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FOCUS ON CHILDREN AND ADOLESCENTS: IS IT AD/HD, BIPOLAR DISORDER OR BOTH?

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Abstract:

The purpose of this presentation is to discuss a variety of issues related to the similarities and differences between AD/HD and bipolar disorder (BPD) in childhood and adolescence. Although both groups of youngsters can show signs of overactivity, impulsivity, and inattention, differentiating the two disorders is of great importance to parents and clinicians and has major implications regarding approach to intervention. Confounding the issue of differential diagnosis between these two disorders is the frequency of their co-occurrence. Although a significant minority (approximately 20 percent) of youth with AD/HD appears to meet criteria for bipolar disorder, there is some evidence that the converse is not true. Recent studies indicate that anywhere from 60 percent-> 90 percent of children with BPD have signs and symptoms of AD/HD. Issues related to differential diagnosis, clinical presentation, and treatment approaches will be discussed. A videotape of an interview with a child with BPD and ADHD will be utilized to demonstrate the clinical picture of these often co-morbid disorders. Studies by Dr. Rosalie Greenberg and Dr. Demitri Papolos and colleagues, under the sponsorship of the Juvenile Bipolar Research Foundation, on the adverse effects of stimulant and antidepressant medications in bipolar youth will be presented. Evidence indicating that the use of stimulants or antidepressants, can precipitate increased mood cycling and aggressive or oppositional behavior in a bipolar population will be discussed.

Author's Keywords:

bipolar disorder, AD/HD
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Association:
Name: Children and Adults With Attention-Deficit/Hyperactivity Disorder
URL:
http://www.chadd.org


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URL: http://www.allacademic.com/meta/p116645_index.html
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MLA Citation:

Greenberg, Rosalie. "FOCUS ON CHILDREN AND ADOLESCENTS: IS IT AD/HD, BIPOLAR DISORDER OR BOTH?" Paper presented at the annual meeting of the Children and Adults With Attention-Deficit/Hyperactivity Disorder, Renaissance Nashville Hotel and Nashville Convention Center, Nashville, Tennessee, Aug 27, 2004 <Not Available>. 2009-05-26 <http://www.allacademic.com/meta/p116645_index.html>

APA Citation:

Greenberg, R. , 2004-08-27 "FOCUS ON CHILDREN AND ADOLESCENTS: IS IT AD/HD, BIPOLAR DISORDER OR BOTH?" Paper presented at the annual meeting of the Children and Adults With Attention-Deficit/Hyperactivity Disorder, Renaissance Nashville Hotel and Nashville Convention Center, Nashville, Tennessee <Not Available>. 2009-05-26 from http://www.allacademic.com/meta/p116645_index.html

Publication Type: Conference Paper/Unpublished Manuscript
Review Method: Peer Reviewed
Abstract: The purpose of this presentation is to discuss a variety of issues related to the similarities and differences between AD/HD and bipolar disorder (BPD) in childhood and adolescence. Although both groups of youngsters can show signs of overactivity, impulsivity, and inattention, differentiating the two disorders is of great importance to parents and clinicians and has major implications regarding approach to intervention. Confounding the issue of differential diagnosis between these two disorders is the frequency of their co-occurrence. Although a significant minority (approximately 20 percent) of youth with AD/HD appears to meet criteria for bipolar disorder, there is some evidence that the converse is not true. Recent studies indicate that anywhere from 60 percent-> 90 percent of children with BPD have signs and symptoms of AD/HD. Issues related to differential diagnosis, clinical presentation, and treatment approaches will be discussed. A videotape of an interview with a child with BPD and ADHD will be utilized to demonstrate the clinical picture of these often co-morbid disorders. Studies by Dr. Rosalie Greenberg and Dr. Demitri Papolos and colleagues, under the sponsorship of the Juvenile Bipolar Research Foundation, on the adverse effects of stimulant and antidepressant medications in bipolar youth will be presented. Evidence indicating that the use of stimulants or antidepressants, can precipitate increased mood cycling and aggressive or oppositional behavior in a bipolar population will be discussed.

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