ADHD is a neurodevelopmental disorder characterized by inattention and/or hyperactivity and impulsivity.
Comorbid (coexisting) ADHD and BD can be hard to diagnose.
Certain features, like age of onset and the persistence of symptoms, help distinguish the disorders.
Illustration by Laura Porter for Verywell Health
Treatment can also be tricky, as certain medications used to treat ADHD may worsen symptoms of bipolar disorder.
This article explores the relationship between bipolar disorder and ADHD, and why they can occur together.
Illustration by Laura Porter for Verywell Health
What Is Bipolar Disorder?
It takes an average of six to eight years after symptoms begin for most people to receive a diagnosis.
Most people diagnosed with bipolar disorder are in their late teens to early adult years.
If you or a loved one are in immediate danger, call911.
What Is ADHD?
ADHD is one of the most common neurodevelopmental disorders.
This chronic disorder is typically diagnosed in childhood and usually causes symptoms that last into adulthood.
When Bipolar and ADHD Occur Together
Bipolar disorder and ADHD often coexist within the same person.
Everyones experience with bipolar disorder and/or ADHD is different.
However, researchers have identified 33 loci (chromosomal gene locations) that are involved in both disorders.
All this together suggests a strong genetic connection.
How Often Do ADHD and Bipolar Disorder Occur Together?
Depressive symptoms are not a primary ADHD trait.
However, research shows that people with ADHD have a higher risk of depression.
More research is needed to determine best practices.
Currently, healthcare providers may approach each case on an individual basis to identify the patient’s needs.
However, treating symptoms to stabilize patients is generally considered the first step of treatment.
Medication management with bipolar disorder and ADHD may involve some trial and error.
Summary
Bipolar disorder is a condition characterized by mood episodes.
ADHD is a neurodevelopmental condition characterized by inattention and/or hyperactivity-impulsivity.
These conditions can co-occur and have overlapping symptoms, which complicates diagnosis.
However, treatment strategies such as therapy, medication, and lifestyle changes can improve symptoms.
Altinbas K.Treatment of comorbid psychiatric disorders with bipolar disorder.Noro Psikiyatr Ars.
2022 Aug;10(1):21. doi:10.1186/s40345-022-00268-2
National Institute of Mental Health.Bipolar disorder.
Cerimele J, Fortney J, Unutzer J.Bipolar disorder and population health.Psychiatr Serv.
2017 Feb;68(2):192-194. doi:10.1176/appi.ps.201600011
Centers for Disease Control and Prevention.Data and statistics about ADHD.
Salvi, Virginio, et al.ADHD and bipolar disorder in adulthood: clinical and treatment implications.Medicina.
2018 Jan;203(2):103-106. doi:10.1192/bjp.bp.112.120808
Michigan Medicine Department of Psychiatry.Is it ADHD?
Could it be both?
Levenberg K, Cordner Z.Bipolar disorder: A review of treatment options.Gen Psychiatr.
2022 Aug;34(4):e100760.
doi:10.1136/gpsych-2022-100760
Girard R, Joober R.Treatment of ADHD in patients with bipolar disorder.J Psychiatry Neurosci.
2017;42(6):E11-E12.
2020;16(1):55-70. doi:10.2147/NDT.S229206
