The existence of bipolar disorder (BD) among teenagers is controversial. The study aims to review a number of studies regarding the diagnosis of BD in children and teenagers. The prevalence of BD-I is similar throughout many countries, apart from subsyndromal BD, with an estimated 1-3% of teenagers suffering from this illness. Both the presence of subsyndrome BD and full BD have a strong link with psychological difficulties and high risk for use of substances, issues related to legal utilization of services, and suicidality. Diagnosing BD in teenagers is difficult. Therefore, it requires a critical understanding of development stages, evaluation, and accurate recognition and diagnosis. If treatments are delayed, poor outcomes can result. Eight studies were conducted to evaluate the results, based on practices of increasing medical compliance and minimizing hospital readmission among youths with BD. Randomized trial of family-focused therapy was used to determine early interventions for symptomatic teenagers at risk for BD.