Page 1 of 1 [ 9 posts ] 

ASPartOfMe
Veteran
Veteran

User avatar

Joined: 25 Aug 2013
Age: 68
Gender: Male
Posts: 39,637
Location: Long Island, New York

10 Mar 2021, 3:31 am

What to know about bipolar disorder and autism

Quote:
Research indicates that people with bipolar disorder and ASD share some of the same gene expression patterns. Additionally, autistic people can experience symptoms associated with bipolar disorder, and potentially vice versa.

That said, little is known about the true prevalence of ASD and bipolar disorder together, or how they relate. Symptoms of both conditions overlap, increasing the risk of misdiagnosis. Existing prevalence estimates are therefore likely exaggerated.

One study found that as many as 30% of autistic people also have symptoms of bipolar disorder. The same study also found that bipolar disorder, generally speaking, also manifested earlier in autistic people.

But researchers do not really know how common it is to have both ASD and bipolar disorder. It is also unclear whether there are any factors or triggers that increase the risk of experiencing ASD and bipolar disorder.

ASD and bipolar disorder do appear to share specific genetic expression patterns in the brain.

Bipolar disorder, ASD, and schizophrenia all seem to activate certain genes in astrocytes, which are star-shaped brain cells that perform many essential functions in the central nervous system. All three conditions also seem to suppress genes that help synapses (the junctions between nerve cells) work properly.

Some research also indicates that young adults with ASD and bipolar disorder are more likely to:

experience mood symptoms earlier
be easily distracted
have racing thoughts
have a depressed mood
be socially withdrawn

Doctors sometimes mistakenly diagnose autistic people with bipolar disorder because both conditions share some similar behavioral differences.

Overlapping behavioral differences between ASD and bipolar disorder include:

elevated or depressed mood
intense irritability
aggression
excessive talking
distractibility
a tendency to “get in trouble” or do risky things
repetitive activities or behaviors, such as pacing
sleep disturbances
being accident-prone
racing thoughts or trouble organizing thoughts

It can also be difficult to diagnose mental health conditions in autistic people who have significant communication or intellectual impairments.

To diagnose bipolar disorder, a doctor will ask questions about potential mood episodes, their severity, and how long they lasted. A psychiatrist will usually ask questions about feelings, thoughts, and experiences. Autistic people who have trouble communicating or expressing themselves often have trouble describing their feelings, thoughts, and experiences.

To properly determine whether someone has ASD, bipolar disorder, or both, a doctor will often need to assess when symptoms occur, how long they last, their severity, and whether they make sense in context


_________________
“Self Acceptance is a process not a performance”
“You are autistic enough. And you always have been”

Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity.


SharonB
Veteran
Veteran

User avatar

Joined: 14 Jul 2019
Gender: Female
Posts: 2,748

10 Mar 2021, 5:58 am

Interesting. I was (mis?)diagnosed with bipolar a decade ago. The dr though perhaps I had fast-cycling bipolar. Recently I was diagnosed with ASD, but the dr said I may have mood disorder. I think I am the "H" in ADHD. I definitely do not have days or months of certain moods, I am moody all the time and there are distinct triggers. It's not a science, it's art (this from someone who considers herself scientifically minded).

Thanks for the share.



MrsPeel
Veteran
Veteran

User avatar

Joined: 1 Oct 2017
Age: 54
Gender: Non-binary
Posts: 1,927
Location: Australia

10 Mar 2021, 6:11 am

From my readings on autism, I have the impression that females typically have a lot more trouble with the emotional regulation side of autism, and can suffer more extreme mood swings than typical girls/women.

I'd assumed that the mood swings were an autism thing which was sometimes mistaken for bipolar.

The article seems to be inferring not a mistaken diagnosis but a connection between the conditions because of neurological similarities. What does that mean? Autists are "a little bit bipolar"?? Just like we're "a little bit schizophrenic"??

No, I'm not buying it.
Again, from the writings of autistics (mainly women but I know this applies to some men as well) it seems more common that the diagnosis of bipolar doesn't quite fit, and tends to get discarded once they realise they are autistic. The mood swings may be an under-recognised aspect of the female phenotype.



OutsideView
Veteran
Veteran

User avatar

Joined: 4 Oct 2017
Age: 42
Gender: Male
Posts: 1,022
Location: England ^not male but apparently you can't change it

10 Mar 2021, 6:34 am

MrsPeel wrote:
The mood swings may be an under-recognised aspect of the female phenotype.

There are quite a lot of posts on here about being logical rather than emotional, I'd started to think I was the only one who struggled with mood swings.


_________________
Silence lies steadily against the wood and stone of Hill House. And we who walk here, walk alone.


IsabellaLinton
Veteran
Veteran

User avatar

Joined: 1 Nov 2017
Gender: Female
Posts: 72,433
Location: Chez Quis

10 Mar 2021, 7:38 am

The descriptors in the article sound more like ADHD to me. ADHD is under-recognised for causing emotional dysregulation or patterns of emotional tumult, and it's commonly co-morbid with ASD.

For autistic people who don't have ADHD, it's entirely possible that these mood swings are from sensory overload, burnout, social fatigue, social and personal frustration, poor nonverbal understanding, or difficulties with communication. Personally my moods can swing whenever demands exceed my capacity. It's like having an extended meltdown. I also have mood swings because of Alexithymia. If I'm processing more than one emotion at a time I can easily short-circuit, emotionally.


_________________
I never give you my number, I only give you my situation.
Beatles


BeaArthur
Veteran
Veteran

Joined: 11 Aug 2015
Posts: 5,798

10 Mar 2021, 12:00 pm

The short take-home message here is, there can be a lot of overlap between various psychiatric diagnoses. This means at any given moment, a doctor might diagnose you this way or that, but another doctor at another time might diagnose you differently at a later time. This doesn't mean that either doctor was wrong.

And at a personal level, you have to understand yourself well enough to present yourself to your doctor with the things that you know are wrong with you. You can mention you have panic attacks, that you have a hard time ever leaving your house, that you have trouble looking people in the eye, that you can't maintain focus or you focus intensely, talk too much or too little, can't sleep, have shifting and intense moods (mood swings), etc. Also you need to be open to new observations the doctor can make that you hadn't noticed before.


_________________
A finger in every pie.


funeralxempire
Veteran
Veteran

User avatar

Joined: 27 Oct 2014
Age: 41
Gender: Non-binary
Posts: 34,202
Location: Right over your left shoulder

10 Mar 2021, 12:05 pm

OutsideView wrote:
MrsPeel wrote:
The mood swings may be an under-recognised aspect of the female phenotype.

There are quite a lot of posts on here about being logical rather than emotional, I'd started to think I was the only one who struggled with mood swings.


To be fair we also have posters who love to insist they're utterly rational beings with no emotions who clearly demonstrate that they do actually have mood swings that impact their mental state.

I'm not really sure what an accurate diagnosis for myself would look like. ASD, ADD and bipolar have all been applied but I've also always held back from describing everything. There's other things that when I read about them sound like they could potentially be relevant but there's a lot of overlap which would complicate differential diagnosis.



Dear_one
Veteran
Veteran

User avatar

Joined: 2 Feb 2008
Age: 77
Gender: Male
Posts: 5,721
Location: Where the Great Plains meet the Northern Pines

10 Mar 2021, 3:15 pm

I feel moderately bipolar. Being deliberately regular about eating and drinking helps to moderate it, but I do enjoy the occasional bursts of creativity, even with the subsequent recovery.
My AS mother seemed to be devoid of moods and emotions, except for a sense of tension when her mother was present.



Earthbound_Alien
Veteran
Veteran

Joined: 30 Jul 2017
Gender: Female
Posts: 1,179
Location: UK

11 Mar 2021, 12:47 am

Oh ffs

The medical profession is always looking for something wrong with you.

But then that is their job