How do you know when my child needs his bi-polar checked again??

My son went into the local psychiatric hospital when he was in 5th grade for what they called a bi-polar break through. He was being treated for symptoms of depression and ADHD at the time he went in. They took him down off all his meds and then determined that he was bi-polar with AD...

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How do you know when my child needs his bi-polar checked again??