Table 3.
Screening | Recommendation 1. Psychiatric assessments for children and adolescents should include screening questions for bipolar disorder |
Assessment | Recommendation 2. The DSM-IV-TR criteria, including the duration criteria, should be followed when making a diagnosis of mania or hypomania in children and adolescents |
Recommendation 3. Bipolar disorder not otherwise specified should be used to describe youths with manic symptoms lasting hours to less than 4 days or for those with chronic manic-like symptoms representing their baseline level of functioning | |
Recommendation 4. Youths with suspected bipolar disorder must also be carefully evaluated for other associated problems, including suicidality, comorbid disorders (including substance abuse), psychosocial stressors, and medical problems | |
Recommendation 5. The diagnostic validity of bipolar disorder in young children has yet to be established; caution must be taken before applying this diagnosis in preschool children |
Adapted with permission from McClellan et al.22