Dear Dr. Gorman

I would like to have some information regarding some of the struggles I am going through currently, as well as over the years. I have struggled with as best as described as panic attacks. Is there any relationship between this and Bipolar disorders.

I currently take Dexidrine for the treatment of A.D.D. This helps me considerably with focusing on my day to day work etc. I get EXTREMELY irratible with my partner and sabbotage our relationship to the best of my abilities, to my shame. I yell, scream freak out, call names. I can't believe I am doing this. Not only that I am driving her nuts and away, but me as well.

I continually find reasons to pick at her for all sorts ofthings. I have such a hard time relaxing, even if I am on the medication or not. Could there be another problem that I havenot properly diagnosed ?I am just thankful I am with someone who is very understanding. Unfortunately everyone has a limit.

Any assistance you can give me to help me would be greatly appreciated. It is very shameful for me to even tell you about this but we need help.

David

Dear David,

There is definitely a connection with any anxiety disorder and Bipolar disorder (BD). The ability to diagnose ADD and Bipolar Disorder or is it one rather than the other, can be difficult. One feature of BD which is different than ADD is the "temper tantrums" of BD which are less common in ADD. If you had a depression in adolescence (early onset of mood disorder), a labile mood (easily angered with little provocation) as you describe, you could have BD and ADD. One should also look to see if you have a family history of mood disorder or BD.

Something to discuss with your doctor and hopefully they would consider prescribe a mood stabilizer if they feel it is warranted. Another option is to see if couples therapy is needed, as even if you have a mood disorder, it doesn't mean you don't need to take responsibility for your behavior and work out that angle. I always wonder about whether the partner isn't doing something to make things worse also. Hope this helps and good luck.

Sincerely,
Dr. Gorman.