Diagnostic and management challenges of pre-pubertal bipolar disorder in an eight-year old Nigerian child: A case report and review of literature

Abstract

An eight-year old boy presented with a 1-week history of poor sleep, over activity and claiming that parents wanted to use him for rituals. He was admitted unto the male psychiatry ward and while on admission he was overactive and disruptive, irritable, grandiose and dis-inhibited with loss of age-appropriate social grace. To our knowledge, this is the youngest age that bipolar disorder has been reported in Nigeria. The diagnostic and management challenges were highlighted.