When To Call a Doctor
Call911or 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:
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:
Other health professionals who also may be trained in
counseling include:
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