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Contribution title 2732 - Preschool Bipolar Disorder: Three cases and their follow-up
Contribution code PS01-28 (P)
Authors
  1. Ayşe Kutlu Izmir Dr. Behcet Uz Children's Research and Training Hospital
  2. Handan Özek Erkuran Izmir Dr. Behcet Uz Children's Research and Training Hospital Presenter
Form of presentation Poster
Topic
  • Assessment
Abstract Aims: Three preschool mania cases were presented discussing clinical phenomenology and treatment with relevant literature.
Method: Psychiatric assessments were done based on Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria. Symptom severity was measured using Young Mania Rating Scale (YMRS).
Results: All met criteria for Bipolar Disorder Type I(BD-I) and Attention Deficit Hyperactivity Disorder (ADHD). Familial depression, anxiety and stressful life events increased symptom severity and treatment resistance. Premature dropouts and referrals due to repetitive manic episodes were frequent. While no clinical improvement was observed in a case where Valproate(VPA) was single agent, atypical antipsychotics (risperidone, olanzapin, aripiprazole, paliperidone) were well-tolerated.
Conclusion: Developing strategies for complementary psychosocial approaches towards children, families and environment might yield positive outcomes.
Keywords: child, preschool, bipolar disorder, mania