The Carlat Psychiatry Podcast When Bipolar and ADHD Overlap: Diagnosis
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Nov 18, 2024 The podcast explores the intricate overlap between bipolar disorder and ADHD, using a real-life case study to illustrate diagnostic challenges. Listeners learn about the need for precision in identifying these conditions, especially when considering treatment options like stimulant medications. A quiz is introduced to help understand affective temperaments linked to both disorders. The discussion includes a five-step guide for diagnosing ADHD in adults with bipolar symptoms, emphasizing the importance of assessing mood episodes and childhood history.
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ADHD and Bipolar Overlap
- ADHD and bipolar disorder co-occur in 10-20% of bipolar patients.
- However, only about half of adult bipolar patients with childhood ADHD still experience it, reducing the overlap to 5-10%.
Diagnosing ADHD in Bipolar Patients
- Avoid relying solely on ADHD screening tools for bipolar patients.
- Use structured interviews instead for more accurate ADHD diagnoses in this population.
False Positives of ADHD in Bipolar
- False ADHD diagnoses in bipolar patients arise from overlapping symptoms, temperament, and cognitive issues.
- These factors make distinguishing between the two conditions challenging, especially when symptoms are less intense.