Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Psychiatry


Answer 5
  1. Pediatric bipolar disorder. ADHD with comorbid major depression or comorbid oppositional defiant disorder as well as recurrent major depression should be considered in the differential diagnosis. However, this patient’s history of mood symptoms, including elevated and depressed episodes, is strongly suggestive of pediatric bipolar disorder.8 The fact that the patient’s attention and concentration symptoms are related to mood episodes is inconsistent with ADHD, as impairments of attention in ADHD are chronic and relatively consistent over time. A recent study found that children with pediatric bipolar disorder had greater problems with difficult temperament in both infancy and toddlerhood compared with children with ADHD.9

    REFERENCES
    8. Leibenluft E, Rich BA. Pediatric bipolar disorder. Annu Rev Clin Psychol 2008;4:163–87.

    9. West AE, Schenkel LS, Pavuluri MN. Early childhood temperament in pediatric bipolar disorder and attention deficit hyperactivity disorder. J Clin Psychol 2008;64:402–21.

Click here to return to the questions
 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 4/16/09 • nvf