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. Similarly, some adolescents diagnosed with schizophrenia because of psychotic thoughts may have bipolar disorder with psychotic features. A psychiatrist must thoroughly evaluate a child or adolescent to make a diagnosis of bipolar disorder. The evaluation generally includes interviewing the child, a physical examination, blood tests to ensure no underlying medical problem exists, and review of school records.
Parents can further describe the problems and medical and family history.
Often, a family history of depression or bipolar disorder can be a clue to diagnosis. Bipolar disorder tends to be inherited. Children with immediate relatives who have mood disorders are more likely to have bipolar disorder. Treatment of bipolar disorder in children and adolescents involves medication and education. Parents should ask their child's psychiatrist to discuss with them the benefits and side effects of each medication.