Over time, I have learned about bipolar disorder and understand it is difficult to diagnose in children and teens. I have a family history and my 17-year-old difficult child has some symptoms of it, and he has been assumed to have ADHD (based on evaluations and testing in school two separate occasions in about the past four years/currently is treated with a stimulant and has had other interventions). difficult child has never been ruled out for bipolar, as far as I can tell. I have mentioned my concerns to his psychiatrist in the past, but she didn't say that bipolar disorder might be a possibility. He was in to see her a little over a week ago, and due to depressive symptoms, she increased his generic Zoloft from 50 mg to 100 mg (he is still only taking 50 mg along with his Vyvanse 30 mg early in the morning). Earlier tonight, he was very upset (had a fight with his girlfriend) and was talking about hurting himself. I talked with him and asked him if he thinks we would need to get some help tonight to please let me take him to the hospital. He seems to be okay now. My husband just left for work not so long ago and asked me to keep an eye on difficult child (goes without being said). I worry about difficult child taking the medications I mentioned, if there would be any chance that he could have bipolar disorder. I will call his psychiatrist tomorrow to see what she says.