TAILIEUCHUNG - Treatment Guidelines for Children and Adolescents With Bipolar Disorder: Child Psychiatric Workgroup on Bipolar Disorder

Second, the prospects for major child health reform will diminish as resources become increasingly care spending that is already hitting the “high- water mark” of 16 percent of . gross domestic product (GDP) and predictably increasing in the face of the next wave of genomics-driven technological innova- tions will be swamped by the approaching “Silver Tsunami.” As baby boomers re- tire in larger numbers and use ever-greater amounts of health care, the Congres- sional Budget Office estimates health spending climbing well over 20 percent of GDP in the next decade. 18 Major reform of the overall health system could eventu- ally respond to or anticipate these demands; however, child. | SPECIAL COMMUNICATION Treatment Guidelines for Children and Adolescents With Bipolar Disorder Child Psychiatric Workgroup on Bipolar Disorder ROBERT A. KOWATCH . MARY FRISTAD . BORIS BIRMAHER . KAREN DINEEN WAGNER . ROBERT L. FINDLING . MARTHA HELLANDER . AND THE WORKGROUP MEMBERS ABSTRACT Clinicians who treat children and adolescents with bipolar disorder desperately need current treatment guidelines. These guidelines were developed by expert consensus and a review of the extant literature about the diagnosis and treatment of pediatric bipolar disorders. The four sections of these guidelines include diagnosis comorbidity acute treatment and maintenance treatment. These guidelines are not intended to serve as an absolute standard of medical or psychological care but rather to serve as clinically useful guidelines for evaluation and treatment that can be used in the care of children and adolescents with bipolar disorder. These guidelines are subject to change as our evidence base increases and practice patterns evolve. J. Am. Acad. ChildAdolesc. Psychiatry 2005 44 3 213-235. Key Words bipolar treatment guidelines consensus mood stabilizer atypical antipsychotic These treatment guidelines arose out of a need first voiced by members of the Child and Adolescent Bipolar Foundation CABF who noted that clinicians who treat children and adolescents with bipolar disorders BPDs are in desperate need of guidelines regarding Accepted September 19 2004. Dr. Kowatch is with the Department of Psychiatry Cincinnati Children s Hospital Medical Center and the University of Cincinnati Medical Center Dr. Fristad is with the Departments of Psychiatry and Psychology Ohio State University Columbus Dr. Birmaher is with the University of Pittsburgh Medical Center Western Psychiatric Institute and Clinic Dr. Wagner is with the Department of Psychiatry University of Texas Medical Branch Galveston Dr. Findling is with the Department ofPsychiatry University Hospitals of .

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