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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August 2019

August 16th is National Tell a Joke Day. Come to the Finley Center anytime during the day to share some jokes with the park community. A large board will be set up in the Exhibit Hall where...

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Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
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For almost 200 years, farmers brought their wheat and corn to what is now Yates Mill to have their grains ground into flour and meal. Today, you can stop by the Yates Mill visitor center to see a...

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Historic Yates Mill County Park
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Join Mindful Families of Durham, a Buddhist-inspired spiritual community that supports area parents, caregivers, and their children in the practice of mindfulness and the understanding of the...

Cost: Free

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Erwin Road
Durham, NC  27705
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Sponsor: Mindful Families of Durham
Contact Name: Adam, Laura, Josh, Sumi
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Ages 18 months-5 years with special needs enjoy educational and therapeutic toys with caregiver. 

Cost: Free

Where:
Flaherty Park Community Center
1226 N. White St.
Wake Forest, NC  27587
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Enjoy live music, kid activities, a taco eating contest and The Best Taco contest.

Cost: Free

Where:
Knightdale Station Park
810 N. First Ave.
Knightdale, NC  27545
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Step back in time with our 19th-century costumed interpreters and watch the millstones at work grinding corn into meal. Tour fee: $5/Adult, $4/Senior (ages 60 & over), $3/Child (ages 7-16),...

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

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Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
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Sponsor: Historic Yates Mill County Park
Telephone: 919-856-6675
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Stop in during one of our Back to School Open Houses!  Meet our instructors, tune your instrument, learn a quick song and more!. Aug 12th 7-8:30 Brass & Woodwinds Aug 17th 12:30-2:00...

Cost: Free

Where:
Bach to Rock Music School
9587 US 64
Apex, NC  27523
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Sponsor: Bach To Rock Music School
Telephone: 919-446-5386
Contact Name: Kelly Foster
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See the Game Grumps play games, make jokes and more in this stage show. Purchase tickets online. 

Where:
Durham Performing Arts Center
123 Vivian St.
Durham, NC  27701
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Ages 18 months-5 years with special needs enjoy educational and therapeutic toys with caregiver. 

Cost: Free

Where:
Flaherty Park Community Center
1226 N. White St.
Wake Forest, NC  27587
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Ages 11-17 learn how to make foods inspired by Asia. Register online. Choose course #124729.

Cost: $35/resident, $46/nonresident

Where:
Herbert C. Young Community Center
101 Wilkinson Ave.
Cary, NC
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Stop in during one of our Back to School Open Houses!  Meet our instructors, tune your instrument, learn a quick song and more!. Aug 12th 7-8:30 Brass & Woodwinds Aug 17th 12:30-2:00...

Cost: Free

Where:
Bach to Rock Music School
9587 US 64
Apex, NC  27523
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Sponsor: Bach To Rock Music School
Telephone: 919-446-5386
Contact Name: Kelly Foster
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Enjoy storytime with Amy Godfrey. 

Cost: Free

Where:
Locopops Dessert Cafe
2618 Hillsborough St.
Durham, NC  27705
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Dragonflies love to eat flying bugs, especially mosquitoes and gnats!  Discover the different parts of a dragonfly's body through a colorful craft, learn about its life cycle, and play fun...

Cost: Free

Where:
Crowder County Park
4709 Ten-Ten Road
Apex, NC  27539
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Sponsor: Crowder County Park
Telephone: 919-662-2850
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Ages 18 months-5 years with special needs enjoy educational and therapeutic toys with caregiver. 

Cost: Free

Where:
Flaherty Park Community Center
1226 N. White St.
Wake Forest, NC  27587
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Join us at Harris Lake County Park as we explore the wonders of water through educational activities and some for just plain fun! We will dip for critters in our pond to discover what lives...

Cost: Free

Where:
Harris Lake County Park
2112 County Park Dr.
New Hill, NC  27562
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Sponsor: Harris Lake County Park
Telephone: 919-387-4342
Contact Name: Joanne St. Clair
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Ages 18 months-5 years with special needs enjoy educational and therapeutic toys with caregiver. 

Cost: Free

Where:
Flaherty Park Community Center
1226 N. White St.
Wake Forest, NC  27587
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Enjoy tea time for the whole family. Samples of hot tea, cold tea, and kombucha will be provided, along with games and family fun.

Cost: Free

Where:
IngenuiTea Kombucha Coffee & Tea
514 E Williams St
APEX, NC  27502
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Sponsor: IngenuiTea Brews
Telephone: 919-438-3684
Contact Name: Mark Poole
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Come to Learning Express Falls Pointe for an instructive class on how to make your very own Do-A-Dot Art creation.

Cost: Free

Where:
Learning Express Falls Pointe
9660 Falls of Neuse Rd
#130
Raleigh, NC  27615
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Sponsor: Learning Express Falls Pointe
Telephone: 919-325-6057
Contact Name: Stephanie Gillespie
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Join park staff for an informal fishing experience for the whole family. Bring your own poles or borrow one of ours through the Tackle Loaner Program. Bait and basic instruction are provided. All...

Cost: FREE

Where:
Lake Crabtree County Park
1400 Aviation Pkwy.
Morrisville, NC  27560
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Sponsor: Lake Crabtree County Park
Telephone: 919-460-3355
Contact Name: Carol Cunningham
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Take the fast track to nature in this hands-on study of ecology. Ages 8-12. Register online. Choose course #124972.

Cost: $9/resident, $12/nonresident

Where:
Stevens Nature Center/Hemlock Bluffs
2616 Kildaire Farm Rd.
Cary, NC
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Telephone: 919-387-5980
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Ages 18 months-5 years with special needs enjoy educational and therapeutic toys with caregiver. 

Cost: Free

Where:
Flaherty Park Community Center
1226 N. White St.
Wake Forest, NC  27587
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Design a T-shirt. Materials provided. Grades 3-5. Register at the library or call 919-245-2539.

Cost: Free

Where:
Orange County Main Library
137 W. Margaret Ln.
Hillsborough, NC  27278
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Sponsor: Orange County Public Library
Telephone: 919-245-2539
Contact Name: Libbie Hough
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We are so excited for our next Durham Night Market at Pine & Poplar at The Wine Feed. Over 40 local makers will be selling their handmade products. There will be food trucks, live music...

Cost: Free

Where:
The Wine Feed
307 S Roxboro St
Durham, NC  27701
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Sponsor: Raleigh Night Market
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Film to be announced. *Actual time to be determined by sunset. Bring your lawn chairs, blankets, and picnics to enjoy a movie under the stars in our beautiful garden!

Cost: Free

Where:
GREGG MUSEUM OF ART & DESIGN
1903 Hillsborough Street
Raleigh, NC  27607
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Telephone: 919-515-3503
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Ages 18 months-5 years with special needs enjoy educational and therapeutic toys with caregiver. 

Cost: Free

Where:
Flaherty Park Community Center
1226 N. White St.
Wake Forest, NC  27587
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Personality Festival is a Roxboro tradition. Enjoy amusements rides along Main Street, food vendors, singers, dancers, craft and merchandise vendors, local businesses and more. Little Miss...

Cost: Free

Where:
Uptown Roxboro
211 N. Main St.
Roxboro, NC  27573
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Sponsor: Roxboro Area Chamber of Commerce
Telephone: 336-599-8333
Contact Name: Melissa
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Bring your friends and family to Learning Express for a Family Game Night. There will be several games available to play including popular board games, card games, arcade games, and dice...

Cost: Free

Where:
Learning Express Falls Pointe
9660 Falls of Neuse Rd
#130
Raleigh, NC  27615
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Sponsor: Learning Express Falls Pointe
Telephone: 919-325-6057
Contact Name: Stephanie Gillespie
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Kids spend a night out in nature making memories and new friends in an old-fashioned, camp-style program. Ages 8-12. Register online. Choose course #124903.

Cost: $15/resident, $19/nonresident

Where:
Stevens Nature Center/Hemlock Bluffs
2616 Kildaire Farm Rd.
Raleigh, NC
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Telephone: 919-387-5980
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Take the family for a night of jigs, reels and anything Celtic. 

Cost: $3/person

Where:
Carrboro Century Center
100 N. Greensboro St.
Carrboro, NC  27510
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Shop for local handmade arts and crafts from local vendors. 

Cost: Free

Where:
Durham Central Park
501 Foster St.
Durham, NC  27701
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Hundreds of artisans from across the Southeast, festival foods, demonstrations, a kids' play area and live music highlight the town's signature arts and...

Cost: Free

Where:
Town Hall Campus
316 N. Academy St.
Cary, NC  27513
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The North Carolina Boys Choir and Girls Choir Half-Day Camp and Music Workshop is open to public (all children in our community between 7 and 14 years of age). Register online. ...

Cost: Free

Where:
Binkley Baptist Church
1712 Willow Dr
Chapel Hill, NC  27514
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Sponsor: North Carolina Boys Choir and Girls Choir
Telephone: 919-239-9083
Contact Name: Robert Unger
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Learn basic canoeing skills and a bit about the millpond's history, then head out to explore the pond's many features as seen only from the water. Canoes, paddles, and life jackets are...

Cost: Free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
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Sponsor: Historic Yates Mill County Park
Telephone: 919-856-6675
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Play children's games from the past. No registration rquired. 

Cost: Free

Where:
Leigh Farm Park
370 Leigh Farm Rd.
Durham, NC  27707
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Celebrate North Carolina farming culture and history at Duke Homestead. Don't miss the looping contest and Hornworm Race. This event features live music, local arts and crafts vendors, hands-on...

Cost: Free

Where:
Duke Homestead
2828 Duke Homestead Rd.
Durham, NC  27705
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Website »

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Personality Festival is a Roxboro tradition. Enjoy amusements rides along Main Street, food vendors, singers, dancers, craft and merchandise vendors, local businesses and more. 

Cost: Free

Where:
Uptown Roxboro
211 N. Main St.
Roxboro, NC  27573
View map »


Sponsor: Roxboro Area Chamber of Commerce
Telephone: 336-599-8333
Contact Name: Melissa
Website »

More information

Celebrate North Carolina farming culture and history at Duke Homestead. Don't miss the looping contest and Hornworm Race. This event features live music, local arts and crafts vendors, hands-on...

Cost: Free

Where:
Duke Homestead
2828 Duke Homestead Rd.
Durham, NC  27705
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Website »

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This event is FREE and open to the public! Join Read-a-roo and her PBS KIDS friends for a music-filled day of concerts, hands-on activities and more, Saturday, August 24, from 10 AM to 2 PM, at...

Cost: Free

Where:
University Place
201 S. Estes Dr
Chapel Hill, NC  27514
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Sponsor: UNC-TV

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Ages 18 months-5 years with special needs enjoy educational and therapeutic toys with caregiver. 

Cost: Free

Where:
Flaherty Park Community Center
1226 N. White St.
Wake Forest, NC  27587
View map »


Website »

More information

Learn basic canoeing skills and a bit about the millpond's history, then head out to explore the pond's many features as seen only from the water. Canoes, paddles, and life jackets are...

Cost: Free

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


Sponsor: Historic Yates Mill County Park
Telephone: 919-856-6675
Website »

More information

Take the family for treats, music, art and more. See a special exhibit showcasing the work of Artspace's talented young artists.

Cost: Free

Where:
Artspace
201 E. Davie St.
Raleigh, NC  27601
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Want to get inside Historic Yates Mill? Join us for a half-hour tour (starting at 1:00, 1:30, 2:00, 2:30 & 3:00 p.m.) to view the main power drive and milling machinery while exploring the...

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

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


Sponsor: Historic Yates Mill County Park
Telephone: 919-856-6675
Website »

More information

Come into Learning Express North Hills for a trading event. Socialize with others who collect Pokemon and/or LOL dolls and negotiate for rare cards.

Cost: Free

Where:
Learning Express Falls Pointe
9660 Falls of Neuse Rd
#130
Raleigh, NC  27615
View map »


Sponsor: Learning Express Falls Pointe
Telephone: 919-325-6057
Contact Name: Stephanie Gillespie
Website »

More information

Children make treasured memories while increasing their knowledge of plants and animals. Ages 7-10. Register online. Choose course #124931.

Cost: $8/resident, $10/nonresident

Where:
Stevens Nature Center/Hemlock Bluffs
2616 Kildaire Farm Rd.
Cary, NC
View map »


Telephone: 919-387-5980
Website »

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Join Horne Memorial UMC & First Baptist Church of Clayton for an evening of Christian fellowship, inspirational music, free food and family fun. All proceeds benefit Clayton Area Ministries...

Cost: Free

Where:
Clayton Town Square
100 W. Main Street
Clayton, NC  27520
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Sponsor: First Baptist Church of Clayton and Horne Memorial UMC of Clayton
Telephone: 919-218-4010
Contact Name: Melissa Dooley
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East Cloud Kungfu hosts a Parent's Night Out event, featuring a safe environment for kids as they about the wide world of kungfu.   Check it out!...

Cost: $25 first child, $20 each additional child

Where:
East Cloud Kungfu, LLC
5655-A Western Blvd
Raleigh, NC  27606
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Sponsor: East Cloud Kungfu, LLC
Telephone: 252-646-7053
Contact Name: Imari Colon
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North Carolina State University celebrates the beginning of a new academic year with good, music and family-friendly activities. 

Cost: Free

Where:
North Carolina State University
Raleigh, NC  27607


Website »

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Caribbean culture and cuisine showcase this 7th annual festival that features masqueraders, arts and craft vendors, live music and a kids corner. 

Cost: Free

Where:
Downtown Raleigh
400 Fayetteville St.
Raleigh, NC
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The 2018-19 Education Guide offers 678 education resources in the Triangle, including area preschools, private schools, public school systems, charter schools, boarding schools, academic resources and an Exceptional Child special section.

The Triangle Go-To Guide

Our Triangle Go-To Guide connects you to family fun resources across the Triangle. In our 2019-20 issue, explore 1,028 resources for family fun.