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Bipolare Störungen bei Kindern und Jugendlichen

Zuletzt revidiert:
Zuletzt revidiert von:


Definition:
Bipolare Störungen sind durch starke Schwankungen im Antriebsniveau und in der Gemütslage gekennzeichnet: manische und evtl. depressive Episoden.
Häufigkeit:
Eine Metaanalyse gibt ein bipolares Spektrum von knapp 2 % bei Kindern und Jugendlichen an.
Symptome:
Depressionssymptome sind Antriebsverlust, Verlust von Interesse, Traurigkeit und Müdigkeit. Manische Symptome sind Euphorie und eine extrem erhöhte Menge an Energie, Rededrang, unkritisches Verhalten und ein vermindertes Schlafbedürfnis.
Befund:
Angst, Reizbarkeit, Konzentrationsstörungen, Schlafstörungen und Suizidalität sind in allen Phasen zu beobachten.
Diagnostik:
Sollte von einem Kinderpsychiater untersucht werden.
Therapie:
Die Behandlung umfasst Medikamente, Registrierung der Symptome in einem Tagebuch, Informationen über die Krankheit, bei Bedarf ein Beratungsangebot, möglichst wenig Stress, einen gesunden Lebensstil mit ausreichend Schlaf, große Vorsicht mit Alkohol.
  • Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde. Leitlinie Bipolare Störungen. AWMF-Leitlinie Nr. 038.019, Stand 2012. www.awmf.org 
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  2. Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde. Leitlinie Bipolare Störungen. AWMF-Leitlinie Nr. 038.019, Stand 2012. www.awmf.org  
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  • Günter Ollenschläger, Prof. Dr. Dr. med., Internist, Uniklinikum Köln
  • Håkan Jarbin, med dr och överläkare, BUP, Länssjukhuset Halmstad (Medibas)