Posted by Ritch on January 30, 2002, at 23:46:21
In reply to Re: Bipolar II and ADHD Differences?, posted by petters on January 30, 2002, at 16:13:03
> > > Just stepping into your conversation, if you don't mind, with a question.
> > >
> > > Why is it so hard to differentiate between bipolar II & ADHD? I'm not disputing anyone's comment about it but truly don't understand why the difference can't be seen. Is it that some people have very clear-cut differences & others don't? For myself, it's as different as a horse from a zebra. Please educate me.
> >
> > Hi IsoM,
> >
> > The fuzziness with the diagnosis is that BP-II's do not experience psychotic mania. Also people with ADHD have mood swings, irritability, impulsiveness, restlessness, distractability as part of their symptom complex. When BP-II's are hypomanic or depressed they can have great trouble focusing and concentrating (distractability). Also, there are "inattentive" ADHD people that are depressed (couch-potatoes). There is just a lot of overlap with the symptoms. I was dx'ed as BP for about 20 years, then it got switched to ADHD. Then it got switched to social phobia/panic. Now, it is all three. I have a nephew who looks and acts a lot like me and he is ADHD and is on Ritalin and doing fine. The real test is to give someone who is BP-II a low dose of a stimulant and see what happens (IMO). Give it a week or so and see how they are doing. If they are quiet and focused and sleeping normally, you could consider ADHD in addition to or instead of BP-II. If they get hypomanic and develop chronic insomnia and their distractability gets *worse* one might rule out ADHD. I would like to get to the bottom of it for sure. I still think I have both.
> >
> > Mitch
>
> Hi Mitch...
>
> Have you ever tried Effexor for ADHD, or perhapes for bipolar depression? New studies show promising result regarding ADHD and Effexor.
>
> Sincerely...//Petters
Hi Petters,Yes, I have tried Effexor and it did help somewhat with attentiveness. But, the Effexor aggravated my bipolar cycling and caused hostility. Adderall had an anticycling effect, but made me anxious...
Mitch
poster:Ritch
thread:92098
URL: http://www.dr-bob.org/babble/20020124/msgs/92310.html