Abstract

The distinction between bipolar disorder (BD) and Attention Deficit Hyperactivity Disorder (ADHD) is difficult because of their shared clinical features such as motor agitation, distractibility, impulsivity or irritability. In clinical practice, a rigorous assessment of affective symptoms can help to distinguish between BD (acute affective episodes) and ADHD (chronic irritability or low self-esteem without psychotic symptoms, elation or sexual desinhibition). Impaired cognitive functions have been shown in both diseases; however, some studies identified a major emotional dysregulation in BD by contrast to ADHD, whereas cognitive deficits could more specifically characterize the latter. Comorbid BD and ADHD is a frequent and severe condition. The coprescription of psychostimulants and mood stabilizers has shown its potential clinic and functional benefits.

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