Bipolar Disorder

By Vanessa Rasmussen, © 2004, All rights reserved.

Bipolar disorder is a serious mental illness characterized by recurrent episodes of depression, mania, and/or mixed symptom states. These episodes cause unusual and extreme shifts in mood, energy, and behavior that interfere significantly with normal, healthy functioning. Children with bipolar disorder are at risk for school failure, substance abuse, and suicide.

This disorder is difficult to recognize and diagnose in young children, mainly because it does not fit precisely the symptom criteria established for adults. Besides, its symptoms can resemble or co-occur with those of other common childhood-onset mental disorders. In addition, symptoms of bipolar disorder may be initially mistaken for normal emotions and behaviors of children and adolescents.

Manic symptoms include:

Depressive symptoms include:

Early intervention by a skilled clinician is essential, because early onset bipolar disorder can sometimes be difficult to diagnose. There is no specific test for the illness, the disorder is often accompanied by other psychiatric disorders, and many symptoms overlap. Bipolar disorder in children often begins with major depression marked by chronic irritability. Treatment with the wrong medications-stimulants and antidepressants in particular-can result in significant worsening of the illness. Prompt diagnosis and appropriate treatment, however, can lead to much more stable lives for these children and their families.

It is essential to treat bipolar disorder with medication, typically consisting of mood stabilizers in combination with other drugs, in order to stabilize the child's mood and to prevent worsening of symptoms. In addition, some kind of behavior or interpersonal therapy may be helpful to help children learn ways to control behavior and learn new behaviors, as well as come to accept the realities of their life-long disorder.

Copyright 2001, 2004. All rights reserved. Any reproduction of this article in whole or in part without written or verbal permission is strictly prohibited. For information about reprinting this article, contact the copyright owner: Vanessa Rasmussen, Ph.D, Starting a Day Care Center,