Detailed contribution information
| Contribution title | 3273 - CHILDHOOD AND IMPULSIVITY. EVOLUTION AND TREATMENT IN ONE CHILD WITH COMORBIDITY BETWEEN ODD, ADHD, IMPULSIVITY, EMOTIONAL DYSREGULATION AND BIPOLAR SPECTRUM IN THE CONTEXT OF FAMILY DYSFUNCTION |
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| Contribution code | PS02-17 (P) |
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| Form of presentation | Poster |
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| Abstract |
INTRODUCTION: The irritability and Emotional Dysregulation are causes of consulting that increase day by day in our services of Child & Adolescent Mental Health. This irritability and impulsivity dysfunctional in Children, must be studied in their overall states. BACKGROUND: There is a high comorbidity between the impulsivity, frequent irritability, outburst of anger , inattention, hyperactivity and greater degree of oppositional defiant behavior seen in Externalizing disorders, and Bipolar Spectrum or Bipolar disorder(BD), being a challenge to diagnosis and treatment in children. OBJECTIVE: Demostrate by reviewing a case, the diagnostic comorbidity between Oppositional Defiant Disorder (ODD), Externalizing Disorders, Attention Deficit Disorder with Hyperactivity(ADHD), associated with a pattern of Bipolar Spectrum. Its effective psychoterapeutic and psychopharmacological treatment. METHODOLOGY: A seven-years-old child, with a four year history of hypoprosexia, hyperactivity, inattention, and impulsivity in the context of family dysfunction.There was also occasional hyperphagia. He had received psychoterapeutical and psychopharmacological treatment to ODD, then to Attention Deficit Disorder with Hyperactivity and increased symptoms. We needed to change the psychopharmacological treatment, because still the sintomatology with irritability,distractibility,restlessness, anger outburst, hyperactivity,grandiosity and dysphoria. In the test of Young Mania Rating Scale and HCL-32, the results were compatible with BD. The new pharmacological treatment were with Antipsychotic and doubts for mood stabilizer. He had psychotherapeutic management-social skills- and family therapy.Now the prognosis is better(CHIP-AE),and there is absence of irritability. CONCLUSIONS: The irritability dysfunctional, emotional dysregulation and impulse control deficits,have a high etiopathogenic relationship with Bipolar disorder in children, where the same psychotherapeutic treatment could be effective. However, the psychopharmacological treatment is a challenge and should be monitoring step by step. |