%0 Journal Article
%T Integrating Pharmacotherapy and Psychotherapy for Paediatric Bipolar Disorder: Translating Science to Service
%A Smita Kampani
%A Mani N. Pavuluri
%J Journal of Indian Association for Child and Adolescent Mental Health
%D 2005
%I Indian Association for Child and Adolescent Mental Health
%X Objective: For comprehensive management of paediatric bipolar disorder (PBD), it is imperative to combine psychopharmacotherapy with specific psychotherapy. This article proposes a model that incorporates (1) an overview of psychopathology, (2) a review of outcomes in psychopharmacotherapy trials, and (3) a summary of evidence-based forms of psychotherapy to complement pharmacotherapy. Results: The psychopathology of PBD is unique compared to that of adult bipolar disorder with prominent irritability, rapid cycling, high rates of co-morbid attention deficit hyperactivity disorder, mixed episodes and chronicity. Combination therapy with a second generation antipsychotic and a mood stabilizer is proving to be more effective than monotherapy with a mood stabilizer. Empirical findings for the support of family-focused, cognitive behavioral therapies with individual family or multifamily psychoeducation groups suggest that these psychosocial treatments are valuable complementary tools for clinicians who treat youths diagnosed with PBD. Conclusion: As pharmacotherapy and psychotherapy are most beneficial when applied together, the clinicianĄ¯s understanding of the science behind these forms of treatment is likely to be of great value in effectively providing services to youths diagnosed with PBD.
%K Bipolar Disorder
%K paediatric
%K ohild
%K pharmacotherapy
%K psychotherapy
%U http://www.jiacam.org/0102/Jiacam05_2_2.pdf