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Assessment of Bipolar Disorder In Children

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Assessing Childhood Psychopathology and Developmental Disabilities

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Awareness of early-onset bipolar spectrum disorders (BPSD) has grown rapidly in recent years. Parents increasingly approach mental health clinicians questioning whether their children's mood swings constitute BPSD. Childhood-onset BPSD, like other early-onset brain disorders, are associated with worse prognosis and higher levels of interference with functioning than adult-onset BPSD (Kyte, Carlson, & Goodyer, 2006; Perlis et al., 2004). In comparison to those with adult-onset BPSD, children with BPSD experience more difficulties at school, at home, and with peers earlier in their development resulting in less time spent accomplishing developmental goals (Geller, Bolhofner, Craney, Williams, DelBello, & Gunderson, 2000). Some parents describe these children as being difficult from birth and describe significant difficulties with peers in early child care and preschool. Therefore, an accurate timely diagnosis is essential to develop appropriate interventions, the goals of which are to decrease interference and improve functioning across various settings.

In addition to increased awareness of childhood-onset BPSD, controversies about the diagnosis have grown, as well. This chapter presents current trends in the field; recent findings from longitudinal studies concerning the risk, comorbidity, and course of childhood-onset BPSD; a description of bipolar spectrum diagnoses; similarities and differences between child and adult manifestations of BPSD; diagnostic challenges presented by childhood-onset BPSD; and strategies for assessing BPSD. The latter includes a review of multiple informants, screening measures, structured interviews, mood symptom severity scales, a psychosocial history timeline, family history of mental illness, and mood charts. The chapter closes with a vignette illustrating the assessment process and highlighting numerous aspects of the review outlined above.

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  1. Research & Psychological Services, Division of Child & Adolescent Psychiatry, Department of Psychiatry, College of Medicine, The Ohio State University, Columbus, OH, 43210

    Stephanie Danner, Matthew E. Young & Mary A. Fristad

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    Johnny L. Matson  & Michael L. Matson  & 

  2. Department of Psychology, University of West Florida, Pensacola, FL, 32514-5751

    Frank Andrasik

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Danner, S., Young, M.E., Fristad, M.A. (2009). Assessment of Bipolar Disorder In Children. In: Matson, J.L., Andrasik, F., Matson, M.L. (eds) Assessing Childhood Psychopathology and Developmental Disabilities. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09528-8_10

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