Will My Height Be Affected by Bipolar Disorder and Medication? - Pediatrics

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Bipolar disorder, also known as manic-depressive illness, is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The concern about whether bipolar disorder and its medications can affect your final height is a common one, especially among young adults who are still growing.

Firstly, it is important to understand that height is primarily determined by genetics. The growth plates in your bones, known as epiphyseal plates, close after puberty, which typically occurs in the late teens to early twenties. Once these plates close, further height increase is not possible. Therefore, if you are already in your early twenties, it is likely that your height is close to its final measurement, regardless of your mental health condition or medication.

Regarding the medications used to treat bipolar disorder, some of them can have side effects that may indirectly influence growth. For instance, certain mood stabilizers and antipsychotics can lead to weight gain, which might affect your overall body composition but not necessarily your height. However, there is no direct evidence to suggest that these medications will stunt growth in individuals who have already reached or are nearing their adult height.

Some medications, particularly those that are corticosteroids, can affect growth in children and adolescents. However, typical medications for bipolar disorder, such as lithium, valproate, or atypical antipsychotics (like olanzapine or quetiapine), do not have a known effect on height. It is essential to discuss any concerns about medication side effects with your healthcare provider, as they can provide personalized advice based on your specific situation and treatment plan.

Moreover, the stress and anxiety associated with untreated bipolar disorder can have various physical effects on the body, including potential impacts on overall health and well-being. Managing your mental health effectively through therapy and medication can lead to a more stable and healthier lifestyle, which is beneficial for your overall growth and development.

In conclusion, while your concern about height is understandable, it is unlikely that bipolar disorder or its treatment will significantly affect your final height, especially if you are already in your early twenties. If you have ongoing concerns about your growth or the effects of your medication, it is crucial to have an open dialogue with your healthcare provider. They can help you navigate your treatment options and address any side effects you may be experiencing, ensuring that you maintain both your mental and physical health.