Abstract

The classification of irritability is challenging; it is common among youth with childhood disorders, but evidence suggests that there are qualitative differences in irritability across diagnoses. The status of irritability as a symptom of bipolar disorder (BD) has been controversial and has led to questions about where to draw the line between BD and other disorders. Cyclothymic disorder (CycD), a subtype of BD marked by irritability, is rarely differentiated from other specified BDs, although there may be differences in outcomes. Treatment of subclinical mood presentations can be challenging; interventions that improve functioning without significant burden are necessary to improve outcomes for these youth.

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