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Clinical Manual for Management of Bipolar Disorder in Children and Adolescents

Robert A. Kowatch, M.D., Ph.D. , Mary A. Fristad, Ph.D., ABPP, Robert L. Findling, M.D., M.B.A., and Robert M. Post, M.D.

  • ISBN 978-1-58562-291-7
  • Item #62291

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Clinical Manual for Management of Bipolar Disorder in Children and Adolescents was written in response to the growing body of knowledge surrounding pediatric bipolar illness and the underlying biological, environmental, and psychosocial influences that exacerbate symptoms and behavior. Written to provide clinically useful information about diagnosis and management, this manual is a comprehensive collection of empirical evidence, case studies, and the growing number of evidence-based reports on pediatric bipolar disorder over the past five years.

This manual also contains several chapters provided by Dr. Mary Fristad and her team at The Ohio State University—experts in family and psychosocial aspects of pediatric bipolar disorder. Her contributions, along with vast clinical evidence and the expertise provided by Drs. Kowatch, Findling, and Post, help paint an accurate picture of everything from age onset to the effectiveness of various therapies.

    In this manual, clinicians can refer to the following tools:
  • A clinical description of childhood and adolescent bipolar disorder
  • Management strategies for the patient including daily mood charting
  • Current medication strategies and tactics
  • Ways to help patients through the educational system
  • Resources for clinicians, parents and patients
  • A review of the future directions for childhood and adolescent bipolar disorder

The many new developments in the field of pediatric bipolar disorder are affirming what this manual emphasizes—that a combination of family and cognitive-behavior therapy can work in tandem with medical treatments to help young bipolar disorder patients achieve a more balanced life and a greater chance of controlling this illness later in life. The manual demonstrates how the medical community has shifted from asking, Does bipolar disorder really exist in children and adolescents to How can we best predict, diagnose and treat this serious medical disorder through a review of 25 years of study and insight.


  • Contributors
  • Preface
  • Chapter 1. Introduction
  • Chapter 2. Definitions
  • Chapter 3. Course and Outcome
  • Chapter 4. Diagnosis
  • Chapter 5. Etiology
  • Chapter 6. Pharmacotherapy 1: Mood Stabilizers
  • Chapter 7. Pharmacotherapy 2: Atypical Antipsychotics
  • Chapter 8. Pharmacotherapy 3: Medication Strategies and Tactics
  • Chapter 9. Comorbidity
  • Chapter 10. Working With Patients and Their Families: Cardinal Symptom Monitoring and
  • Chapter 11. The Bipolar Child and the Educational System: Working With Schools
  • Appendix: Information on Bipolar Disorder for Schools
  • Chapter 12. Special Treatment Issues
  • Chapter 13. Resources for Clinicians, Parents, and Patients
  • Chapter 14. Conclusion and Future Directions
  • Appendix: K-SADS Mania Rating Scale
  • Index

About the Authors

Robert A. Kowatch, M.D., Ph.D., is Professor of Psychiatry and Pediatrics and Director of Psychiatry Research in the Division of Child and Adolescent Psychiatry at Cincinnati Children's Hospital Medical Center in Cincinnati, Ohio.

Mary A. Fristad, Ph.D., ABPP, is Professor in the Departments of Psychiatry and Psychology, and Director of Research and Psychological Services in the Division of Child and Adolescent Psychiatry at The Ohio State University in Columbus, Ohio.

Robert L. Findling, M.D., is Professor of Psychiatry and Pediatrics and Director of the Division of Child and Adolescent Psychiatry at University Hospitals Case Medical Center and Discovery and Wellness Center for Children at Case Western Reserve University in Cleveland, Ohio.

Robert M. Post, M.D., is Adjunct Clinical Professor of Psychiatry at the George Washington University and Penn State Schools of Medicine.

This Clinical Manual lays a path for clear understanding and basic approach to the diagnosis and treatment in bipolar youths. In the field of child psychiatry, it is not just enough to love children, you need skills to take care of their illness. And this book is the leading light in helping clinicians doing just that!—Mani Pavuluri, M.D., Ph.D., Associate Professor in Psychiatry, Director, Pediatric Mood Disorders Program, Institute for Juvenile Research and Center for Cognitive Medcine, Department of Psychiatry, University of Illinois at Chicago

The book is a comprehensive yet readable synthesis of the existing research and expert opinion on pediatric bipolar disorder. The authors have made this complex area of psychiatry accessible to everyone but were able to maintain scientific rigor so that the book is useful to a wide range of readers, including specialists in the field.—David Axelson, M.D., Associate Professor of Psychiatry, Director, Child & Adolescent Bipolar Services, Western Psychiatric Institute & Clinic, University of Pittsburgh Medical Center

An excellent overview of what is known about Bipolar in Youth. From epidemiology to diagnosis to evidence based theory regarding the etiology and treatment this book has it all. The 3 Bob's, with the additional of Dr. Fristad have done it again.—Russell E. Scheffer, M.D., Chair and professor, Kansas University School of Medicine Wichita

This book is an invaluable resource for clinicians who treat bipolar disorder. It contains up-to-date scholarly, yet practical information on diagnostic and treatment issues in pediatric bipolar disorder.—Karen Dinnen Wagner, M.D., Ph.D., Marie B. Gale Centennial Prof & Vice Chair, Dept of Psychiatry & Behavioral Sci, Director, Division of Child & Adolescent Psychiatry, Univ of Texas Medical Branch

This is a book that has the potential to be helpful to wide range of clinicians who treat psychiatric disorders in children and adolescents. But perhaps what is most valuable about this book is that it offers medication management strategies that are based on the authors' experience and wisdom. With some effort and a good library, facts, studies and general knowledge are relatively easy to obtain. However, to be able to have the equivalent of immediate supervision from these very experiences clinicians is truly a special contribution to this field.—Journal of Child and Adolescent Psychopharmacology, 2/1/2009

This clinical manual is a must-have on the shelves of all providers who treat children and adolescents with bipolar illness.—Doody Enterprises, 2/1/2009

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