This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: JIPMER 2019, Subject name: Psychiatry
[{'content': 'In a 12 year old child suffering from depression, which is not suggestive of development of bipolar disorder, later in life? \nSelect and explain. \nA. Rapid onset of depression, B. Presence of psychotic symptoms, C. Labile mood, D. Psychomotor agitation', 'role': 'user'}, {'content': 'Answer: D \nExplanation: If the child develops hypomania/ mania later in life then diagnosis would be Bipolar disorder. Clinical features predictive of bipolar disorder Early age of onset Psychotic depression before 25 years of age Postpaum depression (with psychotic features) Rapid onset & offset of depressive episodes of sho duration (<3 months) Recurrent depression (>5 episodes) Depression with marked psychomotor retardation Atypical features (reverse vegetative signs) Seasonality Bipolar family history Trait mood lability Hypehymic environment Hypomania a/w antidepressants Repeated (atleast 3 times) loss of efficacy of antidepressants after initial response Depressive mixed state', 'role': 'assistant'}]