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Children tend to have less discreet episodes of mania and depression than adolescents or adults.
Often these children are irritable, explosive and excessively active. Some children show more typical features of mania, including grandiosity, excessive talking, high energy, difficulty sleeping and impulsive behavior such as precocious sexuality. Teens with bipolar disorder are more likely than younger children to show distinct episodes of mania and depression. Their grandiosity and impulsivity during mania may result in social and academic problems as well as substance abuse. Some diagnosed with conduct disorder or substance abuse may have unrecognized, underlying bipolar disorder.