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by adastra22 1463 days ago
This sounds scarier than it actually is, I think. ADHD is vastly more prevalent than bipolar disorder, and although we have various observational surveys to see if a patient ought to be diagnosed ADHD, the real gold-standard test according to the docs I've talked to is to administer medication. If you take stimulants and the symptoms go away, it was ADHD. If it doesn't work, try a few other types of stimulants. If none of those work then it probably wasn't ADHD and it's time to consider if there's something else going on.

Given that stimulants work nearly 100% of the time for ADHD cases, and don't pose a great risk to patients for whom ADHD is not the root cause, this is a sensible approach to take. As long as the psychiatrist follows up and makes sure the medication is working, and investigates if it is not.