Concerning symptoms can include:

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1. Severe and recurring depression

2. Explosive, destructive or lengthy rages, especially after the age of four, often parents saying that they feel afraid of their own children

3. Extreme sadness or lack of interest in play

4. Severe separation anxiety

5. Talk of wanting to die or killing themselves or others

6. Dangerous behaviors, such as trying to jump from a fast moving car or a roof

7. Grandiose belief in own abilities that defy the laws of logic (possessing ability to fly)

8. Sexualized behavior unusual for the child's age

9. Impulsive aggression

10. Delusional beliefs and hallucinations

11. Extreme hostility

12. Extreme or persistent irritability

13. Telling teachers how to teach the class, bossing adults around

14. Creativity that seems driven or compulsive

15. Excessive involvement in multiple projects and activities

16. Compulsive craving for certain objects or foods

17. Hearing voices telling them to take harmful action

18. Racing thoughts, pressure to keep talking

19. Sleep disturbances, including gory nightmares or not sleeping

20. Drawings or stories with extremely graphic violence

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Children and teens with bipolar disorder need to get treatment. With the right kind of help that is often a combination of medication and counseling; most can manage their symptoms and lead successful lives.

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**If medication is suggested, utilize only under the strict supervision of a medical doctor who is well versed in both Bipolar disorder and psychotropic medications.