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Are People with Bipolar Considered Neurodivergent?

October 26, 2022 Natasha Tracy

The word "neurodivergent" is flung around social media and is now very politically correct. For example, it's supposedly okay to call a person "neurodivergent," whereas calling them "mentally ill" will get you social media-canceled. But if people insist on using the term neurodivergent, then let's at least know what it means and how one might use it properly. 

What Does Neurodivergent Mean? Defintion of Neurovigerence

According to Harvard Health Publishing, 

Neurodiversity describes the idea that people experience and interact with the world around them in many different ways; there is no one "right" way of thinking, learning, and behaving, and differences are not viewed as deficits.1

People who think, learn, and behave are known as neurotypical,2 whereas those who think, learn, and behave in non-standard ways are neurodivergent. These non-medical words are there to prevent people from saying things like "normal" and "abnormal" (although I would argue there's nothing scary about those words).

You could compare this to handedness (or handdiversity, if you like). Most people are right-handed, and people who are left-handed interact with the world differently. Neither is superior nor "right" or "normal." Neither is considered a deficit. It's worth noting that handedness is something one can adapt to, does not require treatment, and does not impinge on one's quality of life.

What Conditions Would Neurodivergence Apply To?

Most commonly, people with attention-deficit/hyperactivity disorder (ADHD) are considered neurodivergent. One could easily argue that those with ADHD experience and interact with the world in different ways affecting the way they think, learn, and behave. Some people would argue that the ways they do this are not deficits. 

However, take a look at a select list of ADHD symptoms in adults:

  • Chronic lateness
  • Impulsive behaviors
  • Problems in primary relationships
  • Anger management difficulties
  • Poor time management
  • Poor prioritizing skills
  • Low motivation and procrastination
  • Difficulty holding onto employment
  • Low frustration threshold

Then take a look at the effects these symptoms commonly have on adults with ADHD:

  • Academic underachievement
  • Poor professional performance
  • Few professional achievements
  • Financial issues due to poor management skills
  • Substance abuse
  • Multiple driving violations and accidents
  • Marital problems, including multiple marriages

These symptoms do point to a different way of interacting with the world. They do point to a difference in the way they think, learn and behave. However, I think arguing they are not deficits is a stretch. There is a reason why people get treatment for this illness, and it's not because it's merely about "differences." It's about harm. It's about harm to the person's life.

Of course, every case is different, and some people with ADHD may not see such severe effects on their lives. Their differences truly may not be deficits. Are only they neurodivergent, then? A select group within a group?

The other condition wherein neurodivergence is commonly assigned is autism spectrum disorder (ASD). However, the effects of this disorder, too, run the gamut. Those with ASD sometimes have jobs, relationships, etc., that are quite normal, while others have a version of ASD that makes it impossible for them to communicate with the world almost entirely. If you couldn't live on your own, if you couldn't take care of yourself, if you couldn't communicate, how is that not a deficit?

So, is the degree of your illness the defining factor of actual neurodivergence? I would say, probably.

Is Bipolar Disorder an Example of Neurodivergence

The argument against bipolar disorder being an example of neurodivergence is even stronger. One defining factor of bipolar disorder is that it has a negative effect on your work, school, and personal life. That is literally in the definition of the disorder.

You put on top of that things like an 11 percent fatality rate in those with bipolar disorder,3 and you'd be hard-pressed to convince me there are no deficits there. 

Using the Term Neurodivergent

I understand the use of the term neurodivergent is an attempt at more inclusive, stigma-free language. I get it. But I have this weird thing about definitions and using words correctly. And according to the definition by the smart folks at Harvard, those with mental illnesses or severe neurodevelopmental disorders don't qualify, and, in my opinion, it minimizes the experience of these people.

I'm all for recognizing that people are different. For example, some people are visual learners, while others are auditory learners. That is an actual example of neurodiversity. But for those of us who have to claw and scratch every day just to stay alive, this term does not apply, at least not with the given definition.

Instead of inventing words or mutilating the ones that exist, I would much prefer we just use clear language and face the challenges of that head-on. As I always say, wordplay will not save us from prejudice and discrimination. It takes much more to do that.

Sources

  1. Baumer, N., & Frueh, J. (2021, November 23). What Is Neurodiversity? Harvard Health Publishing. https://www.health.harvard.edu/blog/what-is-neurodiversity-202111232645

  2. Definition of neurotypical. (n.d.). www.dictionary.com. Retrieved October 25, 2022, from https://www.dictionary.com/browse/neurotypical

  3. Soreff, S., MD. (2022, February 18). Bipolar Disorder: Practice Essentials, Background, Pathophysiology. https://emedicine.medscape.com/article/286342-overview

APA Reference
Tracy, N. (2022, October 26). Are People with Bipolar Considered Neurodivergent?, HealthyPlace. Retrieved on 2023, January 30 from https://www.healthyplace.com/blogs/breakingbipolar/2022/10/are-people-with-bipolar-considered-neurodivergent



Author: Natasha Tracy

Natasha Tracy is a renowned speaker, award-winning advocate, and author of Lost Marbles: Insights into My Life with Depression & Bipolar. She's also the host of the podcast Snap Out of It! The Mental Illness in the Workplace Podcast.

Find Natasha Tracy on her blog, Bipolar BurbleTwitter, InstagramFacebook, and YouTube.

Petunia
January, 28 2023 at 1:04 pm

Remove modern capatalist societal expectations, and much of what some might call 'deficits' falls away.
Variations in neurotype are long-standing, likely evolution-benefitting qualities for human communities.

Jane
January, 4 2023 at 12:22 pm

You are also only looking at the negatives. What about the positives. As a functioning bipolar II person, I regularly experience periods of hyperactivity, that if I manage carefully, which are brought on by a busy job, can help me be exceptionally productive, precisely because of the way I interact with the world. Surely that makes be neurodivergent?
Oh and as a software tester, I believe my attention to detail is also enhanced by the way my brain processes.
and hope you don't mind the feedback (I am a tester) ;-) the sentence "People who think, learn, and behave are known..." is missing 'in a standard way' I believe.

TJ Kamat
December, 31 2022 at 2:14 pm

I guess my OCD and ADHD-I symptoms qualify to be neurodivergent, but my BP1 with psychotic features and rapid cycling in remission don't qualify me for being neurodivergent. I may be on the ASD spectrum, but I don't know.

a frustrated neurodivergent professional
December, 30 2022 at 3:57 am

Just because you don’t agree with a choice to not view differences as deficits doesn’t mean the term neurodiversity excludes those with severe disorders. The “smart folks at Harvard” didn’t disqualify those with mental illnesses and severe neurodevelopmental disorders. You did.
And, yes, using this label to fight for inclusion in the workplace doesn’t help those unable to work. So? Please describe your plan to transform the workplace to help those unable to work. There’s no such thing! People unable to work aren’t in the workforce.
People who are unable to work have their own unique problems that I hope well-informed and well-intentioned people are working to solve.
But why stop the efforts to make professional environments better equipped to support people whose brains function differently than the average person?
I’m a professional in my mid-40s with a collection of differences that qualify me for the neurodivergent label. I have accomplished and contributed a lot in my career, but it has been very hard. Mostly because of the ways my brain differs from others. There was no support for me to figure out how to deliver results, but there could have been. I could have contributed even more with less stress and pain.
Life will be less challenging for people like me if it becomes known that neurodivergent people have a lot to contribute and the value we add is worth the accommodations they may have to make to get the most out of us.

Marcela Musgrove
December, 21 2022 at 2:31 pm

Calling yourself neurodivergent does not mean denying you have a disability. And Harvard does not get to decide on the definition of neurodiversity since the term was actually coined by a sociologist named Judy Singer--here's a nice website on her: http://www.myspectrumsuite.com/meet-judy-singer/ . Neurodivergence was rooted in the autism community--it's only recently that people with ADD are also using that label. I've heard autistic people saying that bipolar should not be considered part of neurodiversity but this seems to relate to stigma as though they want to prevent being associated with mental illnesses. BTW, I think you left out some words in your definition: "People who think, learn, and behave are known as neurotypical"

TJ Kamat
December, 31 2022 at 2:11 pm

Agreed. A word is missing in the quoted sentence. "People who think, learn, and behave are known as neurotypical".

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