During puberty, an adolescent's emotions may become stronger and more intense. Their mood might change frequently, quickly and randomly. Your child may have strong emotions that they've never experienced before. It’s common for them to feel confused, scared or angry and not know why. Additionally, they may be more sensitive and more easily upset than usual.

Factors that can impact your child’s mood and the way they feel include hormones, lack of sleep, peer pressure, school demands, personal conflicts, physical changes, feeling insecure, or increased decision-making.

It is important to note that severe and prolonged mood swings may be a sign of depression or a mental health issue such as bipolar disorder, borderline personality disorder, or substance use disorder.


Symptoms & Diagnosis

The signs and symptoms of severe mood swings include:

  • Mood swings lasting more than two weeks
  • Significant changes in behavior, feelings and thoughts
  • Negative effects in areas of their life (home, school, friendships)

Severe mood swings in adolescents can be diagnosed by a mental health professional, such as a psychiatrist or psychologist, through a combination of a psychological evaluation and a medical evaluation.

Psychological evaluation

A psychological evaluation typically involves an interview with the adolescent to discuss their mood, behavior and thoughts, as well as a review of their medical and psychiatric history.

Medical evaluation

A medical evaluation may include a physical examination and laboratory tests to rule out any medical conditions that may be causing mood swings.


Treatment

Medications

Mood stabilizers, atypical antipsychotics and antidepressants may help regulate severe mood swings and the symptoms of mental illness.

Psychotherapy

Various types of psychotherapies have been found to be useful for people with mood disorders, often in conjunction with medications. Psychoanalysis, Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are potential treatment options that can help adolescents with mood disorders.

Lifestyle modification

Healthy lifestyle habits, including getting regular exercise and enough sleep, is beneficial for preventing depression. You can help your child cope with mood swings by acknowledging their feelings, setting clear boundaries and providing emotional support.

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