Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorder
Abstract Background An increasing number of adults over 60 years old are presenting with requests for treatment of attention-deficit/hyperactivity disorder (ADHD). However, the prevalence of ADHD in older adults in geriatrics is unknown. Further, comorbid bipolar disorder and adult ADHD are likely u...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-03-01
|
| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-024-04852-2 |
| _version_ | 1827321317571952640 |
|---|---|
| author | Joshua Woods Nakisa Kiai Ranjit Padhy Rossano Bangasan Tyler Torrico |
| author_facet | Joshua Woods Nakisa Kiai Ranjit Padhy Rossano Bangasan Tyler Torrico |
| author_sort | Joshua Woods |
| collection | DOAJ |
| description | Abstract Background An increasing number of adults over 60 years old are presenting with requests for treatment of attention-deficit/hyperactivity disorder (ADHD). However, the prevalence of ADHD in older adults in geriatrics is unknown. Further, comorbid bipolar disorder and adult ADHD are likely underrecognized with many patients only receiving treatment for one of these conditions. The occurrence of bipolar disorder with geriatric onset ADHD is unknown. Case presentation A 64-year-old Hispanic woman with a psychiatric history of bipolar I disorder (diagnosed in early adulthood) was diagnosed with ADHD suspected of geriatric onset, and able to be successfully managed on concurrent mood stabilizers and psychostimulant medication. Conclusions The findings of this case report emphasize the importance of appropriately recognizing and treating comorbid ADHD and bipolar disorder in any age group, including the geriatric population for which this occurrence appears to be very rare. Additionally, this case report demonstrates the safe utilization of psychostimulant medications in a geriatric patient with bipolar disorder without inducing a manic episode or other significant adverse reactions. |
| first_indexed | 2024-04-25T01:04:11Z |
| format | Article |
| id | doaj.art-bf988defc7b64a2e82140d370aa4d836 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-25T01:04:11Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-bf988defc7b64a2e82140d370aa4d8362024-03-10T12:21:36ZengBMCBMC Geriatrics1471-23182024-03-012411410.1186/s12877-024-04852-2Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorderJoshua Woods0Nakisa Kiai1Ranjit Padhy2Rossano Bangasan3Tyler Torrico4Ross University School of MedicineKern Medical, Department of PsychiatryKern Medical, Department of PsychiatryKern Medical, Department of PsychiatryKern Medical, Department of PsychiatryAbstract Background An increasing number of adults over 60 years old are presenting with requests for treatment of attention-deficit/hyperactivity disorder (ADHD). However, the prevalence of ADHD in older adults in geriatrics is unknown. Further, comorbid bipolar disorder and adult ADHD are likely underrecognized with many patients only receiving treatment for one of these conditions. The occurrence of bipolar disorder with geriatric onset ADHD is unknown. Case presentation A 64-year-old Hispanic woman with a psychiatric history of bipolar I disorder (diagnosed in early adulthood) was diagnosed with ADHD suspected of geriatric onset, and able to be successfully managed on concurrent mood stabilizers and psychostimulant medication. Conclusions The findings of this case report emphasize the importance of appropriately recognizing and treating comorbid ADHD and bipolar disorder in any age group, including the geriatric population for which this occurrence appears to be very rare. Additionally, this case report demonstrates the safe utilization of psychostimulant medications in a geriatric patient with bipolar disorder without inducing a manic episode or other significant adverse reactions.https://doi.org/10.1186/s12877-024-04852-2ADHDPsychostimulantsGeriatric psychiatryBipolar disorder |
| spellingShingle | Joshua Woods Nakisa Kiai Ranjit Padhy Rossano Bangasan Tyler Torrico Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorder BMC Geriatrics ADHD Psychostimulants Geriatric psychiatry Bipolar disorder |
| title | Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorder |
| title_full | Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorder |
| title_fullStr | Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorder |
| title_full_unstemmed | Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorder |
| title_short | Suspected geriatric onset of attention-deficit/hyperactivity disorder in a patient with comorbid bipolar disorder |
| title_sort | suspected geriatric onset of attention deficit hyperactivity disorder in a patient with comorbid bipolar disorder |
| topic | ADHD Psychostimulants Geriatric psychiatry Bipolar disorder |
| url | https://doi.org/10.1186/s12877-024-04852-2 |
| work_keys_str_mv | AT joshuawoods suspectedgeriatriconsetofattentiondeficithyperactivitydisorderinapatientwithcomorbidbipolardisorder AT nakisakiai suspectedgeriatriconsetofattentiondeficithyperactivitydisorderinapatientwithcomorbidbipolardisorder AT ranjitpadhy suspectedgeriatriconsetofattentiondeficithyperactivitydisorderinapatientwithcomorbidbipolardisorder AT rossanobangasan suspectedgeriatriconsetofattentiondeficithyperactivitydisorderinapatientwithcomorbidbipolardisorder AT tylertorrico suspectedgeriatriconsetofattentiondeficithyperactivitydisorderinapatientwithcomorbidbipolardisorder |