ADHD-juvenile bipolar disorder: mimics and chameleons!
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Both attention-deficit/hyperactivity disorder (ADHD) and juvenile bipolar mood disorder (BP) share many clinical symptoms in common. Differentiating between both conditions is crucial, both for course and prognosis and to inform functional and therapeutic outcomes which differ considerably. Early identification and hence appropriate management may lead to improved functioning, prevention of impending emergence of comorbidities (e.g. “behavioural bouquet” of ADHD), and attenuation of the untreated course of BP . If the emotional symptoms of BP are misattributed to demoralization associated with ADHD label, increased use of stimulants would expose patients to higher than needed dosing and can readily destabilize mood. On the other hand, if comorbidity with ADHD is not recognized in BP, inattention, distractibility, and talkativeness symptoms from ADHD could be inappropriately ascribed to residual symptoms of BP with subsequent unnecessary exposure to antipsychotics with...
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