Treatment-Emergent Mania in a Prepubertal Boy

Bipolar disorder among children has gained acceptance as a diagnostic entity but continues to pose diagnostic and managementchallenges due to the developmental differences in children and inadequate evidence for pharmacological management. Wepresent the case of a prepubertal child presenting with an apparent depressive episode who developed treatment-emergent maniawhen commenced on sertraline. This case highlights the need for further research into the presentations and pharmacologicalmanagement of prepubertal children with bipolar affective disorder.