Despite the fact that much evidence exists to prove that bipolar disorder effects a large amount of children, during the past century doctors have been very reluctant to diagnose bipolar disorder (BPD) before adulthood. In contemporary times, the bias against diagnosing bipolar disorder in youth has been perpetuated by the lack of agreed upon diagnostic criteria that accurately characterise the condition as it typically exists in childhood. As observed by a number of contributors to this volume, this bias extended to birth cohort studies around the world in that instruments designed to detect mania or bipolar disorder were almost never or rarely applied. In the US, the continued use of unmodified DSM-IV criteria to diagnose prepubertal-onset BPD has only recently been tempered by the knowledge that these criteria were developed based solely on observations in adult studies. While the diagnosis of bipolar disorder in childhood still remains the subject of some controversy, today,...

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