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Fortschr Neurol Psychiatr 2014; 82(11): 646-654
DOI: 10.1055/s-0034-1385271
Kasuistik
© Georg Thieme Verlag KG Stuttgart · New York

Pädiatrische Bipolare Störung – Kasuistik eines bipolaren Patienten mit Krankheitsbeginn im Kindes- und Jugendalter: Diagnostische und therapeutische Implikationen

Pediatric Bipolar Disorder – Case Report of a Bipolar Patient with Disease Onset in Childhood and Adolescence: Implications for Diagnosis and Therapy
N. Lackner
1   Psychiatrie, Medizinische Universität Graz
,
A. Birner
1   Psychiatrie, Medizinische Universität Graz
,
S. A. Bengesser
1   Psychiatrie, Medizinische Universität Graz
,
B. Reininghaus
2   Therapiezentrum Justuspark, BVA, Bad Hall
,
H. P Kapfhammer
1   Psychiatrie, Medizinische Universität Graz
,
E. Reininghaus
1   Psychiatrie, Medizinische Universität Graz
› Author Affiliations
Further Information

Publication History

05 May 2014

10 September 2014

Publication Date:
10 November 2014 (online)

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Zusammenfassung

Über die Existenz und Diagnosekriterien von bipolar affektiven Störungen im Kindes- und Jugendalter wird in der Wissenschaft seit einigen Jahren eine kontroverse Debatte geführt. Ziel dieser Arbeit ist die Auseinandersetzung mit der gängigen Literatur zur Pädiatrischen Bipolaren Störung mit besonderem Fokus auf die diagnostische Herangehensweise. Anhand einer Kasuistik sollen die Entwicklung und der Verlauf einer bipolaren Störung mit Beginn in der Kindheit exemplarisch dargestellt werden. Durch Komorbiditäten und Symptomüberschneidungen wird im Bereich der Pädiatrischen Bipolaren Störung vor allem der differentialdiagnostische Prozess bedeutsam. Eine frühe Diagnosestellung und Möglichkeiten zur Therapie sollen diskutiert werden.

Abstract

In recent years, intense controversies have evolved about the existence and exact diagnostic criteria of pediatric bipolar affective disorder. The present study aims to discuss pediatric bipolar affective disorder based on the current literature focussing on the diagnostic prospects. Based on a case study, a process of bipolar disorder developed in childhood is depicted exemplarily. Because of the high comorbidity and overlapping symptoms of paediatric bipolar affective disorder and other psychiatric disorders, the major impact of the differential diagnosis has to be stressed. An early diagnosis and the treatment possibilities are discussed.

Schlüsselwörter

Pädiatrische bipolare Störung - Diagnose - Therapie - Komorbidität

Key words

paediatric bipolar affective disorder - diagnosis - therapy - comorbidity
 

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