HomeAnswersPsychiatrybipolar disorderA 14-year-old boy is suffering from mood swings and suicidal thought. Please help.

How to help a teenager with mood swings and hallucinatory thoughts?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At December 31, 2019
Reviewed AtJanuary 3, 2020

Patient's Query

Hello doctor,

I would like to discuss about one of my family members. He is a teenager and he is 14 years old. I want to discuss his up and down moods. Is it just because he is a teen? His mood is very strange I think so when he is really happy or high I call it, he does stuff like he has enough energy to last forever and he has these ambitious plans and ideas he wants to do. When he is like, I say he is losing touch of reality cause he says he sees stuff that are not there and sometimes he feels like a religious person like "God". And sometimes there are voices in his head to tell him to jump off the bridge for fun or something like that and I know off these episodes only last about a day or two or even a week, but I know he has depression. But anyways when he is depressed he tends to have no energy at all to do anything at all and he is always tired and he becomes suicidal. What in your opinion he has? Please tell me the cause. I know he is depressed but why does he tend to be high?

Answered by Dr. Prashant Gohil

Hi,

Welcome to icliniq.com.

As per your history, I find that the patient sometimes is high and sometimes depressed. Though some more details about the symptoms are required, however, I may say that the patient is suffering from bipolar affective disorder. As the name suggests it has two poles. The first pole is depression which is very common where the patient feels sad, has decreased energy and pleasure and can have suicidal ideas. The second pole being mania where the patient appears high, they talk continuously, talk high things about themselves, highly energetic. Sometimes they have psychosis associated when they hear some unusual voices in their ears called hallucinations. This condition requires urgent psychiatric intervention.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prashant Gohil
Dr. Prashant Gohil

General Practitioner

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