6 doctors weighed in:

Why is it difficult to diagnose bipolar disorder in children?

6 doctors weighed in
Dr. Steven Griggs
Clinical Psychology
5 doctors agree

In brief: One reason is that

BP disorder in children usually first looks like ADHD, which in my opinion is on the more mild end of the same spectrum. Three questions need to be asked to differentially diagnose ADHD from BP.
They have to do with focus when mood is normal, being disorganized only when mood is abnormal, and emotional dysregulation (can't stop the mood in a timely manner). You need a prof. to do this well.

In brief: One reason is that

BP disorder in children usually first looks like ADHD, which in my opinion is on the more mild end of the same spectrum. Three questions need to be asked to differentially diagnose ADHD from BP.
They have to do with focus when mood is normal, being disorganized only when mood is abnormal, and emotional dysregulation (can't stop the mood in a timely manner). You need a prof. to do this well.
Dr. Steven Griggs
Dr. Steven Griggs
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