130 Journal of Mood Disorders Volume: 4, Number: 3, 2014 - www.jmood.org Case Report / Olgu Sunumu DOI: 10.5455/jmood.20140420094547 1 Istanbul University, Istanbul Faculty of Medicine, Department of Psychiatry, Istanbul-Turkey 2 Istanbul University, Istanbul Faculty of Medicine, Department of Child and Adolescent Psychiatry, Istanbul-Turkey 3 Istanbul University, Department of Preventive Oncology, Institute of Oncology, Istanbul-Turkey 4 Bakirkoy Research and Training Hospital for Psychiatric and Neurological Diseases, Istanbul-Turkey Yazışma Adresi / Address reprint requests to: Serap Oflaz, İstanbul Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, İstanbul-Türkiye Elektronik posta adresi / E-mail address: drserapb@yahoo.com Kabul tarihi / Date of acceptance: 20 Nisan 2014 / April 20, 2014 Bağıntı beyanı: S.O., H.B., H.G., S.G.: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemişlerdir. Declaration of interest: S.O., H.B., H.G., S.G.: The authors reported no conflict of interest related to this article. ÖZET: İki uçlu bozukluğu olan bir ergende Asperger Sendromunun fark edilmesi: Olgu sunumu Asperger sendromu (AS) sosyal etkileşimde zorluklar ve sınırlı ilgi veya etkinliklerle karakterize yaygın gelişimsel bir bozukluktur. Özellikle psikiyatrik ek tanıların görüldü- ğü ergenlik veya yetişkinlik döneminde tanı genellikle atlanmaktadır. Bu yüzden AS’nin farkında olmak tedavi ve diğer psikiyatrik durumların taranması adına önemlidir. Bu yazıda iki uçlu bozukluk ek tanılı ve ancak on yedi yaşında AS tanısı konulabilen bir ergen olgu sunulacaktır. Anahtar sözcükler: Asperger sendromu, iki uçlu bozukluk, ergen Journal of Mood Disorders 2014;4(3):130-2 ABSTRACT: Recognition of Asperger’s Syndrome in adolescent patient with bipolar disorder: a case report Asperger’s syndrome (AS) is a pervasive developmental disorder characterized by impairment in social interaction and restricted repetitive behaviors or interests. This disorder is rarely recognized in adolescence or adulthood especially because of unawareness for AS among clinicians and the confounding effects of the comorbid psychiatric conditions. Diagnosing this neurodevelopmental disorder is critical for optimal treatment approaches. Here we present a seventeen-year-old boy with bipolar disorder and late-diagnosed AS. Key words: Asperger’s syndrome, bipolar disorder, adolescence Journal of Mood Disorders 2014;4(3):130-2 Recognition of Asperger’s Syndrome in adolescent patient with Bipolar Disorder: A case report Serap Oflaz 1 , Hasan Bozkurt 2 , Hülya Güveli 3 , Sevda Gümüş 4 INTRODUCTION Asperger’s Syndrome (AS) is characterized by impairments in social interaction and restricted interests and behaviors of the type seen in autism. In contrast to autistic disorder, there is no clinically significant delay in language, cognitive development, self-help skills, or curiosity about the environment (1). The most common comorbid diagnosis in individuals with AS and high- functioning autism is depression, occurring in as many as 41% of patients. Other psychiatric disorders or symptoms that have been reported include anxiety disorders (8%), bipolar disorder (9%), schizophrenia (9%), suicide attempts (7%), hallucinations (6%), mania (5%), psychotic disorder not otherwise specified (3%), schizoid personality disorder (3%), and obsessive-compulsive disorder (OCD) (1%) (2). There are medications that can help children with mood disorders in the autistic spectrum but many children are never diagnosed properly, nor do they come to the attention of mental health professionals (3). In an epidemiological study, at least 41% of the children with developmental disabilities were found to be affected by comorbid psychiatric disorders, but less than 10% of the children with comorbid psychiatric disorders had seen a specialist (4). In the view of this information, here an adolescent patient with bipolar disorder and previously undiagnosed AS will be presented. CASE REPORT MK, a 17 year-old male was referred to our outpatient unit with problems in social interaction, worries about his future occupation, impulsive behavior, unhappiness, aggressivity and tics. Information regarding his