Co-Occurring Mania and ADHD in Youths

Summary: Slide 1. Co-Occurring Mania and ADHD in Youths***Slide 2. Evidence suggests that co-occurrence with ADHD is a marker of preadolescent-onset mania. This article provides some of this evidence so that you may be able to decide whether this form of very early-onset mania represents a developmental subtype of the disorder.Source: The Clinical and Treatment Implications of Co-Occurring Mania and ADHD in Youths.***Slide 3. Among children with bipolar disorder, rates of co-occurring ADHD range from 57% to 98%, with higher, almost universal rates among prepubertal children.Source: Faraone SV, Biederman J, Wozniak J, et al. Is comorbidity with ADHD a marker for juvenile onset mania? J Am Acad Child Adolesc Psychiatry. 1997;36: 1046-1055.***Slide 4. Higher rates of ADHD were found in persons with childhood-onset bipolar disorder compared with persons with adolescent-onset bipolar disorder.Source: Faraone SV, Biederman J, Wozniak J, et al. Is comorbidity with ADHD a marker for juvenile onset mania? J Am Acad Child Adolesc Psychiatry. 1997;36: 1046-1055.***Slide 5. In a longitudinal study of boys with ADHD, 17% were found to have co-occurring bipolar disorder at baseline.Source: Biederman J, Mick E, Faraone SV, et al. A prospective follow-up study of pediatric bipolar disorder in boys with attention-deficit/hyperactivity disorder. J Affect Disord. 2004;82(suppl 1):S17-23.***        Slide 6. Children who meet the criteria for ADHD show high rates of conduct and oppositional defiant disorders and of learning disorders and need for academic support. Depression and psychosis as well as poor functioning-all common correlates of bipolar disorder-are also usually present.Source: Wozniak J, Biederman J, Faraone SV, et al. Heterogeneity of childhood conduct disorder: further evidence of a subtype of conduct disorder linked to bipolar disorder. J Affect Disord. 2001;64:121-131.***Slide 7. In a longitudinal study of boys with ADHD, 17% were found to have co-occurring bipolar disorder at baseline.Source: Biederman J, Mick E, Faraone SV, et al. A prospective follow-up study of pediatric bipolar disorder in boys with attention-deficit/hyperactivity disorder. J Affect Disord. 2004;82(suppl 1):S17-23.Note: This slideshow was originally published January 9, 2014 and has since been updated.