Indian Journal of Private Psychiatry

Register      Login

VOLUME 12 , ISSUE 2 ( July-December, 2018 ) > List of Articles

CASE REPORT

Very Early Onset Mania with Hypersexuality in a 4.5-Year-Old Child: A Case Report

Subir Bhattacharjee, Sujit Sarkhel

Keywords : Childhood hypersexuality, Childhood mania, Very early onset mania

Citation Information : Bhattacharjee S, Sarkhel S. Very Early Onset Mania with Hypersexuality in a 4.5-Year-Old Child: A Case Report. Ind J Priv Psychiatry 2018; 12 (2):57-58.

DOI: 10.5005/jp-journals-10067-0022

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Bipolar mood disorder (BPD) may manifest as the first episode of mania as early as below 6 years old. There are controversies regarding its diagnoses as because of sharing of symptoms with disruptive mood dysregulation disorder (DMDD), attention deficit hyperactivity disorder (ADHD) and conduct disorder. Hypersexuality was found to be a prominent feature in early-onset bipolar disorder (EOBD). Here is a case report of first episode mania in a child of 4.5 years old with a prominent feature of hypersexuality who responded well with valproate and risperidone.


PDF Share
  1. Boland EM, Alloy LB. Sleep disturbance and cognitive deficits in bipolar disorder: toward an integrated examination of disorder maintenance and functional impairment. Clinical psychology review. 2013 Feb 1;33(1):33-44.
  2. Christie KA, Burke JD, Regier DA, Rae DS, Boyd JH, Locke BZ. Epidemiologic evidence for early onset of mental disorders and higher risk of drug abuse in young adults. The American Journal of Psychiatry. 1988 Aug 1;145(8):971-975.
  3. Cosgrove VE, Roybal D, Chang KD. Bipolar depression in pediatric populations. Pediatric Drugs. 2013 Apr 1;15(2):83-91.
  4. Leibenluft E, Rich BA. Pediatric bipolar disorder. Annu. Rev. Clin. Psychol.. 2008 Apr 27;4:163-187.
  5. Goetz M, Novak T, Vesela M, Hlavka Z, Brunovsky M, Povazan M, et al. Early stages of pediatric bipolar disorder: retrospective analysis of a Czech inpatient sample. Neuropsychiatric disease and treatment. 2015;11:2855-2864.
  6. Leibenluft EL, Uher RU, Rutter MI. Disruptive mood dysregulation with dysphoria disorder: a proposal for ICD-11. World Psychiatry. 2012 Jun;11(Suppl 1):77-81.
  7. Geller B, Tillman R, Bolhofner K, Zimerman B. Child bipolar I disorder: prospective continuity with adult bipolar I disorder; characteristics of second and third episodes; predictors of 8-year outcome. Archives of general psychiatry. 2008 Oct 6;65(10):1125-1133.
  8. Vitiello B, Riddle MA, Yenokyan G, Axelson DA, Wagner KD, Joshi P, et al. Treatment moderators and predictors of outcome in the Treatment of Early Age Mania (TEAM) study. Journal of the American Academy of Child & Adolescent Psychiatry. 2012 Sep 1;51(9):867-878.
  9. Geller B, Luby JL, Joshi P, Wagner KD, Emslie G, Walkup JT, et al. A randomized controlled trial of risperidone, lithium, or divalproex sodium for initial treatment of bipolar I disorder, manic or mixed phase, in children and adolescents. Archives of general psychiatry. 2012 May 1;69(5):515-528.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.