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Sunday, June 2, 2002
Stressbusters

Manic-depressive illness in the teens
V.K. Kapoor

  • A teenager with bipolar disorder may have an ongoing combination of extremely high (manic) and low (depressed) moods.

  • Highs may alternate with lows, or the person may feel both extremes at the same time.

  • Bipolar disorder usually starts in adult life.

  • Although less common, it does occur in teenagers and even rarely in young children.

  • This illness can affect anyone.

  • However, if one or both parents have Bipolar Disorder, the chances are greater that their children will develop the disorder.

  • Family history of drug or alcohol abuse also may be associated with bipolar disorder in teens.

  • Bipolar disorder may begin either with manic or depressive symptoms.

  • The manic symptoms are:

  • A severe change in mood, as compared to others of the same age and background — either usually happy or silly, or very irritable angry, agitated or aggressive.

  • Experiencing an unrealistic high in self-esteem. For example, a teenager who feels all-powerful or like a superhero with special powers

  • Great increase in energy and the ability to go with little or no sleep for days without feeling tired.

  • The adolescent who, talks too much, too fast and changes topic too quickly and can not be interrupted.

  • Distractibility — teen’s attention moves constantly from one thing to the next

  • Repeated high risk-taking behaviour; such as abusing alcohol and drugs, reckless driving, or sexual promiscuity.

  • The depressive symptoms are:

  • Irritability, a depressed mood, persistent sadness, frequent crying

  • Thoughts of death or suicide

  • Thoughts of enjoyment in favourite activities

  • Frequent complaints of physical illness such as headaches or stomach.

  • A low energy level, fatigue, poor concentration, complaints of boredom.

  • A major change in eating or sleeping patterns, such as oversleeping or overeating.

  • Some of these things are similar to those that occur in teenagers with other problems such as drug abuse, delinquency, attention-deficit hyperactivity, disorder, or even schizophrenia.

  • The diagnosis can only be made with careful observation over an extended period of time.

  • A thorough evaluation by a child and adolescent psychiatrist can be helpful in identifying problems and initiating specific treatment.

— The writer is a retired IPS officer of The Haryana Cadre

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