Did you know? Bipolar disorder and ADHD share 14 features in common. This means that even a well-trained clinician could easily misdiagnose ADHD as bipolar, vice versa, or miss that both disorders are present.
, both found a tremendous overlap between the disorders; if you have bipolar disorder, you have a 40% chance of having ADHD as well. So, the question is: Could it be ADHD, bipolar disorder, or both?
Unlike ADHD, bipolar is a classic mood disorder that has a life of its own separate from the events of a person’s life, outside of the person’s conscious will and control. Bipolar moods aren’t necessarily triggered by something; they just come and they stay. Usually, the onset is very gradual over a period of weeks to months.
With ADHD, you see a very different pattern; the moods of an individual with ADHD are clearly triggered. The ADHD symptom of, for example, is triggered by the perception that a person has been rejected, teased, or criticized. An observer might not be able to point out the trigger, but the individual with ADHD can say, “When my mood shifts, I can always see a trigger. My mood matches my perception of the trigger.” In technical terms, ADHD moods are “congruent.
Mood changes are instantaneous and intense in individuals with ADHD, much more so than in a neuro-typical person. ADHD moods rarely persist for more than a few hours. It is extremely rare for them to last two weeks. Typically, the mood can be altered by the person with ADHD finding a new interest or occupation that captures their interest and distracts them from the intense emotion. Distinguishing between these mood presentations is how I separate out mood disorders of all types from ADHD.
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