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Letters to the Editor
August 2009

Family-Focused Treatment for Adolescents With Bipolar Disorder—Reply

Arch Gen Psychiatry. 2009;66(8):915-917. doi:10.1001/archgenpsychiatry.2009.99

In reply

We appreciate Dr Kuehner's insightful comments. First, we calculated recovery from depression in all participants who showed significant depressive symptoms at intake, including patients who began in a syndromally depressed, mixed, or subsyndromally depressed state. Subsyndromal depressive symptoms were strongly associated with poor psychosocial functioning in a 2-year follow-up of children diagnosed with bipolar spectrum disorders.1

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