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Bipolar disorder versus attention deficit hyperactive disorder (ADHD)

Bipolar disorder versus attention deficit hyperactive disorder (ADHD)
Suspect the presence of bipolar disorder in a child with ADHD if:
  • The "ADHD" symptoms appeared later in life (eg, age 10 years old or older)
  • The symptoms of "ADHD" appeared abruptly in an otherwise healthy child
  • The "ADHD" symptoms were responding to stimulants and now are not
  • The "ADHD" symptoms come and go and tend to occur with mood changes
  • A child with ADHD begins to have periods of exaggerated elation, grandiosity, depression, less need for sleep, or inappropriate sexual behaviors
  • A child with ADHD has recurrent severe mood swings, temper outbursts, or rages
  • A child with ADHD has hallucinations and/or delusions
  • A child with ADHD has a strong family history of bipolar disorder, particularly if the child is not responding to appropriate ADHD treatments
NOTE: A child may have both ADHD and bipolar disorder. In addition, the above noted clinical situations may also be due to other psychiatric disorders (eg, unipolar depression or substance abuse), medical problems (eg, thyroid problems, seizures, or tumors), use of medications (eg, prednisone), and environmental stressors (eg, family conflict, chaotic environment, or sexual or physical abuse) that may coexist with ADHD.

From NEW HOPE FOR CHILDREN AND TEENS WITH BIPOLAR DISORDER: YOUR FRIENDLY, AUTHORITATIVE GUIDE TO THE LATEST IN TRADITIONAL AND COMPLEMENTARY SOLUTIONS by Boris Birmaher, copyright © 2004 by Boris Birmaher. Used by permission of Three Rivers Press, a division of Random House, Inc. Any third party use of this material, outside of this publication, is prohibited. Interested parties must apply directly to Random House, Inc. for permission.

For online information about other Random House, Inc. books and authors, see the Internet Web Site at http://www.randomhouse.com.
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