Yes, when they talk about misdiagnosing bi-polar peeps with ADHD, it's typically done while in a hypomanic state when they come to the doctor complaining of irritability, lack of sleep, and/or racing thoughts. Of course they don't know they're in a manic/hypomanic state and the doctor might only see what looks like ADHD/ADD signs. But the ADD is *always* there manic, depressed, or neutral.