Bipolare lidelser hos barn og ungdom
Sist revidert:
Sist revidert av:Ole Rikard Haavet
Definisjon:
Bipolare lidelser er karakterisert ved alvorlige svingninger i energinivå og stemningsleie - maniske og ev. depressive episoder.
Forekomst:
En metaanalyse angir knapt 2% bipolart spektrum hos barn og tenåringer.
Symptomer:
Depresjonssymptomer er energitap, interessetap, tristhet og tretthet. Manisymptomer er eufori og ekstremt økt mengde energi, pratsomhet, ukritisk oppførsel og redusert søvnbehov.
Funn:
Angst, irritabilitet, konsentrasjonsvansker, søvnforstyrrelser og suicidalitet ses i alle faser.
Diagnostikk:
Bør henvises og utredes i samarbeid med barnepsykiater. Utelukk organisk årsak til symptomene. Det er som regel foreldre eller andre kontaktpersoner som reiser mistanken om diagnosen.
Behandling:
Medisinering, dagbokregistrering av symptomer, informasjon om sykdommen, samtaletilbud ved behov, minst mulig stress, sunn livsførsel med nok søvn, stor forsiktighet med alkohol. Somatiske lidelser er viktigste årsak til redusert levealder og bør få ekstra oppmerksomhet. God oppfølging forutsetter et velfungerende samarbeid mellom primærlege/barnepsykiater.
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- Ole Rikard Haavet, professor, Avd. for allmennmedisin UiO (2019) og fastlege ved Lillestrøm Legesenter
- Terje Johannessen, professor i allmennmedisin, Trondheim