Studies have shown that symptoms of bipolar disorder often overlap with those of ADHD, making it hard to diagnose both of these disorders. Bipolar disorder is marked by mood swings between periods of intense emotional highs and lows.
Attention deficit hyperactivity disorder, or ADHD, misdiagnosis can happen because many of its symptoms overlap with those of other conditions. The symptoms of ADHD — such as difficulty concentrating, restlessness, and finding it hard to respond to instructions — can all arise from a wide variety of causes.
Although it is true that overdiagnosis means that some people without ADHD receive treatment, on the whole, people with ADHD are actually undertreated.
People with ADHD also tend to feel anger, anxiety, frustration, or disappointment more intensely than others. (The same can be true of positive emotions.) They can have trouble putting the brakes on their feelings.
Overall, the study found that about 20 percent – or 900,000 – of the 4.5 million children currently identified as having ADHD likely have been misdiagnosed.
Bipolar is one of the most frequently misdiagnosed mental health issues. Somewhere between 1.4 and 6.4 percent of people worldwide are affected by bipolar disorder. However, it's hard to say which number is more accurate due to the frequency of wrongful diagnosis.
Untreated ADHD in adults can lead to mental health disorders like anxiety and depression. This is because ADHD symptoms can lead to focus, concentration, and impulsivity problems. When these problems are not managed effectively, they can lead to feelings of frustration, irritability, and low self-esteem.
If you hide your adult ADHD symptoms from other people, that's called masking. Basically, you're trying to seem more “normal” or “regular.” ADHD causes some people to act hyperactive or impulsive. It makes other folks have trouble paying attention. And still other adults have a combination of those symptoms.
Both anxiety and ADHD can cause people to tune out and get caught up in their emotions — just for different reasons. People with ADHD have trouble paying attention because they have trouble focusing. People with anxiety have trouble paying attention because they're distracted by worries and fears.
Most adults with ADHD have always known that they think differently. They were told by parents, teachers, employers, spouses, and friends that they did not fit the common mold and that they had better shape up in a hurry if they wanted to make something of themselves.
There's no simple test to determine whether you or your child has ADHD, but your specialist can make an accurate diagnosis after a detailed assessment. The assessment may include: a physical examination, which can help rule out other possible causes for the symptoms. a series of interviews with you or your child.
Take, for example, ADHD. While most people associate ADHD with hyperactivity and impulsivity, it can also manifest in more subtle ways, such as through intrusive thoughts and overthinking.
Many children with ADHD have other disorders as well as ADHD, such as behavior or conduct problems, learning disorders, anxiety and depression1,2. The combination of ADHD with other disorders often presents extra challenges for children, parents, educators, and healthcare providers.
Borderline personality disorder (BPD) can be hard to diagnose because the symptoms of this disorder overlap with many other conditions, such as bipolar disorder, depression, anxiety, and even eating disorders.
Personality disorders are among the least understood mental health conditions.
Bottom line: If you're doubting the accuracy of your ADHD diagnosis, you can always get a second opinion. Talk with your doctor or therapist about why you're concerned, and together you can come up with next steps to help you feel more confident about your treatment plan.
To get diagnosed with ADHD, you'll need to be evaluated by a medical professional. An accurate and well-rounded ADHD diagnosis is a complex, multi-step process including a clinical interview, a medical history review, and the completion of normed rating scales by loved ones, educators, and/or colleagues.
Symptoms of ADHD can have some overlap with symptoms of bipolar disorder. With ADHD, a child or teen may have rapid or impulsive speech, physical restlessness, trouble focusing, irritability, and, sometimes, defiant or oppositional behavior.
Poor impulse control : ADHD affects executive function, which is the brain's ability to regulate emotions, plan activities, and control impulses. People with ADHD may have more trouble calming themselves when they feel angry, or may engage in more impulsive expressions of anger.
In ADHD children, overwhelm can lead to meltdowns or a fight, flight or freeze response. Similarly, in adults overwhelm may lead to a flood of strong emotions that are released in different ways, for example, anger or crying. ADHD overwhelm paralysis or 'shutdown' is also a common reaction.