Citation

Karakoç Demirkaya S, Zoroğlu SS. Noro Psikiyatr Ars 2016; 53(4): 361-363.

Copyright

(Copyright © 2016, Turk Noro-Psikiyatri Derneginin Yayin Organidir)

DOI

10.5152/npa.2015.10150

PMID

unavailable

Abstract

Early-onset bipolar disorder is difficult for child psychiatrists in terms of both diagnosis and treatment. The proper diagnostic evaluation is negatively impacted by the atypical clinical manifestation and rapid cycling pattern of the disease, together with common comorbidity with attention-deficit hyperactivity disorder and anxiety disorder. In addition to poor insight, nonadherence to treatment, poor family coping skills, and insufficient child psychiatric inpatient units make clinicians unsuccessful in following up and treating such patients. Risperidone is a commonly used atypical antipsychotic it has been approved for the treatment of manic and mixed episodes of bipolar disorder even in 10-17-year-old patients, and it is commonly used. It has a long-acting injectable formulation. Studies on its long-acting form in younger children are limited. In this case presentation, the diagnostic procedure in an 11-year old child with bipolar disorder will be presented. Long-acting injectable risperidone use in the case of nonadherence to treatment and observed side effects will be discussed. © s 2016 by Turkish Association of Neuropsychiatry.

Language: en

Keywords

human; child; female; case report; bipolar disorder; Bipolar disorder; suicide attempt; major depression; school child; fluoxetine; anxiety disorder; sleep disorder; alprazolam; haloperidol; treatment refusal; olanzapine; risperidone; drug withdrawal; valproic acid; mania; chlorpromazine; side effect; agitation; dystonia; clonazepam; DSM-IV; separation anxiety; dyspnea; drug formulation; Risperidone; grandiose delusion; Article; drug dose increase; oppositional defiant disorder; blurred vision; stomach pain; Antipsychotic drugs; boredom; Blurry vision