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Comparison of diagnostic guidelines for juvenile bipolar disorder.

Cahill C, Hanstock T, Jairam R, Hazell P, Walter G, Malhi GS

University of Sydney Discipline of Psychological Medicine, Royal North Shore Hospital, Sydney, Australia.

The purpose of the present paper was to compare currently available diagnostic guidelines for juvenile bipolar disorder with respect to utility in research and clinical practice. A systematic search of psychiatric, medical and psychological databases was conducted using the terms 'juvenile bipolar disorder', 'paediatric bipolar disorder' and 'guidelines'. Three main sets of guidelines issued by the National Institute of Health and Clinical Excellence (UK), The National Institute of Mental Health (USA) and Child Psychiatric Workshop (USA) were found. There were key differences in the recommendations made by each regarding the diagnosis and symptomatic presentation of juvenile bipolar disorder. Although the diagnosis of juvenile bipolar disorder is gaining increased recognition, its definition remains controversial. It is recommended that clinicians and researchers need to develop diagnostic guidelines that have clinical salience and can be used for future research by incorporating key features of those that are currently available.

Published 17 May 2007 in Aust N Z J Psychiatry, 41(6): 479-84.
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