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For the last few years, I've always thought that maybe my symptoms were associated with clinical depression and some sort of anxiety disorder. Now I'm thinking that perhaps I may actually have ADD/ADHD, since the symptoms I've been experiencing fit so smoothly. I've always been very obnoxious in class, though once I realize I've shouted out my opinion I get rather embarrassed and tell myself I won't do it again... Then I do. I'm always losing and forgetting things, and my room's a downright disaster zone. My teachers don't really treat me any differently than the other kids, mainly because I usually can do well enough on my own, and my mother just thinks I'm either lazy or something similar. I always feel like there's something bothering me, and often times there is, even if it's something considered "small." When I was younger, I used to have fits of anger/frustration over something as simple as not finding my pencil, and as I grew older I suppose these outward impulses became more introverted, probably explaining why I constantly blame myself for everything and have attempted suicide several times due to not being happy with myself. My question is... Is it possible to have both ADD/ADHD, severe depression, and anxiety at the same time? If so, how can I get help for not just one, but all of these? I've been through CBT and have a therapist and medication... But there are days when that's just not enough.

Emily asked this
January 16, 2012 at 7:54 PM

A:

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With ADD/HD there is about a 50% comorbidity with other issues, namely depression and/or anxiety. Usually with these things, the 3 neurohormones of dopamine, serotonin and adrenalin (norepinephrine) are factors. There are a few medications that hit these receptors and can help with comorbid illness. The most common one is Strattera. They have a good website.

Jeffrey VanWingen M.D. Health Coach answered
January 17, 2012 at 10:33 AM

This is a very good question. We all have a tendency to try and push medical conditions into one straightforward diagnosis, when in actuality, there can be several things going on at once.

It is relatively common for people to have both ADHD and depression and anxiety. If you are concerned that you may have more than one condition affecting you, then I would recommend seeking out a clinical psychologist who can do a formal evaluation. A good session typically will involve both an interview with you (or sometimes even family members) and also written questionnaires. A formal evaluation like this can help give a good starting point as to what types of treatments would be the most beneficial.

Dr. Jeff M.D.

Dr. Jeff Chamberlain, MD Health Coach answered
January 17, 2012 at 10:38 AM
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