Bipolar Disorder in Adolescence

  • G. A. Carlson
Conference paper

Abstract

Manic depressive illness, or bipolar disorder as it is now labeled in the United States (DSM-III/III-R, American Psychiatric Association 1980, 1987) not infrequently has its onset in adolescence. Up to 25% of patients will report episodes of depression, hypomania, or mania beginning before age 19 (Carlson et al. 1977; Loranger and Levine 1978; Joyce 1984). In spite of this ubiquitous observation, recognition of the disorder at its onset has been slow in coming. Although there have been flurries of reports and descriptions periodically in the English-language literature at least, concerted interest in adolescent bipolar disorder has occurred only in the past 20 years (Carlson 1990a, for review).

Keywords

Depression Lithium Schizophrenia Rosen 

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References

  1. Akiskal HS, Downs J, Jordan P, Watson S, Daugherty D, Pruitt DB (1985) Affective disorders in referred children and younger siblings of manic depressives. Arch Gen Psychiatry 42: 996–1004.PubMedCrossRefGoogle Scholar
  2. American Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders (DSM III), 3rd edn. American Psychiatric Association, Washington DC.Google Scholar
  3. American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders (DSM III-R), 3rd edn, revised. American Psychiatric Association, Washington DC.Google Scholar
  4. Andreasen NC, Rice J, Endicott J, Coryell W, Grove WM, Reich T (1987) Familial rates of affective disorder. Arch Gen Psychiatry 44: 461–469.PubMedCrossRefGoogle Scholar
  5. Anthony EJ (1975) Childhood depression. In: Anthony EJ, Benedek T (eds) Depression and human existence, Little and Brown, Boston, pp 253–254.Google Scholar
  6. Ballenger JC, Reus VI, Post RM (1982) The “atypical” presentation of adolescent mania. Am J Psychiatry 139: 602–606.PubMedGoogle Scholar
  7. Black DW, Winokur G, Bell S, Nasrallah A, Hulbert J (1988) Complicated mania — comorbidity and immediate outcome in the treatment of mania. Arch Gen Psychiatry 45: 232–236.PubMedCrossRefGoogle Scholar
  8. Carlson GA (1990a) Bipolar disorder in children and adolescents in psychiatric disorders. In: Garfinkel B, Carlson GA, Weller EB (eds) Psychiatric disorders in children and adolescence Saunders, Philadelphia.Google Scholar
  9. Carlson GA (1990b) Annotation: child and adolescent mania — diagnostic considerations. J Child Psychol Psychiatry (in press).Google Scholar
  10. Carlson GA, Kashani JH (1988) Manic symptoms in a nonreferred adolescent population. J Affective Disord 15: 219–226.CrossRefGoogle Scholar
  11. Carlson GA, Strober M (1978) Manic depressive illness in early adolescence: a study of clinical and diagnostic characteristics in six cases. J Am Acad Child Psychiatry 17: 138–153.PubMedCrossRefGoogle Scholar
  12. Carlson G A, Davenport YB, Januson K (1977) A comparison of outcome in adolescent and late onset bipolar manic depressive illness. Am J Psychiatry 134: 919–922.PubMedGoogle Scholar
  13. Carlson GA, Weintraub S (in press) Childhood Behavior Problems and bipolar disorder — relationship or coincidence. J Affective Disorders.Google Scholar
  14. DeLong GR, Aldershof AL (1987) Long-term experience with lithium treatment in childhood: correlation with clinical diagnoses. J Am Acad Child Adolesc Psychiatry 26: 389–394.PubMedCrossRefGoogle Scholar
  15. Dwyer JT, DeLong GR (1987) A family history study of twenty probands with childhood manic depressive illness. J Am Acad Child Adolesc Psychiatry 26: 176–180.PubMedCrossRefGoogle Scholar
  16. Harrington R, Fudge H, Rutter M, Pickles A, Hill J (1990) Adult outcome of childhood and adolescent depression. Arch Gen Psychiatry (in press).Google Scholar
  17. Joyce PR (1984) Age of onset in bipolar affective disorder and misdiagnosis as schizophrenia. Psychol Med 14: 145–149.PubMedCrossRefGoogle Scholar
  18. Loranger AW, Levine PM (1978) Age of onset of bipolar affective illness. Arch Gen Psychiatry 35: 1345–1348.PubMedCrossRefGoogle Scholar
  19. McGlashan TH (1988) Adolescent versus adult onset of mania. Am J Psychiatry 145: 221–224.PubMedGoogle Scholar
  20. Robins LN, Heizer JE, Weissman MM, Orvaschel H, Gruenberg E, Burke JD, Regier DA (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 41: 949–958.PubMedCrossRefGoogle Scholar
  21. Rosen LN, Rosenthel NE, VanDosen PH, Dunner DL, Fieve RR (1983) Age at onset and number of psychotic symptoms in bipolar I and schizoaffective disorder. Am J Psychiatry 140: 1523–1524.PubMedGoogle Scholar
  22. Spitzer RL, Endicott J, Robins E (1978) Research diagnostic criteria rationale and reliability. Arch Gen Psychiatry 35: 773–782.PubMedCrossRefGoogle Scholar
  23. Strober M, Carlson GA (1982) Bipolar illness in adolescents with major depression: clinical, genetic, and psychopharmacologic predictors in a 3 to 4 year prospective follow-up investigation. Arch Gen Psychiatry 39: 549–555.PubMedCrossRefGoogle Scholar
  24. Strober M, Morrell W, Burroughs J, Lampert C, Danforth H, Freeman R (1988) A family study of bipolar I in adolescence: early onset of symptoms linked to increased familial loading and lithium resistance. J Affective Disord 15: 255–268.CrossRefGoogle Scholar
  25. Welner A, Welner Z, Fishman R (1979) Psychiatric adolescent inpatients — 8-10 year follow-up. Arch Gen Psychiatry 36: 698–705.PubMedCrossRefGoogle Scholar
  26. Youngerman J, Canino I (1978) Lithium carbonate use in children and adolescents: a survey of the literature. Arch Gen Psychiatry 35: 216–224.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • G. A. Carlson

There are no affiliations available

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