12. Child and Adolescent Affective Disorders and their Treatment

  1. William M. Klykylo3 and
  2. Jerald Kay4
  1. Rick T. Bowers1,
  2. Christina G. Weston2 and
  3. Julia Jackson2

Published Online: 30 MAR 2012

DOI: 10.1002/9781119962229.ch12

Clinical Child Psychiatry, Third Edition

Clinical Child Psychiatry, Third Edition

How to Cite

Bowers, R. T., Weston, C. G. and Jackson, J. (2012) Child and Adolescent Affective Disorders and their Treatment, in Clinical Child Psychiatry, Third Edition (eds W. M. Klykylo and J. Kay), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781119962229.ch12

Editor Information

  1. 3

    Department of Psychiatry, Wright State University School of Medicine, 627 S. Edwin C Moses Blvd, P.O. Box 927, Dayton, OH 45401-0927, USA

  2. 4

    Department of Psychiatry, Wright State University School of Medicine, P.O. Box 927, Dayton, OH 45401-0927, USA

Author Information

  1. 1

    South Community Behavioral Healthcare, 3095 Kettering Blvd, Dayton, OH 45439, USA

  2. 2

    Department of Psychiatry, Wright State University, School of Medicine, PO Box 927, Dayton, OH 45401-0927, USA

Publication History

  1. Published Online: 30 MAR 2012
  2. Published Print: 30 MAR 2012

ISBN Information

Print ISBN: 9781119993346

Online ISBN: 9781119962229

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Keywords:

  • depression;
  • sadness;
  • disengagement;
  • isolation;
  • withdrawal;
  • suicide;
  • biological marker;
  • cognitive behavioral therapy (CBT);
  • interpersonal psychotherapy (IPT);
  • fluoxetine;
  • pediatric bipolar disorder (PBD);
  • moodiness;
  • impulsivity;
  • explosive anger;
  • cyclothymia;
  • severe mood dysregulation;
  • antipsychotic

Summary

This chapter is intended to help the clinician understand how to diagnose and treat affective disorders in children and adolescents. While diagnosing mental health disorders in youth can be challenging, new research has yielded evidence-based treatments that can be offered to patients with more certainty of their effectiveness. It also is beginning to elucidate the developmental differences children have compared with adults when diagnosing affective disorders. The chapter falls into two main sections dealing with depressive disorders and pediatric bipolar disorder (PBD). Each gives a brief historical perspective, and a clinical description of the main diagnoses in each category, detailing the most common signs and symptoms found in children and adolescents. Epidemiology and prevalence are outlined, and current thinking about epidemiology is described, including possible environmental, genetic and biological risk factors. The importance of a comprehensive diagnostic assessment is emphasized, and the role of screening tools highlighted. Depression in children and adolescents is treatable via medical and psychotherapies, with the combination being preferable. Special mention is made of the diagnostic status of severe mood dysregulation and its relation to the other bipolar spectrum disorders. Psychosocial interventions including psychotherapy and psychoeducation are essential components of an effective PBD treatment plan, and the role of antipsychotic medications is also discussed.