PSYCH 477 Lecture Notes - Lecture 19: Discriminant Validity, Selective Mutism, Dsm-5
Document Summary
Peak age of onset: 15 - 19 years (avg. Course: episodic and recurring (diler et al. , 2010) Bp in preschoolers may be diagnosed using age-adjusted mania symptoms (luby et al. , 2009); but onset prior to age 10 is extremely rare. Earlier age of onset (< 15 years) predicts more severe and chronic impairment. Spontaneous suicidal ideation: preschoolers later diagnosed with bd. Anecdotal reports, preschool-age children: deliberately tied ropes around necks, rode tricycles into traffic, laid under wheels of family car, cut selves with knives, scissors. Offspring of parents with bp: 52% met criteria for some diagnosis; 26% for an affective disorder; 5. 4 % bd: singh et al. , 2007. Education of patient and family (increase support and understanding) Always having been impulsive, attention seeking chronic explosive rages: e. g. frequent tantrums lasting hours, when mom restrained he hit, punched, kicked and spit at her. Diagnosed with adhd and odd before coming to specialty clinic. Given psychostimulants and anti-psychotics starting at age four.
