Pediatric Bipolar Disorder
V. K. Aravind and V. D. Krishnaram
Prior to the onset of illness, he was a boy of timid nature — shy, reserved, having no intimacy with others in school, having very few friends. He had good faith and belief in God and used to offer daily prayers and visit temples often. There was no history of delinquent behavior, bed-wetting, sleep talking, seizure, substance abuse and head trauma. His physical examination — EEG and CT brain were normal and noncontributory. He was submitted for psychometric investigation with Binet-Kamat test of mental ability, Wechsler intelligence scale for children (WISC), Rorschach inkblot test. There were no schizophrenic indicators in inkblot test. His IQ was around 90, with above-average intelligence. Based on the clinical and psychometric assessment, a diagnosis of pediatric bipolar disorder (PBD) was made, and he was started on lithium therapy. His response to lithium was good, and he was maintained with lithium therapy and follow-up.