Nearly 3% of teens are affected by bipolar disorder, which can be challenging for parents as well due to symptoms like intense mood fluctuations. Parents often have many questions about how to best help their children. So, this guide answers the most common questions we hear from parents trying to understand and support their teens with bipolar disorder.
At Nexus Teen Academy, we focus on treating mental health issues in teenagers, including bipolar disorder. In this guide, we’ll cover important topics like medication choices, therapy options, ways to manage daily life, and how to help your teen at school.
If you need more personal help, our team is ready to talk about how our teen mental health treatment program can help your teen with bipolar disorder. Together, we can help your teen find hope and strength.
Addressing Parents' Top 56 Questions on Bipolar Treatment Options
Here are some of the most common questions parents with bipolar teens ask our mental health experts.
A. General Questions about Medication
1. What medications are typically prescribed for teens with bipolar disorder?
Common medications prescribed for teen bipolar disorder include lithium, anticonvulsants, atypical antipsychotics, antidepressants, and mood stabilizers. The specific medication or combination of medications will depend on your teen’s individual symptoms, medical history, and response to treatment.
2. Are there different medications recommended for boys versus girls due to hormonal differences?
Bipolar medications are not solely prescribed based on gender. However, treatment professionals carefully consider each teenager’s unique physiology, including hormonal fluctuations, weight, metabolism, and potential side effects when selecting medicines. For example, certain medications may affect menstrual cycles in girls or sexual development in both genders, which your doctor will take into account.
3. How do we monitor the effectiveness of bipolar medication for your teen?
Here are a few ways treatment professionals monitor the effectiveness of bipolar medications:
Conduct regular assessments to track changes in symptom severity and overall functioning. They may use standardized rating scales, such as the Young Mania Rating Scale (YMRS), to quantify bipolar mood episodes.
Get feedback from the teenager and family members about mood, behavior, and any concerns.
Assess the teenager’s medication adherence and address any challenges in taking medications as prescribed.
Monitor the teenager’s blood medication levels to ensure they are within the required range. Adjustments are usually made as needed.
Monitor the teen’s physical health. Periodic blood tests can be done to assess liver and kidney functions and monitor for side effects.
Observe changes in behavior and symptoms, including sleep patterns, energy levels, and social interactions.
4. What are the possible side effects of these medications on bipolar teens?
Possible side effects of bipolar medications include:
Weight gain or changes in appetite
Metabolic changes, such as elevated cholesterol levels or blood sugar fluctuations.
Sedation: This may lead to difficulties concentrating or staying alert, especially during school hours.
Shaky movements or tremors, which might affect handwriting or sports performance.
Gastrointestinal issues: These include diarrhea, vomiting, and nausea.
It’s important to remember that not all teens experience these side effects, and many can be managed effectively. You should promptly communicate with your teen’s healthcare provider if you notice any bipolar medication side effects. Treatment professionals will evaluate the severity of the side effects, assess how they impact your teen’s overall functioning and well-being, and determine necessary adjustments. Although some side effects may resolve on their own as your teenager’s body adjusts to the medications, it’s still important to consult with your teen’s treatment provider.
5. What are the long-term implications of taking mood stabilizers or antipsychotics during teenage years?
Although mood stabilizers or antipsychotics often improve a teenager’s mental health, they may lead to the following long-term implications:
Cognitive side effects such as memory issues and mild impairments in executive functioning.
Long-term health risks, such as cardiovascular diseases and diabetes. These may occur due to increased weight gain, cholesterol levels, or insulin resistance.
Certain second-generation antipsychotics may affect bone metabolism. This may lead to osteoporosis and bone fracture.
Additionally, long-term use of mood stabilizers and antipsychotics means constant monitoring. You must contact healthcare providers for side effect monitoring and treatment adjustment.
6. How do medication needs change as teens grow?
Teen bipolar medications should mirror their ongoing brain development, evolving symptoms, and hormonal fluctuations. During early teenage years, medications are mostly administered to stabilize mood swings, manage acute symptoms, and enhance psychosocial functioning.
However, as teenagers reach adulthood, treatment professionals administer medications to help them maintain long-term stability and address co-occurring issues.
As a parent, you play a crucial role in this transition by:
Encouraging open communication about how your teen feels as they grow.
Helping your teen understand the importance of medication consistency.
Working with healthcare providers to adjust treatment plans as needed.
7. How long should I expect to see improvements in my teen's bipolar symptoms after medication?
The duration it takes for bipolar medications to start working often differs from one type of medication to another. Mood stabilizers may take a few days to a week, while anticonvulsants and antipsychotics may need a few weeks to reach their full potential.
However, witnessing full stabilization or significant improvement may take several weeks to a few months. Note that the teenager’s individual treatment response and bipolar disorder phase may also influence this duration.
8. How do we know if my teen's bipolar medication needs adjustment?
Bipolar medications are commonly adjusted due to severe side effects or lack of progress. To know whether your teen’s medications should be adjusted, professional treatment programs will monitor mood swings, assess behavioral changes, track sleeping patterns, and consistently but gently inquire how they are doing.
As a parent, you can help by:
Observing and documenting any changes in your teen’s behavior, mood, or physical health.
Encouraging your teen to be honest about how they’re feeling and any side effects they’re experiencing.
Maintaining open communication with your teen’s healthcare provider and sharing your observations.
Being alert to any sudden changes in mood or behavior that might indicate a need for immediate medication adjustment.
B. General Questions Related to Therapy and Counseling
1. What types of psychotherapy are most effective for treating teens with bipolar disorder?
Bipolar disorder is commonly treated using evidence-based and behavioral therapies. These include:
Cognitive-behavioral therapy (CBT): Helps teens identify and change negative thought patterns and behaviors.
Family-focused therapy: Involves the whole family in treatment, improving communication and support.
Dialectical-behavior therapy (DBT): Teaches skills for managing emotions and improving relationships.
Treatment centers may also administer alternative therapies such as yoga and meditation to provide a comprehensive approach to treatment.
2. Are there gender-specific therapy approaches for boys and girls?
Treatment professionals often use the same therapeutic techniques when addressing bipolar disorder in both boys and girls. However, when dealing with boys, they may focus more on helping them build emotional expression skills and challenging traditional stereotypes that discourage help-seeking. For girls, they may address gender-specific issues that worsen bipolar symptoms, such as societal pressure and self-esteem issues.
3. Can you combine cognitive-behavioral therapy (CBT) with other types of therapy?
Yes. Cognitive behavioral therapy for teens can be combined with other therapy techniques when treating bipolar disorder. This integrated approach might include:
CBT + Family-focused therapy: Helps improve family dynamics while teaching coping skills.
CBT + Interpersonal and social rhythm therapy: Addresses both thought patterns and daily routines.
4. How does family therapy contribute to my teen's bipolar disorder treatment plan?
Family therapy offers a platform for teenagers struggling with bipolar disorder and their family members to learn more about the condition and improve their communication, conflict resolution, and relationships. It ultimately promotes long-term stability and recovery for teenagers with bipolar disorder.
At Nexus Teen Academy, we understand how important the family aspect is for mental health treatment. To help with this, our teen residential treatment center in Arizona offers family therapy options and dedicated family time each week to ensure clients still get the familial support they need while in treatment.
5. Can family therapy be beneficial?
Yes. Family therapy allows family members of teens with bipolar disorder to participate in treatment. It also improves family communication and enhances support for bipolar teenagers.
6. How do we choose the right bipolar therapist for our teen?
Here are a few things parents should focus on when looking for a bipolar therapist for their teen:
Settle on one with specialized training and experience in treating teen bipolar disorder.
Ensure the therapist has relevant credentials and licenses.
Choose a therapist with extensive experience working with teens with bipolar disorder.
Settle on a therapist with extensive experience administering evidence-based therapies.
To ensure the best fit, parents can:
Schedule an initial interview with potential therapists
Involve your teen in the selection process
Ask about their approach to treatment and experience with bipolar disorder
Discuss their availability and communication style
If you are looking for a treatment program today, our team at Nexus Teen Academy in Arizona can help. Contact us now to learn more about our treatment options.
7. What qualifications or experiences should a therapist have for treating bipolar teens?
Consider the following when choosing a bipolar disorder therapist for your teen:
Specialized training in adolescent mental health and bipolar disorder.
In-depth understanding of bipolar disorder, including the symptoms, treatment options, and diagnostic criteria.
Extensive clinical experience working with teens.
Extensive experience with evidence-based approaches for bipolar disorder. These include cognitive-behavioral therapy (CBT) and dialectical-behavior therapy (DBT).
Cultural competence
Excellent communication and collaboration skills.
8. How often should my teen attend therapy sessions?
The frequency of therapy sessions for your teenager with bipolar disorder will depend on the severity of their symptoms, individual needs, and the treatment plan. However, they may be required to participate in weekly or bi-weekly sessions at the beginning to stabilize their symptoms. If your child attends our teen residential treatment program in Arizona, we will develop a custom treatment plan according to your son or daughter’s needs. Sessions gradually decrease in frequency as time goes by.
9. What should we expect from cognitive behavioral therapy?
Here are a few things to expect during your teen’s cognitive behavioral therapy:
Identification of negative thought patterns that may trigger their mood swings.
Education on how to recognize early signs of mood shifts.
The development of healthy and effective coping skills.
Education on effective problem-solving strategies.
Practicing relaxation techniques for enhanced emotional regulation.
Teens also engage in journaling and guided discovery during CBT sessions.
10. What is the role of behavioral therapy in managing bipolar disorder?
Behavioral therapy plays a crucial role in managing bipolar disorder in teens by:
Helping them recognize and challenge maladaptive behaviors that may trigger mood episodes
Teaching strategies to manage symptoms and improve daily functioning
Developing routine and structure to stabilize mood
Improving social skills and relationships
Enhancing stress management techniques
Techniques such as cognitive-behavioral therapy and dialectical behavior therapy are applied during treatment to help teens gain greater control over their symptoms and improve functioning.
C. Common Questions Parents Ask About Lifestyle and Holistic Approaches for Teen Bipolar Disorder
1. How does diet impact bipolar disorder in teens?
A teenager’s diet may improve or worsen their bipolar disorder symptoms.
Caffeine, processed foods, and sugary snacks may cause mood swings, cognitive impairments, and energy fluctuations, worsening bipolar disorder symptoms. Irregular eating patterns can disrupt sleep and mood stability.
On the other hand, certain nutrients, such as Omega-3 fatty acids (found in fish, flaxseeds, and walnuts), can improve brain health, stabilize moods, and enhance overall well-being.
2. What type of exercise regimen is recommended for teens with bipolar disorder?
Here is an exercise regimen that can benefit teens manage bipolar disorder symptoms:
30-60 minutes of moderate-intensity aerobic exercises on most days. These include cycling, swimming, and brisk walking.
Strength training exercises 2-3 times a week. They can use their body weight, resistance bands, or weights.
Flexibility exercises, such as yoga and stretches. These reduce muscle tension and improve flexibility.
It’s advisable to start slowly and gradually increase the duration and intensity of exercise. Choose activities your teen enjoys to increase adherence and encourage consistency.
3. Why is a daily routine important for teens with bipolar?
A consistent daily routine is vital for teens with bipolar disorder because it:
Provides structure and stability, reducing stress and anxiety
Helps regulate sleep-wake cycles, which is crucial for mood stability
Improves medication adherence
Enhances overall functioning and quality of life
Helps in the early detection of mood changes
4. What strategies can help my bipolar teen maintain a stable routine?
Teens with bipolar disorder can maintain a stable routine using the following strategies:
Set daily achievable goals.
Use visual aids such as planners to organize tasks, activities, and appointments.
Allocate time for activities that promote mental well-being. These include hobbies, exercise, and relaxation techniques.
Stick to a daily schedule.
Break tasks into smaller, manageable steps.
Use alarms and timers to stay on track with tasks and transitions.
As a parent, you can support routine maintenance by:
Helping your teen create a structured yet flexible schedule
Modeling consistent routines yourself
Praising efforts to stick to the routine
5. What lifestyle changes can help manage bipolar disorder in teenagers?
Some lifestyle changes you can make to help manage your teen’s bipolar disorder include:
Maintaining a consistent daily schedule, including regular sleep and meal times.
Eating healthy, balanced diets rich in fruits, lean proteins, vegetables, and whole grains.
Engaging in regular physical activity or exercise.
Getting adequate and quality sleep.
Engaging in stress-reduction activities and exercises. These include deep breathing, mindfulness, and relaxation exercises.
Cultivating supportive relationships with friends, family, and peers.
Limiting screen time, especially before bedtime
Avoiding alcohol and drugs
6. How important is diet in managing bipolar disorder?
Diet impacts a teenager’s energy levels, mood regulation, and overall well-being, which are crucial in bipolar disorder management. Further, it also improves energy levels and enhances the effectiveness of medications. Teenagers with bipolar disorder should, therefore, eat balanced diets rich in vegetables, whole grains, healthy fats, and lean proteins.
While diet alone cannot treat bipolar disorder, it is a vital component of a comprehensive management plan that includes medication, therapy, and lifestyle modifications.
7. How does exercise help control my teen's bipolar mood swings?
Yes, exercise can be a powerful tool in managing bipolar disorder symptoms:
Releases endorphins, which can improve mood and reduce stress
Helps regulate sleep patterns, crucial for mood stability
Improves overall physical health, which can positively impact mental health
Provides a healthy outlet for excess energy during manic phases
Can help alleviate symptoms of depression
8. What sleep habits should we enforce?
Here are a few healthy sleep habits that can benefit teens with bipolar disorder:
A regular sleep schedule. Encourage your teen to go to bed and wake up at the same time every day.
Adequate sleep. Help your teenager get 8-10 hours of sleep per night.
Limiting stimulants or electronic devices before bed.
Engaging in relaxation activities a few minutes before bed. These include listening to relaxing music, reading, and engaging in mindful practices.
Creating a comfortable sleeping environment. Prioritize a cool, dark, and quiet space.
D. Common Questions Parents Ask About School Support for Bipolar Disorder
1. How can we work with our teen's school to support their treatment?
Here are some tips for increasing your teen’s support system in school:
Inform relevant school officials, including counselors, teachers, and administrators, about your teenager’s diagnosis and treatment plan. You can also offer them more insight into your teen’s condition by providing educational materials and resources.
Collaborate with the school staff to develop a 504 or individualized education plan (IEP).
Inform the school of pertinent information about your teenager’s condition that may influence their academic functioning or school-related behaviors. This includes medication changes, side effects, and mood fluctuations.
Regularly monitor your teenager’s academic progress and school-related well-being.
Maintain regular open communication with school staff to address any concerns or challenges.
Consider scheduling regular check-ins with teachers and counselors to discuss your teen’s progress and any necessary adjustments to their support plan.
2. How important is social support for teens with bipolar disorder?
Social support is crucial for teens with bipolar disorder. It can provide a sense of belonging, help maintain stability, and offer opportunities for positive social interactions.
A few benefits teens with bipolar disorder enjoy from strong supportive networks include:
Emotional validation
Practical assistance
Encouragement during challenging times
Reduced feelings of stigma and isolation
Improved treatment adherence and engagement.
Improved ability to cope with stressors
Encourage your teen to build and maintain healthy friendships, and consider support groups specifically for teens with bipolar disorder.
3. How can we help our teens manage friendships and social interactions?
Bipolar teens need supportive friends and social interactions. Here is how parents can help them achieve and manage both:
Encourage them to express their needs and boundaries in social settings and situations.
Encourage them to develop new, healthy relationships through shared hobbies and interests, maybe by joining a school club or after-school program.
Help them develop effective coping skills for managing social stressors.
Help them acquire necessary social and communication skills, such as assertiveness.
Create social opportunities that align with their interests and comfort levels.
Additionally, teach them to recognize early signs of mood changes that might affect social interactions, and help them develop strategies to maintain friendships during different phases of their bipolar disorder.
4. What educational accommodations are available for teens with bipolar disorder?
Educational accommodations support students with disabilities and mental health disorders in their academic pursuits. They allow them to pursue a regular course of study. The most common educational accommodations for teens with bipolar disorder include 504 plans and Individualized Education Programs (IEPs).
Here are some accommodations you can request on behalf of your teen:
Extended time for tests and assignments
Flexible school or class attendance policies
Request a reduced workload
Access to a supportive and quiet environment
Use of technological aids, such as graphic organizers
Social-emotional learning programs
Individualized instruction or tutoring sessions
5. What should parents look for in a support group?
Bipolar teens enjoy support, validation, and shared experiences from support groups. The same also applies to parents. Here are a few things to look for in a support group:
Qualified facilitators. These can be trained professionals or individuals with extensive experience in mental health and peer support.
A structured format.
A safe space where teens can share their experiences without fear of judgment.
A welcoming and inclusive environment.
Accessibility in terms of location, meeting times, and participation modes.
A positive, empathetic, and respectful atmosphere.
Availability of strong feedback mechanisms.
Encourage family participation, as this can enhance your understanding and ability to support your teen.
Offer educational components about bipolar disorder, coping strategies, and recent research
6. How can peers be educated to support a teen with bipolar disorder?
The following strategies can help educate peers to support a teen with mental health disorders:
Providing them with information regarding bipolar disorder for increased understanding and reduced stigma.
Helping them recognize the difficulties teens with bipolar disorder face and the benefits of supporting them.
Informing them of the importance of respecting boundaries and confidentiality when interacting with teens with bipolar disorder.
Educating them about effective coping strategies for supporting teens during mood episodes.
Addressing myths or misconceptions surrounding teen bipolar disorder.
E. Questions Related to Alternative and Emerging Treatments for Teen Bipolar
1. What new treatments have been developed in the last few years for bipolar treatment?
A few recently developed treatments that can be used to treat bipolar symptoms and manage episodes include light therapy and transcranial magnetic stimulation (TMS). Newer psychotherapeutic approaches, such as mindfulness-based cognitive therapy (MBCT) and interpersonal and social rhythm therapy (IPSRT), have also shown promise in managing bipolar disorder in teens. There are also smartphone applications and online platforms that offer bipolar psychoeducation and help affected teens track their moods.
2. Are there experimental or less common treatments that might be appropriate?
Common examples of experimental and less common bipolar disorder treatments include deep brain stimulation (DBS), ketamine infusion therapy, and dietary supplements such as lithium orotate. These treatments require careful and in-depth evaluation as they usually lack enough evidence to back their safety or efficacy. While some may be helpful, relying on evidence-based treatment options is recommended for the bulk of the recovery process.
3. Are there natural supplements or alternative treatments that can help?
Teens with bipolar disorder can benefit from natural supplements such as Omega-3 fatty acids and saffron owing to their mood-enhancing properties. Mind-body practices such as regular exercise, mindfulness meditation, and yoga are also recommended.
However, it’s important to note that while these supplements and practices may offer some benefits, they should not replace prescribed medications or therapies. Always consult with your teen’s healthcare provider before introducing any new supplements, as they may interact with existing medications.
4. How do we evaluate the safety and effectiveness of alternative treatments?
When evaluating alternative treatments, consider the following:
Look for peer-reviewed scientific studies on the treatment’s effectiveness for bipolar disorder specifically in teens.
Check for potential side effects or interactions with your teen’s current medications.
Be wary of treatments that promise “quick fixes” or seem too good to be true.
Consider the credentials and experience of those promoting the alternative treatment.
Discuss any alternative treatments you’re considering with your teen’s entire treatment team, including their therapist and psychiatrist.
F. Questions Related To Gender-Specific Considerations
1. Are there specific challenges in treating bipolar disorder in boys?
Some of the common challenges boys with bipolar disorder face include:
Boys may refrain from seeking help, expressing their emotions, or engaging in treatment due to societal expectations and traditional masculine norms.
Teen bipolar disorder may manifest as externalizing behaviors such as aggression and impulsivity. Unfortunately, such signs may be misinterpreted or overlooked as typical adolescent behavior.
Boys might struggle with peer relationships or academic performance due to their symptoms, which can further impact their self-esteem and willingness to engage in treatment.
It’s important for parents and healthcare providers to create a supportive environment that encourages open communication and emotional expression.
2. What unique aspects of bipolar disorder are seen more commonly in girls?
Teenage girls with bipolar disorder may experience:
Slightly elevated depressive symptoms and interpersonal challenges,
Rapid cycling between mood episodes,
Increased sensitivity to hormonal changes, and
Co-occurring disorders, such as eating and anxiety disorders
Additionally, the onset of menstruation can impact mood stability and may require specific considerations in treatment planning.
3. How can treatment be adapted to better address these gender-specific challenges?
Teen bipolar treatment can be tailored to address the above challenges by integrating gender-specific considerations into therapy. For example, therapists should employ strategies that encourage openly communicating emotions and talking about stressors. It’s also important to include activities that resonate with teenage boys. For girls, treatment might focus more on addressing interpersonal relationships and developing coping strategies for hormonal fluctuations.
4. How do hormonal changes affect bipolar treatment strategies?
Teen hormonal changes usually affect treatment strategies by influencing the effectiveness of medications, mood stability, and the timing and intensity of mood episodes. Hormonal fluctuations, particularly in girls, may require more frequent medication adjustments or additional supportive therapies during certain times of the month. Therefore, teens deserve personalized treatment planning and adjustments.
G. Questions Related to Residential Treatment Centers
1. What specific therapeutic programs does the residential treatment center offer for teens with bipolar disorder?
When considering a residential treatment center, look for the following key programs:
Structured daily routines to promote mood stability
Recreational and expressive therapies (art, music, etc.)
Aftercare planning and transition support
At Nexus Teen Academy, we offer all these programs, tailored to each teen’s specific needs. We also provide advanced family therapy options as well as dedicated family time for teens in our care.
2. How does the center handle medication management, and are psychiatric professionals always on-site?
Residential treatment centers typically handle medication management through a structured system overseen by on-site psychiatric professionals. This usually involves daily medication administration by trained staff, regular medication reviews, and adjustments as needed. Many centers have psychiatrists available 24/7, either on-site or on-call, to address any urgent medication-related issues or emergencies.
At Nexus Teen Academy, we only use medication when deemed necessary and offer strict medication management and administration. We also offer 24/7 support for all our patients, with staff present and available at all times.
3. What qualifications and experiences do the staff members have in dealing with teenagers with severe mood disorders?
The staff at residential treatment centers for teens with bipolar disorder typically includes a multidisciplinary team of professionals. This team often consists of:
Psychiatrists specializing in adolescent mental health
Licensed clinical psychologists
Therapists with experience in mood disorders
Nurses trained in psychiatric care
Behavioral health technicians
Social workers or case managers
These professionals usually have advanced degrees in their respective fields and specific training in treating adolescent bipolar disorder and other severe mood disorders.
At Nexus, our staff has decades of combined experience helping teens and adults with mood disorders, substance abuse, and various other mental health disorders and symptoms.
4. Can we contact other families who have used the facility to get their perspective?
Many reputable residential treatment centers provide opportunities for prospective families to connect with those who have previously used their services. This offers insight into the real experiences and effectiveness of the center’s treatment programs.
At Nexus, you can check out the reviews and testimonials of past clients and families from our program.
5. What is the average length of stay for teens at the center, and what factors could influence this duration?
The average length of stay for teens in residential treatment centers typically ranges from 30 to 90 days. However, this duration can vary significantly based on several factors, including:
The severity of the teen’s bipolar disorder
The presence of co-occurring disorders
The teen’s response to treatment
Family involvement and support
Insurance coverage and financial considerations
Generally, teens stay at our facility for at least 30 days, but as mentioned previously, this is subject to change depending on your child’s needs.
6. How does the center incorporate family involvement into the treatment program?
Residential treatment centers typically incorporate family involvement through regular family therapy sessions, family education workshops about bipolar disorder, scheduled visits, and family weekends or retreats. They often include family members in treatment planning and goal setting, provide updates on the teen’s progress, and offer training for families on how to support their teen post-treatment.
At Nexus Teen Academy, we understand the importance of family involvement. We offer family therapy and dedicated family time to help ensure you stay a part of the healing process.
7. What types of aftercare support and resources does the center provide to help teens transition back into everyday life?
Aftercare support and resources offered by residential treatment centers include:
Outpatient therapy referrals
Continued medication management
Support groups for teens and families
Educational liaison services to assist with school reintegration
Crisis hotline access
Periodic check-ins with treatment team members
Relapse prevention planning
Connection to community resources
Our residential center at Nexus Teen Academy offers continued access to therapy, medication management, and support groups after teen bipolar treatment.
8. What are the facility's accreditation and compliance with state or national standards?
Residential treatment centers should be accredited by recognized organizations and comply with state and national standards. Look for accreditations such as:
The Joint Commission
Commission on Accreditation of Rehabilitation Facilities (CARF)
State Department of Health Services licensure
Compliance with HIPAA regulations
Memberships in professional organizations like the National Association of Therapeutic Schools and Programs (NATSAP)
Nexus is a Care Solace-verified partner. Our staff are also experts in teen mental health and substance abuse treatment with decades of experience in the field. Our clinical director, Hannah Carr, is a Licensed Professional Counselor and Board-Certified TeleMental Health Provider.
9. How does the center ensure the safety and security of its residents?
Residential treatment centers typically ensure safety and security through 24/7 staff monitoring, secure entry and exit points, and surveillance systems. They should have established protocols for handling emergencies, including medical crises and potential safety threats. Many centers also implement strict visitor policies and conduct regular safety drills.
At Nexus, we have emergency evacuation plans and security protocols in place. Staff monitor clients 24/7 to ensure proper care.
10. What are the policies regarding visitation and communication between parents and their children during the treatment?
Policies on visitation and communication vary between centers but generally include scheduled visitation hours, phone call times, and family therapy sessions. Some centers may have initial restrictions on contact during the early stages of treatment. As treatment progresses, communication opportunities often increase. Most centers aim to balance maintaining family connections with the need for focused therapeutic work.
Treatment facilities such as Nexus Teen Academy offer regular family therapy and family meeting sessions, allowing you to engage with your teenager.
11. How does the treatment center handle emergencies, both medical and psychiatric?
Residential treatment centers should have comprehensive emergency response plans for both medical and psychiatric crises. This typically includes on-site medical staff, established relationships with local hospitals, and protocols for rapid response to psychiatric emergencies. Staff should be trained in first aid, CPR, and crisis intervention. Centers should also have clear procedures for contacting parents or guardians in emergencies.
At Nexus, we contact emergency services when needed and have security and safety protocols to ensure your child’s safety while staying with us.
12. What is the cost of treatment, and what are the payment options? Does the center accept insurance, and if so, which providers?
The cost of residential treatment can vary widely depending on the length of stay, level of care, and specific treatment provided. Many centers offer different payment options, including private pay, financing plans, and sliding scale fees based on income. Insurance coverage for residential treatment varies by provider and plan. It’s important to check coverage details with the treatment center and your insurance company.
We encourage you to work with facilities that support insurance payments, such as Nexus Teen Academy. You can verify your insurance with us here.
13. How does the center measure and evaluate the progress of bipolar teens?
Residential treatment centers typically measure and evaluate the progress of bipolar teen residents through a combination of methods. These may include:
Regular psychological assessments,
Behavioral observations,
Feedback from therapy sessions, and
Input from the treatment team.
Many centers use standardized rating scales to track symptom severity and functional improvements. Progress is often reviewed in team meetings, with treatment plans adjusted based on these evaluations.
At Nexus, we constantly monitor the progress of our clients and adjust treatment programming as needed.
14. What kind of educational services does the center provide? How will my teen keep up with school?
Residential treatment centers often provide educational services to ensure teens don’t fall behind academically. This can range from on-site accredited schools to coordinated efforts with the teen’s home school. Some centers offer individualized tutoring, online learning options, or assistance with coursework from the teen’s regular school. The goal is to balance treatment needs with academic progress.
At Nexus, we can help work with academic programs to help your teens continue their education while in our care.
15. What kinds of recreational activities or therapeutic extracurriculars does the center offer?
Recreational activities and therapeutic extracurriculars enhance your teenager’s experience. They can also promote their social and emotional well-being. Recreational activities offered at Nexus Teen Academy include:
Expressive therapies, such as art and music.
Outdoor activities, such as hiking and adventure therapy.
Mindfulness practices, such as meditation and yoga.
Structured recreational activities, such as team-building exercises and sports.
Get Help for Teen Bipolar Disorder at Nexus Teen Academy
Congratulations on the effort you have been putting into supporting your teenager. We know it isn’t easy. We hope these FAQs have addressed your most pressing questions about medication, therapy, lifestyle management, and educational support for your teen.
At Nexus Teen Academy, we are committed to making a difference in the lives of teens and families dealing with mental health issues. Remember, you’re not alone in this journey. Our team of experienced professionals is ready to provide the specialized care your teen needs. Whether you’re seeking residential treatment or outpatient services, or simply need guidance, we’re here to help.
Feel free to contact us if you have any more questions regarding teen bipolar disorder or need personalized treatment and support for your teenager.
Common FAQs From Arizona Parents of Bipolar Teens
Published On May 9, 2024
Table of Contents
Nearly 3% of teens are affected by bipolar disorder, which can be challenging for parents as well due to symptoms like intense mood fluctuations. Parents often have many questions about how to best help their children. So, this guide answers the most common questions we hear from parents trying to understand and support their teens with bipolar disorder.
At Nexus Teen Academy, we focus on treating mental health issues in teenagers, including bipolar disorder. In this guide, we’ll cover important topics like medication choices, therapy options, ways to manage daily life, and how to help your teen at school.
If you need more personal help, our team is ready to talk about how our teen mental health treatment program can help your teen with bipolar disorder. Together, we can help your teen find hope and strength.
Addressing Parents' Top 56 Questions on Bipolar Treatment Options
Here are some of the most common questions parents with bipolar teens ask our mental health experts.
A. General Questions about Medication
1. What medications are typically prescribed for teens with bipolar disorder?
Common medications prescribed for teen bipolar disorder include lithium, anticonvulsants, atypical antipsychotics, antidepressants, and mood stabilizers. The specific medication or combination of medications will depend on your teen’s individual symptoms, medical history, and response to treatment.
2. Are there different medications recommended for boys versus girls due to hormonal differences?
Bipolar medications are not solely prescribed based on gender. However, treatment professionals carefully consider each teenager’s unique physiology, including hormonal fluctuations, weight, metabolism, and potential side effects when selecting medicines. For example, certain medications may affect menstrual cycles in girls or sexual development in both genders, which your doctor will take into account.
3. How do we monitor the effectiveness of bipolar medication for your teen?
Here are a few ways treatment professionals monitor the effectiveness of bipolar medications:
4. What are the possible side effects of these medications on bipolar teens?
Possible side effects of bipolar medications include:
It’s important to remember that not all teens experience these side effects, and many can be managed effectively. You should promptly communicate with your teen’s healthcare provider if you notice any bipolar medication side effects. Treatment professionals will evaluate the severity of the side effects, assess how they impact your teen’s overall functioning and well-being, and determine necessary adjustments. Although some side effects may resolve on their own as your teenager’s body adjusts to the medications, it’s still important to consult with your teen’s treatment provider.
5. What are the long-term implications of taking mood stabilizers or antipsychotics during teenage years?
Although mood stabilizers or antipsychotics often improve a teenager’s mental health, they may lead to the following long-term implications:
Additionally, long-term use of mood stabilizers and antipsychotics means constant monitoring. You must contact healthcare providers for side effect monitoring and treatment adjustment.
6. How do medication needs change as teens grow?
Teen bipolar medications should mirror their ongoing brain development, evolving symptoms, and hormonal fluctuations. During early teenage years, medications are mostly administered to stabilize mood swings, manage acute symptoms, and enhance psychosocial functioning.
However, as teenagers reach adulthood, treatment professionals administer medications to help them maintain long-term stability and address co-occurring issues.
As a parent, you play a crucial role in this transition by:
7. How long should I expect to see improvements in my teen's bipolar symptoms after medication?
The duration it takes for bipolar medications to start working often differs from one type of medication to another. Mood stabilizers may take a few days to a week, while anticonvulsants and antipsychotics may need a few weeks to reach their full potential.
However, witnessing full stabilization or significant improvement may take several weeks to a few months. Note that the teenager’s individual treatment response and bipolar disorder phase may also influence this duration.
8. How do we know if my teen's bipolar medication needs adjustment?
Bipolar medications are commonly adjusted due to severe side effects or lack of progress. To know whether your teen’s medications should be adjusted, professional treatment programs will monitor mood swings, assess behavioral changes, track sleeping patterns, and consistently but gently inquire how they are doing.
As a parent, you can help by:
B. General Questions Related to Therapy and Counseling
1. What types of psychotherapy are most effective for treating teens with bipolar disorder?
Bipolar disorder is commonly treated using evidence-based and behavioral therapies. These include:
Treatment centers may also administer alternative therapies such as yoga and meditation to provide a comprehensive approach to treatment.
2. Are there gender-specific therapy approaches for boys and girls?
Treatment professionals often use the same therapeutic techniques when addressing bipolar disorder in both boys and girls. However, when dealing with boys, they may focus more on helping them build emotional expression skills and challenging traditional stereotypes that discourage help-seeking. For girls, they may address gender-specific issues that worsen bipolar symptoms, such as societal pressure and self-esteem issues.
3. Can you combine cognitive-behavioral therapy (CBT) with other types of therapy?
Yes. Cognitive behavioral therapy for teens can be combined with other therapy techniques when treating bipolar disorder. This integrated approach might include:
4. How does family therapy contribute to my teen's bipolar disorder treatment plan?
Family therapy offers a platform for teenagers struggling with bipolar disorder and their family members to learn more about the condition and improve their communication, conflict resolution, and relationships. It ultimately promotes long-term stability and recovery for teenagers with bipolar disorder.
At Nexus Teen Academy, we understand how important the family aspect is for mental health treatment. To help with this, our teen residential treatment center in Arizona offers family therapy options and dedicated family time each week to ensure clients still get the familial support they need while in treatment.
5. Can family therapy be beneficial?
Yes. Family therapy allows family members of teens with bipolar disorder to participate in treatment. It also improves family communication and enhances support for bipolar teenagers.
6. How do we choose the right bipolar therapist for our teen?
Here are a few things parents should focus on when looking for a bipolar therapist for their teen:
To ensure the best fit, parents can:
If you are looking for a treatment program today, our team at Nexus Teen Academy in Arizona can help. Contact us now to learn more about our treatment options.
7. What qualifications or experiences should a therapist have for treating bipolar teens?
Consider the following when choosing a bipolar disorder therapist for your teen:
8. How often should my teen attend therapy sessions?
The frequency of therapy sessions for your teenager with bipolar disorder will depend on the severity of their symptoms, individual needs, and the treatment plan. However, they may be required to participate in weekly or bi-weekly sessions at the beginning to stabilize their symptoms. If your child attends our teen residential treatment program in Arizona, we will develop a custom treatment plan according to your son or daughter’s needs. Sessions gradually decrease in frequency as time goes by.
9. What should we expect from cognitive behavioral therapy?
Here are a few things to expect during your teen’s cognitive behavioral therapy:
Teens also engage in journaling and guided discovery during CBT sessions.
10. What is the role of behavioral therapy in managing bipolar disorder?
Behavioral therapy plays a crucial role in managing bipolar disorder in teens by:
Techniques such as cognitive-behavioral therapy and dialectical behavior therapy are applied during treatment to help teens gain greater control over their symptoms and improve functioning.
C. Common Questions Parents Ask About Lifestyle and Holistic Approaches for Teen Bipolar Disorder
1. How does diet impact bipolar disorder in teens?
A teenager’s diet may improve or worsen their bipolar disorder symptoms.
Caffeine, processed foods, and sugary snacks may cause mood swings, cognitive impairments, and energy fluctuations, worsening bipolar disorder symptoms. Irregular eating patterns can disrupt sleep and mood stability.
On the other hand, certain nutrients, such as Omega-3 fatty acids (found in fish, flaxseeds, and walnuts), can improve brain health, stabilize moods, and enhance overall well-being.
2. What type of exercise regimen is recommended for teens with bipolar disorder?
Here is an exercise regimen that can benefit teens manage bipolar disorder symptoms:
It’s advisable to start slowly and gradually increase the duration and intensity of exercise. Choose activities your teen enjoys to increase adherence and encourage consistency.
3. Why is a daily routine important for teens with bipolar?
A consistent daily routine is vital for teens with bipolar disorder because it:
4. What strategies can help my bipolar teen maintain a stable routine?
Teens with bipolar disorder can maintain a stable routine using the following strategies:
As a parent, you can support routine maintenance by:
5. What lifestyle changes can help manage bipolar disorder in teenagers?
Some lifestyle changes you can make to help manage your teen’s bipolar disorder include:
6. How important is diet in managing bipolar disorder?
Diet impacts a teenager’s energy levels, mood regulation, and overall well-being, which are crucial in bipolar disorder management. Further, it also improves energy levels and enhances the effectiveness of medications. Teenagers with bipolar disorder should, therefore, eat balanced diets rich in vegetables, whole grains, healthy fats, and lean proteins.
While diet alone cannot treat bipolar disorder, it is a vital component of a comprehensive management plan that includes medication, therapy, and lifestyle modifications.
7. How does exercise help control my teen's bipolar mood swings?
Yes, exercise can be a powerful tool in managing bipolar disorder symptoms:
8. What sleep habits should we enforce?
Here are a few healthy sleep habits that can benefit teens with bipolar disorder:
D. Common Questions Parents Ask About School Support for Bipolar Disorder
1. How can we work with our teen's school to support their treatment?
Here are some tips for increasing your teen’s support system in school:
2. How important is social support for teens with bipolar disorder?
Social support is crucial for teens with bipolar disorder. It can provide a sense of belonging, help maintain stability, and offer opportunities for positive social interactions.
A few benefits teens with bipolar disorder enjoy from strong supportive networks include:
Encourage your teen to build and maintain healthy friendships, and consider support groups specifically for teens with bipolar disorder.
3. How can we help our teens manage friendships and social interactions?
Bipolar teens need supportive friends and social interactions. Here is how parents can help them achieve and manage both:
Additionally, teach them to recognize early signs of mood changes that might affect social interactions, and help them develop strategies to maintain friendships during different phases of their bipolar disorder.
4. What educational accommodations are available for teens with bipolar disorder?
Educational accommodations support students with disabilities and mental health disorders in their academic pursuits. They allow them to pursue a regular course of study. The most common educational accommodations for teens with bipolar disorder include 504 plans and Individualized Education Programs (IEPs).
Here are some accommodations you can request on behalf of your teen:
5. What should parents look for in a support group?
Bipolar teens enjoy support, validation, and shared experiences from support groups. The same also applies to parents. Here are a few things to look for in a support group:
6. How can peers be educated to support a teen with bipolar disorder?
The following strategies can help educate peers to support a teen with mental health disorders:
E. Questions Related to Alternative and Emerging Treatments for Teen Bipolar
1. What new treatments have been developed in the last few years for bipolar treatment?
A few recently developed treatments that can be used to treat bipolar symptoms and manage episodes include light therapy and transcranial magnetic stimulation (TMS). Newer psychotherapeutic approaches, such as mindfulness-based cognitive therapy (MBCT) and interpersonal and social rhythm therapy (IPSRT), have also shown promise in managing bipolar disorder in teens. There are also smartphone applications and online platforms that offer bipolar psychoeducation and help affected teens track their moods.
2. Are there experimental or less common treatments that might be appropriate?
Common examples of experimental and less common bipolar disorder treatments include deep brain stimulation (DBS), ketamine infusion therapy, and dietary supplements such as lithium orotate. These treatments require careful and in-depth evaluation as they usually lack enough evidence to back their safety or efficacy. While some may be helpful, relying on evidence-based treatment options is recommended for the bulk of the recovery process.
3. Are there natural supplements or alternative treatments that can help?
Teens with bipolar disorder can benefit from natural supplements such as Omega-3 fatty acids and saffron owing to their mood-enhancing properties. Mind-body practices such as regular exercise, mindfulness meditation, and yoga are also recommended.
However, it’s important to note that while these supplements and practices may offer some benefits, they should not replace prescribed medications or therapies. Always consult with your teen’s healthcare provider before introducing any new supplements, as they may interact with existing medications.
4. How do we evaluate the safety and effectiveness of alternative treatments?
When evaluating alternative treatments, consider the following:
F. Questions Related To Gender-Specific Considerations
1. Are there specific challenges in treating bipolar disorder in boys?
Some of the common challenges boys with bipolar disorder face include:
It’s important for parents and healthcare providers to create a supportive environment that encourages open communication and emotional expression.
2. What unique aspects of bipolar disorder are seen more commonly in girls?
Teenage girls with bipolar disorder may experience:
Additionally, the onset of menstruation can impact mood stability and may require specific considerations in treatment planning.
3. How can treatment be adapted to better address these gender-specific challenges?
Teen bipolar treatment can be tailored to address the above challenges by integrating gender-specific considerations into therapy. For example, therapists should employ strategies that encourage openly communicating emotions and talking about stressors. It’s also important to include activities that resonate with teenage boys. For girls, treatment might focus more on addressing interpersonal relationships and developing coping strategies for hormonal fluctuations.
4. How do hormonal changes affect bipolar treatment strategies?
Teen hormonal changes usually affect treatment strategies by influencing the effectiveness of medications, mood stability, and the timing and intensity of mood episodes. Hormonal fluctuations, particularly in girls, may require more frequent medication adjustments or additional supportive therapies during certain times of the month. Therefore, teens deserve personalized treatment planning and adjustments.
G. Questions Related to Residential Treatment Centers
1. What specific therapeutic programs does the residential treatment center offer for teens with bipolar disorder?
When considering a residential treatment center, look for the following key programs:
At Nexus Teen Academy, we offer all these programs, tailored to each teen’s specific needs. We also provide advanced family therapy options as well as dedicated family time for teens in our care.
2. How does the center handle medication management, and are psychiatric professionals always on-site?
Residential treatment centers typically handle medication management through a structured system overseen by on-site psychiatric professionals. This usually involves daily medication administration by trained staff, regular medication reviews, and adjustments as needed. Many centers have psychiatrists available 24/7, either on-site or on-call, to address any urgent medication-related issues or emergencies.
At Nexus Teen Academy, we only use medication when deemed necessary and offer strict medication management and administration. We also offer 24/7 support for all our patients, with staff present and available at all times.
3. What qualifications and experiences do the staff members have in dealing with teenagers with severe mood disorders?
The staff at residential treatment centers for teens with bipolar disorder typically includes a multidisciplinary team of professionals. This team often consists of:
These professionals usually have advanced degrees in their respective fields and specific training in treating adolescent bipolar disorder and other severe mood disorders.
At Nexus, our staff has decades of combined experience helping teens and adults with mood disorders, substance abuse, and various other mental health disorders and symptoms.
4. Can we contact other families who have used the facility to get their perspective?
Many reputable residential treatment centers provide opportunities for prospective families to connect with those who have previously used their services. This offers insight into the real experiences and effectiveness of the center’s treatment programs.
At Nexus, you can check out the reviews and testimonials of past clients and families from our program.
5. What is the average length of stay for teens at the center, and what factors could influence this duration?
The average length of stay for teens in residential treatment centers typically ranges from 30 to 90 days. However, this duration can vary significantly based on several factors, including:
Generally, teens stay at our facility for at least 30 days, but as mentioned previously, this is subject to change depending on your child’s needs.
6. How does the center incorporate family involvement into the treatment program?
Residential treatment centers typically incorporate family involvement through regular family therapy sessions, family education workshops about bipolar disorder, scheduled visits, and family weekends or retreats. They often include family members in treatment planning and goal setting, provide updates on the teen’s progress, and offer training for families on how to support their teen post-treatment.
At Nexus Teen Academy, we understand the importance of family involvement. We offer family therapy and dedicated family time to help ensure you stay a part of the healing process.
7. What types of aftercare support and resources does the center provide to help teens transition back into everyday life?
Aftercare support and resources offered by residential treatment centers include:
Our residential center at Nexus Teen Academy offers continued access to therapy, medication management, and support groups after teen bipolar treatment.
8. What are the facility's accreditation and compliance with state or national standards?
Residential treatment centers should be accredited by recognized organizations and comply with state and national standards. Look for accreditations such as:
Nexus is a Care Solace-verified partner. Our staff are also experts in teen mental health and substance abuse treatment with decades of experience in the field. Our clinical director, Hannah Carr, is a Licensed Professional Counselor and Board-Certified TeleMental Health Provider.
9. How does the center ensure the safety and security of its residents?
Residential treatment centers typically ensure safety and security through 24/7 staff monitoring, secure entry and exit points, and surveillance systems. They should have established protocols for handling emergencies, including medical crises and potential safety threats. Many centers also implement strict visitor policies and conduct regular safety drills.
At Nexus, we have emergency evacuation plans and security protocols in place. Staff monitor clients 24/7 to ensure proper care.
10. What are the policies regarding visitation and communication between parents and their children during the treatment?
Policies on visitation and communication vary between centers but generally include scheduled visitation hours, phone call times, and family therapy sessions. Some centers may have initial restrictions on contact during the early stages of treatment. As treatment progresses, communication opportunities often increase. Most centers aim to balance maintaining family connections with the need for focused therapeutic work.
Treatment facilities such as Nexus Teen Academy offer regular family therapy and family meeting sessions, allowing you to engage with your teenager.
11. How does the treatment center handle emergencies, both medical and psychiatric?
Residential treatment centers should have comprehensive emergency response plans for both medical and psychiatric crises. This typically includes on-site medical staff, established relationships with local hospitals, and protocols for rapid response to psychiatric emergencies. Staff should be trained in first aid, CPR, and crisis intervention. Centers should also have clear procedures for contacting parents or guardians in emergencies.
At Nexus, we contact emergency services when needed and have security and safety protocols to ensure your child’s safety while staying with us.
12. What is the cost of treatment, and what are the payment options? Does the center accept insurance, and if so, which providers?
The cost of residential treatment can vary widely depending on the length of stay, level of care, and specific treatment provided. Many centers offer different payment options, including private pay, financing plans, and sliding scale fees based on income. Insurance coverage for residential treatment varies by provider and plan. It’s important to check coverage details with the treatment center and your insurance company.
We encourage you to work with facilities that support insurance payments, such as Nexus Teen Academy. You can verify your insurance with us here.
13. How does the center measure and evaluate the progress of bipolar teens?
Residential treatment centers typically measure and evaluate the progress of bipolar teen residents through a combination of methods. These may include:
Many centers use standardized rating scales to track symptom severity and functional improvements. Progress is often reviewed in team meetings, with treatment plans adjusted based on these evaluations.
At Nexus, we constantly monitor the progress of our clients and adjust treatment programming as needed.
14. What kind of educational services does the center provide? How will my teen keep up with school?
Residential treatment centers often provide educational services to ensure teens don’t fall behind academically. This can range from on-site accredited schools to coordinated efforts with the teen’s home school. Some centers offer individualized tutoring, online learning options, or assistance with coursework from the teen’s regular school. The goal is to balance treatment needs with academic progress.
At Nexus, we can help work with academic programs to help your teens continue their education while in our care.
15. What kinds of recreational activities or therapeutic extracurriculars does the center offer?
Recreational activities and therapeutic extracurriculars enhance your teenager’s experience. They can also promote their social and emotional well-being. Recreational activities offered at Nexus Teen Academy include:
Get Help for Teen Bipolar Disorder at Nexus Teen Academy
Congratulations on the effort you have been putting into supporting your teenager. We know it isn’t easy. We hope these FAQs have addressed your most pressing questions about medication, therapy, lifestyle management, and educational support for your teen.
At Nexus Teen Academy, we are committed to making a difference in the lives of teens and families dealing with mental health issues. Remember, you’re not alone in this journey. Our team of experienced professionals is ready to provide the specialized care your teen needs. Whether you’re seeking residential treatment or outpatient services, or simply need guidance, we’re here to help.
Feel free to contact us if you have any more questions regarding teen bipolar disorder or need personalized treatment and support for your teenager.