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=== Coexisting psychiatric conditions === The diagnosis of bipolar disorder can be complicated by coexisting ([[Comorbidity|comorbid]]) psychiatric conditions including [[obsessive–compulsive disorder]], [[Substance use disorder|substance-use disorder]], [[eating disorder]]s, [[attention deficit hyperactivity disorder]], [[social anxiety disorder|social phobia]], [[premenstrual syndrome]] (including [[premenstrual dysphoric disorder]]), or [[panic disorder]].<ref name="Post2013" /><ref name="Muneer2013" /><ref name="Kerner2014" /><ref name="Cirillo2012">{{cite journal | vauthors = Cirillo PC, Passos RB, Bevilaqua MC, López JR, Nardi AE | title = Bipolar disorder and Premenstrual Syndrome or Premenstrual Dysphoric Disorder comorbidity: a systematic review | journal = Revista Brasileira de Psiquiatria | volume = 34 | issue = 4 | pages = 467–479 | date = December 2012 | pmid = 23429819 | doi = 10.1016/j.rbp.2012.04.010 | doi-access = free }}</ref> A thorough longitudinal analysis of symptoms and episodes, assisted if possible by discussions with friends and family members, is crucial to establishing a treatment plan where these comorbidities exist.<ref>{{cite journal|vauthors=Sagman D, Tohen M|year=2009|title=Comorbidity in Bipolar Disorder: The Complexity of Diagnosis and Treatment|url=http://www.psychiatrictimes.com/display/article/10168/1391541|url-status=live|journal=Psychiatric Times|archive-url=https://web.archive.org/web/20090428052207/http://www.psychiatrictimes.com/display/article/10168/1391541|archive-date=April 28, 2009}}</ref> Children of parents with bipolar disorder more frequently have other mental health problems.{{update after|2020|8|13}}<ref>{{update after|2020|8|13}}{{cite journal | vauthors = DelBello MP, Geller B | title = Review of studies of child and adolescent offspring of bipolar parents | journal = Bipolar Disorders | volume = 3 | issue = 6 | pages = 325–334 | date = December 2001 | pmid = 11843782 | doi = 10.1034/j.1399-5618.2001.30607.x | doi-access = free }}</ref><ref>{{Cite journal |last=Hafeman |first=Danella M. |date=2024-09-02 |title=Editorial: Following Offspring of Parents With Bipolar Disorder Into Middle Adulthood: Risk Windows Relevant to Child Psychiatrists |url=https://pubmed.ncbi.nlm.nih.gov/39233137/ |journal=Journal of the American Academy of Child and Adolescent Psychiatry |pages=S0890–8567(24)01358–3 |doi=10.1016/j.jaac.2024.08.009 |issn=1527-5418 |pmid=39233137}}</ref>
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