Child psychiatrists have a lot of kids come into our office with problems related to temper tantrums, explosive episodes, etc. You have developed a process for working with these kids. Tell us about it.
There has been debate over whether nonepisodic irritability is a symptom of bipolar disorder in children and adolescent (Biederman J, Biol Psychiatry 2006;60:901–902). Recently, a new study examined whether children with severe nonepisodic irritability had the same risk of manic episodes as those diagnosed with more narrowly defined bipolar disorder.