Common Mental
Health Issues

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Recognizing Adolescent Bipolar Disorders

Bipolar disorders describe a category of mood disorders defined by episodes of defined mood states separated by periods of "normal" mood.

Types of Bipolar
  • Bipolar I (mania/mixed + depressive episode)
  • Bipolar II (hypomania + depressive episode)
  • Bipolar NOS
  • Cyclothymia (hypmania + low mood)
Bipolar disorders typically develop in late adolescence or early adulthood.

Types Of Bipolar Disorders

  • Depression
    • Persistent sad, anxious or "empty" feelings
    • Feelings of hopelessness and/or pessimism
    • Feelings of guilt, worthlessness and/or helplessness
    • Irritability, restlessness
    • Loss of interest in sex, activities or hobbies once pleasurable
    • Fatigue and decreased energy
    • Difficulty concentrating and making decisions
    • Insomnia, early-morning wakefulness, or excessive sleeping
    • Overeating, or appetite loss
    • Thoughts of suicide, suicide attempts
    • Persistent aches or pains, headaches, or digestive problems
  • Mania
    • Abnormal or excessive elation of mood
    • Unusual irritability (anger or rage)
    • Decreased need for sleep (feels rested on 3 or 4 hours of sleep)
    • Grandiose notions (questionable business transactions)
    • Increased talking (pressured to keep talking, rapid speech)
    • Racing thoughts markedly increased energy
    • Hyper-religiosity, Hypersensitivity, Hyper-sexuality, Impulsivity
    • Poor judgment (risky or thrill seeking behaviours)
    • Inappropriate social behavior (highly vocal arguments)
    • Delusions and hallucinations can occur
  • Hypomania
    • Racing thoughts; Lower need for sleep
    • Obsessive behavior, whether mild or severe
    • Poor judgment relative to a particular situation's judgment call
    • Uncontrollable, or only partially situation's judgment call
    • Uncontrollable, or only partially controllable, impulsivity
    • Excessive sexual activity
  • Mixed
    • Symptoms of mania and depression occur simultaneously
    • Agitation, anxiety, fatigue, guilt, impulsiveness, irritability, morbid or suicidal ideation, panic, paranoia, pressured speech and rage
    • Examples: (tearfulness during a manic episode or racing thoughts during a depressive episode)
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