Bipolar Treatment for Teens and Young Adults

If you or a loved one is living with bipolar disorder, every day can feel like an unpredictable rollercoaster. Living with bipolar disorder can severely impact family and personal relationships, job or school performance, and overall well-being.โ€ฏ

With professional treatment, however, teens and young adults can learn to manage their symptoms and build a fulfilling life. Support from mental health professionals can provide the tools needed to navigate the ups and downs, and build effective coping skills.โ€ฏโ€ฏ

Bipolar disorder includes severe shifts in mood, from emotional highs (mania or hypomania) to extreme lows (depression). Letโ€™s take a closer look at each phase and what bipolar disorder feels like in each of them.

Common Symptoms of Manic Bipolar Episodesโ€ฏ

Generally, manic episodes last for at least one week. During that time, the following symptoms may occur every day or almost every day. Manic episodes may occur seemingly at random, with noโ€ฏobvious bipolar triggers and warning signs.โ€ฏโ€ฏ

  • Exhibiting an inflated sense of self-esteem
  • Engaging in risky behaviors as a result of impaired judgmentโ€ฏ
  • Appearing more motivated to accomplish goals
  • Acting confused or chaotically
  • Doing multiple things at once
  • Speaking and moving rapidly
  • Difficulty concentrating, easily distracted
  • Feeling less need for sleep
  • Racing thoughts
  • High levels of energy and physical activity
  • A sense of euphoria or heightened well-being

Common Symptoms of Depressive Bipolar Episodes

Depressive episodes in bipolar disorder are diagnosed when the depressive symptoms last for at least two weeks. Below are some of the most commonโ€ฏsigns of bipolar disorder in teens and young adultsโ€ฏduring a depressive episode.

  • Extreme sadness or feeling of hopelessnessโ€ฏ
  • Loss of interest or pleasure in activities that used to bring them joyโ€ฏ
  • Sleeping too much or too littleโ€ฏ
  • Either agitation or sluggishnessโ€ฏ
  • Feelings of guilt and worthlessnessโ€ฏ
  • Disrupted eatingโ€”either under- or overeatingโ€”and weight changesโ€ฏ
  • Fatigue and loss of energyโ€ฏ
  • Difficulty concentratingโ€ฏ
  • Suicidal thoughts

Teen and youngโ€ฏadult bipolar symptomsโ€ฏare different depending on whether they are experiencing a manic, hypomanic, or depressive episode. In addition, some individuals with bipolar may experience whatโ€™s known as โ€œmixed episodesโ€ or โ€œmixed features.โ€โ€ฏ

A so-called โ€œmanic episode with mixed featuresโ€โ€ฏincludes symptoms of both mania and depression. A mixed episode could be either a manic episode with at leastโ€ฏthreeโ€ฏsymptoms of depression or a major depressive episode with at least three symptoms of mania.โ€ฏ

Traumatic experiences, stress, conflict, and abuse in a young person’s history and home environment may contribute to the development ofโ€ฏbipolarโ€ฏdisorderโ€ฏin adolescence or young adulthood.

Imbalances in the levels of emotion-regulating neurotransmitters in the brain may increase the risk ofโ€ฏbipolar. Oneโ€ฏstudyโ€ฏfound that the brains of people with bipolar showed thinning of the gray matter in the areas that control inhibition and motivation.

Researchโ€ฏshowsโ€ฏthat bipolar disorder appears to run in families. Young peopleโ€ฏwith a parent or sibling who has bipolarโ€ฏdisorderโ€ฏhave aโ€ฏ15โ€“30 percent riskโ€ฏof developing bipolarโ€”as opposed to 4โ€“6 percentโ€ฏofโ€ฏthe general population.


Untreated bipolar disorder in young people can result in emotional, behavioral, and health problems that may impact all facets of their life. Complications related to teen and young adult bipolar disorder may include any of the following:

While there is no medical test for bipolar disorder, experts have determinedโ€ฏhow to diagnose bipolar disorder in young people.โ€ฏConsequently, aโ€ฏmedical or mental health professional will take the following steps when assessing an adolescent or young adult for bipolar:

Aโ€ฏthorough physical will help a doctor isolate any medical issues that may be contributing to depressive or manic symptoms, such as thyroidโ€ฏproblems.

Should a physical indicate any medical problems, a doctor may order lab tests to confirm or rule out contributing issues.

Aโ€ฏphysician or psychiatrist will ask about mood swings, lifestyle habits, and behaviors.


Supporting sustainable wellness and balance

  • Psychiatric care, medication recommendations, and ongoing medication management
  • Cognitive Behavioral Therapy to help teens and young adults reframe the patterns of thinking that accompany different mood states and monitor their activity levels during episodes
  • Dialectical Behavioral Therapy to guide clients to find ways to decrease the stress associated with bipolar disorder symptoms, and better manage emotional fluctuations
  • Attachment-Based Family Therapy to rebuild disrupted family relationships so young people can rely on their parents for support in recovering from bipolar
  • Group psychoeducation to create a sense of connection, and counteract feelings of isolation associated with bipolar
  • Mindfulness and meditation to help balance the nervous system and give young people tools for โ€œriding the waveโ€ of emotions during bipolar episodes
  • Creative art therapies, including music therapy and art therapy, to enhance self-expression and process trauma related to or underlying bipolar disorder
  • Adventure therapy to empower young people to handle challenges and master new skills
  • Community service, as doing good for others is proven to increase life satisfaction and well-being
  • Accredited academic component for teens, and assistance with college applications and admissionโ€ฏ
  • Support with career planning, resume building, and planning next steps
  • Life skills training, including daily skills for independent living โ€ฏ
  • Executive functioning support, to enhance emotional regulation, organization skills, and self-awarenessโ€ฏ

Our treatment centers are located across the United States. We treat ages 7โ€“11, 12โ€“18, and 18โ€“35 (depending on location) from all 50 states and abroad, providing a full continuum of care.

Newport’s residential treatment centers offer serene environments, within beautiful natural settings, where young people can find long-term healing from bipolar disorder and co-occurring issues. Our outpatient programs are located in major metropolitan areas, with easy access for young people and families.

Our programs are located in Northern and Southern California, Connecticut, Maryland, Minnesota, Pennsylvania, Utah, Virginia, Washington State, Utah, and Wisconsin. More programs are in development in areas where youth and young adult mental health and substance use treatment are most needed.