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The Connection between Asperger's and Bipolar Disorder

10/14/2016

21 Comments

 
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Guest Author:
Jennifer Scott knows how difficult it can be to live with anxiety and depression. She has experienced both since she was in her teens. Today, she writes about the ups and downs of her mental illness on SpiritFinder.org. The blog serves as both a source of information for people with mental illness and a forum where those living with anxiety and depression can come together to discuss their experiences.

Bipolar disorder affects millions of people in the world., but many sufferers go un-diagnosed because of their age or because they have another mood or developmental disorder which masks it. It is especially difficult to diagnose in children, because young people who have not reached maturity don’t show the distinct emotional cycle that adults who have been diagnosed with the disorder do. This cycle can range from mania to anxiety to depression and can include bouts of rage or violence.

Much has been studied regarding the link between bipolar disorder and Asperger’s syndrome, which have very similar symptoms (one can also be diagnosed with both). Those diagnosed with Asperger’s/ASD generally have problems with processing stimuli in social settings and can become obsessed with a particular topic, which they may be vocal about despite issues with language. People suffering from bipolar disorder may also become obsessed with a singular passion--such as art or music--but will often close themselves off from other people while they work on it. They will enter what is called a hypomania phase, which gives them a positive, energetic feeling while they are being creative. The difficult part is when that feeling begins to fade, and they are left with doubts about themselves and their passion. This can in turn lead to depression or violent episodes.
"The individual will become obsessed. They will no longer feel creative and start to feel aggravated, anxious and overwhelmed," says Dr. Kimberly Baker, who studies communication disorders. When it comes to Asperger’s, “Individuals can get engrossed in a particular topic. This can be confused with the creativity that sets in during the hypomania phase of the bipolar person. The big difference between Asperger's and bipolar is the manic stage. Individuals with Asperger's will always want to talk about their topic. They may not have that aggravation or anxiety associated with it, whereas someone in the manic stage might."

Because it’s so difficult to determine whether a young person has bipolar disorder or Asperger’s Syndrome, many doctors find that they have to closely monitor the child’s behavior for a year or more in order to watch for signs of emotion cycles. If the child becomes highly distracted, has trouble with speech or controlling emotions, becomes violent or engages in self-harm, more often than not bipolar disorder is diagnosed. However, everyday anxiety must be ruled out first.

Another concern is that, if the individual is aggressive or violent, those behaviors need to be addressed with medication before any therapy can begin.
"In coming years we are likely to develop better ways to define the mood problems of children. Nonetheless, childhood bipolar disorder is a real and serious illness that should be recognized and treated as early as possible," says Dr. Michael Miller, editor-in-chief of the Harvard Mental Health Letter

It is estimated that about one-third of people who have been diagnosed with a mental disorder are also battling substance abuse. Because these things fuel one another, it can be difficult to sort out emotions and what triggers them, making disorders hard to treat. Those who are living with bipolar disorder or Asperger’s tend to have trouble in social settings, so they use drugs or alcohol to help ease their anxiety. Unfortunately, people with these disorders are more at risk for becoming addicted.

For bipolar disorder, the most recommended treatment is a combination of medication, individual counselling, and group therapy.
21 Comments
linda dicarlo
11/4/2019 06:46:00 pm

Hi
I am a professional in the field and would be interested in exploring your services. I have many clients looking for help with these specific areas. Prices, ages, family? All this information would help with referrals. Thank You ahead of time and hope we can connect soon.

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ADHD & Asperger's/ASD Centre Admin link
11/20/2020 03:22:19 pm

Hi I'm so sorry I didn't see this message until now! Please contact us at [email protected] or call us at 519 830 1423 and we'll get you all that info asap!

Thank you for your interest.
Admin

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Sarah Deller
11/19/2020 12:16:10 pm

I'm not a psychiatrist or a psychologist; however, I want to note that it's also possible to have both bipolar disorder and autism. This article seems to suggest these conditions are mutually exclusive and that in order to determine if one has Asperger's or bipolar disorder one can simply examine the manic phase. I'm not denying misdiagnosis occurs and that there are overlapping symptoms but I think it's misleading not to note that individuals can have both conditions.

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ADHD & Asperger's/ASD Centre link
11/20/2020 03:23:57 pm

Hi,

thanks so much for commenting! I just added a quick line to further clarify that one can definitely have both conditions. I'm sorry it wasn't worded in a clear enough way before and thank you for your input!

ADHD & Asperger's/ASD Centre Admin

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Spider
1/13/2021 03:37:14 pm

Hi, I work with severe autistics. You are correct I have both conditions. Some symptoms could come from either. I experience hypermania, racing thoughts, intense creativity. Obsessional itsy, literal thinking, dislike of disorder, foods touching, only wear same clothes, buy tarantulas on Internet at 3am. Yeah, you can be both. This article does not mention also the crippling suicidal depression side. Try being 6, self harming cos you do not know how to escape life, being socially isolated so unable to tell anyone, having to do things a particular way to feel OK, yet at another point having 17 caterpillars in labeled jars, labeled and daily checked and released. Yup, both, lol. At 57 I still struggle with both, but by being belligerent, open with those who know me medication and support, I generally function OK.
Removing your clothing in public. Defo bipolar,
Having to wear the soft green t shirt laundered only in persil, unironed, with the hole in the left hand side.. Autistic.

Removing only the green t shirt.....?... Mmm guess that proves a point.

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Stacey L
5/6/2022 01:42:27 pm

In response to your post that I am just now finding as my currently 7 year old was diagnosed with Bipolar a year ago but now more characteristics are coming out as she gets older of ASD. Her doctor is going to get her tested for ASD or part of the spectrum but is waiting list. I am just wondering if in fact she might have both? She has the anger, is violent, but then after she calms down about an hour later she is very remorseful and appoligized but then puts herself down. She is very sensitive to loud noises and crowds, only can wear a certain style of pants or shorts ex leggings or jeggings and certain material of shorts. She does have a hard time at school in certain subjects such as writing numbers and letters backwards etc. She will be extremely happy and silly, bouncing off walls one minute and then minutes later can be very angry and just the littlest thing can set her off and gets fixated on things and will bring it up weeks later. I was wondering if you ever experienced these things?

Debra
12/26/2023 02:42:29 pm

I totally agree- I think parents also need therapy to adjust to the changing emotions it’s a family disorder.

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Jennifer Bowdry Coley
12/25/2020 11:57:44 pm

I have some concerns regarding my 9 year old son and a adult also.....If possible can yu plz contact me as soon as possible.... Sincerely, Nicole Mae

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Tina U
6/22/2021 02:24:47 pm

My daughter was diagnosed bipolar at 18 yrs of age and was put on meds for 8 years. During this time my husband was diagnosed with Aspergers. My daughter on her own quit all her meds and now 16 months later she is better than ever. My point; I believe she has aspergers and the bipolar meds were making her worse! This is my opinion (and my daughters) I was living this 24/7 with her and can definitely tell a difference in her now! During her life with bipolar meds her life and ours (her family) was a living hell! So thankful she is so much better.

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May Garman
9/14/2021 06:32:41 am

My life & jobs led to study, experience, & on-the-job training with ASD persons. Due to step-daughter being diagnosed bipolar as teen, I very much understand that condition.
I wish more research would be completed to determine if ASD, ADD/ADHD, bipolar, & schizophrenia are different manifestations of the same genetic condition. In my own bloodline family, I see ASD/HFA, undiagnosed bipolar member, & one diagnosed as schizophrenia.
Thank you.

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Lynette Calver
12/12/2021 05:29:25 pm

Hi there, I am 68. Our son who is 41 was recently diagnosed as being Asperges. He is an alcoholic as well. Growing up he was diagnosed as being on the autism spectrum at around 7/8. As his parents, we decided not to medicate him as the drugs that were used then were very heavy and children taking these drugs had a 'zombie' like reaction. So we decided to manage him on our own with love and discipline. It was very hard raising him as he has 4 sisters and when he had an 'episode' he would become very emotional and world often come to blows with his sisters physically. They would obviously stand up for themselves and as their mother I would have to break up the fight and we would talk about what he had done and there would be a consequence. When he was younger he would get a spanking with a wooden spoon, and when he was older, he would have time out in his room, or something that he loved doing would be removed temporarily. He would always have to apologize.

Now that he is an adult, he has been drinking which adversely affects the medication he takes for anxiety and an inability to sleep. He has been in a very anxious state the last 2 years about the fact that his partner didn't have a job. They have 2 young children, little girls, aged 6 and 18 months. He started drinking heavily which led to angry, violent outbursts in which he would try to physically assault his partner in front of the children. She would often attack him as well, at one stage smashing a glass into his face. She would often provoke him too. One night, they had a particularly bad fight, in which she called the police and they removed him for the night. His partner laid a charge against him. He stayed with us the following day and while he was with us, his partner removed various items of furniture and left with their 2 children to stay with her sister about 1,000 km away.
Matthew had to attend a court case recently in which the judge ruled that mediation had to take place with social workers to help them overcome their problems, but seeing that his partner wasn't there to attend, she dropped the charge and the case was dismissed.

As his parents, we have done our best to support him, as he has more than once threatened to take his own life. We found an affordable Life Coach who he is seeing at the moment, he is taking his meds but he is still drinking. We are going to attend Alcoholics Anonymous with him until he feels comfortable there. It is free and we feel he needs to attend to eliminate his alcohol problem.
We are wondering if our son could be bi Polar as well as Asperges?

What more can we do as his parents? He is missing his little girls terribly and will probably have to face a Christmas without them.
His sisters and spouses are also angry with him and don't want to spend Christmas with him this year.

As their mother, I am in an awful predicament, but I will not desert my son especially at Christmas time.

Thank you for your time.
I would appreciate your advice very much.

Lynette.

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Scott
4/6/2023 07:32:46 am

Lynette, try introducing your son to Naltrexone. 50 mg an hour before drinking DRASTICALLY reduces the appetite to drink. It is sometimes referred to as the "Sinclair Method". It can be life-changing for someone who struggles with alcohol abuse. Best wishes.

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Mabel
2/3/2022 07:53:12 am

You are an amazing mom and caregiver
do not give up however difficult it might be:

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Sarah Hawcock link
2/28/2022 12:04:59 pm

I agree , im often told im rude have no filter ,it makes it worse as I also have bipolar disorder with it .I have two children with autism and a husband who is an undiagnosed asperger's but through it all im the one coping despite my disabilities .We also have a mum with dementia so my husband will see to her. My sister in law is very selfish and it causes a lot of pressure then I end up making having a manic phase, but I might as well talk French for all it does .He does is own thing and want his own company despite him having a family .He's not the only person, I feel lonely and a single mum

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Melanie
4/9/2022 01:30:34 pm

Help! How am I able to connect and find help for 19 year female possible asbergers and or bipolar? Suffers from horrible anxiety, paranoria, loss of memory of current events. She feels hopeless and im in fear for her future!

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Keesha Santora
4/11/2023 10:48:50 am

I am so happy to have found this article. Inoticed around 2 years old a major soft in my son's behavior. Doctors swore it was terrible 2a. At the age of 4 I was told my son was likely a sociopath then was diagnosed with ODD. Over the years he has been violent and constantly had behavioral problems at school. He was diagnosed with ADD/ADHD. A major issue is he is incredibly smart and hates for people to know, he's kind or mean, intensely focused or aloof, life of the party or source of destruction, impulsive or lazy, hyper interested or bored, incredibly gorgeous and never entertains more than 1 friendship at a time. People completely love or hate my son. At 16 he started using street drugs and ran away. At 18 he was diagnosed as bipolar.
Some of his teachers and I have been talking recently and I mentioned I've always thought he was misdiagnosed not only because he was a little Black boy but also because he is so smart and charismatic. He has a way of mimicking people and their emotions that people don't notice. I mentioned how he doesn't hold eye contact.
We were joking at home one day, at least I thought we were joking and he feel in my lap balling. He said he never understands what's so funny and feels like people are laughing at him which causes most of his fights. He said he hates feeling that way and doesn't understand why he doesn't understand.
He has spoken to me so vividly of wanting to kill himself and not having anything to live for it keeps me awake at night. I think my baby has Aspergers. I'm in Texas. He's 20 now. Can someone please suggest help?
I didn't know I would right this long but I have been reading and can't help but to feel like someone here or some parent will understand.

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Psychiatrist in McKinney, Texas link
9/28/2023 04:23:12 am

Thank you for shedding light on the connection between bipolar disorder and Asperger's syndrome. It's a complex overlap that underscores the importance of accurate diagnosis and tailored treatment. Early recognition and intervention are key, and your insights on monitoring behavior in young individuals are valuable. The link to substance abuse is also a crucial point to consider in managing these conditions. Awareness and support are crucial for those facing these challenges

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Elizabeth
2/25/2024 09:51:22 am

A specific earmark of Asperger's is we lack mirror neurons and have difficulty with imagery. I cannotbtell.what other peiole think of me. I can't see myself from their point of view, which explains why I hate most pictures of myself. It's not low self-esteem, but it is jarring because I don't look the way I think I look. I can come up with my own flavor of an already-existing art work, but cannot create bstractly. I can mimic many different styles and put my own twist. Autistics require a springboard for their creativity.

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Onyx Therapy link
4/7/2024 04:58:13 am

I found the discussion of the potential connections between Asperger's and bipolar disorder to be quite thought-provoking. The insights about how the two conditions can sometimes overlap or influence each other were particularly fascinating. I'm curious to hear if any research has been done on potential treatment approaches that could address both Asperger's and bipolar symptoms together. What are your thoughts on that?

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Inpatient Mental Health Los Angeles link
1/25/2025 04:15:45 am

Inpatient mental health services in Los Angeles offer 24/7 care for those needing intensive treatment. This level of care is ideal for individuals in crisis or who require continuous monitoring.

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invest IRA in gold link
1/28/2025 11:35:01 pm

Gold IRA reviews" refers to online testimonials and evaluations of companies that specialize in Gold Individual Retirement Accounts (IRAs). These reviews provide insights into various aspects of these companies.

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    Alina Kislenko MA, RP
    Registered Psychotherapist

    is an ADHD, Asperger's/ASD specialized Registered Psychotherapist and Coach, as well as the Founder of The ADHD & Asperger's/ASD Centre. She is currently working on producing her radio show "Strange Brains" on these topics, and can often be seen on the Inside Guelph TV Show as their regular ADHD and Asperger's/ASD specialist. Learn More


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