Children's Mental Health Facts: Bipolar Disorder
(from Substance Abuse and Mental Health Services Administration,
National Mental Health Information Center)

   Every child's mental health is important.
   Many children have mental health problems.
   These problems are real and painful and can be severe.
   Mental health problems can be recognized and treated.

Mental health problems affect one in every five young people at any given time. "Serious
emotional disturbances" for children and adolescents refers to the above disorders when they
severely disrupt daily functioning in home, school, or community. Serious emotional
disturbances affect one in every 10 young people at any given time.

For assistance/information call:

1-800-789-2647 National Mental Health Information Center
1-800-969-6642 (press 1) Mental Health America
1-800-273-8255 24 Hour Crisis Line (Mental Health America)
1-240-403-1901 National Federation of Families for Children's Mental Health
1-800-950-6264 National Alliance on Mental Illness (NAMI) www.nami.org

For further information:
Depression and Bipolar Support Alliance (DBSA)
730 N. Franklin Street, Suite 501
Chicago, IL 60601-3526
Telephone: 800-826-3632
www.dbsalliance.org

Child and Adolescent Bipolar Foundation
820 Davis Street, Suite 520
Evanston, IL 60201
Telephone: 847-492-8519
www.bpkids.org


5030 El Camino Avenue, Carmichael, CA 95608, (916) 609-5100, fax (916) 609-5160
info@riveroak.org

What is Bipolar Disorder?

Bipolar disorder is a brain disorder that causes persistent, overwhelming, and uncontrollable
changes in moods, activities, thoughts, and behaviors. A child has a much greater chance of
having bipolar disorder if there is a family history of the disorder or depression. This means
that parents cannot choose whether or not their children will have bipolar disorder.

Although bipolar disorder affects at least 750,000 children in the United States, it is often
difficult to recognize and diagnose in children. Unlike some health problems where different
people experience the same symptoms, children experience bipolar disorder differently. Often,
children with the illness experience mood swings that alternate, or cycle, between periods of
"highs" and "lows", called "mania" and "depression," with varying moods in between.

What happens after a Bipolar Disorder diagnosis?

If a qualified mental health provider has diagnosed your child with bipolar disorder, the provider
may suggest several different treatment options, including strategies for managing behaviors,
medications, and/or talk therapy.

How does River Oak help children and adolescents with bipolar disorder?

Treatment for bipolar disorder at River Oak often includes treatment and medication
management. Medication needs are determined by a psychiatric medication assessment with
a child psychiatrist. The psychiatrist works closely with parents and caregivers in order to
best support the family and child's needs and wishes regarding medication.

Treatment is generally Cognitive Behavioral Therapy. This may include psycho-education
about the illness and its course for both the child and the parent/caregiver. Family therapy is
an important aspect of treatment for childhood bipolar disorder. This helps the family to
support and understand the difficulties that arise from bipolar disorder. Treatment may also
include self monitoring, mood logs, behavioral contingency management, problem solving and
communication skills, relaxation, crisis management, parent coping, and skills building,
among others.

Important messages about children's and adolescents' mental health: