Bipolar Disorder In Children And Teens: When To Call A Doctor

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When To Call a Doctor

Call 911 or other emergency services immediately if:

• Your child makes threats or attempts to harm himself or herself or another person, or shows warning signs of suicide.
• Your child hears voices (has auditory hallucinations).
• You are a young person and you feel you cannot stop from harming yourself or someone else.

Watchful Waiting

Watchful waiting is a wait-and-see approach. If you think your child may have bipolar disorder, watchful waiting is not appropriate. Schedule an appointment with your child's doctor for evaluation.

If your child is currently receiving treatment for bipolar disorder, watchful waiting may be enough if a mood episode has just started and your child is taking proper medications. If your child's depressive or manic mood episodes have not improved within 2 weeks, call your doctor.

Watch for the warning signs of suicide. These change with age. Warning signs of suicide in children and teens may include preoccupation with death or suicide or a recent breakup of a relationship.

Who To See

It is best to establish a long-term relationship with your child's care providers so that when a depressive or manic episode occurs, the care providers can recognize the changes in the child's behavior and provide quick treatment advice.

Since bipolar disorder in childhood and adolescence is just beginning to be recognized and treated, you may wish to find a health professional who has special training in children's mental health conditions or experience treating bipolar disorder in young people. Bipolar disorder can be diagnosed and treated by a health professional such as a:

• Psychiatrist, preferably a child psychiatrist.
• Pediatrician.
• Family medicine physician.
• Nurse practitioner.
• Physician assistant.

Your child may also benefit from professional counseling to help deal with mood changes and the effects bipolar disorder has on your child's life. A counselor with special training in childhood mood disorders or experience treating childhood bipolar disorder may be most helpful. Counseling for bipolar disorder can be provided by a:

• Psychiatrist.
• Psychologist.

Other health professionals who also may be trained in counseling include:

• Social workers.
• Licensed mental health counselors.
• Psychiatric nurses.

Who to see for family member support

If you are a family member of a child with bipolar disorder, it is very important to get the support and help you need. Living with or caring for someone who has bipolar disorder can be very disruptive to your own life. Manic episodes can be particularly difficult. It may be helpful to seek your own counselor or therapist to help you.

There are also national support organizations that may have a local chapter in your area or provide information on the Internet. Examples of such organizations include the National Alliance for the Mentally Ill (NAMI) and the Child and Adolescent Bipolar Foundation.

To prepare for your appointment, see the topic Making the Most of Your Appointment.

Last updated:	May 14, 2007
Author:	Ralph Poore
Reviewed By:	Michael J. Sexton, MD - Pediatrics, Lisa S. Weinstock, MD - Psychiatry
Editors:	Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC