JAKARTA, May 15, 2025 – Mental health experts are raising concerns over the increasing prevalence of Bipolar Disorder (GB) and Schizophrenia among children and adolescents, conditions once thought to primarily affect adults. Recent studies and clinical observations reveal that early-onset cases are being diagnosed at much younger ages, presenting a new set of challenges for families and healthcare providers.
Underdiagnosis and Misinterpretation
According to Prof. Dr. dr. Tjhin Wiguna, SpKJ, SubSp. AR (K), MIMH, a leading professor in child and adolescent psychiatry at FKUI-RSCM, many young patients remain undiagnosed due to a lack of awareness and the tendency to misinterpret symptoms as typical adolescent behavior. “Mental health conditions like these can disrupt development, education, and social relationships if not properly addressed,” Prof. Tjhin explained.
Overlapping Symptoms and Stigma
The symptoms of Bipolar Disorder and Schizophrenia in children often overlap with other mental health disorders such as ADHD and autism, making accurate diagnosis difficult. Communication barriers, limited specialized studies for pediatric cases, non-compliance with treatment, and persistent social stigma further complicate effective management. Many parents still view mental health issues as taboo, leading to denial or concealment of the condition.
Importance of Early and Comprehensive Treatment
Despite these challenges, Prof. Tjhin emphasized that with appropriate and comprehensive management, children and adolescents can learn to manage their symptoms and lead productive lives. “Proper handling allows them to recover and remain active members of society,” he said.
Treatment compliance and optimal management are crucial for long-term stability and quality of life. However, concerns about medication side effects and the influence of stigma often hinder consistent treatment.
The Role of Family and Community Support
Family and environmental support systems play a vital role in the recovery process. “Families must be willing to expand their knowledge, participate actively in management, and serve as reminders for regular treatment and therapy,” Prof. Tjhin advised. He advocates for an eclectic, holistic, and multidisciplinary approach involving both the family and the broader community.
Adult Cases: Similar Challenges Persist
Dr. dr. Khamelia Malik, SpKJ(K), a mental health specialist at FKUI-RSCM, noted that adults with Bipolar Disorder and Schizophrenia face similar issues, including non-compliance with treatment, which is associated with higher relapse rates, increased hospitalization, and greater risks of self-harm. Innovative medications with fewer side effects are now available, but overcoming stigma and ensuring treatment adherence remain significant hurdles.
Pathways to Productivity and Quality of Life
Both experts agree that with consistent treatment, psychoeducation, and adaptive coping strategies, patients of all ages can maintain productive lives. The use of technology for mood monitoring, medication reminders, and therapy can further support stability and recovery. Family and community education are essential to reduce stigma, empower patients, and promote social inclusion.
Disclaimer:
This article is based on information from VOI.ID and expert opinions cited therein. It is intended for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Please consult a qualified healthcare provider for personalized guidance regarding mental health conditions.