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The questions ask about behavior-specific actions and tendencies the child may have exhibited within the past month. The parent rates the behavior on a scale from 1 to 4, where 1=never/rarely, 2=sometimes, 3=often, and 4=very often. A clinician examines the total score and determines if the child has ADHD or Bipolar Disorder.
In diagnosing manic episodes, it is important to compare the changes in mood and behavior to the child's normal mood and behaviors at baseline instead of to other children or adults. [6] For example, grandiosity (i.e., unrealistic overestimation of one's intelligence, talent, or abilities) is normal at varying degrees during childhood and ...
Individuals experiencing a mixed state may have manic symptoms such as grandiose thoughts while simultaneously experiencing depressive symptoms such as excessive guilt or feeling suicidal. [49] They are considered to have a higher risk for suicidal behavior as depressive emotions such as hopelessness are often paired with mood swings or ...
Simultaneous depressive and manic symptoms. Some people might have a mix of both symptoms of depression and manic symptoms at the same time. Mixed features (as well as rapid cycling) are more ...
Dysthymia – akin to depression, with chronic symptoms; Major depressive disorder – a mood disorder involving low mood, low energy, poor self-esteem, lack of interest in enjoyable activities, and/or aches and pains; Schizoaffective disorder – cyclical mood episodes combined with psychosis; has subtypes: bipolar type and depressive type
A similar scale was later developed to allow clinicians to interview parents about their children's symptoms, in order to ascertain a better diagnosis of mania in children. This parent version (P-YMRS) can be completed by a parent or a teacher to determine whether a child should receive further evaluation from a psychologist or psychiatrist. [2]
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