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Review
. 2020 Jan;29(1):91-102.
doi: 10.1016/j.chc.2019.08.011. Epub 2019 Oct 9.

Affective Disorders with Psychosis in Youth: An Update

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Review

Affective Disorders with Psychosis in Youth: An Update

Gabrielle A Carlson et al. Child Adolesc Psychiatr Clin N Am. 2020 Jan.

Abstract

Mood disorders, including major depression and mania, can present with psychotic features. In youth psychotic-like phenomena such as "seeing faces in the dark" or "hearing noises" are fairly common. Rates of lifetime psychotic symptoms are much higher than rates of psychosis during a "current" episode of mania or depression in youth. Psychotic phenomena can be mood congruent or incongruent. A detailed mental status examination and clinical history include questioning to ensure the informants understand the questions being asked. There are interviews that structure how questions are asked, and rating scales that help anchor severity and quality of the mood episode.

Keywords: Bipolar; Depression; Mania; Mood congruent/incongruent; Psychosis.

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