a – Bipolarity

Definition

Bipolarity in children is a rare diagnosis and is often used when nothing else will fit. There is a lot of debate if there is a difference between adult bipolarity and childhood bipolarity – often centering on how quickly/often moods shift.

It presents in mood episodes:

  • Symptoms of Mania:
  • Increased physical and mental activity and energy
  • Heightened mood, exaggerated optimism, and self-confidence
  • Excessive irritability, aggressive behavior
  • Decreased sleep without experiencing fatigue
  • Reckless behavior
  • Racing speech, thoughts, and free ranging implausible ideas 
  • Symptoms of Depression:
  • Prolonged sadness or unexplained crying spells 
  • Anger, agitation, worry, agitation
  • Significant changes in appetite and sleep patterns
  • Pessimism, loss of energy, persistent lethargy
  • Feelings of guilt and worthlessness
  • Indecisiveness and inattention
  • Recurring thoughts of death

Medication, therapy, and careful monitoring are essential for supporting the bipolar child.

Pediatric Bipolar Disorder

Moira Rynn, MD, director of the Columbia University Pediatric Anxiety and Mood Research Clinic, discusses the signs and symptoms of Pediatric Bipolar Disorder.