Pediatric Bipolar Disorder (PBD)
What is Disruptive Mood Dysregulation Disorder?
"Disruptive mood dysregulation disorder (DMDD) is caused by extreme outbursts that are not normal for the situation in intensity or length of time. These outbursts usually happen three or more times each week for one year or more. Between outbursts, children often are irritable or in an angry mood most of the day. Effective Therapies for Bipolar Disorder and Severe Mood Swings As can be seen below, family psychoeducation plus skill building currently is the best-proven treatment of children and adolescents with BPSD. Treatment studies are not yet available for DMDD; it is suggested that a combination of treatments that are effective for depression and oppositional behavior will be beneficial for this disorder. "
https://effectivechildtherapy.org/concerns-symptoms-disorders/disorders/severe-mood-swings-and-bipolar-spectrum-disorders/#effective-treatments
"Disruptive mood dysregulation disorder (DMDD) is caused by extreme outbursts that are not normal for the situation in intensity or length of time. These outbursts usually happen three or more times each week for one year or more. Between outbursts, children often are irritable or in an angry mood most of the day. Effective Therapies for Bipolar Disorder and Severe Mood Swings As can be seen below, family psychoeducation plus skill building currently is the best-proven treatment of children and adolescents with BPSD. Treatment studies are not yet available for DMDD; it is suggested that a combination of treatments that are effective for depression and oppositional behavior will be beneficial for this disorder. "
https://effectivechildtherapy.org/concerns-symptoms-disorders/disorders/severe-mood-swings-and-bipolar-spectrum-disorders/#effective-treatments
Pediatric Bipolar Disorder (PBD)
What Works
- Lithium (sometimes known as Eskalith), risperidone (Risperdal), and aripiprazole (Abilify) are the only medications approved by the U.S. Food and Drug Administration (FDA) to treat bipolar disorder in young people.
What Seems to Work
Other Medications are sometimes used off-label to treat bipolar disorder.
- Anticonvulsants
- Valproic acid or divalproex sodium (Depakote), lamotrigine (Lamictal), carbamazepine (Tegretol), valproate (Depakene).
- Antipsychotics
- Clozapine, olanzapine, quetiapine, ziprasidone
- Family-focused Psychoeducational
- Family therapy format. Helps adolescents make sense of their illness, along with their medications. Also helps to manage stress, reduce negative life events and promote a positive family environment.
- Child and family-focused Cognitive
- Emphasizes individual psychotherapy with children and parents, parent
- Behavioral Therapy (CFF-CBT)
- training and support, and family therapy.
- Multifamily Psychoeducation Groups (MFPG)
- Child and parent group therapy has been shown to increase parental knowledge and social support and promote access to services.
Not Adequately Tested
- Interpersonal social rhythm therapy
- No current evidence of its usefulness for youth, but has been found to be effective in adults.
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