Attention deficit hyperactivity disorder erroneously diagnosed and treated as bipolar disorder

J Atten Disord. 2009 Sep;13(2):197-8. doi: 10.1177/1087054709332407. Epub 2009 Apr 20.

Abstract

Objective: There is a dearth of literature on patients erroneously diagnosed and treated for bipolar disorder.

Method: The authors report a case of an adult with attention deficit hyperactivity disorder erroneously diagnosed and treated for bipolar disorder for 6 years. At that point, methylphenidate was initiated. The patient was judged to be a good treatment responder with improvements noted in the clinical global impressions severity scale. It was seen that the improvement was maintained at a 6-month follow-up.

Conclusion: The present case reflects the importance of careful differential diagnosis when evaluating for bipolar disorder.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antimanic Agents / therapeutic use*
  • Antipsychotic Agents / therapeutic use*
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Benzodiazepines / therapeutic use*
  • Bipolar Disorder / diagnosis*
  • Bipolar Disorder / drug therapy
  • Central Nervous System Stimulants / therapeutic use*
  • Diagnostic Errors*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Drug Therapy, Combination
  • Follow-Up Studies
  • Humans
  • Interview, Psychological
  • Lithium Carbonate / therapeutic use*
  • Male
  • Methylphenidate / therapeutic use*
  • Military Personnel / psychology*
  • Olanzapine
  • Treatment Outcome

Substances

  • Antimanic Agents
  • Antipsychotic Agents
  • Central Nervous System Stimulants
  • Benzodiazepines
  • Methylphenidate
  • Lithium Carbonate
  • Olanzapine