I'm familiar with the DSM criteria for BiPolar (BP). I've read the 'proposed' criteria in The Bipolar Child. I've scoured websites looking for any "variable" definitions or examples of mania and different presentations in children. I find nothing where I identify DD1. As luck would have it, my local news channel did a segment about children with bipolar tonight, and the light-bulb went off! http://www.cfnews13.com/article/news/2011/july/286275/Priority-Health:-Bipolar-and-kids I knew that. I knew that too. DING DING DING we have a winner!!!!!!!!!! For DD1 that agitation seems to manifest itself in the 'extreme boredom' which when it's bad enough and doesn't get a diversion, and goes on long enough, becomes a tantrum and sometimes a rage. No, I'm not trying to 'force' her into the diagnosis. She has so many 'markers' for it I've just been looking for that 'stretched' explanation be fully comfortable connecting my mom gut and my logic. Additionally, I've always wondered about the whole SSRI AD thing. If you read the side effects of any of them, they almost always have the symptoms they are supposed to treat listed as side effects. This has always been disconcerting to me, BUT if you figure that BiPolar (BP) and BPII are generally adult onset disorders, and that most adults only seek help for the depression because, in mild cases, the manic or hypomanic episodes don't generally cause a problem in their lives, resulting in BiPolar (BP) or BPII being misdiagnosed as depression and being medicated with SSRI ADs which generally negatively affect ppl with BiPolar (BP) and BPII - voila! The stated negative side effects. Just thinkin'.