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A unique criterion for secondary mania is the lack of history of mental illness that causes mania, such as bipolar disorder. [1] Unlike bipolar disorder, which has an average age of onset at 25 years, secondary mania has an average age of onset at 45 years. [1] Little is known about secondary mania, as much of the research on it is case studies ...
High scores of 18 and over indicate a high risk of a diagnosis of bipolar disorder, increasing the likelihood by a factor of seven or greater. [ 26 ] [ 5 ] Several peer-reviewed research studies support the P-GBI as a reliable and valid measure of bipolar in children and adolescents.
The parent rates the behavior on a scale from 1 to 4, where 1=never/rarely, 2=sometimes, 3=often, and 4=very often. A clinician examines the total score and determines if the child has ADHD or Bipolar Disorder. If a diagnosis Bipolar Disorder is deemed to be appropriate, the clinician will also determine the sub-type.
The diagnosis of bipolar disorder can be complicated by coexisting psychiatric conditions including obsessive–compulsive disorder, substance-use disorder, eating disorders, attention deficit hyperactivity disorder, social phobia, premenstrual syndrome (including premenstrual dysphoric disorder), or panic disorder.
Clinical studies have demonstrated the reliability and validity of the parent version of the scale, which has been found to provide "clinically meaningful information about mood disorders in youth." The P-YMRS does succeed in identifying most cases of childhood bipolar disorder, but it has an extremely high false positive rate. [2] [3]
The Bipolar Spectrum Diagnostic Scale (BSDS) is a psychiatric self-rating scale created by Ronald Pies in screening for bipolar disorder (BD). [1] Its initial version consists of a descriptive narrative aimed to capture the nuances and milder variants of BD. [ 2 ]
The MDQ was developed as a screening tool for bipolar disorder, and assesses symptoms of mania and hypomania [6] It was developed in the hopes that it would reduce the mis-diagnosis and delayed diagnosis of bipolar disorder. [6] The first 13 items on the measure ask about any manic/hypomanic symptoms that may have occurred during one's lifetime ...
The "mean CNS-LS scores" decreased by 8.2 points for both drug-combination options, vs a decrease of 5.7 points for the placebo. Overall, the trial showed a statistically significant benefit from taking a combination of dextromethorphan and quinidine, with both dosages being safe and well tolerated.
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