Abstract
Adolescent-onset psychosis and bipolar disorder are severe, chronic mental disorders. Their onset in this stage of life has particular characteristics which clinicians must know in order to refer the patient to specific mental health resources. Its start is more insidious, with more nonspecific initial abnormalities. This hinders an early diagnosis and generally entails worse progress and prognosis as intervention is then also delayed. Its diagnosis is clinical and made based on DSM-5 and ICD-10 criteria, which are used in adult patients. We must not forget the need to make a differential diagnosis with other diseases (the detection of organic diseases and use of toxic substances is fundamental, though it must also be differentiated from other psychiatric disorders). Its treatment must be multimodal, encompassing pharmacological, psychotherapeutic, and social or rehabilitation interventions. It is fundamental to involve the family from the beginning in both the evaluation of symptoms and the therapeutic approach.
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