This article explains what it means to be diagnosed with both OCD and bipolar disorder.
Illustration by Michela Buttignol for Verywell Health
What Is Obsessive-Compulsive Disorder?
OCD Symptoms
Common symptoms of OCD include:
What Is Bipolar Disorder?
Illustration by Michela Buttignol for Verywell Health
Even though these phases between episodes can last years, bipolar disorder is a lifelong condition.
Bipolar Symptoms
Commonsymptoms of bipolar disorderinclude:
What’s the Link Between OCD and Bipolar?
The symptoms are commonly seen together.
Researchers have identified similar brain changes, and they’re shared with other conditions includingdepressionandsocial anxiety disorder.
This is done by assessing symptoms and how those symptoms impact daily life over time.
It is not entirely clear what causes OCD.
Treating Comorbid OCD and Bipolar Disorder
Treating comorbid mental disorders presents a challenge beyond treating one alone.
Treating OCD
Obsessive-compulsive disorder is treated with prescription medications, psychotherapy ortalk therapy, or both together.
Cognitive-behavioral therapy and psychoeducation may be used as talk therapy methods.
Beyond medications and psychotherapy, coping methods such as exercise and supplements can help.
Talk therapy is recommended alongside medications, and other coping methods can be helpful, too.
The treatment of co-occurring bipolar illness and OCD can present some challenges.
Peng D, Jiang K.Comorbid bipolar disorder and obsessive-compulsive disorder.Shanghai Arch Psychiatry.
2020;32(3-4):346-350. doi:10.24869/psyd.2020.346.
2023 Nov 17;15(11):e48960.
American Psychological Association.Obsessive-compulsive disorder.
International OCD Foundation.What Is OCD?
National Institute of Mental Health.Obsessive-compulsive disorder.
American Psychological Association.Bipolar disorder.
National Institute of Mental Health.Bipolar disorder.
2019 Aug 1;5(1):52. doi:10.1038/s41572-019-0102-3.
2022 May 23;22(1):351. doi:10.1186/s12888-022-04007-w.
Mental Illness Policy Org.Bipolar disorder (manic-depressive illness).
Anxiety and Depression Association of America.Facts and statistics.
Rowland TA, Marwaha S.Epidemiology and risk factors for bipolar disorder.Ther Adv Psychopharmacol.
2018 Apr 26;8(9):251-269. doi: 10.1177/2045125318769235.
Mutz J.Brain stimulation treatment for bipolar disorder.Bipolar Disord.2023 Feb;25(1):9-24. doi: 10.1111/bdi.13283.
Kazhungil F, Mohandas E.Management of obsessive-compulsive disorder comorbid with bipolar disorder.Indian J Psychiatry.
2016 Jul-Sep;58(3):259-269. doi: 10.4103/0019-5545.192001.
Paxos C.Moving beyond first-line treatment options for OCD.Ment Health Clin.
2022 Nov 3;12(5):300-308. doi: 10.9740/mhc.2022.10.300.
