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The current evidence regarding the diagnosis of BP in youth was reviewed. Both the full and subsyndromal syndromal BP are associated with significant psychosocial difficulties and increased risk for use of substances, suicidality, legal problems, and services utilization. BP disorder exists in youth, but it is difficult to diagnose. The recurrent nature and psychosocial morbidity associated with this illness during critical developmental stages calls for comprehensive longitudinal evaluation and accurate recognition and treatment because delays in treatment are associated with poor outcome. Tom is a year-old boy whose parents sought psychiatric consultation because he experienced a one-month episode of depression which improved without intervention. Thereafter, he became very happy and silly, talkative, energetic, and hypersexual.
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