I just recently was diagnosed with Bipolar Type I. It upsets me that it took my doctors until I was 26 years old to diagnose me. I was diagnosed ADHD as a kid and have seen a Pdoc most of my life. The thing is that my impulsivity was not always around where as my inability to focus was. I now thanks to having been admitted into a hospital for an attempted suicide after coming down rather quickly off of a manic episode I was diagnosed as a BP type I. Now before this I had seen my Pdoc and talked to him about everything that was going on and he considered the possibility that I may have had BP type II. Knowing what I know now about BP and what occurs during manic episodes I know that the doctors at the hospital got the correct diagnosis. What kills me the most is that none of the Pdoc's in my area specialize in mood disorders or there are not ones that are available to take any new patients on right now because they already have too many. I am having a hard time adjusting to the lithium. It causes me to be lethargic and scatterbrained which is crazy because I am on Concerta for my ADHD( which is more than likely just ADD with the hyperactivity and impulsivity coming from the manic episodes something the doc at the hospital said) and I still can't concentrate on anything and am still fighting to stay awake. Also I haven't seen anything on this but I used to have a deccent sex drive(when I am manic it is in overdrive) and now I have zero desire to do anything sexual did't know if it was the meds or possibly something else. I am currently looking for another Pdoc and am trying to get with someone who specializes in mood disorders. It is looking like I may have to go up to a 45-60 min drive just to get with a doc who knows what it is they are doing. Any help as to what to look for in a doc for managing BP type I w/ADD?