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Milieu Management of a Child with Bipolar Illness

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During inpatient psychiatric treatment, children with bipolar disorder may present particular management issues. They may experience intense periods of affect regulation that can spiral into frenetic, aggressive behaviors that are difficult to interrupt with de-escalation techniques. This case study presents such a child and the behavior patterns that resulted in seclusion and PRN medication. Also presented is the plan that staff derived which eventually helped this young boy regulate his behavior.

Keywords: Adolescent bipolar disorder; child; child psychiatric hospitalization; psychosocial treatment

Document Type: Research Article


Affiliations: Children 's Inpatient Unit,Rush University Medical Center,Chicago,Illinois

Publication date: July 1, 2005

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