Low-dose risperidone for bipolar disorder in a child onset at age 5: a case report and 4-year follow-up
10.3760/cma.j.cn113661-20240727-00251
- VernacularTitle:低剂量利培酮治疗5岁起病的双相障碍儿童1例及4年随访
- Author:
Yaru ZHANG
1
;
Yanmei SHEN
;
Xingyue JIN
;
Xueping GAO
;
Chunxiang HUANG
;
Xuerong LUO
;
Jianping LU
Author Information
1. 中南大学湘雅二医院精神病学科 国家精神心理疾病临床研究中心 国家精神疾病医学中心，长沙 410011
- Publication Type:Journal Article
- Keywords:
Bipolar disorder;
Child;
Case reports;
Follow-up study
- From:
Chinese Journal of Psychiatry
2025;58(5):373-376
- CountryChina
- Language:Chinese
-
Abstract:
Bipolar disorder in children, a serious mental illness, often leads to significant functional impairment. Bipolar disorder onset in children is rare and is difficult to diagnose correctly due to the atypical clinical manifestations. Risperidone, as a second-generation antipsychotic, shows satisfied efficacy in children with bipolar disorder with dual effects on mood stabilization and psychotic symptom control. However, the long-term efficacy and safety of risperidone for the treatment of children with bipolar disorder remains unknown. This paper reports a 5-year-old child with bipolar disorder who was treated with low-dose risperidone and followed up for 4 years. The child showed significant emotional stabilization and behavioral improvement at the beginning of treatment. No serious side effects occurred during long-term follow-up. This paper detailly describes the clinical manifestations and diagnostic process of bipolar disorder onset in children in aspects of detailed clinical observation and evaluation. It summarizes the efficacy and safety of risperidone in the treatment of pediatric bipolar disorder to provide valuable experience for clinicians.
