What Is Unique About Bipolar Disorder in Young People?

COMMENTARY

What Is Unique About Bipolar Disorder in Young People?

Stephen M. Strakowski, MD

Disclosures

November 30, 2015

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Hello. I am Steven M. Strakowski, a professor of psychiatry and behavioral neuroscience, biomedical engineering, and psychology at the University of Cincinnati, where I also serve in the UC Health-attached academic health system as senior vice president and chief strategy officer. Today, I want to talk to you about the diagnosis of bipolar disorder in young people. Bipolar disorder in this age group has gained increasing attention in the last 5 years or so. At times, it has been a bit controversial. There have been concerns about it being overdiagnosed, for example. I think that some of the guidelines we will talk about today may help us think about this condition when faced with adolescents and kids who have it in our offices.

To begin, it's important to recognize that bipolar disorder is, in fact, a disorder of young people. The median age of onset is typically in the mid- to late-teens depending on the study to which you refer. Most patients will have the onset of their illness when they are under 21. It's a lifelong illness, so once it starts, we are then dealing with it for many years. It is particularly disruptive because it occurs at such a developmentally critical time.

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