Here’s How to Treat ADHD and Bipolar Together

Juggling ADHD and bipolar disorder? Learn helpful tips on stabilizing mood, improving focus, and building a strong support system, along with lifestyle modifications to help maintain mental health and stability.

Attention-deficit/hyperactivity disorder (ADHD), a neurodevelopmental disorder, and bipolar disorder, a mood disorder, aren’t often thought of as similar — however, the conditions co-occur more commonly than some realize and can present with similar symptoms. For example, impulsivity and hyperactivity are common ADHD symptoms that also arise during manic episodes in bipolar disorder (or hypomanic episodes in the case of bipolar II). Similarly, feeling drained from ADHD burnout can look like depressive symptoms during a bipolar disorder depressive episode. 

Some people mistakenly believe that one disorder can be treated independently of the other, but integrated treatment is usually necessary for those with both ADHD and bipolar disorder. Below, we delve into the best therapies for managing ADHD symptoms and bipolar symptoms, how medication can be part of treating these co-occurring conditions and more. 

7 tips for how to treat ADHD and bipolar disorder together

As mentioned, a comprehensive treatment plan is crucial for effectively managing both ADHD and bipolar disorder. This holistic approach ensures that each condition is treated according to its unique needs while also addressing any potential conflicts between treatments. By integrating ADHD treatment and bipolar disorder treatment, the plan can address similar symptoms, such as mood instability and impulsivity, in a cohesive manner. 

A multidisciplinary team plays a pivotal role in the integrated treatment of ADHD and bipolar disorder. This team typically includes psychiatrists, psychologists, counselors, and other specialists who collaborate to address all aspects of the conditions. Their coordinated efforts are essential for creating a treatment plan that accounts for the interactions between medications and therapies. 

1. Focus on cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT)

Both ADHD and bipolar disorder often involve challenges with impulsivity, mood swings, and emotional regulation. Therapeutic approaches like CBT and DBT are designed to address these issues effectively. 

CBT focuses on identifying and changing negative thought patterns and behaviors. For people with ADHD, CBT can help improve organizational skills, time management, and problem-solving abilities. In the context of bipolar disorder treatment, CBT is valuable for helping people recognize and challenge distorted thoughts that contribute to mood swings and depressive episodes. This therapy also provides strategies for coping with stress and preventing relapse.

While originally designed for borderline personality disorder, DBT has proven useful in treating mood disorders and managing ADHD-related emotional challenges. DBT combines cognitive-behavioral techniques with mindfulness practices, making it effective for people with bipolar disorder who experience intense mood swings and emotional dysregulation. The therapy focuses on developing skills in four key areas: mindfulness, distress tolerance, emotional regulation, and interpersonal effectiveness. 

2. Consider medication

In addition to therapy, medication is commonly used in the treatment of both ADHD and bipolar disorder. However, managing ADHD and bipolar disorder with medication requires careful consideration of potential interactions and risks. ADHD medication, which is commonly stimulant medication, can sometimes exacerbate bipolar disorder symptoms, potentially triggering manic or hypomanic episodes. Conversely, some first-line bipolar disorder medication (namely mood stabilizers or antipsychotics) might impact the effectiveness of ADHD medication. It is crucial to monitor for any adverse reactions or interactions closely and adjust treatment plans accordingly. Regular consultations with healthcare providers are essential to manage these risks effectively.

3. Monitor symptoms and make treatment adjustments

Monitoring symptoms and making necessary adjustments to the treatment plan are key components of effective management. Utilizing tools such as mood diaries, symptom trackers, and electronic health apps helps in maintaining detailed records of symptoms, medication effects, and mood changes. Regular assessments with healthcare providers are vital for evaluating the effectiveness of the treatment and making adjustments as required. Flexibility in the treatment plan allows for modifications based on symptom tracking and feedback from a mental health professional, ensuring that the approach remains responsive to the patient’s evolving needs.

4. Establish a routine

Establishing a consistent routine and structure is crucial for managing both ADHD and bipolar disorder. Routines help provide stability and predictability, which can be particularly beneficial for people with ADHD who struggle with organization and time management. For those with bipolar disorder, a structured daily schedule can help regulate mood and reduce the risk of mood swings. Implementing routines for daily activities, such as regular sleep times, meal times, and work or study periods, creates a stable environment that supports overall mental health and well-being.

5. Make balanced choices about sleep, diet, and physical activity

A healthy lifestyle plays a significant role in managing ADHD and bipolar disorder. Proper sleep, a balanced diet, and regular physical activity are foundational elements that contribute to overall stability and well-being. Consistent, quality sleep helps regulate mood and cognitive function, which is essential for both conditions. A nutritious diet supports brain health and energy levels, while regular exercise has been shown to improve mood, reduce anxiety, and enhance focus. Together, these lifestyle factors can help mitigate symptoms and support effective treatment outcomes.

6. Practice mindfulness

Effective stress management and mindfulness practices are vital for people dealing with ADHD and bipolar disorder. Chronic stress can exacerbate symptoms of both conditions, making stress reduction techniques essential. Mindfulness practices, such as meditation and deep breathing exercises, can help people stay grounded and manage emotional fluctuations. Stress management strategies, including relaxation techniques and engaging in enjoyable activities, help mitigate the impact of stress and support emotional balance. Integrating these practices into daily life can improve overall mental health and enhance the effectiveness of other treatments.

7. Lean on your support system

Educating loved ones about ADHD and bipolar disorder is crucial for creating a supportive environment. Understanding the nature of these conditions helps family and friends offer better support and empathy. Providing information on the symptoms, treatment options, and how these conditions affect daily life can improve communication and reduce misunderstandings. Encouraging loved ones to learn about the challenges and needs of people with ADHD and bipolar disorder fosters a more supportive and informed network.

How Charlie Health can help

If you or a loved one are struggling with attention-deficit/hyperactivity disorder (ADHD) and bipolar disorder, Charlie Health is here to help. Charlie Health’s virtual Intensive Outpatient Program (IOP) provides more than once-weekly mental health treatment for dealing with serious mental health conditions, including ADHD and bipolar disorder. Our expert clinicians incorporate evidence-based therapies, like neurodivergent-affirming therapy, into individual counseling, family therapy, and group sessions. With treatment, managing your mental health is possible. Fill out the form below or give us a call to start healing today.