How we perceive and interact with the world around us depends in large part on our brains. While no one’s brain works in the exact same way, there are some processes and functions that are considered “neurotypical”. This includes certain social skills and the ability to filter out distractions or deal with ambiguity.

Between 10 to 20 % of people do not experience the world through these typical processes and are considered neurodivergent. Neurodivergence of all kinds is strongly linked with a greater risk of depression.

The most common types of neurodiverse conditions include autism spectrum disorders, learning disorders like dyslexia and dyscalculia, and attention deficit disorders.

ADHD is an attention deficit disorder that includes hyperactivity.

What Are the Symptoms of ADHD?

“ADHD has two sides. It feels impossible, even painful, to pay attention to things I find tedious. On the other hand, I can become hyper focused when I am doing something I am passionate about. When I hyperfocus, the rest of the world disappears.”

Anonymous

People with ADHD usually experience three types of symptoms: inattention, hyperactivity, and impulsivity. Here are a few examples of how each of these symptoms can appear:

Inattention

-Difficulty with organization and planning

-Difficulty following instructions

-Minimal attention to detail

-Forgetful, easily distractible

Hyperactivity

-Fidgety, cannot sit still for long periods

-High energy

-Overly talkative

-Unable to engage in quiet activities

Impulsivity

-Interruptive

-Impatient with turn-taking

These symptoms start in early childhood and persist into adulthood. Living with ADHD has its ups and downs.

“I can easily distract myself, and I always have energy, so in those ways, ADHD is very helpful. At the same time, I don’t have the focus to finish a project. I start, get bored, and then mentally move on to the next before I ever get to finish.”

Anonymous

“I try to channel my energy positively. I also work fast because I know my concentration won’t last very long.”

Anonymous

Researchers are still learning about the underlying causes of ADHD. However, there is some evidence that ADHD may result from impaired brain connectivity, especially in the cingulate cortex and possibly the prefrontal cortex, which both control cognition and emotional regulation.

What Is Life with ADHD Like?

The unusual connections in an ADHD brain can make tasks like concentrating or following a conversation extremely difficult. This quote summarizes it best:

“If someone wants to know what ADHD feels like, give them some math problems to solve while you throw firecrackers at their feet.”

Anonymous

Although ADHD is considered a disorder, this doesn’t mean that it doesn’t have any advantages. In fact, many highly accomplished people have ADHD, including famous musicians, entrepreneurs, actors, and athletes. Of course, there are also millions of regular people with ADHD who also live productive lives.

Still, since the world is primarily designed for neurotypical people, people with ADHD often face problems in their work life and relationships, especially if it is undiagnosed or untreated.

“I feel so capable in many other aspects of my life, yet I am constantly forgetting to pay my bills on time or keep my home clean. Life with ADHD is frustrating.”

Anonymous

“I can’t help but feel like I am not living up to my potential. I feel like a perpetual failure.”

Anonymous

“ADHD is hell on relationships. I am often too distracted to give my partner the attention she deserves. I hate that I take her for granted, but I get so bored and then just tune out.”

Anonymous

For many people with ADHD, leading a full and healthy life will require some type of treatment, especially if they are also experiencing depression.

What Does Depression Look Like in Someone with ADHD?

Major depressive disorder (depression) is a mood disorder that causes consistent and lasting low mood, loss of interest, and extreme negative thinking.

Depression is comorbid with ADHD. This means that people diagnosed with ADHD have a much higher risk of experiencing major depressive disorder. Their depressive episodes are likely to be more severe and last longer than those of people without ADHD.

“The worst part about going through depression is that it takes away all the good parts of having ADHD. My energy and zest for life are just zapped away.”

Anonymous

“I always need stimulation. If I don’t keep myself stimulated, I can fall into a terrible depression.”

Anonymous

Diagnosis can be tricky since some common elements of depression and ADHD overlap, such as irritability and fatigue. Also, some ADHD medications can cause side effects like mood swings and insomnia, which are typical of depression.

So, how can someone with ADHD tell if they are experiencing depression?

One factor is symptom duration. ADHD fatigue is usually temporary, and eases after resting. If feelings of exhaustion last despite following a normal sleeping schedule, it may be related to another condition.

Depression amplifies negative emotions and thoughts, which is not typical of ADHD. A persistent low mood paired with recurring feelings of guilt, worthlessness, and hopelessness can indicate a depressive episode, especially if these feelings last longer than two weeks.

How To Manage ADHD + Depression

“Living with ADHD and depression is such a struggle. Luckily, treating one tends to help with the other.”

Anonymous

Depending on the cause of depression, treating ADHD can sometimes ease or eliminate symptoms. ADHD treatments include:

Prescription medications

  • Stimulants- Concerta
  • Non-stimulants-Strattera, Intuniv

Psychotherapy

If depression symptoms don’t subside, treatments for major depressive disorder may be recommended. This includes prescription drugs and non-medication treatments.

Antidepressant medications

  • Selective serotonin reuptake inhibitors (SSRIs) like citalopram

Non-medication treatments

  • Regular physical exercise
  • tDCS: This is a non-invasive neuromodulation technique that uses mild electric currents to stimulate activity in the prefrontal cortex. Over time, tDCS reduces depressive symptoms without any severe side effects.

At the moment, tDCS is only approved for depression, but early studies suggest that it might be beneficial for ADHD symptoms as well. More research is needed, but the results look promising.

If you have both ADHD and depression, you can order a tDCS headset from Flow Neuroscience without a prescription. So this means, you will not have to wait for an appointment to begin your treatment.

In order for tDCS to be effective, you must use it 5 times a week for three weeks. ADHD can make it difficult to remember to use the headset. If you would like to try Flow, here are a few ADHD-compatible tips to help you incorporate tDCS into your daily routine.

1.Pair tDCS sessions with an activity you like and do every day.

The Flow headset is hands-free and portable, which means you can do almost anything while completing a session. You can use the headset while playing video games, watching t.v., or reading. There is no need to worry about getting distracted; the device will shut itself off when the session is done.

2. Create a reminder system

There are many ways to remind yourself to use the Flow device. You can leave the headset out where you typically use it. Keeping it in your eye line will make it easier for you to remember to do a session. For best results, your headset should be the only item in that space. You can also place a label on the bin or surface where the Flow headset will “live” to remind you to put it back in that place.

Digital reminders, like apps, digital calendars, or alarm clocks, can notify you when you should start your session. Schedule all the sessions in advance so that the reminders will pop up automatically.

3. Ask for help

If none of these systems work, you can always ask a trusted friend or family member to help you stay on schedule. If you work with a therapist, they also may be able to support you.

Read more about tDCS for depression.

Sources

Doyle N. Neurodiversity at work: a biopsychosocial model and the impact on working adults. Br Med Bull. 2020 Oct 14;135(1):108-125.

Accardo AL, Pontes NMH, Pontes MCF. Heightened Anxiety and Depression Among Autistic Adolescents with ADHD: Findings From the National Survey of Children's Health 2016-2019. J Autism Dev Disord. 2022 Nov 3:1–14.

Vogt BA. Cingulate impairments in ADHD: Comorbidities, connections, and treatment. Handb Clin Neurol. 2019;166:297-314.

Meinzer MC, Chronis-Tuscano A. ADHD and the Development of Depression: Commentary on the Prevalence, Proposed Mechanisms, and Promising Interventions. Curr Dev Disord Rep. 2017 Mar;4(1):1-4.

Salehinejad MA, Nejati V, Mosayebi-Samani M, Mohammadi A, Wischnewski M, Kuo MF, Avenanti A, Vicario CM, Nitsche MA. Transcranial Direct Current Stimulation in ADHD: A Systematic Review of Efficacy, Safety, and Protocol-induced Electrical Field Modeling Results. Neurosci Bull. 2020 Oct;36(10):1191-1212.