The Carlat Psychiatry Podcast When Bipolar and ADHD Overlap: Treatment 2
25 snips
Dec 2, 2024 Discover the ins and outs of treating ADHD in the context of bipolar disorder. Experts discuss the risks of stimulant medications and unveil safer alternatives like armadaphinol and clonidine. Dive into the intriguing debate over non-stimulants and their mixed results for bipolar patients. Learn about the promising role of omega-3 fatty acids and even probiotics in symptom relief. The emphasis is on mood stabilization before addressing ADHD, shedding light on the challenges and possibilities in this complex treatment landscape.
AI Snips
Chapters
Transcript
Episode notes
Stimulant Choice for Bipolar
- In bipolar, use methylphenidate instead of amphetamine for ADHD.
- Keep stimulant doses low to minimize mania, psychosis, and neurotoxicity risks.
Brain-Safe Treatments
- Consider armodafinil for bipolar depression and ADHD.
- Use clonidine for bipolar mania and ADHD; it's brain-safe.
Non-Stimulant Options and Risks
- Atomoxetine and viloxazine are other non-stimulant options.
- These have antidepressant structures, so use with caution in bipolar due to mania risk.