Does your teen have extreme behavior changes too? Does your teen get too excited or silly sometimes? Do you notice he or she is very sad at other times? Do these changes affect how your teen acts at school or at home?
Some teens with these symptoms may have bipolar disorder, a serious mental illness.
What is bipolar disorder?
Bipolar disorder is a serious brain illness. It is also called manic-depressive illness. Teens with bipolar disorder go through unusual mood changes. Sometimes they feel very happy or “up”, and are much more active than usual. This is called mania. And sometimes teens with bipolar disorder feel very sad and “down”, and are much less active than usual. This is called depression.
Bipolar disorder is not the same as the normal ups and downs every teen goes through. Bipolar symptoms are more powerful than that. The illness can make it hard for a teen to do well in school or get along with friends and family members. The illness can also be dangerous. Some young people with bipolar disorder try to hurt themselves or attempt suicide.
Teens with bipolar disorder should get treatment. With help, they can manage their symptoms and lead successful lives.
Who develops bipolar disorder?
How is bipolar disorder different in children and teens than it is in adults?
When children develop the illness, it is called early-onset bipolar disorder. This type can be more severe than bipolar disorder in older teens and adults. Also, young people with bipolar disorder may have symptoms more often and switch moods more frequently than adults with the illness.
What causes bipolar disorder?
Several factors may contribute to bipolar disorder, including:
The causes of bipolar disorder aren’t always clear. Scientists are studying it to find out more about possible causes and risk factors. This research may help doctors predict whether a person will get bipolar disorder. One day, it may also help doctors prevent the illness in some people.
What are the symptoms of bipolar disorder?
Bipolar mood changes are called “mood episodes.” Your child may have manic episodes, depressive episodes, or “mixed” episodes. A mixed episode has both manic and depressive symptoms. Children and teens with bipolar disorder may have more mixed episodes than adults with the illness.
Children and teens having a manic episode may:
Children and teens having a depressive episode may:
Do children and teens with bipolar disorder have other problems?
Bipolar disorder in young people can co-exist with several problems.
Sometimes behavior problems may go along with mood episodes. Young people may take a lot of risks, like drive too fast or spend too much money. Some young people with bipolar disorder think about suicide. Watch out for any sign of suicidal thinking. Take these signs seriously and call your child’s doctor.
How is bipolar disorder diagnosed?
An experienced doctor will carefully examine your child. There are no blood tests or brain scans that can diagnose bipolar disorder. Instead, the doctor will ask questions about your child’s mood and sleeping patterns. The doctor will also ask about your child’s energy and behavior. Sometimes doctors need to know about medical problems in your family, such as depression or alcoholism. The doctor may use tests to see if an illness other than bipolar disorder is causing your child’s symptoms.
How is bipolar disorder treated?
Right now, there is no cure for bipolar disorder. Doctors often treat children who have the illness in a similar way they treat adults. Treatment can help control symptoms. Treatment works best when it is ongoing, instead of on and off.
Children should take the fewest number and smallest amounts of medications as possible to help their symptoms. A good way to remember this is “start low, go slow.” Also, medications can cause side effects. Always tell your child’s doctor about any problems with side effects. Do not stop giving your child medication without a doctor/s help. Stopping medication suddenly can be dangerous, and it can make bipolar symptoms worse.
What can children and teens expect from treatment?
With treatment, children and teens with bipolar disorder can get better over time. It helps when doctors, parents, and teens work together.
Sometimes a teen’s bipolar disorder changes. When this happens, treatment needs to change too. For example, your child may need to try a different medication. The doctor may also recommend other treatment changes. Symptoms may come back after a while, and more adjustments may be needed. Treatment can take time, but sticking with it helps many children and teens have fewer bipolar symptoms.
You can help treatment be more effective. Try keeping a chart of your teen’s moods, behaviors, and sleep patterns. This is called a “daily life chart” or “mood chart.” It can help you and your teen understand and track the illness. A chart can also help the doctor see whether treatment is working.
How can I help my child or teen?
Help your child or teen get the right diagnosis and treatment. If you think he or she may have bipolar disorder, make an appointment with your family doctor to talk about the symptoms you notice.
How does bipolar disorder affect parents and family?
Taking care of a child or teenager with bipolar disorder can be stressful for you too. You have to cope with the mood swings and other problems, such as short tempers and risky activities. This can challenge any parent. Sometimes the stress can strain your relationships with other people, and you may miss work or lose free time.
If you are taking care of a child with bipolar disorder, take care of yourself too. If you keep your stress level down you will do a better job. It might help your child get better too.
I know a child or teen who is in crisis. What do I do?
If you know a child who is in crisis, get help quickly.
Resource: National Institute of Mental Health (NIMH) website: http://www.nimh.nih.gov