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Recognizing Depression, Anxiety, and Externalizing Behaviors in Children of a Parent with Mood Disorders: Weekly Symptom Monitoring in the Child Network

Robert M. Post

High levels of depression, anxiety and externalizing disorders are common in the general population of children in the USA. These disorders are further dramatically increased in the offspring of a parent with bipolar disorder followed up prospectively for 7 years or in the offspring of a parent with unipolar depression followed up for 20 years, yet few receive early or adequate treatment. This is particularly problematic as early onset mood disorders have a more difficult course and outcome than adult onset illness, and are associated with long delays to first treatment, which is an additional independent risk factor for a poor outcome.