I need some advice. My daughter is 14 and has been given so many diagnoses to the point where its not even funny. We lost an immediately family member in November, suddenly in an accident (he was young). In February, my daughter was under partial hospitalization where they diagnosed her has major depressive disorder with anxiety. She was discharged from that one in April. Within two weeks of her being discharged, she wound up being hospitalized (suicidal ideation) for a week. I can't say that I liked the first place we went, I honestly thought they should have kept her longer (my insurance company would have allowed it all they required was a physician conference with them. The second facility, which I did like better, gave her PTSD, Major Depression re-occuring and Interiment Explosive Disorder (spelling?). She was discharged in June and seemed to be doing better for a while. Lately, I can tell her mood is diminished. While both facilities brought up the prospect of her being bipolar, facility 1 told me that as parents we would know (this is our oldest daughter and first time dealing with a teenager). Facility 2 told me that they don't like to diagnose bipolar in adolescents. So my question is, as parents, how did you know you child was bipolar? I know the mood swings, but how is it different from depression? Any experience or advice you could give me would really be appreciated. She's currently on 150mgs of Zoloft. She was previously on Prozac (from facility 1) which didn't seem to do much (even though it was higher dose).