Understanding Bipolar Disorder in Children and Teens

How to identify the signs and symptoms


Published:

Image courtesy of Lightspring/Shutterstock.com

Mood disorders are difficult to diagnose in children. Neither a middle-schooler nor a preschooler has the communication tools to fully express his emotional needs as he goes through the mind-boggling process of growing up. It’s a rare 3-year-old who never has a temper tantrum or gets overexcited. And it’s a rare teen who — with hormones flaring and self-awareness emerging — never gets moody or sad.

But what if your daughter’s tantrums are severe and unprovoked? What if your son keeps you awake all night, bouncing off the walls? What if your teen’s mood swings wreak havoc on your daily routine and her work at school?

Bipolar disorder is a mental illness that causes extreme and atypical shifts in mood and behavior, often from manic highs to major depressive lows. Bipolar disorder is uncommon among children and teens, but not insignificant. According to the National Institutes of Health, bipolar disorder affects 2.9 percent of adolescents, although this number varies depending on the study. It is a serious and chronic mental health disorder, and for individuals who are on the bipolar “spectrum,” it needs to be identified, addressed and treated. Early detection can help get symptoms under control, and help prevent dangerous addictive behaviors from developing.


Controversy

Bipolar disorder is at least as old as the terms the ancient Greeks came up with — “mania” and “melancholia” — to describe and link opposing extremes of emotional behavior. Despite this long history of awareness, only during the last 20 years has the psychiatric community concluded that bipolar disorder can be identified in childhood, and that early identification and treatment can potentially reduce symptoms and negative outcomes later in life.

Even having identified pediatric bipolar disorder, experts have struggled with how to properly define it in children, and have disagreed on whether a child with bipolar disorder would present the same symptoms as an adult with the disorder, according to Melissa Brotman, an assistant clinical investigator in the Neuroscience and Novel Therapeutics Unit of the Emotion and Development Branch at the National Institute of Mental Health.

Some psychologists originally assumed it would look different, and diagnosed children who showed symptoms of bipolarity but expressed less precise timing of episodes than what was laid out in the classic adult definition. Often, these children demonstrated constant irritability and hyperactivity, rather than the periodic mood swings typically associated with bipolar disorder. Other psychologists believed young patients were being over-diagnosed with bipolar disorder and worried that bipolar-specific drugs would exacerbate unrelated symptoms.

To resolve this dispute, the NIMH conducted an in-depth study of children who presented the classic, episodic features of bipolar disorder alongside children who presented a more persistent show of symptoms, and determined that only children with the classic symptoms had bipolar disorder as they reached adulthood, while the second group of children with the constant irritability tended to develop unipolar depression. To clarify the difference for professionals, the NIMH worked with the board of the “Diagnostic and Statistical Manual of Mental Disorders, 5th Edition” 9 (DSM-5) to come up with a definition — not for bipolar disorder, but for a new disorder: disruptive mood dysregulation disorder — to address the needs of the children with chronic symptoms.

Thus, for both children and adults, bipolar disorder is associated with episodic manic and depressive moods. In contrast, a child with DMDD would demonstrate constant irritability along with occasional angry outbursts.

“It was an important change, as there are profound implications for treatment,” Brotman says. “If a child has chronic irritability, that child needs completely different medication from one with manic symptoms.”

Brotman feels confident that the new definitions are “specific enough” so that over-diagnosing bipolar disorder can be prevented.


Diagnosis

Bipolar disorder is characterized by periods of mania, periods of depression and periods of relatively “normal” function. In children and teens, these mood swings last at least a week and are severe enough to critically interfere with daily life, sometimes requiring hospitalization.

The DSM-5 describes a manic episode as including at least three or more of these symptoms:
* Inflated self esteem or grandiosity.
* Decreased need for sleep.
* More talkative than usual or pressure to keep talking.
* Flight of ideas or subjective experiences causing racing thoughts.
* Distractibility.
* Increase in goal-directed activity or psychomotor agitation.
* Excessive involvement in activities that have a high potential for painful consequences. 

A depressive episode includes five or more of these symptoms, according to the Mayo Clinic:
* Depressed mood, such as feeling sad, empty, hopeless or tearful (in children and teens, a depressed mood can appear as irritability).
* Marked loss of interest or feeling no pleasure in all — or almost all — activities.
* Significant weight loss when not dieting, weight gain, or decrease or increase in appetite.
* Either insomnia or sleeping too much.
* Either restlessness or slowed behavior.
* Fatigue or loss of energy.
* Feelings of worthlessness, or excessive or inappropriate guilt.
* Decreased ability to think or concentrate, or indecisiveness.
* Thinking about, planning or attempting suicide.

Based on these symptoms, there are four levels of bipolar disorder, with bipolar 1 being the most severe, while bipolar 2, cyclothymic disorder and “bipolar not otherwise specified” cover cases in which symptoms exist but are progressively less severe. Eric Youngstrom, a professor of psychology and psychiatry at UNC-Chapel Hill, sees these gradients as a “spectrum,” similar to how autism is viewed as a spectrum.

“There are no sharp lines between these diagnoses,” he says.


A Tricky Diagnosis

While the DSM-5 has clarified pediatric bipolar disorder, it is still a tricky diagnosis for at least three reasons.

First, children are children. Any child can experience intense moodiness or display silly behavior.

“There’s some confusion about bipolar disorder because the term has become a part of pop culture,” says Dr. Bettina Bernstein, D.O., a child and adolescent psychiatrist specializing in mood disorders at the Children’s Hospital of Philadelphia. “You occasionally hear a teen say, ‘OMG, I’m totally bipolar today,’ In truth, having a typical teenage mood swing, or getting irritable with a friend, is nothing close to being bipolar.”

She describes a true manic episode as something that “goes over the line.” “They run into street, they strip off their clothes, they might be standing on the roof and think they can fly because they feel invincible, their speech is rapid and agitated, they think highly of themself but are not really doing that well. If they’re able to calm down, then it’s not bipolar disorder.”

Second, bipolar disorder has characteristics that are similar to those of other disorders. The mania associated with bipolar disorder can be similar to the hyperactive manner of attention deficit hyperactivity disorder. The depressive state of bipolar disorder can be mistaken for major depression or anxiety. In addition, bipolar disorder is sometimes confused with substance abuse. (See the sidebar for tips on distinguishing bipolar disorder from other disorders.)

Third, bipolar disorder is often “comorbid” with other mood disorders. That is, a child with bipolar disorder has a high likelihood (80 percent, according to Brotman) of having another mood disorder, like ADHD, obsessive compulsive disorder, oppositional defiance disorder, depression or an addiction. When comorbidity exists, it is important, says John Curry, professor of psychiatry and behavioral sciences at the Duke Institute for Brain Science, to diagnose and treat the most serious disorder.

“The clinician has to make a full diagnosis, but then has to decide the order of treatment; that is, which disorder is causing the most trouble, and treat that first,” he says. “If there’s a suicidal tendency, you’ve got to treat that first. If there’s substance abuse, you’ve got to treat that upfront. Treat depression before anxiety, etc.”

In order to receive an appropriate diagnosis, you will need to get a full psychiatric report from a professional for your child. Sara Salter, a child and teen psychologist at Wynns Family Psychology in Cary, recommends keeping a detailed log of your child’s behavior. Experts look carefully at time span and frequency of episodes, compared with your child’s baseline behavior, to distinguish bipolar disorder from other disorders.

Genetics also play a large role in mood disorders, so if there’s a family member who suffers from bipolar disorder, or even a family member who has been suicidal, experienced serious depression or addiction, or been hospitalized for symptomatic episodes, it is important that the evaluating doctor know this.

“Cast a wide net,” Youngstrom says. “Your information provides the analyst an important context for evaluating your child.”

Brotman points out that a child’s teacher is an important source of information as well. “We have to see that this is not just a failure to get along with a parent,” she explains. “A child must display symptoms in other settings: at home, at school and in a social context. It must be an impairment across settings.”

A child’s pediatrician is a great place to start. He or she can provide perspective and recommend a psychologist for a detailed evaluation.


Treatment

Mood stabilizers and intensive therapy are, Curry says, the “mainstay of treatment” for bipolar disorder. “However, many of these medications have only recently begun to be used in children with the condition, so not a lot of data about their use in childhood bipolar disorder exists.”

This lack of long-term data, along with the fear of stigma of “labeling” a child as bipolar, may make a parent hesitant to seek treatment for his or her child. On the other hand, bipolar disorder is a chronic, lifelong disorder, which can be life-threatening if left untreated.

“There is a higher rate of suicide among those with bipolar disorder,” Brotman says. “And often the comorbidities — drug addiction, extreme risk-taking, failure to engage in society, depression — can be devastating.”

Brotman is hopeful that the DSM-5 provides the right level of specificity in helping professionals properly diagnose mood disorders. She encourages parents to seek help.

“Don’t make your criteria as high as ‘really serious,’” she says. “Lower the threshold for seeking help. It can’t hurt to get an expert’s opinion, even if it’s just talking with your pediatrician.”

While Salter points out that there is limited research about using mood-stabilizing drugs with pediatric patients, she agrees that parents should seek help. “In general, therapists are very careful when prescribing medication to children,” she says.

According to April Harris-Britt, a psychologist at the AHB Center for Behavioral Health and Wellness in Durham, when a child is diagnosed with a mood disorder, he will benefit the most by having a team of treatment providers who are all collaborating to support his needs. The team should include: a psychologist to provide therapeutic support and skill-building for the child and parents; a psychiatrist if medications are warranted; the child's pediatrician to monitor his overall medical health in regard to nutrition, sleep and illness, which can impact symptoms; and finally, school personnel to provide emotional, social and academic support in his educational environment.

Harris-Britt also recommends that parents engage in “parent coaching” to learn more about their child's diagnosis, and to discuss a long-term plan for parenting strategies. Sara describes parent coaching as a form of behavioral therapy.

“Parents learn effective strategies for dealing with a mood disorder, such as setting up a predictable environment for the child, and establishing effective and positive boundaries.”


Looking Ahead

While there is not a lot of data yet, more is coming. Indeed, when Youngstrom started out in this field 20 years ago, there was no research on pediatric bipolar disorder. Now, he says, there are over 10,000 scholarly articles on the subject. “It’s coming so quickly it’s hard for even practitioners to keep up with it,” he says.

At the NIMH, Brotman is working on new treatments for pediatric mood disorders, including a cognitive behavioral therapy specific for bipolar disorder, as well as computer-based treatment trials.

Bernstein is also seeing some “very exciting” uses of technology in treatment, such as apps that track phone use and text messages to help identify when someone is starting to cycle into mania. “This cycling is not something the person is aware of, so it can be incredibly helpful to have that information,” Bernstein says.

Technology has also been used as a diagnostic tool. “We have a program that takes family history data along with a diagnostic checklist, and combines them into a risk score that reveals the probability that an individual will have bipolar disorder,” Youngstrom says.

In addition to the high-tech aids, there are some back-to-basics, low-cost lifestyle changes that have been shown to help manage symptoms. “We are learning that it’s likely that improvement in diet — like adding fish oil — along with regular exercise and sufficient sleep combine to have a measurable, positive effect on heart heath and brain health,” Bernstein says.

Youngstrom applauds this research as being good “both for children diagnosed with a disorder as well as for a child or teen who shows mood symptoms but doesn’t meet criteria for bipolar disorder. Now we can work to improve their sleep and other lifestyle choices to help them develop good habits, and hopefully decrease their chances of developing a full-blown mood disorder. … It’s a hopeful time to be bipolar.”



Caitlin Wheeler is a writer and mom in Durham.

 

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The Engage Art Contest is a juried competition for original Visual Art, Music Video, Film and Performing Arts. The topic is the Spiritual Battle described in Ephesians 6:10-20 and related...

Cost: Free

Where:
Online
PO Box 78951
Charlotte, NC  28271
View map »


Sponsor: Engage Art Contest
Telephone: 980-999-1447
Contact Name: Ranika Chaney
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on camp week

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on week of camp

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

When is a stick not a stick? (When it is a caterpillar that looks like a twig.) Many plants and animals play tricks on each other – they look or act like something other than what they really...

Cost: FREE. Registration is required.

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

Great Blue Herons can be seen every day at Lake Crabtree. Learn all about these amazing birds, including how they catch fish, where they nest, and more! We'll practice catching fish, make a...

Cost: FREE

Where:
Lake Crabtree County Park
1400 Aviation Pkwy.
Morrisville, NC  27560
View map »


Sponsor: Lake Crabtree County Park
Telephone: 919-460-3355
Contact Name: Carol Cunningham
Website »

More information

We invite all Triangle youth between the ages of 8 thru 17 with a sincere interest in the Performance Art of Magic to join Magic Youth Raleigh! This youth program teaches magic history and theory,...

Cost: $35 per Student

Where:
New Horizons Fellowship
820 E. Williams St.
Apex, NC  27502
View map »


Sponsor: The International Brotherhood of Magicians
Contact Name: Roger Way
Website »

More information

Holly Springs native Jasmine Brown is on a mission to help improve the staggeringly low financial literacy proficiency rates among North Carolina high school graduates and has written a book - The...

Cost: Free to attend; book retails for $17.95

Where:
Our Moments In Time
205 South Main Street
Holly Springs, NC  27540
View map »


Contact Name: FACTS for Youth
Website »

More information

Young children and their families are invited to participate in an interactive program with books, songs, movement, and other early literacy-based activities, carefully selected to engage an...

Cost: Free

Where:
Cameron Village Regional Library
1930 Clark Avenue
Raleigh, NC  27605
View map »


Sponsor: Wake County Public Libraries

More information

Join park staff for a fun, informal fishing experience. Bring your own poles or borrow one of ours through the Tackle Loaner Program. Bait and basic instruction are provided. Fishing is catch and...

Cost: FREE

Where:
Lake Crabtree County Park
1400 Aviation Pkwy.
Morrisville, NC  27560
View map »


Sponsor: Lake Crabtree County Park
Telephone: 919-460-3355
Contact Name: Carol Cunningham
Website »

More information

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The Engage Art Contest is a juried competition for original Visual Art, Music Video, Film and Performing Arts. The topic is the Spiritual Battle described in Ephesians 6:10-20 and related...

Cost: Free

Where:
Online
PO Box 78951
Charlotte, NC  28271
View map »


Sponsor: Engage Art Contest
Telephone: 980-999-1447
Contact Name: Ranika Chaney
Website »

More information

Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on week of camp

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on camp week

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

I am a mom and retired CPA who is passionate about teaching teens about the high cost of their choices. I teach a fun, interactive "Game of Life meets Dave Ramsey" class that has teens experience...

Cost: $225

Where:
Hope Community Church- Apex
2080 E Williams Street
Apex, NC  27539
View map »


Sponsor: Beyond Personal Finance
Contact Name: Charla McKinley
Website »

More information

Short class advertising for local class   I am a mom and retired CPA who is passionate about teaching teens about the high cost of their choices. I teach a fun, interactive "Game of Life meets...

Cost: $225

Where:
Hope Community Church- Apex
2080 E Williams Street
Apex, NC  27539
View map »


Sponsor: Beyond Personal Finance
Contact Name: Charla McKinley
Website »

More information

Short class advertising for local class   I am a mom and retired CPA who is passionate about teaching teens about the high cost of their choices. I teach a fun, interactive "Game of Life meets...

Cost: $225

Where:
Hope Community Church- Apex
2080 E Williams Street
Apex, NC  27539
View map »


Sponsor: Beyond Personal Finance
Contact Name: Charla McKinley
Website »

More information

We invite all Triangle youth between the ages of 8 thru 17 with a sincere interest in the Performance Art of Magic to join Magic Youth Raleigh! This youth program teaches magic history and theory,...

Cost: $35 per Student

Where:
New Horizons Fellowship
820 E. Williams St.
Apex, NC  27502
View map »


Sponsor: The International Brotherhood of Magicians
Contact Name: Roger Way
Website »

More information

Young children and their families are invited to participate in an interactive program with books, songs, movement, and other early literacy-based activities, carefully selected to engage an...

Cost: Free

Where:
Cameron Village Regional Library
1930 Clark Avenue
Raleigh, NC  27605
View map »


Sponsor: Wake County Public Libraries

More information

Show More...
Show Less...

The Engage Art Contest is a juried competition for original Visual Art, Music Video, Film and Performing Arts. The topic is the Spiritual Battle described in Ephesians 6:10-20 and related...

Cost: Free

Where:
Online
PO Box 78951
Charlotte, NC  28271
View map »


Sponsor: Engage Art Contest
Telephone: 980-999-1447
Contact Name: Ranika Chaney
Website »

More information

Forget tourist-filled museums, make your own memories with a photo scavenger hunt tour in Raleigh! On a Let’s Roam scavenger hunt, you and your team will work together to wander throughout...

Cost: $11

Where:
500 S Salisbury St
raleigh, NC  27601
View map »


Sponsor: Let's Roam
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on week of camp

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on camp week

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

The Community Farm at Chestnut Ridge + Growga are excited to offer outdoor yoga classes this spring!   The Little Sprouts Growga program is for ages 2-5. They learn basic mindfulness elements...

Cost: $150

Where:
The Community Farm at Chestnut Ridge
2902 Mt. Willing Road
Efland, NC  27243
View map »


Sponsor: The Community Farm at Chestnut Ridge
Telephone: 919-304-2178
Contact Name: Erica Romkema
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

We invite all Triangle youth between the ages of 8 thru 17 with a sincere interest in the Performance Art of Magic to join Magic Youth Raleigh! This youth program teaches magic history and theory,...

Cost: $35 per Student

Where:
New Horizons Fellowship
820 E. Williams St.
Apex, NC  27502
View map »


Sponsor: The International Brotherhood of Magicians
Contact Name: Roger Way
Website »

More information

Young children and their families are invited to participate in an interactive program with books, songs, movement, and other early literacy-based activities, carefully selected to engage an...

Cost: Free

Where:
Cameron Village Regional Library
1930 Clark Avenue
Raleigh, NC  27605
View map »


Sponsor: Wake County Public Libraries

More information

The park comes alive after dark! Let the moon guide your way as we stroll around the pond in search of these night-time critters. Play fun games and try to catch some nocturnal bugs! Don't forget a...

Cost: FREE. Registration required for everyone; children must have adult accompaniment

Where:
Crowder County Park
4709 Ten-Ten Rd
Apex, NC  27529
View map »


Telephone: 919-662-2850
Website »

More information

Show More...
Show Less...

The Engage Art Contest is a juried competition for original Visual Art, Music Video, Film and Performing Arts. The topic is the Spiritual Battle described in Ephesians 6:10-20 and related...

Cost: Free

Where:
Online
PO Box 78951
Charlotte, NC  28271
View map »


Sponsor: Engage Art Contest
Telephone: 980-999-1447
Contact Name: Ranika Chaney
Website »

More information

Forget tourist-filled museums, make your own memories with a photo scavenger hunt tour in Raleigh! On a Let’s Roam scavenger hunt, you and your team will work together to wander throughout...

Cost: $11

Where:
500 S Salisbury St
raleigh, NC  27601
View map »


Sponsor: Let's Roam
Website »

More information

  Meet at the Waterwise Garden (first parking lot on right) Join our bird enthusiast, Vernon, for an easy walk while looking and listening for our feathered friends. Discover...

Cost: FREE

Where:
Lake Crabtree County Park
1400 Aviation Pkwy.
Morrisville, NC  27560
View map »


Sponsor: Lake Crabtree County Park
Telephone: 919-460-3355
Contact Name: Carol Cunningham
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on week of camp

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

Summer Garden Camps at the JCRA invite your child to investigate nature during half or full day camps.  Campers tend to the garden, harvest vegetables, catch insects, and create crafts from the...

Cost: Varies depending on camp week

Where:
JC Raulston Arboretum
4415 Beryl Rd
Raleigh, NC  27606
View map »


Sponsor: JC Raulston Arboretum
Telephone: (919) 513-7011
Contact Name: Elizabeth Overcash
Website »

More information

PARENTS JOIN OUR DHHS APPROVEDCPR/AED & First Aid Certification ClassesFoster parents are required to be CPR & First Aid certified. Parents, bring your child to class with you. Children 10 years...

Cost: 50-80

Where:
Holly Springs, NC
1001 Silverstone Way
Holly Springs, NC  27540
View map »


Sponsor: Save A Life Now Training Center LLC
Telephone: 919-215-6942
Contact Name: Valentina Cordoba
Website »

More information

Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

PARENTS JOIN OUR DHHS APPROVEDCPR/AED & First Aid Certification ClassesFoster parents are required to be CPR & First Aid certified. Must register in advance. Space is limited. Parents, bring your...

Cost: 50-80

Where:
Holly Springs, NC
1001 Silverstone Way
Holly Springs, NC  27540
View map »


Sponsor: Save A Life Now Training Center LLC
Telephone: 919-215-6942
Contact Name: Valentina Cordoba
Website »

More information

Enjoy a wonderful springtime Brunch with the Bunny and photo op on Saturday, April 4, 2020 at Patterson Farm Market & Tours. Our Brunch with the Bunny is always a popular event! Tickets must be...

Cost: Ages 2 – 6: $10.00 includes tax Ages 6 – 12: $12.00 includes tax Ages: 13 – 54

Where:
Patterson Farm Inc. Market and Tours
10390 Caldwell Road
Mount Ulla, NC  28125
View map »


Sponsor: Patterson Farm Inc. Market and Tours
Telephone: 704-636-4005
Contact Name: Megan Hedrick
Website »

More information

Opportunities to explore all 4 levels of the mill don’t happen often! Learn the history of milling in North Carolina, test your mill trivia, and discover what interesting machinery is preserved...

Cost: $10/Adult; $8/Senior (ages 60+); $6/Child (ages 10-16);Registration is required

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Beavers are such busy creatures and have many unique features that allow them to survive in their aquatic world. Learn about their special adaptations through our "Build a Beaver" program then walk...

Cost: Free

Where:
Harris Lake County Park
2112 County Park Dr.
New Hill, NC  27562
View map »


Sponsor: Harris Lake County Park
Telephone: 919-387-4342
Contact Name: Joanne St. Clair
Website »

More information

Join us for an egg-cellent time on the farm Saturday, April 4 & 11,  2020 from 10 a.m. – 5 p.m. Explore the farm while you hunt for eggs and enjoy spring farm fun activities. Search for 12...

Cost: $10.00 for Hunters $7.00 for Non-Egg Hunters $6.00 for Non-Egg Hunters Senior (A

Where:
Patterson Farm Inc. Market and Tours
10390 Caldwell Road
Mount Ulla, NC  28125
View map »


Sponsor: Patterson Farm Inc. Market and Tours
Telephone: 704-636-4005
Contact Name: Megan Hedrick
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
View map »


Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

The Town of Holly Spring's annual spring event, Spring Fling, is taking on a new location that has a nice ring to it. This year’s Spring Fling at Ting! will take place on Saturday, April 4 from...

Cost: FREE

Where:
Ting Park Baseball Stadium
1151 N. Main St.
Holly Springs, NC  27540
View map »


Sponsor: Town of Holly Springs
Contact Name: Rachel Downey

More information

Many wildflowers bloom in spring.  Join us for a leisurely hike through our fields and woods as we learn to recognize some blooming beauties and appreciate their stories. Age: 5yrs. and up;...

Cost: $2

Where:
Annie Louis Wilkerson. MD Nature Preserve Park
5229 Awls Haven Dr
Raleigh, NC  27614
View map »


Telephone: 919-996-6764
Contact Name: Bryan England
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

Want to get inside Historic Yates Mill? Join us for a half-hour tour (starting at 1, 1:30, 2, 2:30 or 3 p.m.) to view the main power drive and milling machinery while exploring the mill's history...

Cost: $5/Adult, $4/Senior (60+ yrs), $3/Child (7-16yrs), Free/Child (6yrs & younger)

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Bring the whole family for this fun interactive Growga family class. Siblings and parents come together for a fun Growga hour, combining elements of our Little Sprouts and Growga Kids programs...

Cost: $150

Where:
The Community Farm at Chestnut Ridge
2902 Mt. Willing Road
Efland, NC  27243
View map »


Sponsor: Chestnut Ridge Camp & Retreat Center
Telephone: 919-304-2178
Contact Name: Erica Romkema
Website »

More information

We invite all Triangle youth between the ages of 8 thru 17 with a sincere interest in the Performance Art of Magic to join Magic Youth Raleigh! This youth program teaches magic history and theory,...

Cost: $35 per Student

Where:
New Horizons Fellowship
820 E. Williams St.
Apex, NC  27502
View map »


Sponsor: The International Brotherhood of Magicians
Contact Name: Roger Way
Website »

More information

Young children and their families are invited to participate in an interactive program with books, songs, movement, and other early literacy-based activities, carefully selected to engage an...

Cost: Free

Where:
Cameron Village Regional Library
1930 Clark Avenue
Raleigh, NC  27605
View map »


Sponsor: Wake County Public Libraries

More information

Garner Sports League Opening Day Ceremony will be held at South Garner Park at 9am on Saturday April 4, 2020.  Come join us as we kick off the Spring season for recreational baseball, fast-pitch...

Cost: 0.00

Where:
South Garner Park
1210 Poole Drive
Garner, NC  27529
View map »

More information

Topper the Bunny can’t wait to see you at the 5th Annual Egg-ceptional Egg Hunt at Hubb’s Farm in Clinton, NC, features age-appropriate egg hunts with a grand finale airplane egg drop at 3pm...

Cost: 10

Where:
Hubb's Farm
10276 US HWY 421 N
Clinton, NC  28328
View map »


Sponsor: Hubb's Farm
Telephone: 910-564-6709
Contact Name: Tammy Peterson
Website »

More information

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