Mood regulation in youth: research findings and clinical approaches to irritability and short-lived episodes of mania-like symptoms.

Current Opinion in Psychiatry
Eleanor LeighArgyris Stringaris

Abstract

Mood regulation problems, such as severe chronic irritability or short episodes of mania-like symptoms, are common, impairing and a topic of intense recent interest to clinicians, researchers and the Diagnostic and Statistical Manual (DSM)-5 process. Here, we review the most recent findings about these two presentations and discuss the approaches to their treatment. Longitudinal and genetic findings suggest that chronic irritability should be regarded as a mood problem that is distinct from bipolar disorder. A proportion of children with short (less than 4 days) episodes of mania-like symptoms seem to progress to classical (Type I or II) bipolar disorder over time in the US clinic samples. In a UK sample, such episodes were independently associated with psychosocial impairment. The evidence base for the treatment of either irritability or short-lived episodes of mania-like symptoms is still small. Clinicians should be cautious with extrapolating treatments from classical bipolar disorder to these mood regulation problems. Cognitive and behavioural therapy (CBT)-based approaches targeting general mood regulation processes may be effective for cases with severe irritability or short episodes of mania-like symptoms. There is incre...Continue Reading

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Citations

Dec 12, 2012·European Child & Adolescent Psychiatry·Nina Mikita, Argyris Stringaris
May 8, 2013·Journal of Child and Adolescent Psychopharmacology·Immaculada BaezaMaren Carbon
Dec 26, 2015·Journal of the American Academy of Child and Adolescent Psychiatry·Danielle CornacchioJonathan S Comer
May 21, 2014·Journal of the American Academy of Child and Adolescent Psychiatry·Pedro Mario PanRodrigo Affonseca Bressan
Jun 12, 2013·Evidence-based Mental Health·Fernanda Valle Krieger, Argyris Stringaris
Oct 2, 2020·Journal of Abnormal Child Psychology·Eleanor LeighArgyris Stringaris
Oct 31, 2017·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Argyris StringarisEllen Leibenluft

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