Skip to content
My WebMD Sign In, Sign Up

Teen Health

Font Size

Teens and Bipolar Disorder

If you met Jordan (not his real name), you might be surprised to learn that the teen has bipolar disorder. President of his senior class and lead actor in the school play, Jordan is outgoing, popular, and a high achiever. But that wasn't always the case.

When Jordan turned 16, his mood suddenly changed. He felt irritable, angry, and extremely fatigued. When he wasn't at school, he locked himself in his bedroom, sleeping all afternoon or playing "dark" video games. His parents noticed the dramatic change and realized that it was more than an adolescent mood swing. Jordan needed medical intervention.

Recommended Related to Teens

How to Break Up With Someone

When you first started dating, you were so into your boyfriend/girlfriend. Now you're just not feeling it anymore. You want out. How do you break up without making someone miserable -- or making them hate you forever? Don't stress -- that's not good for you. But first, here's what NOT to do: Don't tell your friends before you break up. Don't post it on Facebook. Don't text or email it. Here's why.

Read the How to Break Up With Someone article > >

He and his parents talked to a psychiatrist, a doctor who specializes in treating bipolar and other mood disorders. They discussed Jordan's recent mood swings, along with his increased need for sleep, his temper fits, and his desire to be alone all the time. Jordan talked openly about his feelings of hopelessness, sadness, and worthlessness. His mother also mentioned a time a few months before, when Jordan was unusually energetic, talkative, and excitable -- the opposite of the sadness he now felt.

The psychiatrist diagnosed Jordan with bipolar disorder and prescribed a medication to regulate the extreme highs and lows of the illness. She also started Jordan in regular cognitive psychotherapy sessions to help educate him and his parents about the mood disorder and its treatment.

What Is Bipolar Disorder?

Bipolar disorder is characterized by dramatic or unusual mood swings between major depression and extreme elation, or mania. The mood swings can be mild or extreme. They can come on slowly or quickly, within hours to days. Bipolar disorder usually starts between 15 and 30 years of age. It's more prevalent in those teens who have a family history of the mood disorder.

There are two subtypes of bipolar disorder: bipolar I and bipolar II.

  • With bipolar I, the teenager alternates between extreme states of depression and intense mania. With the mania, the teen might be abnormally happy, energetic, and very talkative, with no need for sleep for days. He or she might also have hallucinations, psychosis, grandiose delusions, and/or paranoid rage, all of which might require hospitalization and medications. Once bipolar I begins, it typically persists throughout the person's life.
  • With bipolar II, the teen has depression but a lesser form of elation called "hypomania." While someone with either mania or hypomania may have grandiose mood and reduced need for sleep, hypomania is a period of incredible energy, charm, and productivity. It's often associated with high achievers.

While many teens can be irritable with or without bipolar disorder, the irritability that comes with mania or hypomania may be more hostile. Some believe there is a link between ADHD and bipolar disorder. Some 57% of teens who have adolescent-onset bipolar disorder also have ADHD.

WebMD Medical Reference

Today on WebMD

unhappy teen couple
Article
mini cupcakes
fitSlideshow
 
teen couple
ARTICLE
Teenage Couple standing in a fairground laughing
Article
 
Sugary drinks
fitSlideshow
teen wearing toning shoes
fitSlideshow
 
young woman texting
Article
teen boy holding a condom
ARTICLE
 
Teen girls eating ice cream
fitQUIZ
teen sleeping
fitARTICLE
 
couple kissing
SLIDESHOW
Taylor Swift
fitSLIDESHOW