[Bipolar disorders as co-morbidity in childhood and adolescence--underdiagnosed or overinterpreted? Therapy of a 14-year-old boy with hyperkinetic conduct disorder and hypomania]

Z Kinder Jugendpsychiatr Psychother. 2010 Mar;38(2):123-9; quiz 130. doi: 10.1024/1422-4917.a000019.
[Article in German]

Abstract

Objective: Considerable debate exists regarding differing prevalence rates of co-morbid bipolar disorder in children and adolescents with ADHD in Germany as compared to the US.

Methods: Described in this case report are the assessment of and treatment procedure for a 14-year old boy with hyperkinetic conduct disorder and co-morbid hypomanic episode, as well as different possible interpretations of symptoms.

Conclusions: Further studies of children and adolescents with ADHD and coexisting impulsive-aggressive behaviour are needed. Important in practice is a precise differentiation of symptoms with regard to co-morbid bipolar disorder.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Aggression / psychology
  • Antipsychotic Agents / therapeutic use
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / drug therapy*
  • Attention Deficit Disorder with Hyperactivity / psychology
  • Attention Deficit and Disruptive Behavior Disorders / diagnosis
  • Attention Deficit and Disruptive Behavior Disorders / drug therapy
  • Attention Deficit and Disruptive Behavior Disorders / psychology
  • Behavior Therapy
  • Bipolar Disorder / diagnosis*
  • Bipolar Disorder / drug therapy*
  • Bipolar Disorder / psychology
  • Central Nervous System Stimulants / therapeutic use
  • Combined Modality Therapy
  • Comorbidity
  • Conduct Disorder / diagnosis*
  • Conduct Disorder / drug therapy*
  • Conduct Disorder / psychology
  • Cross-Cultural Comparison
  • Education
  • Hospitalization
  • Humans
  • International Classification of Diseases
  • Irritable Mood
  • Male
  • Methylphenidate / therapeutic use
  • Patient Care Team
  • Psychotherapy
  • Risperidone / therapeutic use
  • Social Behavior Disorders / diagnosis*
  • Social Behavior Disorders / drug therapy*
  • Social Behavior Disorders / psychology
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / psychology

Substances

  • Antipsychotic Agents
  • Central Nervous System Stimulants
  • Methylphenidate
  • Risperidone