Metabolic Mind

Can Keto Help Pediatric Bipolar? Groundbreaking Trial Begins

Apr 25, 2025
In this engaging discussion, Dr. David Miklowitz, a leading expert on adolescent bipolar disorder from UCLA and Oxford, shares insights on a groundbreaking trial exploring ketogenic therapy for pediatric bipolar disorder. He discusses the complexities of diagnosing the disorder in young patients and emphasizes the critical role of family involvement in treatment. The conversation highlights potential benefits of ketogenic diets, the challenges teens face in adopting dietary changes, and how this research aims to transform mental health outcomes for youth.
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INSIGHT

Unique Pediatric Bipolar Presentation

  • Bipolar disorder in adolescents often presents with more mood instability and rapid cycling between manic and depressive states.
  • Diagnosing bipolar disorder in children under 10 is difficult due to overlapping symptoms with other disorders.
ADVICE

Family Role in Bipolar Treatment

  • Engage families in treatment to reduce bipolar recurrence and improve outcomes.
  • Family involvement enhances communication, early symptom recognition, and medication adherence.
INSIGHT

Treatment Differences in Youth

  • Lithium use is less common in children and adolescents despite its effectiveness.
  • Antipsychotics are used more but have metabolic side effects, posing treatment dilemmas.
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