1. Normal Versus Problematic Behavior
Diagnosing bipolar disorder in children can be a tricky and difficult process. The hormonal balance in most children lends itself to being a bit unpredictable in the first place, so you must realize when there is a real problem. Adolescents are particularly prone to erratic emotional behavior, so it is important to look at more than just isolated events of emotional upheaval in the child's life. Pay attention to long shifts in mood over weeks or days and alternating swings that seem out of character.
2. Symptoms Can Start Very Young
The symptoms of bipolar disorder can be hard to identify because of the emotional volatility of children, particularly adolescents. However, some telltale signs of bipolar disorder are: extreme irritability, hyper-sexuality, rapidly changing moods over the course of a few days or weeks, and sleeping little. Also, uneven school performance, racing thoughts, anxiety, grandiose thoughts and daredevil behaviors are all classic symptoms of bipolar disorder. However, it is important to know the difference between these symptoms and the normal behavior of the child. Symptoms can begin as young as 4 years old.
3. Talk With Teachers
Often children with bipolar disorder will exhibit certain characteristics at school that can be disruptive or troubling to educators. Talk with your child's teachers to see how he is performing at school. Keep your relationships open with the teachers so they can tell you about any change in behavior that they find odd or inconsistent. Teachers are typically well trained in noticing abnormal behavioral shifts. They spend a good deal of time with a child so they can help you distinguish between a normal emotional reaction and a bipolar episode. Remember, though, that bipolar disorder is often confused with ADD and ADHD, so receiving a professional opinion is helpful.
4. Beware of Drugs and Alcohol
Adolescents with bipolar disorder will often find drugs and alcohol attractive because it helps them monitor and control their emotional volatility. Teens who are stricken with bipolar disorder will often abuse substances to maintain a more even emotional keel. Monitor the child's involvement with drugs or alcohol. Ascertain whether it is an addiction based upon peer pressure or experimentation or whether it is an attempt to cover a more pervasive mood disorder. Counselors and therapists can be key in making this determination.
5. Don't Give Up Hope
Children with bipolar disorder who are properly diagnosed must keep control of the disorder and learn how to manage the ups and downs of mania and depression. Medication and counseling are crucial treatments for children with bipolar disorder. Keeping the child on a well-rounded diet, and on a regular routine of medical intervention and counseling, is typically quite successful in treating bipolar disorder. Finding a knowledgeable and patient doctor is also very helpful in providing hope for both the child and his family.
