Primary prevention

Early markers of prodromal features or risk for future bipolar disorder may be of great importance for early identification and prevention; however, at present, specific markers for bipolar prodrome remain elusive.[83] Family-focused therapy may hasten recovery from mood symptoms among those at high risk for bipolar disorder, but it is not yet clear whether early family intervention can contribute to the delay or prevention of full manic episodes in vulnerable young people.[84]

Secondary prevention

Children and adolescents need an appropriate academic placement, often with an individual educational plan, to keep stress levels manageable. Where there are learning disabilities, and other psychiatric disorders, they need evidence-based treatments where possible. An evaluation of family function is imperative. Where it is impossible to reduce high levels of stress, placement outside the home may be necessary.

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