ADHD and Bipolar: Untangling the Overlap


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Feb 24 2025 43 mins   13

ADHD and bipolar disorder often share symptoms, but are they truly co-occurring conditions or just two sides of the same coin? Join Gabe Howard, who lives with bipolar disorder, and psychiatrist Dr. Nicole Washington as they tackle one of the most perplexing topics in mental health. They dive into how these diagnoses overlap, how doctors differentiate between them, and why ADHD might sometimes be over diagnosed.

Discover the challenges of treating ADHD in someone with bipolar disorder and why the right diagnosis matters for effective treatment. With engaging analogies and personal insights, this episode explores the fine line between labeling symptoms and focusing on wellness. If you or a loved one are navigating ADHD, bipolar disorder, or both, this is a must-listen conversation.

Cold Open Transcript:

Gabe: Hey, you're saying that I have bipolar disorder, but couldn't this just be ADHD or ADHD symptoms? You're saying that I have mania, but isn't that just hyperactivity? You're saying that I'm having racing thoughts, but isn't that just lack of ability to focus?

Dr. Nicole: Yeah, yeah.

Gabe: And they’re like, well, wait a minute. I just have ADHD. What’s this bipolar stuff that’s coming up?

Dr. Nicole: It is possible that those symptoms that look like ADHD could be untreated mood symptoms.


To learn more -- or read the transcript -- please visit the official episode page.


Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author.

To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar.


Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com.

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