ADHD and Comorbid Bipolar Disorder

ADHD and Comorbid Bipolar Disorder

 

Q: Which Symptoms are More Prominent in Bipolar Disorder-I, Compared with those with only ADHD?

  • Elevated Mood
  • Grandiosity
  • Flight of Ideas
  • Decreased need for sleep
  • Hypersexuality

Q: Presence of Which Symptoms Do Not Differentiate Between Bipolar Disorder and ADHD? 

  • Irritability
  • Accelerated speech
  • Distractibility

Q: How to Manage Patients with Both ADHD and Comorbid Bipolar Disorder?

  • Treat bipolar symptoms first, if ADHD symptoms persist, titrate medications carefully
  • It may be safe to use stimulants if bipolar symptoms responded well to a mood-stabilizing agent
  • Some evidence suggests that atomoxetine can be used safely and effectively in combination with mood stabilizers
  • Stimulant use requires ongoing monitoring as it may destabilize the mood disorder
  • Positive or negative response to a trial with a stimulant medication should not be used as a diagnostic tool in the process of differential diagnosis.

Source: 

  • Psychiatric Annals Vol 44 NO 9 2014
  • J Affect Disord. 1998;51 (2):81-91

 

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Dr. Harvinder Singh, M.D. (Admin)


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