, Spencer T et al (2000) Attention-deficit/hyperactivity disorder in adults: an overview. Biol Psychiatry 48:9–20

    Article  CAS  PubMed  Google Scholar 

  • Ghaemi SN, Barroilhet S (2015) Confusing borderline personality with severe bipolar illness. Acta Psychiatr Scand 132:281–282

    Article  CAS  PubMed  Google Scholar 

  • Goodwin FK, Jamison KR (2007) Manic-depressive illness. Bipolar disorders and recurrent depression, 2nd edn. Oxford University Press, Oxford

    Google Scholar 

  • Hall W, Degenhardt L (2008) Cannabis use and the risk of developing a psychotic disorder. World Psychiatry 7:68–71

    Article  PubMed  PubMed Central  Google Scholar 

  • Hecht H, van Calker D, Spraul G et al (1997) Premorbid personality in patients with uni- and bipolar affective disorders and controls: assessment by the biographical personality interview (BPI). Eur Arch Psychiatry Clin Neurosci 247:23–30

    Article  CAS  PubMed  Google Scholar 

  • Hecker E, Kraam A (2009a) ‘Hebephrenia. A contribution to clinical psychiatry’ by Dr. Ewald Hecker in Gorlitz. 1871 (Pt. 1). Hist Psychiatry 20:87–106

    Article  PubMed  Google Scholar 

  • Hecker E, Kraam A (2009b) ‘Hebephrenia. A contribution to clinical psychiatry’ by Dr. Ewald Hecker in Gorlitz. 1871 (Pt. 2). Hist Psychiatry 20:233–248

    Article  Google Scholar 

  • Horneland M, Vaglum P, Larsen TK (2002) The prevalence of DSM-III-R “prodromal” symptoms of schizophrenia in non-psychotic psychiatric outpatients. Nord J Psychiatry 56:247–251

    Article  PubMed  Google Scholar 

  • John RS, Mednick SA, Schulsinger F (1982) Teacher reports as a predictor of schizophrenia and borderline schizophrenia: a Bayesian decision analysis. J Abnorm Psychol 91:399–413

    Article  CAS  PubMed  Google Scholar 

  • Johnson JG, Cohen P, Skodol AE et al (1999) Personality disorders in adolescence and risk of major mental disorders and suicidality during adulthood. Arch Gen Psychiatry 56:805–811

    Article  CAS  PubMed  Google Scholar 

  • Kahn E (1923) Schizoid und Schizophrenie im Erbgang. In: Rüdin E (ed) Studien über Vererbung und Entstehung geistiger Störungen, vol IV. Springer, Berlin

    Google Scholar 

  • Kandel DB, Johnson JG, Bird HR et al (1997) Psychiatric disorders associated with substance use among children and adolescents: findings from the methods for the epidemiology of child and adolescent mental disorders (MECA) study. J Abnorm Child Psychol 25:121–132

    Article  CAS  PubMed  Google Scholar 

  • Koren D, Reznik N, Adres M et al (2013) Disturbances of basic self and prodromal symptoms among non-psychotic help-seeking adolescents. Psychol Med 43:1365–1376

    Article  CAS  PubMed  Google Scholar 

  • Kronmüller KT, Backenstrass M, Kocherscheidt K et al (2005) Dimensions of the typus melancholicus personality type. Eur Arch Psychiatry Clin Neurosci 255:341–349

    Article  PubMed  Google Scholar 

  • Loeber R, Burke JD, Lahey BB (2002) What are adolescent antecedents to antisocial personality disorder? Crim Behav Ment Health 12:24–36

    Article  PubMed  Google Scholar 

  • Maibing CF, Pedersen CB, Benros ME et al (2015) Risk of schizophrenia increases after all child and adolescent psychiatric disorders: a nationwide study. Schizophr Bull 41:963–970

    Article  PubMed  Google Scholar 

  • McGorry PD, McFarlane C, Patton GC et al (1995) The prevalence of prodromal features of schizophrenia in adolescence: a preliminary survey. Acta Psychiatr Scand 92:241–249

    Article  CAS  PubMed  Google Scholar 

  • Miguel EC, Rosário-Campos MC, Prado HS et al (2000) Sensory phenomena in obsessive-compulsive disorder and Tourette’s disorder. J Clin Psychiatry 61:150–156

    Article  CAS  PubMed  Google Scholar 

  • Moore THM, Zammit S, Lingford-Hughes A et al (2007) Cannabis use and risk of psychotic or affective mental health outcomes: a systematic review. Lancet 370:319–332

    Article  PubMed  Google Scholar 

  • Nordgaard J, Parnas J (2014) Self-disorders and the schizophrenia spectrum: a study of 100 first hospital admissions. Schizophr Bull 40:1300–1307

    Article  PubMed  PubMed Central  Google Scholar 

  • Nylander L, Lugnegård T, Hallerbäck MU (2008) Autism spectrum disorders and schizophrenia spectrum disorders in adults: is there a connection? A literature review and some suggestions for future clinical research. Clin Neuropsychiatry 5:43–54

    Google Scholar 

  • Parnas J, Jørgensen A (1989) Pre-morbid psychopathology in schizophrenia spectrum. Br J Psychiatry 155:623–627

    CAS  PubMed  Google Scholar 

  • Patton GC, Coffey C, Carlin JB et al (2002) Cannabis use and mental health in young people. Br Med J 325:1195–1198

    Article  Google Scholar 

  • Poulton R, Caspi A, Moffitt TE et al (2000) Children’s self-reported psychotic symptoms and adult schizophreniform disorder. A 15-year longitudinal study. Arch Gen Psychiatry 57:1053–1058

    Article  CAS  PubMed  Google Scholar 

  • Rohde P, Lewinsohn PM, Seeley JR (1991) Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. J Abnorm Psychol 100:214–222

    Article  CAS  PubMed  Google Scholar 

  • Rutter M (1972) Childhood schizophrenia reconsidered. J Autism Child Schizophr 2:315–337

    Article  CAS  PubMed  Google Scholar 

  • Röpke B, Eggers C (2005) Early-onset schizophrenia. Eur Child Adolesc Psychiatry 14:341–350

    Article  Google Scholar 

  • Rosario-Campos MC, Leckman JF, Marcadante MT et al (2001) Adults with early-onset obsessive-compulsive disorder. Am J Psychiatry 158:1899–1903

    Article  CAS  PubMed  Google Scholar 

  • Schneider K (1959) Clinical psychopathology. Grune and Stratton, New York

    Google Scholar 

  • Schulz SC, Findling RL, Wise A et al (1998) Child and adolescent schizophrenia. Psychiatr Clin North Am 21:43–56

    Article  CAS  PubMed  Google Scholar 

  • Smith DJ, Harrison N, Muir W et al (2005) The high prevalence of bipolar spectrum disorders in young adults with recurrent depression: toward an innovative diagnostic framework. J Affect Disord 84:167–178

    Article  PubMed  Google Scholar 

  • Stenstrøm AD (2011) Tidlige tegn på skizofreni hos børn og unge [Early signs of schizophrenia in children and adolescents]. PhD thesis. University of Southern Denmark

    Google Scholar 

  • Striegel-Moore RH, Dohm FA, Pike KM et al (2014) Abuse, bullying, and discrimination as risk factors for binge eating disorder. Am J Psychiatry 159:1902–1907

    Article  Google Scholar 

  • Thase ME (2006) Bipolar depression: diagnostic and treatment considerations. Dev Psychopathol 18:1213–1230

    Article  PubMed  Google Scholar 

  • Welham J, Scott J, Williams G et al (2009) Emotional and behavioural antecedents of young adults who screen positive for non-affective psychosis: a 21-year birth cohort study. Psychol Med 39:625–634

    Article  CAS  PubMed  Google Scholar 

  • Widom CS, Czaja SJ, Paris J (2009) A prospective investigation of borderline personality disorder in abused and neglected children followed up into adulthood. J Pers Disord 23:433–446

    Article  PubMed  Google Scholar 

  • Woodward LJ, Fergusson DM (2001) Life course outcomes of young people with anxiety disorders in adolescence. J Am Acad Child Adolesc Psychiatry 40:1086–1093

    Article  CAS  PubMed  Google Scholar 

  • Yen S, Frazier E, Hower H et al (2015) Borderline personality disorder in transition age youth with bipolar disorder. Acta Psychiatr Scand 132:270–280

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Mental Health Center Hvidovre, University Hospital of Copenhagen, Broenby, Denmark

    Lennart Jansson

  2. Early Psychosis Intervention Center Region Zealand & Institute for Clinical Medicine, University of Copenhagen, Broenby, Denmark

    Julie Nordgaard

Authors
  1. Lennart Jansson
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Julie Nordgaard
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Jansson, L., Nordgaard, J. (2016). Thinking Adult in Adolescent Psychiatry. In: The Psychiatric Interview for Differential Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-319-33249-9_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33249-9_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33247-5

  • Online ISBN: 978-3-319-33249-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation