Teenagers often get an unfair reputation.
Society tends to view this age group as moody, immature, or even problematic. As a result, serious concerns are often brushed aside as “just part of being a teenager.” A teen struggling with chronic fatigue may be labeled lazy, while one who is frequently angry or irritable might be dismissed as having a “bad attitude.”
Sadly, these stigmas can cause parents and caregivers to overlook underlying mental health issues. Recognizing these challenges early is critical, especially since most mental health conditions begin during the teenage years. One important disorder to be aware of is bipolar disorder.
Bipolar disorder in teens is a serious mental health condition that’s often misunderstood or mistaken for normal teen moodiness. As a parent or caregiver, it’s essential to understand the signs and know what to watch for. Early recognition and support can make a world of a difference in your teen’s long-term mental health and quality of life.
What Is Bipolar Disorder?
Bipolar disorder is a mental health condition marked by extreme mood swings, including periods of intense emotional highs (mania or hypomania) and deep lows (depression). These mood episodes can affect energy, sleep, behavior, relationships, and thinking patterns.
Understandably, these symptoms can look like typical teenage behavior at times, which is why parents and caregivers need to be on alert. Consider that many people begin experiencing symptoms of bipolar disorder during adolescence, with most people diagnosed between the ages of 15 and 25.
Key Warning Signs in Teens
Bipolar symptoms in teens can sometimes look different than in adults, which makes early identification challenging. Here are important signs parents should watch for:
During a manic or hypomanic episode:
- Unusually elevated or irritable mood
- Inflated self-esteem or grandiosity (“I’m invincible” thinking)
- Decreased need for sleep (feeling rested after just a few hours)
- Racing thoughts and rapid speech
- Excessive involvement in risky or impulsive behaviors (e.g., reckless driving, spending sprees, sexual activity)
- Over-the-top energy or agitation
During a depressive episode:
- Persistent sadness or hopelessness
- Withdrawal from friends and activities they once enjoyed
- Fatigue or lack of energy
- Changes in appetite or sleep patterns
- Feelings of worthlessness or guilt
- Trouble concentrating or making decisions
- Thoughts of death or suicide
Many teens experience mood shifts, but in bipolar disorder, these episodes are intense, prolonged, and disruptive to daily life. That’s why it’s crucial to look at the intensity, duration, and impact of your teen’s behaviors and not just the presence of mood changes.
Diagnosis and Evaluation
If you suspect your teen may be experiencing symptoms of bipolar disorder, consult a mental health professional who specializes in adolescent care. Diagnosis typically involves a detailed medical and family history, interviews with both the teen and parents, observation of mood patterns and behaviors over time, and ruling out other medical or psychiatric conditions. There is no single test for bipolar disorder, but a qualified clinician can assess the full picture and guide the next steps.
Treatment and Support
The good news? Bipolar disorder is manageable, especially with early diagnosis and a well-rounded treatment plan. Teens respond well to medications (such as mood stabilizers or antipsychotics), psychotherapy, routine and structure, and education. Parental support, understanding, and communication are vital parts of treatment. A stable home environment can also help teens better regulate their moods and build resilience.
A few other ways that parents and caregivers can help are by:
- Listening without judgment. Let your teen express their feelings and experiences openly.
- Keeping track of mood changes. Journaling or using mood-tracking apps can help identify patterns.
- Encouraging routine. Consistent sleep, meals, and daily habits can reduce mood instability.
- Education. The more you know about bipolar disorder, the better equipped you’ll be to support your child.
- Staying involved with treatment. Attend therapy sessions when appropriate and maintain open communication with your teen’s care team.
Seek Treatment for Bipolar Disorder
Bipolar disorder in teens can be overwhelming, but with the right support, teens can lead full, successful lives. As a parent or caregiver, trusting your instincts and seeking help early is one of the best gifts you can give your child. If you notice dramatic mood swings or behavior changes that feel “off,” don’t wait. Talk to a mental health professional and start the conversation.
Are you ready to start a path to treatment that works for you and your teen? Spearhead Health is a dynamic team of behavioral healthcare professionals that can guide you through the recovery process and align you with the proper resources. Contact us today at (310) 561-1704.