Differences Alcoholism Bipolar Disorder 1. Usually enjoys or craves alcohol 1. Often does not enjoy alcohol 2. Significant improvement with sobriety 2. Significant problems persist despite sobriety 3. No history of mood or sleep cycles 3. Strong history of mood and sleep cycles 4. Medication not helpful in treatment 4. Responds well to lithium & anticonvulsants 5. Can respond well to counseling 5. Needs medication in addition to and support groups counseling Similarities Alcoholism Bipolar Disorder 0. Excessive use of alcohol 0. Excessive use of alcohol 1. Misses work frequently 1. Misses work frequently 2. Changes jobs frequently 2. Changes jobs frequently 3. Chaotic relationships 3. Chaotic relationships 4. Disturbed sleep pattern 4. Disturbed sleep pattern 5. Poor personal hygiene 5. Poor personal hygiene 6. Impaired judgment 6. Impaired judgment 7. Sobriety essential for treatment  7. Sobriety essential for treatment 8. Family history of alcoholism is likely to be present 8. Family history of alcoholism is likely to be present

Reprinted with permission from 'Why Your Depression Isn't Getting Better: The Epidemic of Undiagnosed Bipolar Disorders' by Michael R. Bartos, MD., ISBN 0-595-12209-4, Published September 2000, iUniverse.com