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Over 6 days, Hurricane Harvey dumped more than 20 trillion gallons of water on Houston, making history as the "nation's wettest storm" (1). Over the course of 2 weeks, 232 evacuees (age range, 4-89 years; 50% male) sought mental health services in Hall E at Houston's George R. Brown Convention Center. More than half of the patients treated had a preexisting mood disorder. The four most common primary disorders

Distinguishing between borderline personality disorder and bipolar disorder is challenging due to symptom overlap. However, through careful screening and history-taking, collateral information from sources familiar with the patient, and the use of appropriate screening instruments, one may arrive at the correct diagnosis that will lead to optimal treatment planning. Clinicians must also recognize the possibility of the comorbidity of bipolar disorder and borderline personality disorder, and how such comorbidity may lead to poorer outcomes. This article reviews some of the key differences seen between borderline personality disorder and bipolar disorder in terms of neurobiology, heritability, longitudinal course, and subtle nuances in overlapping symptoms. [ Psychiatr Ann . 2020;50(1):19–23.]

Adults are commonly evaluated for attention-deficit/hyperactivity disorder (ADHD) in the outpatient psychiatric setting. There are numerous challenges present in attempting to make the diagnosis in adults. The diagnosis often occurs only after a thorough history taking, review of previous medical/school records, and the administration of psychometric testing. Neuropsychological testing may not be indicated in every situation, but may be most helpful in cases in which there is suspicion of a comorbid disorder that may result in symptoms that appear similar to ADHD or when there are complex medical, emotional, and cognitive processes that may influence attention and concentration. Treatment providers should be aware that ADHD remains a clinical diagnosis and that neuropsychological testing may or may not be abnormal in adults with ADHD. Treatment may include both pharmacologic options as well as behavioral treatments and/or psychotherapy. [ Psychiatr Ann . 2017;47(6):296–302.]