儿童双相情感障碍的诊断和治疗ppt课件.pptVIP

Diagnosis and Treatment of Bipolar Disorder in Children and Adolescents;Pediatric Bipolar Topics;Prevalence of Bipolar Disorder in Adolescents;Difficulties Diagnosing Bipolar Disorder in Youth;93 outpatients, 7 to 16 years of age (mean age = 11 years) with bipolar I or II Mean age onset: 7 years of age Mean episode duration: 3.5 years of age;Percentage 55% 87% 50% 25% 87% ;Bipolar Disorder in Children;Bipolar Disorder in Adolescents;Comorbid Disorders Associated With Bipolar Disorder in Children and Adolescents;Comorbidity Between Bipolar Disorder and ADHD;60 outpatient children with bipolar disorder (mean = 11.0 years) 60 outpatient children with ADHD(mean = 9.6 years);Distinction Between Bipolar Disorder and ADHD (cont.);Distinction Between Bipolar Disorder and ADHD (cont.);Medication Trials for Bipolar Disorder in Children and Adolescents;Lithium Treatment for Adolescent Mania;Lithium Treatment for Adolescent Mania (cont.);Divalproex Treatment for Bipolar Disorder in Children and Adolescents;Wagner, et al. 2000.;Valproate in Women With Epilepsy;Polycystic Ovary Syndrome (PCOS) in Women With Epilepsy;Polycystic Ovary Syndrome (PCOS) in Women With Epilepsy (cont.);Kowatch, et al. 2000. ;Kowatch, et al. 2000.;Newer Antiepileptic Drugs ;Olanzapine Treatment - Monotherapy;Olanzapine Treatment - Adjunctive;Risperidone Treatment for Bipolar Disorder;Treatment Issues in Medication Selection;Medication Strategies for Bipolar Disorder in Children and Adolescents;Medication Strategies for Bipolar Disorder in Children and Adolescents (cont.);Newer Antiepileptic Agents;First line therapy Mood stabilizer Mixed picture ? valproate + atypical antipsychotic Euphoric ? lithium + atypical antipsychotic Nonresponders Add second mood stabilizer Lithium + valproate Carbamazepine + lithium;Treatment of Bipolar Depression;Treatment of Bipolar Depression (cont.);Treatment of Bipolar Depression (cont.);Lithium Discontinuation in Adole