Depresyon, otizm spektrum bozukluðu (OSB) tanýlý hastalarda bildirilen baþlýca psikiyatrik ek tanýlardandýr. Bununla birlikte son yýllarda OSB tanýlý bireylerde eþlik eden bipolar bozukluk tanýlarý da bildirilmeye baþlanmýþtýr. Geçmiþte ne yazýk ki otizm tanýlý çocuk ya da eriþkin hastalardaki ruhsal sorunlarýn önemli bir kýsmý otizmin kendisine baðlý davranýþ sorunlarýna atfedilmekte idi. Günümüzde nörolojik ek tanýlar baþta olmak üzere OSB’na eþlik eden diðer týbbi durumlar üzerine yapýlan çalýþmalarýn sayýsýndaki artýþýn yanýsýra OSB’ye eþlik eden psikiyatrik bozukluklarýn tanýmlanmasýnda da gideren artan bir çaba bulunmaktadýr. OSB tanýlý hastalardaki psikiyatrik ek tanýlar hastalýðýn tedavi yönetimini güçleþtirmektedir. Bu nedenle bu ek ruhsal tanýlarýn erken tanýnmasý ve tedavi planýnýn oluþturulmasý önemlidir. Biz bu vaka bildiriminde, bipolar bozukluk ek tanýlý ergen bir OSB vakasýnda taný konulmasý ve tedavi sürecini anlatmayý amaçladýk.

Depression is one of the main psychiatric comorbidity reported in individuals with autism spectrum disorder (ASD). However, some cases of bipolar disorder accompanying ASD have been reported. In the past, there was a tendency to attribute all psychiatric problems in autistic children and adults to autism itself. Nowadays, there is not only an increase in the number of studies on other medical conditions especially neurological conditions in ASD but also there is an increasing effort in defining the comorbide psychiatric disorders. Comorbid psychiatric conditions can make disease management difficult in cases of autism. The precise and reliable diagnosis of psychiatric disorders accompanying children and adolescents with autism is of great importance. More specific treatment options are possible when problematic behaviors are accepted only as a manifestation of comorbid psychiatric disorder from isolated behavior. In this case report, we aimed to present the diagnosis and management of an adolescent autism diagnosed patient and comorbid bipolar disorder