Bipolar Disorder and ADHD

Bipolar Disorder and ADHD - Part 1

Рет қаралды 6,275

Russell Barkley, PhD - Dedicated to ADHD Science+

Күн бұрын

Пікірлер: 30

@robertbrady5764 Ай бұрын

Hi Russ, love the content. I am a Psychiatric Nurse Practitioner in Florida specializing in treating ADHD. Your content has been a blessing to me.

@lemoorian4549 11 күн бұрын

Glad to see professionals watching and making use of this channel to help others🎉

@Firelianas Ай бұрын

Fantastic video on a much needed topic, Russ! I have often seen providers in public behavioral health settings struggle with the ADHD and Bipolar differential diagnosis. I had many adult counseling clients (especially women or those with a comorbid affective disorder) who met diagnostic criteria for ADHD but were given a bipolar diagnosis after their 15-25 minute intake psych eval. When I would meet these patients for their first counseling sessions - often their story reflected the lifelong challenges of someone with ADHD. WIth such short psych evals, patients often lack an opportunity to discuss their childhood challenges - riddled with difficulty inhibiting behaviors, poor school performance, and being socially rejected by peers among others often seen with ADHD. From my understanding - a neurodevelopmental disorder like ADHD presents earlier than bipolar disorder. So a characteristically ADHD childhood was often an indicator I used to tell providers that the client needed to be reevaluated. Often these were adults who had been struggling to revive any kind of helpful treatment or supports, or had been seeking a proper diagnosis for years.

@nevyavianti9128 Ай бұрын

Yes this is so true. I helped my daughter's psycolog to recognize her ADHD symptoms by giving the psycolog her childhood stories. Which oftentimes my daughter forgot or think that those informations are unnecessary. Of course at 20 she was first diagnozed and medicated as Bipolar😊. Now we're waiting for her to get formal test on ADHD.

@insevered2730 Ай бұрын

I went through your entire KZbin page looking for content about adhd and bipolar disorder just a few days ago this is like an early Christmas gift for me🎉

@JazzyNicholette Ай бұрын

Thank you for this! For years I thought I could have bipolar but it didn’t quite fit. I was diagnosed with ADHD this year and your videos really help me

@GingerYams Ай бұрын

Wow I was just diagnosed last week with both of these perfect timing Russell! I was diagnosed when I was a kid but never received treatment. My life is falling apart so I am on a journey of addressing my problems now.

@mariamabass6701 Ай бұрын

The timing of their video is kinda crazy for me. For the last month, especially just yesterday, I was really sitting here wondering "What if it's actually bipolar disorder?".......The only word I knew to describe some these mood irregularities was "mania", but I knew full-blown bipolar disorder really felt incorrect and too extreme to associate with. For the manic episodes slide, I mainly do only experience the symptoms highlighted in yellow. The "manic" phases really are still apart of the adhd. The emotional dysregulation and related anxiety really just have such a huge impact that's not well discussed. It feels great to be aware of now, but sucks that this is not communicated much to patient it's the public. Please continue highlighting the mood-centered symptoms Dr. Barkley. Since discovering your videos, I've finally been able to verbalize what's wrong with me, and research the correct terminology. For years there always felt something "off" or "missing" about the adhd diagnosis, but now that I've read more papers, it actually truly is the correct diagnosis but I just didn't know that all of my non-attention based symptoms stemmed from it. Now that I know the actual words, it helps with my search to find a more suitable psychiatrist who is ACTUALLY specialized in this field, and doesn't just list adhd under their general "patients we work with" section, yet only knows about the inattentive symptoms and not the emotional dysfunction too. Need real help, not just pills.

@publius9350 Ай бұрын

My father was diagnosed bipolar, and Dr. Ned Hallowell's father was as well. Hallowell best known for being one of the writers on "Driven to Distraction" and a person who has a bit more belief in ADHD benefits than Barkley. I wonder if Barkley and Hallowell have ever discussed some of the past diagnosed people with bipolar and if the diagnosis is most proper in their opinion. I've seen people in full blown mania, and it's definitely something of its own, but I've also seen issues of mood for a person with ADHD diagnosed as bipolar, when it really was not. I rarely saw anything similar with my father, but I also never knew his exact medical regimen, especially when affected by poverty. It really accentuates a need for reform in differential diagnosis in psychiatry, particular as we learn more about the neurochemistry of thought and neurological structures. So much is limited by the drag of old beliefs, along with old laws, and similar structural drag (which also has some benefit in caution about the new, just not when we once knew so much less). We talk a lot here about differential diagnosis with the current DSM - but it's also worth noting if that's quite what the last DSM editions stated, particularly on questions like rapid cycling.

@alwaysgambaru Ай бұрын

Thank you Dr. Barkley for this video. I have Bipolar disorder, but there has been the query for a number of years as to whether I have ADHD as well, given that, during periods of stability, there have been symptoms which remain present, those which overlap between the two disorders. I look forward to the upcoming videos.

@wowwee0 Ай бұрын

Great video as always. I am going through a third ADHD assessment (long story! I need to do it to get access to full healthcare/medication adjustments) and I still question whether I really have ADHD or not. I always thought I might have Borderline Personality Disorder, but my reactions do not seem as extreme as some (i.e. never in trouble with the law). Would you be able to make a similar video for BPD?

@SN-sz7kw Ай бұрын

So interesting. Female with late ADHD diagnosis in my 50’s. I had forgotten about a psychiatrist I saw in my 30’s for depression/anxiety. He tried to convince me I was experiencing “mini” bipolar cycles. But it didn’t make sense - I had none of the “frenzied” symptoms or feelings of grandiosity. I rejected his explanation and now know what I had was the battle btw ADHD paralysis and hyper-focus. God, so much time & energy spent trying to figure things out. 😠

@Vishfeast Ай бұрын

During my weekly sit throughs with my doctor and students going through their residency, I had numerous conversations of my experiences of my symptoms. One of the biggest factors that cause depressive episodes for ADHD, is environment driven. If the environment for the individuals becomes too overbearing and the actions/events aren't being properly compartmentalized and therefore becoming overwhelmed with anxiety thinking through multiple unsettling thoughts that aren't resonating. Which is emotional deregulation, and causing havoc with the person with adhd, and therefore becoming depressive and hopeless with a fast paced mindset that isn't achieving reward structures that are beneficial. This goes the same when my fast mindset is accomplishing things that are deriving meaning for me from the actions. If i can sense that I'm becoming efficient in something that I enjoy, I feel at "peace". So really, its just for someone with ADHD, to really be cognizant of the environments they are getting involved with and the ability to process said actions to properly align with a positive reward.

@mariamott Ай бұрын

Excellent

@TLCisaQT Ай бұрын

This is my question too. If there is a misdiagnosis would prescribed meds for bipolar not help or make symptoms worse?

@zeddeka Ай бұрын

There's research now saying that bi polar, autism and schizophrenia share genetic roots. They found in particular that people who are bi polar are more likely to also have autistic traits and those who are autistic are more likely to have bi polar traits. Of course, we know that ADHD is often comorbid with autism.

@exameriko4193 12 күн бұрын

Incredible content, thank you so much for your work.

@quartamile Ай бұрын

Is there a special risk for treating someone with both with adhd meds? Like mania or psychosis? Thanks

@slootje1338 Ай бұрын

admitted i still have to watch the rest of the video, but you mention the difference in sleep need. being a client at "SEIN" a sleep/wake and epilepsy expertise center. i was told that people with adhd do often "need" less sleep. i shall google, but im wondering if this is conflicting information, or if it seems that way because you're specifically comparing adhd and bipolar symptoms

@Cerbera66 Ай бұрын

Isn't it the case anyway that many ADHD patients - especially those recognised late - have a high probability of being depressed?

@bikergirl420. Ай бұрын

Adhd mood changes happen throughout the monthly cycle in females. Psychiatrists with no knowledge of adhd try to convince the patient it’s bipolar even though many medications made no difference at all. This is dangerous as it’s common for neurodivergents to have extreme reactions to anything remotely toxic. Only one I refused was lithium, which could have caused death. No side effect of feeling like I’m going to die on stimulant med.

@tattoosNplants Ай бұрын

What happens to ADHD symptoms when mood stabilizers are prescribed (if individual is thought to have bi polar)?

@EliseSecond Ай бұрын

Okay, this is fascinating. I've had wondered if I'm bipolar and I've had someone talk about it to me who has it them self wondering if I got it. I do have a lot of ADHD in the family and it's definitely been suggested multiple times in my life that I might have it. Due to youth trauma and other factors it's difficult to get it diagnosed properly. In the past I tried meds like methyfinadate but that didn't work at all. So I figured I'm not ADHD. Common mistake to think this I learned later. Lately I've been wondering if I should get a diagnose anyway since I do have so much of it and a family member who has it sees a lot of the same things he has in me. This information about bipolar definitly adds to me thinking I should.

@JimmieHammel Ай бұрын

I have SAD with summer hypomania and ADHD. It's a pain in the ass. Both the depression and hypomania make the ADHD worse, just in different ways.

@stoneneils Ай бұрын

I accidentally took mdma last night. Oh my god...i forgot how good mdma is for mood. My adhd, psychosis, rage and anger have completely vanished overnight..its eery as hell. This is the best med for trauma is you ask me..much better than shrooms or ketamine.

@goaway6339 Күн бұрын

It's so confusing. What about Bipolar II? By definition the hypomanic episodes don't seriously affect functioning and aren't necessarily obvious to others? Plus my understanding is that both disorders share some genes. Ugh. I have a family history of BPD and also ADHD. Teasing out those from everything else commonly comorbid with (or confused with) both is a bloody nightmare.