ADHD & Depression
By Rachel Hopkins APC CRC
The comorbidity of ADHD and depression is often reminiscent of “the chicken and the egg” debate. Which came first? Am I depressed due to self-shaming of ADHD symptomology? Or am I presenting as ADHD because of my lack of motivation stemming from a depressive episode? While depression does tend to be more common among adolescents and adults diagnosed with ADHD, the overlap in symptoms can lead to misdiagnosis and delayed diagnosis. Daily and executive functioning is a challenge, concentration feels impossible, and irritability is through the roof.
Navigating the Complexities of ADHD & Depression Screening
Where do we go from here? Licensed professionals, such as psychologists, neurologists, and psychiatrists, screen and formally diagnose ADHD. They use a multitude of tools, most often including a diagnostic interview. The ins and outs of underlying comorbidity between ADHD and depression are not fully understood. However, both genetic and environmental factors likely play a role. For example, disruptions in neurotransmitter systems, such as dopamine and serotonin, have been implicated in both disorders. The most challenging part of determining the right road for treatment lies in the individuality of everyone’s experience. Where ADHD therapy is concerned, it means tailoring psychotherapy to each client’s unique needs. This is why working with an ADHD therapist who gets it might make all the difference.
Understanding “Diagnotisc labels”
Analyzing what a “diagnostic label” means to us is a starting point in therapy for both ADHD and depression. For some, having a formal diagnosis of one or the other can feel like a relief or explanation. But for others, it can make us feel trapped. The label of ADHD may have been used interchangeably in a client’s life with unfair labels. For example, “lazy” or “undisciplined”, leaving “labels” in general as an icky concept. Diagnosis of ADHD and depression are famously stigmatized; clients may feel misjudged and misunderstood societally. Additionally, skepticism of both ADHD and depression as conditions themselves can accelerate the self-shaming cycle. A diagnosis is not the “key” to unlocking understanding and “better management”. However, it is important to address the stigma involving education and advocacy.
Tailoring Treatment: The Importance of Individualized Therapy for ADHD and Depression
Long-term, ADHD and depression play off each other, increasing the risk of adverse outcomes. Both conditions can exacerbate each other and give way to a never-ending loop of self-shaming thoughts. The “self-shaming” cycle goes a little like this: “I should be able to do this”, our feelings of “not enoughness” are exaggerated, then we stay demotivated. When working with individuals with either ADHD or depression, being super cognizant of words like “should”, “would”, “could” and “need to” are a core part of the intervention tactic. While treatment of both conditions includes analysis of cognitive thought, treatment of ADHD often includes an increased focus on supportive behaviors as well. Through the therapeutic alliance, we work to accept what is out of our control and commit to what we can change, forging a confident and informed path forward.
Seeking ADHD Therapy in Atlanta, GA
In short, let’s remember this; it doesn’t matter if “the chicken” or the “egg” came first, so long as we get a quality, fulfilling omelet at the end of the day. Whether you are working through ADHD, depression, or both - It's important for individuals with depression or ADHD to work closely with your trusted team to build a comprehensive treatment plan that addresses your unique needs and preferences. If you’re ready to begin ADHD therapy in Atlanta, GA, consider reaching out to us at the Chronic Illness Therapist!
Getting Started with Online ADHD Therapy in Atlanta, GA
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Other Services We Offer in Georgia
At The Chronic Illness Therapist, we offer a comprehensive range of therapeutic services to support individuals facing various challenges. Our grief therapy provides compassionate support for those navigating loss, while our chronic illness therapy offers tailored assistance for managing complex chronic illnesses. Additionally, our anxiety and depression therapy provides evidence-based interventions.
