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Clinical Manual for Management of Bipolar Disorder in Children and Adolescents was written in response to the growing body of knowledge surrounding pediatric bipolar illness and the underlying biological, environmental, and psychosocial influences that exacerbate symptoms and behavior. Written to provide clinically useful information about diagnosis and management, this manual is a comprehensive collection of empirical evidence, case studies, and the growing number of evidence-based reports on pediatric bipolar disorder over the past five years.
This manual also contains several chapters provided by Dr. Mary Fristad and her team at The Ohio State University—experts in family and psychosocial aspects of pediatric bipolar disorder. Her contributions, along with vast clinical evidence and the expertise provided by Drs. Kowatch, Findling, and Post, help paint an accurate picture of everything from age onset to the effectiveness of various therapies.
In this manual, clinicians can refer to the following tools:
• A clinical description of childhood and adolescent bipolar disorder
• Management strategies for the patient including daily mood charting
• Current medication strategies and tactics
• Ways to help patients through the educational system
• Resources for clinicians, parents and patients
• A review of the future directions for childhood and adolescent bipolar disorder
The many new developments in the field of pediatric bipolar disorder are affirming what this manual emphasizes—that a combination of family and cognitive-behavior therapy can work in tandem with medical treatments to help young bipolar disorder patients achieve a more balanced life and a greater chance of controlling this illness later in life. The manual demonstrates how the medical community has shifted from asking, "Does bipolar disorder really exist in children and adolescents" to "How can we best predict, diagnose and treat this serious medical disorder" through a review of 25 years of study and insight.
This is a book that has the potential to be helpful to wide range of clinicians who treat psychiatric disorders in children and adolescents. But perhaps what is most valuable about this book is that it offers medication management strategies that are based on the authors' experience and wisdom. With some effort and a good library, facts, studies and general knowledge are relatively easy to obtain. However, to be able to have the equivalent of immediate supervision from these very experiences clinicians is truly a special contribution to this field.
Robert A. Kowatch, M.D., Ph.D., is Professor of Psychiatry and Pediatrics and Director of Psychiatry Research in the Division of Child and Adolescent Psychiatry at Cincinnati Children's Hospital Medical Center in Cincinnati, Ohio.
Mary A. Fristad, Ph.D., ABPP, is Professor in the Departments of Psychiatry and Psychology, and Director of Research and Psychological Services in the Division of Child and Adolescent Psychiatry at The Ohio State University in Columbus, Ohio.
Robert L. Findling, M.D., is Professor of Psychiatry and Pediatrics and Director of the Division of Child and Adolescent Psychiatry at University Hospitals Case Medical Center and Discovery and Wellness Center for Children at Case Western Reserve University in Cleveland, Ohio.
Robert M. Post, M.D., is Adjunct Clinical Professor of Psychiatry at the George Washington University and Penn State Schools of Medicine.
Contributors
Preface
Chapter 1. Introduction
Chapter 2. Definitions
Chapter 3. Course and Outcome
Chapter 4. Diagnosis
Chapter 5. Etiology
Chapter 6. Pharmacotherapy 1: Mood Stabilizers
Chapter 7. Pharmacotherapy 2: Atypical Antipsychotics
Chapter 8. Pharmacotherapy 3: Medication Strategies and Tactics
Chapter 9. Comorbidity
Chapter 10. Working With Patients and Their Families: Cardinal Symptom Monitoring and
Chapter 11. The Bipolar Child and the Educational System: Working With Schools
Appendix: Information on Bipolar Disorder for Schools
Chapter 12. Special Treatment Issues
Chapter 13. Resources for Clinicians, Parents, and Patients
Chapter 14. Conclusion and Future Directions
Appendix: K-SADS Mania Rating Scale
Index