When ADHD and Bipolar Disorder Show Up Together
With appropriate diagnosis and management, many individuals with ADHD and Bipolar Disorder can lead fulfilling lives.
Clinically Reviewed by Lauren Barry, LMFT, MCAP, QS
Medically Reviewed by Ali Nikbakht, PsyD
Updated on January 10, 2026 — Editorial Policy | Research Policy

When someone has both ADHD and bipolar disorder, it means they live with two challenging conditions at the same time. ADHD (attention-deficit/hyperactivity disorder) affects attention, self-control, and impulsivity. Bipolar disorder causes intense mood swings from very high (mania) to very low (depression).
Because the symptoms overlap, having both can make things more difficult: it’s harder to diagnose, and people often experience more severe struggles in daily life. To better understand what’s happening, start with structured support like ADHD treatment, which helps clarify symptoms and guide next steps.
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Table of Contents
What Does ADHD Look Like?
Picture your mind as a busy playground where ideas bounce around without taking turns. That’s ADHD in action. It goes beyond forgetting keys or zoning out during a movie. Attention-Deficit/Hyperactivity Disorder (ADHD) messes with how you pay attention, control impulses, and handle energy. Kids often show it first, around the age of onset between 3 and 6 years old, but it sticks around for adults too.
- Your thoughts jump from one shiny thing to the next, making it tough to stick with one task.
- Impulses hit hard, like blurting out answers or grabbing snacks without thinking.
- That inner wiggle keeps you fidgeting or pacing, even when you try to sit still.
- Time slips through your fingers, leaving you late or overwhelmed by to-do lists.
These aren’t flaws in your character; they’re signals from your brain asking for the right tools. If this sounds familiar, chatting with a pro can light the way forward.
Understanding Bipolar Disorder
Now imagine your emotions as waves crashing without warning: one day you’re soaring on a high of endless energy, the next you’re sunk in a fog of sadness. Bipolar disorder paints that picture. It swings between manic highs, where everything feels electric, and depressive lows that drain the color from life. These aren’t everyday blues; they’re intense episodes that can last weeks.
Experts from the National Institute of Mental Health explain that bipolar often starts in late teens or early twenties, with an average age of onset around 25. About 2.8% of U.S. adults live with it. During mania, you might talk a mile a minute or chase risky behaviors like spending sprees. In depression, sleep evades you, or you can’t muster energy for simple joys.
Key signs include:
- Bursts of grand ideas and little need for rest, pushing you toward bold but dangerous choices.
- Deep dives into worry or emptiness, where even favorite hobbies feel pointless.
- Shifts that cycle over time, not just reacting to a bad day.
- Times when irritability bubbles up, straining ties with those you hold dear.
Bipolar isn’t a choice; it’s a brain pattern that thrives on steady care. Recognizing it early opens doors to calmer waters.

Can You Have ADHD and Bipolar Disorder Together?
Absolutely, and it’s more common than you might think. When ADHD and bipolar disorder team up, we call it comorbidity. Studies show up to 20% of people with bipolar also have ADHD, and the reverse holds true too. This duo can crank up the volume on symptoms, turning daily hurdles into mountains.
Think about it: the scattered focus from ADHD mixes with bipolar’s mood rollercoaster, making everything feel amplified. You end up questioning, Is this ADHD or bipolar? That confusion is real, but spotting the overlap helps. For instance, both can spark racing thoughts that keep sleep at bay or lead to impulsive moves.
A study in the Journal of Affective Disorders highlights how untreated ADHD raises risks for bipolar disorder later on, especially if emotional ups and downs run in the family. If you’re navigating this combo, know that tailored plans make a world of difference. You’re stronger than this tangle, and support waits right here.
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Spotting the Overlaps and Differences in ADHD and Bipolar
Teasing apart ADHD and bipolar disorder feels like solving a puzzle with missing pieces, but let’s lay it out. bipolar depression vs adhd both can leave you feeling wired or wiped out, yet they dance to different rhythms. Overlaps trick the eye, while differences guide true diagnosis.
Where They Meet
Shared traits make it easy to mix them up. Both fuels:
- Impulses that lead to snap decisions, like quitting a job on a whim.
- Racing thoughts that crowd your head, blurring quiet moments.
- Irritability that flares under stress, testing patience with loved ones.
These common threads explain why so many wonder, ADHD or bipolar? The answer often lies in patterns over time.
Key Ways They Differ
Dig deeper, and contrasts emerge. Bipolar episodes crash in waves, while ADHD hums steadily. Consider these.
- Age of Onset: ADHD often pops up in early childhood, around 7 years old on average. Bipolar tends to wait until the late teens or early 20s.
- Mood Patterns: Bipolar brings dramatic highs and lows that last days or weeks. ADHD keeps inattention and restlessness as constant companions, not fleeting storms.
- Energy Flow: Mania in bipolar surges like a wildfire, sometimes sparking risky behaviors or even suicide attempts in severe cases. ADHD’s buzz feels more like a persistent hum.
- Triggers and Lasting: Bipolar moods can strike without cause, cycling through seasons. ADHD symptoms stick around, worsening with chaos but not vanishing.

Why Getting the Right Diagnosis Changes Everything
Imagine starting the wrong medicine and watching symptoms spiral. That’s the risk of mistaking ADHD for bipolar or vice versa. Stimulants that help ADHD focus might ignite mania in hidden bipolar, leading to sleepless nights or regrettable actions. Accurate diagnosis flips that script.
Doctors dive into your story: when symptoms started, family history of mental health, and even sleep logs. Tools like mood charts spot cycles that scream bipolar, while lifelong distractibility points to ADHD. This isn’t a rush job; it’s building a map to your healing.
Beyond meds, it guards against bigger shadows like suicide attempts, which rise in untreated cases.
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Treating ADHD and bipolar together isn’t one-size-fits-all; it’s a custom toolkit. Start with what steadies moods, then layer in focus boosters. At We Level Up Washington, we blend these gently, watching for what clicks.
Smart Medication Choices
Pills can quiet the storm, but pair them wisely:
- Mood stabilizers like lithium tame bipolar swings before they build.
- For ADHD, non-stimulants such as atomoxetine sidestep mania risks; stimulants join later if safe.
- Always monitor closely, tweaking as your body adjusts.
Therapy That Builds Strength
Talk it out with pros who get the overlap.
- Cognitive Behavioral Therapy (CBT) rewires thought traps, easing impulsivity in both.
- Dialectical Behavior Therapy (DBT) teaches emotion surfing, perfect for bipolar waves and ADHD whirlwinds.
- Group sessions share stories, reminding you that healing happens in community.
Everyday Habits for Lasting Wins
Weave in routines that nurture your brain:
- Set a sleep rhythm to curb racing thoughts and recharge energy.
- Move your body daily; walking clears mental fog without overwhelm.
- Fuel with whole foods, dodging sugar crashes that mimic lows.
Link up with our lifestyle support for tips tailored to you.

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FAQs About ADHD and Bipolar Disorder
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What are the Main Signs of bipolar and adhd?
ADHD shows in constant distractibility, fidgeting, and snap choices that linger daily. Bipolar disorder cycles through high-energy manias with grand plans and deep depressions marked by hopelessness. Together, they heighten risks like risky behaviors or emotional storms.
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How Do I Know If It’s ADHD or Bipolar?
Track patterns: ADHD stays steady, while bipolar ebbs and flows. Share your journal with a psychiatrist; they’ll check age of onset and family ties. Early chats prevent mix-ups.
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Can ADHD Meds Worsen Bipolar Symptoms?
Yes, stimulants might spark mania, so start with mood stabilizers. A doctor monitors this dance, ensuring safety first.
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What’s the Link Between Bipolar Depression and ADHD?
Bipolar depression dives into long, heavy sadness with total shutdowns. ADHD brings ongoing motivation blocks from scattered focus, not mood crashes. Both steal joy, but treatments differ.
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How Common Is It to Have Both Conditions?
Around 1 in 5 have one and the other. Shared genes and brain wiring explain it, per research.
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Does Treating ADHD Help Prevent Bipolar Issues?
Early ADHD care cuts risks for later bipolar, depression, or substance woes. It builds coping muscles young.
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Are Risky Behaviors More Likely with ADHD and Bipolar?
Impulses from both can lead to unsafe acts like reckless driving or overspending. Therapy hones brakes on those urges.
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Can Racing Thoughts Signal Suicide Attempts?
Unchecked racing thoughts in mania raise those risks. Spotting and treating early saves lives; reach out anytime.
Conclusion
Living with ADHD and bipolar disorder at the same time can feel confusing, overwhelming, and scary but there is hope. These conditions are commonly found together, and research shows how they affect mood, thinking, and behavior.
Treatment is possible, especially when the mood is stabilized first. With tailored therapy, support, and medication, many people learn to manage their symptoms and build a meaningful life. If you or a loved one is struggling, you do not have to go through it alone.
Call We Level Up Washington at (509) 348-4077 to get expert ADHD and bipolar treatment designed to stabilize symptoms, improve daily functioning, and help you or your loved one move toward a healthier, more balanced life.