Abstract
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Highlights
Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent and widely studied disorders of childhood.[1]
In the past 10 years, the number of children being diagnosed with Bipolar mood disorder (BMD) has more than doubled, with more than 100 000 children in the USA receiving treatment for BMD in 2001 in spite of the uncertainties that still surround its diagnosis in children.[3]
Community samples of children with ADHD show that affective illness is present in up to 60% of children diagnosed with ADHD.[2]
Summary
There is significant diagnostic overlap between the diagnostic criteria for ADHD and BMD that can cause diagnostic uncertainty. A number of criteria are similar or produce similar results in terms of behaviour[5] (see Table I for selected diagnostic criteria). There are additional clinical features commonly found in children suffering from ADHD that do not form part of the formal diagnostic criteria. These features may help to create a picture similar to that seen in BMD.[5]. Excessive insistence on requests being met immediately and difficulty in delaying gratification. Symptoms vary according to different situations, leading to a picture similar to that of the mood swings seen in BMD
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