The number of children and youth labeled as bipolar increased 40 times from 1994 to 2003. The frequency of the diagnosis has increased even further since then.

The numbers come from a study just published in the Archives of General Psychiatry. Many believe the jump comes from more aggressive diagnosis. Because of the size of the increase, some question the validity of the diagnosis.

Bipolar teens and children experience massive mood swings. During their manic stages, they may feel surges of energy and confidence. They might make grandiose plans that never come to fruition. They might also make impulsive decisions that violate the law.

These manic stages are soon followed by debilitating depression. They fail school. They might self medicate using alcohol and illegal drugs. As in their manic stages, they may make poor choices which lead to trouble with the law.

Families with bipolar children often retain my firm for representation in juvenile justice proceedings and special education. These families often find that the juvenile justice system offers little help. In many cases, inappropriate responses from juvenile justice might actually obstruct the family's efforts.

Punishing teens for bipolar behavior won't cure their disorder. Fortunately, a combination of medical intervention with mental health therapy can help these children become productive.

However, the pace of the medical and legal interventions might contradict each other. The juvenile court demands immediate compliance with its orders and conditions of probation. Meanwhile, the psychiatrist might need time to experiment with different combinations of drugs. Some of the medicines might need several weeks to take effect. Concurrently, your family needs training and community resources. Your child may require talk therapy over several months.

At the same time, the school system should evaluate your child for eligibility for special education and related services. If the bipolar mood disorder interferes with school, your child might need an Individualized Education Plan (IEP) to receive a free, appropriate public education.

Our firm helps families with bipolar children in all these systems. We ensure that the juvenile justice system coordinates with the mental health system to keep your child safe and compliant. We advocate for the school to provide an appropriate education so your child can succeed and stay out of trouble. We refer your family to public and private resources to learn how to manage your child's behavior while interacting with larger social systems.

You can get more done for less effort by acting before disaster strikes. If your child may be experiencing symptoms of bipolar mood disorder, seek early professional help.