TY - JOUR T1 - BIpolar disorder? AU - Jeffrey A. M Y1 - 2010/11/01 N1 - 10.1001/archgenpsychiatry.2010.143 JO - Archives of General Psychiatry SP - 1198 EP - 1198 VL - 67 IS - 11 N2 - The article by Birmaher et al1 in the March 2009 Archives contributes to the controversy regarding bipolar disorder (BD) in school-aged children. As Birmaher et al note, most of these children met criteria for BD not otherwise specified but not BD type I or BD type II, because they lack the “episode duration requirements for those diagnoses.” However, without the episode duration requirements, one has a patient with considerable emotional lability and intensity that, especially in a child, cannot be easily differentiated from being a precursor of a personality disorder (eg, borderline or histrionic personality disorders) or related to attention-deficit/hyperactivity disorder. It is unclear whether it serves any purpose to call these children's disease BD. SN - 0003-990X M3 - doi: 10.1001/archgenpsychiatry.2010.143 UR - http://dx.doi.org/10.1001/archgenpsychiatry.2010.143 ER -