:Objectives:According to Nemeth et al. (2011), pediatric mania is difficult to distinguish from childhood hyperactivity. Both share 3 common symptoms: distractibility, motoric hyperactivity, and talkativeness (Biederman, 2000). Oftentimes, children are referred from their pediatrician due to a lack of appropriate response to stimulant medication. Pediatricians have learned that merely raising the dose or changing the stimulant does not work. A thorough neuropsychological evaluation often reveals Bipolar Mania. They may have comorbid Bipolar Disorder and ADHD. This poster paper will examine measures that can assist in this important differential diagnosis as well as offer treatment options, including medication management.Methods:This case study includes three pediatric patients diagnosed with Childhood Bipolar Disorder and ADHD. A comprehensive psychoeducational assessment was conducted for each of the patients, which resulted in this comorbid diagnosis.Results:One of the most helpful measures was the TOVA. When a child’s attention and impulsivity scores are normal, and response time and variability scores are abnormal, both on and off medication, that is an indication of a mood disorder (Nemeth et al., 2007). These children also performed poorly on measures of processing speed, and verbal learning and interference tasks (Henin et al., 2007). Measures of affect and personality were important diagnostically. A combination of Amantadine and either Clonidine HCL ER or Propranolol, as prescribed by a medical psychologist, were found to be effective in controlling the symptoms of this comorbid diagnosis.Conclusions:An evaluation of children’s intellectual, attentional, behavioral, mood, and personality functioning is crucial for a differential diagnosis. In cases of comorbidity, ADHD and Childhood Bipolar Disorder, the sooner the child is on appropriate medications, the better. When just the surface diagnosis of ADHD is medicated, the outcome is often problematic. There may be a poor response to treatment and a higher rate of suicide.

中文翻译：

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132 治疗合并儿童双相情感障碍和多动症

：目标：根据 Nemeth 等人的说法。(2011)，儿科躁狂症与儿童多动症很难区分。两者都有 3 个共同的症状：注意力分散、运动过度活跃和健谈（Biederman，2000）。通常，由于对兴奋剂药物缺乏适当的反应，儿童会被儿科医生转诊。儿科医生已经了解到，仅仅增加剂量或改变兴奋剂是行不通的。彻底的神经心理学评估通常会揭示双相躁狂症。他们可能患有双相情感障碍和多动症。这份海报文件将研究有助于这一重要鉴别诊断的措施，并提供治疗选择，包括药物管理。方法：本案例研究包括三名被诊断患有儿童双相情感障碍和多动症的儿科患者。对每位患者进行了全面的心理教育评估，得出了这种合并症的诊断结果。结果：最有帮助的措施之一是 TOVA。当孩子的注意力和冲动得分正常，而反应时间和变异性得分异常时，无论是用药还是停药，这都是情绪障碍的迹象（Nemeth et al., 2007）。这些孩子在处理速度、语言学习和干扰任务方面的表现也很差（Henin et al., 2007）。情感和个性的测量在诊断上很重要。根据医学心理学家的处方，金刚烷胺和盐酸可乐定缓释片或普萘洛尔的组合被发现可有效控制这种合并症的症状。结论：评估儿童的智力、注意力、行为、情绪和人格功能对于鉴别诊断至关重要。在合并症、多动症和儿童双相情感障碍的情况下，孩子越早服用适当的药物越好。当仅对 ADHD 的表面诊断进行药物治疗时，结果往往是有问题的。对治疗的反应可能较差，自杀率较高。