Adhd vs bipolar a guide to distinguishing look-alike conditions q mart gas station


ADHD’s high rates of comorbidity with other neurobiological disorders are well researched and documented. The majority of people with ADHD also have another condition or learning disability. Yet accurate diagnosis rates for co-occurring or stand-alone conditions like obsessive-compulsive disorder, anxiety, and even autism remain discouraging at best. The rates of misdiagnosis and delayed diagnosis are particularly high among patients with bipolar disorder; they are astronomical for patients with bipolar disorder plus ADHD. “What Is Causing My Racing Thoughts?” Bipolar Disorder and ADHD

Approximately 60 to 70 percent of people with bipolar disorder also have ADHD. gas works park events What’s more, 20 percent of people with ADHD have bipolar disorder. This comorbidity rate is significant enough to justify dual evaluations for virtually every patient; a physician should virtually never assess for one condition in isolation, as ADHD and OCD rarely walk alone.

Yet holistic neurobiological assessments are not happening. 70 percent of bipolar patients are misdiagnosed at least once. On average, patients with bipolar disorder wait a whopping 17 years before receiving an accurate diagnosis. That’s 17 years of missed treatment opportunities, of poor symptom management, and of patient stress and anxiety. And it’s simply unacceptable, if not at least somewhat understandable.

Whatever the reasons, undiagnosed and/or untreated bipolar disorder can have deadly consequences. One in five people with the condition will commit suicide. electricity worksheets for 4th grade Studies show that at least one in three 1, or even one in two 2 will attempt it — that is 15 times greater than the suicide rate in the general population. Suicide occurs often during manic phases, when patients are more impulsive and fearful of falling into another depressive cycle. People with bipolar disorder have a reduced life expectancy of about 10 years. Among undiagnosed and untreated bipolar patients, the rates of suicide — as well as alcohol and drug abuse, unprotected sex, and other risky behaviors — is substantially higher.

To stop this national health crisis, we must first better understand bipolar disorder and how it manifests in different settings at different ages in both its manic and depressive forms. We must also understand how it mimics and overlaps with other neurobiological conditions, and what treatment options exist for patients who suffer from bipolar alone or in combination with a disorder like ADHD.

Bipolar disorder is a serious mental illness that is characterized by extreme mood swings, abrupt changes in energy levels, and distorted decision making. In most cases, it develops in the late teens or early adulthood — though more and more experts now accept the existence of pediatric bipolar disorder — and it is estimated to affect about 5.7 million Americans. Bipolar disorder affects men and women at virtually equal rates, and the disorder is found among patients of all races, social classes, and ethnic groups.

The ADHD brain produces an insufficient amount of dopamine, the neurotransmitter that helps control to brain’s reward and pleasure centers. k gas cylinder As such, it naturally craves more dopamine, which sugar and carbohydrates deliver in spades. Feeding these cravings may result in the appetite changes, weight gain, and sleep problems described above. In addition, people with ADHD report frequent sleep disturbances and problems falling asleep due to a racing brain. Inattentiveness and difficulty concentrating may cause fatigue, especially among students and full-time employees working long days. Distractibility and poor focus can cause people with ADHD to quickly lose interest in activities or objects that once gave them pleasure as well.

The principle difference is that ADHD symptoms are contextual and situational, whereas bipolar symptoms are not triggered by any external factors. In a stimulating and positive environment, people with ADHD remain in a good internal state. If the environment is not stimulating enough, they can become bored or agitated. electricity word search ks2 People with ADHD always experience life in this manner. Their sensibility and orientation toward the world is the same, even when they move through mood states of different intensities. Patients with ADHD can more often control their feelings by changing their environment and stimuli.

One hallmark byproduct of ADHD is hyperfocus, or the ability to focus intently on something of great personal interest for an extended period of time, at times mentally drowning out the world around. This may happen on deadline pressure or when wrapped up in a compelling project, book, or video game. Hyperfocus may cause a decreased need for sleep and may look like “increased goal-directed activity,” however this is short-lived in people with ADHD, who often feel exhausted once the hyperfocus fades. A manic episode, on the other hand, is independent of external circumstances. ortega y gasset revolt of the masses People with bipolar disorder often want to go to sleep or relax, but describe feeling as if there is electricity going through their bodies that they cannot stop or dampen, no matter how desperate they are for sleep. This inability to settle the mind and body can go on for a week. electricity 101 Going without sleep for long periods of time can trigger psychotic episodes or hallucinations.

People with ADHD often interrupt or talk too much without noticing because they miss social cues or because they lose focus on the threads of a conversation. Patients experiencing a manic bipolar episode are often aware they are changing topics quickly and sometimes randomly, but they feel powerless to stop or understand their quickly moving thoughts. This type of behavior is uncharacteristic and does not reflect how they would typically converse.

People with ADHD report racing thoughts, which they can grasp and appreciate but can’t necessarily express or record quickly enough. With mania, the patient’s racing thoughts flash by like a flock of birds overtaking them so fast that their color and type is impossible to discern. These distracting and disconcerting racing thoughts are often mistaken for ADHD, though they are quite different in nature.

The hypomania experienced by people with bipolar II is less intense than other manic episodes, and is easily mistaken for anxiety. During these episodes, patients feel revved up, or like their thinking is different than it normally is, which often resembles regular hyperactivity. People with bipolar II have a high rejection sensitivity, a trait common to people with ADHD as well.

Bipolar disorder does exist in children, though it’s commonly misdiagnosed as ADHD. Parents of children with ADHD describe their babies as colicky, always crying, difficult sleepers, or always moving around. Children are born with ADHD symptoms; bipolar is a condition that develops and even grows in intensity. A teen with bipolar disorder can rage for hours in a destructive, disturbing way that is described as volcanic emotion or limbic rage. arkansas gas prices The limbic system is the most primitive, emotional part of the brain. With tantrums caused by ADHD, a child may be upset, but will stop if distracted by something else or when he becomes exhausted. The rage goes on much longer in children with bipolar disorder.

Children who develop bipolar disorder are often precocious, gifted, and have night terrors characterized by gore and mutilation. They have an extreme fear of annihilation, and talk about death, murder, and suicide in an obsessive, matter-of-fact way. Some children with bipolar disorder will harm animals, or experience hallucinations and psychotic symptoms of paranoia from a young age. Children diagnosed with conduct disorder or oppositional defiant disorder are at a higher risk of having bipolar disorder.

People with bipolar respond very well to mood stabilizers, which are indicated for classic bipolar I with episodes of week-long depressive symptoms followed by week-long mania. Anti-convulsants and anti-psychotics are the treatment of choice for bipolar II and not otherwise specified bipolar spectrum disorders. These medications help prevent a person’s mood from dropping into depression, and limit the high points of moods before they reach mania. They soften the ‘tops’ and the ‘bottoms’ to even out moods and behaviors.

Not all patients who have both ADHD and bipolar disorder can take a stimulant medication for their ADHD symptoms. Stimulant medications can actually make bipolar symptoms worse, often triggering a manic episode. Other patients may find that their manic episodes are triggered by the chaos of untreated ADHD symptoms and executive dysfunction; for them, a stimulant medication that keeps ADHD in check may lessen the frequency of bipolar mania.

Often more effective are psychological treatments designed to minimize the ADHD symptoms that may trigger a bipolar episode. Cognitive behavioral therapy is a powerful tool for controlling ADHD symptoms, as in maintaining health and wellness with a consistent sleep routine and a low-sugar, high-protein diet. electricity facts ks2 Finding support and understanding from family and friends universally benefits patients.