Pediatric Bipolar Disorder and comorbid ADHD: case report
DOI:
https://doi.org/10.25118/2763-9037.2021.v11.242Keywords:
pediatric bipolar disorder, attention deficit hyperactivity disorder, comorbidity, diagnosisAbstract
Introduction: Attention Deficit/Hyperactivity Disorder and Pediatric Bipolar Disorder are psychiatric pathologies with a chronic course, presenting as early as childhood and adolescence, and persisting into adulthood. Comorbidity between these disorders usually occurs and is commonly associated with other medical and psychiatric conditions, leading to worsening of the condition, negatively impacting aspects of the patient's life. This report describes the case of a 17-year-old male patient diagnosed with ADHD and TBP in comorbidity. Objective: In addition to the case report, this article describes the characteristics of ADHD and TB in childhood, according to clinical criteria and current diagnostic guidelines, in order to show health professionals, the difficulty and importance of diagnosing these pathologies and the therapeutic follow-up in case of comorbidity. Methods: Data were obtained through analysis of medical records and literature review. Conclusion: It is necessary to carry out further research and debates on this topic, mainly focusing on aspects that do not overlap, in order to facilitate the comorbid and/or differential diagnosis of TB and ADHD in childhood and, consequently, minimize their damage to the individual.
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Marangoni C, De Chiara L, Faedda GL. Bipolar disorder and ADHD: comorbidity and diagnostic distinctions. Curr Psychiatry Rep. 2015 Aug;17(8):604. doi: 10.1007/s11920-015-0604-y. PMID: 26084666. https://doi.org/10.1007/s11920-015-0604-y - PMid:26084666
Donfrancesco R, Di Trani M, Andriola E, et al. Bipolar Disorder in Children With ADHD: A Clinical Sample Study. J Atten Disord. 2017;21(9):715-720. https://doi.org/10.1177/1087054714539999 - PMid:25015582
AMERICAN PSYCHIATRIC ASSOCIATION. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. 5.ed. Porto Alegre: Artmed, 2014.
FU-I, Lee. Transtorno afetivo bipolar na infância e na adolescência. [S. l.], 18 out. 2006. Disponível em: https://www.scielo.br/j/rbp/a/GQ8NxfmrVfdBhyH5W3P7GBc/?lang=pt Acesso em: 18 jul. 2021.
Moraes, Renata Garcia de Almeida, Gon, Márcia Cristina Caserta, & Zazula, Robson. (2016). Transtorno bipolar em crianças e adolescentes: critérios para diagnóstico e revisão de intervenções psicossociais. Psico, 47(1), 77-87. https://doi.org/10.15448/1980-8623.2016.1.19994
GOLDMAN, Lee; AUSIELLO, Dennis. Cecil Medicina Interna. 25. ed. Saunders-Elsevier, 2018.
Naguy A. (2018). ADHD-juvenile bipolar disorder: mimics and chameleons!. World journal of pediatrics : WJP, 14(6), 525-527. https://doi.org/10.1007/s12519-018-0124-z - PMid:29446039
Zaravinos-Tsakos F, Kolaitis G. Disentangling pediatric bipolar disorder and attention deficit-hyperactivity disorder: A neuropsychological approach. Psychiatriki. 2020 Oct-Dec;31(4):332-340. https://doi.org/10.22365/jpsych.2020.314.332 - PMid:33361063
Cichón, Lena; Jana- Kozik, Siwiec, Andrzej; Rybakowski, Janusz. Clinical picture and treatment of bipolar affective disorder in children and adolescents. Psychiatr. Pol. 2020; 54(1): 35-50. https://doi.org/10.12740/PP/OnlineFirst/92740 - PMid:32447355
Moraes, César de, Silva, Fábio Mello Barbirato Nascimento, & Andrade, Ênio Roberto de. (2007). Diagnóstico e tratamento de transtorno bipolar e TDAH na infância: desafios na prática clínica. Jornal Brasileiro de Psiquiatria, 56(Suppl. 1), 19-24. https://doi.org/10.1590/S0047-20852007000500005
BRUM, Lanúzia Almeida; ZENI, Cristian Patrick; TRAMONTINA, Silzá. Aprendizagem e transtorno bipolar: reflexões psicopedagógicas. Rev. psicopedag., São Paulo , v. 28, n. 86, p. 194-200, 2011 . Disponível em: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0103-84862011000200010&lng=pt&nrm=iso .
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Copyright (c) 2021 Daniel Cardoso de Bastos, Lorena Lourenço da Cruz de Carvalho, Vitor Melo Zibordi, Higor Bermudes Nascimento, Sonia Maria Motta Palma
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