Bipolar disorder, although rare in young children, can appear in both children and adolescents. The unusual shifts in mood, energy and functioning that are characteristic of bipolar disorder may begin with manic, depressive, or mixed manic and depressive symptoms. It is more likely to affect the children of parents who have the illness. Twenty to forty percent of adolescents with major depression go on to reveal bipolar disorder within five years after the onset of depression. Depression in children and adolescents is associated with an increased risk of suicidal behaviors. This risk may rise, particularly among adolescent males, if the depression is accompanied by conduct disorder and alcohol or other substance abuse. In 2000, suicide was the third leading cause of death among young males, age 10 to 24. (National Institute of Mental Health) NIMH-supported researchers found that among adolescents who develop major depressive disorder, as many as seven percent may die by suicide in the young adult years. Therefore, it is important for doctors and parents to take seriously any remarks about suicide. Early diagnosis and treatment, accurate evaluation of suicidal thinking, and limiting young people’s access to lethal agents—including firearms and medications—may hold the greatest suicide prevention value. https://www.mentalhealthscreening.org/screening/resources/men-and-depression.aspx
Mental pain is less dramatic than physical pain,
but it is more common and also more hard to bear.
The frequent attempt to conceal mental pain
increases the burden: it is easier to say
“My tooth is aching”
than to say
“My heart is broken.”