A Case of Bipolar I Disorder with Autistic Disorder Showing “Waiting-for-Instruction” as a Depressive Symptom

  • Yokoyama Hiroyuki
    Division of Clinical Nursing, Yamagata University School of Nursing Department of Pediatrics, Tohoku University School of Medicine
  • Hirose Mieko
    Department of Pediatrics, Tohoku University School of Medicine
  • Nara Chieko
    Department of Pediatrics, Tohoku University School of Medicine
  • Wakusawa Keisuke
    Department of Pediatrics, Tohoku University School of Medicine
  • Kubota Yuki
    Department of Pediatrics, Tohoku University School of Medicine
  • Haginoya Kazuhiro
    Takuto Rehabilitation Center for Children
  • Tsuchiya Shigeru
    東北大学大学院医学系研究科発生・発達医学講座小児病態学分野
  • Iinuma Kazuie
    Ishinomaki Red Cross Hospital

Bibliographic Information

Other Title
  • 指示を待つことが抑うつの初期症状であった双極Ⅰ型障害を示した自閉症の1例

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Abstract

  We have experienced a case of bipolor I disorder complicated by mental retardation and autistic disorder. Acquired daily life activities such as eating, clothing and toileting without assistance were gradually lost during depressive periods, which was consistent with the previous reports. Before losing daily life skills, the patient could no longer perform daily life activities without consecutive instructions. This “waiting-for-instruction” behavior may be an early diagnostic key for major depressive episode in mentally-retarded children and adolescents.

Journal

  • NO TO HATTATSU

    NO TO HATTATSU 42 (1), 55-57, 2010

    The Japanese Society of Child Neurology

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