The following excerpt is taken from Chapter 3 of Bipolar Disorders: A Guide to Helping Children and Adolescents by Mitzi Walsh, copyright 2000 by O’Reilly & Associates, Inc. For book orders/information, call (800) 998-9938. Permission is granted to print and distribute this excerpt for noncommercial use as long as the above source is included. The information in this article is meant to educate and should not be used as an alternative for professional medical care.
According to the most recent literature on substance abuse and bipolar disorder, these two problems occur together so frequently that all young people with a bipolar diagnosis should also be assessed for drug and alcohol problems. Those who experience mixed states or rapid cycling have the highest rate of danger from substance abuse–the discomfort a person feels in these chaotic moods is so great that she may be willing to do or take almost anything to make it stop.