23 The PMHNP is working with a pediatrician colleague on a journal

article to increase awareness and improve diagnostic strategies for early-onset bipolar disorder. Based upon a review of the longitudinal research on this disorder, the literature review of this article should include all the following except:

A. Recovery rates are lower when bipolar disorder has an early-childhood onset
B. Early-onset bipolar disorder presents a greater likelihood of mixed states and rapid cycling as compared to adolescent and adult onset
C. Higher socioeconomic status and lifetime psychosis are predictors of more rapid cycling in early-onset bipolar disorder
D. There is a more frequent conversion from bipolar II to bipolar I in childhood as compared to adults