|
Home
Forum
Newsletter
Chat
Book Store
FAQ
Medication
Parenting
Education
Support
Ask The Doctor
Treatment Guidelines
| |
Comorbid (pronounced koh-more-bid), adjective;
comorbidity (koh-more-bid-it-ee), noun
As many of you already know, children
and teens with bipolar disorder often have other brain related disorders as
well. Something that co-exists with another medical disorder is called comorbid.
For example, if you child’s primary diagnosis is bipolar disorder but your child
also has anxiety, the doctor might say “Your child has bipolar disorder with a
comorbid anxiety disorder.”
Almost any two diagnoses can occur at the same time in a person but the ones
that occur mostly commonly with bipolar disorder include:
-- ADHD (over 90% of children and teens who meet criteria for a bipolar
diagnosis also meet criteria for an ADHD diagnosis; many of the symptoms of
hyperactivity can also be symptoms of mania, so clarifying this issue can be
tricky);
-- learning disabilities;
-- anxiety disorders (such as OCD, generalized anxiety, social anxiety or panic
disorder);
-- behavioral disorders (such as ODD or conduct disorder);
-- Tourette’s syndrome;
-- autistic spectrum disorders (including autism, high-functioning autism,
Asperger’s);
-- sensory integration disorders;
-- alcohol and/or drug abuse (particular if bipolar disorder is untreated or
poorly treated);
-- seizure disorders;
-- and brain injuries.
Please be aware that this is by no means a comprehensive list of diagnoses that
can be comorbid with bipolar. If it seems as if something is being missed in the
understanding of your child’s situation or in his/her treatment, you may want to
consider specifically asking the tdoc and pdoc if there might be a comorbid
disorder “hiding” behind the bipolar symptoms. Children and teens with comorbid
disorders often find stability at bit more elusive. They will probably require
some form of treatment for all their existing disorders in order to finally
attain stability. Medications which are used for some of the most commonly
comorbid disorders can, however, interfere with the effective management of
bipolar symptoms. So treatment of comorbid disorders should be carefully managed
by your child’s pdoc along with the treatment of the bipolar disorder.
Other terms that can be used to mean comorbid include co-occurring, coexisting,
and concomitant.
| |
|