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Deciding if a child has ADHD is a several-step process. A mixed episode of bipolar disorder features symptoms of both mania or hypomania and depression. A medication that has helped you or a close family member in the past will often be considered. These disorder lists are in the process of being updated to reflect the changes from the latest edition of the diagnosis manual, the DSM In some cases, children, teenagers, and young adults under 25 may experience an increase in suicidal thoughts or behavior when taking antidepressants, especially in the first few weeks after starting or when the dose is changed. People exhibiting these symptoms are most frequently identified as having one of two types of bipolar disorders: Environmental risk factors may include low birth weight, smoking and alcohol use during pregnancy, exposure to lead, and history of child maltreatment.

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