ADHD and Comorbid Bipolar Disorder
Q: Which Symptoms are More Prominent in Bipolar Disorder-I, Compared with those with only ADHD?
- Elevated Mood
- Flight of Ideas
- Decreased need for sleep
Q: Presence of Which Symptoms Do Not Differentiate Between Bipolar Disorder and ADHD?
- Accelerated speech
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.
- 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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