pediatrics
Bipolar Disorder in Children and Adolescents
Diagnosis
Psychiatric assessment Diagnostic and Statistical Manual of Mental Disorders, Fifth edition, (DSM-TR) criteria Testing for toxicologic causes Diagnosis of bipolar disorder is based on identification of symptoms of mania as described above, plus a history of remission and relapse. A number of medical disorders (eg, thyroid disorders, brain infections or tumors) and drug intoxication must be ruled out with appropriate medical assessment, including a toxicology screen for drugs of abuse and environmental toxins. The interviewer should also search for precipitating events, such as severe psychologic stress, including sexual abuse or incest. 