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Comorbidity of Bipolar and Other Psychiatric Disorders

Psychiatric comorbidity is common in children, adolescents, and adults with bipolar disorder. For clinicians, this comorbidity has significant implications for assessment and treatment. Comorbid conditions may be associated with distinct trajectories of improvement following both psychotherapeutic and psychopharmacological treatment. In this chapter, personality disorders, post-traumatic stress disorder, obsessive-compulsive disorder, anxiety disorders, attention-deficit/hyperactivity disorder, and eating disorders are reviewed with regard to their prevalence as well as their implications for assessment and treatment in both children and adults with bipolar disorder. Consideration of comorbidity is critical in enhancing treatment outcomes for patients and in terms of personalizing treatment approaches, whether pharmacological or psychotherapeutic.