Bipolar In Kids & Teens

Kids and adolescents with Bipolar have manic and/or depressive symptoms. Some may have mostly depression and others a combination of manic and depressive symptoms. Highs may alternate with lows.

Research has improved the ability to diagnose Bipolar in kids and teens. Bipolar can begin in childhood and during the teenage years, although it is usually diagnosed in adult life. The illness can affect anyone. However, if one or both parents have Bipolar, the chances are greater that their kids may develop the disorder. Family history of drug or alcohol abuse also may be associated with greater risk for Bipolar.

Manic symptoms include:

· distractibility - the teen's attention moves constantly from one thing to the next

· great increase in energy and the ability to go with little or no sleep for days without feeling tired

· increase in talking - the adolescent talks too much, too fast, changes topics too quickly, and cannot be interrupted

· repeated high risk-taking behavior; such as, abusing alcohol and drugs, reckless driving, or sexual promiscuity

· severe changes in mood-either unusually happy or silly, or very irritable, angry, agitated or aggressive

· unrealistic highs in self-esteem - for example, a teenager who feels all powerful or like a superhero with special powers

Depressive symptoms include:

· frequent complaints of physical illnesses such as headaches or stomach aches

· irritability, depressed mood, persistent sadness, frequent crying

· loss of enjoyment in favorite activities

· low energy level, fatigue, poor concentration, complaints of boredom

· major change in eating or sleeping patterns, such as oversleeping or overeating

· thoughts of death or suicide

Some of these signs are similar to those that occur in adolescents with other problems such as drug abuse, delinquency, attention-deficit hyperactivity disorder, or even schizophrenia.

Adolescents with Bipolar can be effectively treated. Treatment for Bipolar usually includes education of the patient and the family about the illness, mood stabilizing medications such as lithium and valproic acid, and psychotherapy. Mood stabilizing medications often reduce the number and severity of manic episodes, and also help to prevent depression. Psychotherapy helps the child understand himself or herself, adapt to stresses, rebuild self-esteem and improve relationships.

The diagnosis of Bipolar in kids and teens is complex and involves careful observation over an extended period of time. A thorough evaluation by a child and adolescent psychiatrist identify Bipolar and start treatment.



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