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This digital document is a journal article from Journal of Anxiety Disorders, published by Elsevier in 2006. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.
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Background: The authors investigated frequency, clinical correlates and onset temporal relationship of social anxiety disorder (SAD) in adult patients with a diagnosis of bipolar I disorder. Methods: Subjects were 189 patients whose diagnoses were assessed by the Structured Clinical Interview for DSM-III-R-Patient Version. Results: Twenty-four patients (12.7%) met DSM-III-R criteria for lifetime SAD; of these, 19 (10.1% of entire sample) had SAD within the last month. Significantly more bipolar patients with comorbid SAD also had substance use disorders compared to those without. On the HSCL-90, levels of interpersonal sensitivity, obsessiveness, phobic anxiety and paranoid ideation were significantly higher in bipolar patients with SAD than in those without. Bipolar patients with comorbid SAD recalled separation anxiety problems (school refusal) more frequently during childhood than those without. Lifetime SAD comorbidity was associated with an earlier age at onset of syndromal bipolar disorder. Pre-existing OCD tended to delay the onset of bipolarity. Conclusions: Social anxiety disorder comorbidity is not rare among patients with bipolar disorder and is likely to affect age of onset and phenomenology of bipolar disorder. These findings may influence treatment planning and the possibility of discovering a pathophysiological relationship between SAD and bipolarity.
Social anxiety disorder comorbidity in patients with bipolar disorder: A clinical replication
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Product Description
The Definitive Resource on How to Identify, Treat, and Live with a Bipolar Child
More than three million American children suffer from some form of bipolar disorder, a life-impairing illness that can cause wild mood swings and even episodes of rage. But as a parent, can you tell the difference between a tempermental, moody child and one facing serious mental illness? Where do you turn if your child’s tantrums and meltdowns are wreaking havoc? For families as well as professionals, here is the only book on early- onset bipolar disorder written by pediatric specialists who combine clinical care and research.
Health experts once thought bipolar disorder, also known as manic depression, did not exist in children and teens. However, leading experts like Janet Wozniak and Mary Ann McDonnell have shown that the illness may appear even before age six, with many cases either undiagnosed or misdiagnosed as Attention Deficit Hyperactivity Disorder (ADHD). Now, in the most complete and authoritative guide yet, Janet Wozniak, M.D., and psychiatric nurse Mary Ann McDonnell offer their unmatched expertise along with the latest information on this difficult condition.
Drawing from their professional experience and sharing stories of families in their practices, the authors guide you in how to:
•Navigate the “diagnosis tangle” to ensure accurate identification of the disorder
•Communicate effectively with doctors, teachers, and counselors
•Find allies and choose a treatment team
•Help your family cope
In a rapidly changing field, The Bipolar Disorder clearly explains what researchers know, what they suspect, and where studies now point. From medication to coping strategies, this accessible book offers inspiration, encouragement, and invaluable wisdom for all involved.
From the Hardcover edition.
Positive Parenting for Bipolar Kids: How to Identify, Treat, Manage, and Rise to the Challenge
Help & support
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Resident strives for an understanding of mental illness
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