How do you treat patients with comorbid Bipolar Disorder and ADHD?   

I usually start with non-stimulant medications, guanfacine (or clonidine) being my first choice. I'll move to bupropion or amantadine after that. I've had good results with amantadine and not much luck with atomoxetine (I find more problems with nausea and high blood pressure than benefit with that ...

In child/adolescent psychiatry, the stats are that 2/3 of youth diagnosed with bipolar have comorbid ADHD.  So, this is a common scenario.  Implicit in Dr. Stuhr's response is that the mood must be stabilized before addressing the ADHD.  I think we have a consensus on that point. In ...