In a 12 year old child suffering from depression, which is not suggestive of development of bipolar disorder, later in life?
If the child develops hypomania/ mania later in life then diagnosis would be Bipolar disorder. Clinical features predictive of bipolar disorder Early age of onset Psychotic depression before 25 years of age Postpaum depression (with psychotic features) Rapid onset & offset of depressive episodes of sho duration (<3 months) Recurrent depression (>5 episodes) Depression with marked psychomotor retardation Atypical features (reverse vegetative signs) Seasonality Bipolar family history Trait mood lability Hypehymic environment Hypomania a/w antidepressants Repeated (atleast 3 times) loss of efficacy of antidepressants after initial response Depressive mixed state
Rapid onset of depression
Presence of psychotic symptoms
Labile mood
Psychomotor agitation
JIPMER 2019