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ADHD Vs. Depression: What’s The Difference?

We often find ourselves doubting our emotions and behaviors as we manage the complexities of mental health. “Could it be ADHD vs. Depression?” is a question that many individuals wonder. The dilemma develops because symptoms including agitation, mood swings, and trouble focusing are common to both disorders.

In this article, we explore the details of ADHD and Depression—conditions that are often misunderstood and sometimes misdiagnosed. We aim to explain how they are alike, how they differ, and how they can both affect someone at the same time. Our goal is to give clarity to those struggling with these symptoms, whether for themselves or someone they care about.

What Is ADHD? 

It is essential to grasp the distinct components of both diagnoses before delving into the complex concept of adhd paralysis vs depression.

Being a neurodevelopmental disorder, ADHD manifests itself initially in childhood and continues throughout adulthood. Importantly, our culture views ADHD as a disability because it deviates from the norm of neurotypical behavior.

Executive skills, such as the ability to complete activities and maintain organization, are frequently compromised in people with ADHD. They may have trouble remembering things and have trouble keeping appointments.

Types Of ADHD

People with ADHD often receive a diagnosis in childhood. The disorder can show itself in one of three ways.

1. Inattentive Type

People who struggle with inattentive ADHD sometimes find it extremely difficult to maintain concentration on activities that they find dull. They may have trouble focusing on one thing, having trouble following a discussion, and being easily sidetracked by their environment or thoughts.

The ADHD symptoms of inattentive type is as follow: 

  • Being careful with details.
  • Making blunders that are very basic at work or in other activities.
  • Staying focused on tasks that take a long time.
  • Listening well when someone talks directly to you.
  • Following instructions.
  • Finishing tasks at work.
  • Planning and organizing tasks and activities.
  • Managing time effectively.
  • Misplacing things like keys, wallet, or phone.
  • Getting easily distracted by unrelated thoughts or things around you.
  • Forgetting things in daily life, like paying bills, keeping appointments, or returning calls.

2. Hyperactive-Impulsive Type

People who suffer from hyperactive-impulsive ADHD frequently experience persistent restlessness. For Example, they have trouble keeping their composure in tense sitting like classes and may speak out of the blue, making it difficult for them to sit through a lecture.

The ADHD symptoms of hyperactive impulsive type is as follow: 

  • Having a strong urge to move around a lot.
  • Finding it hard to stay seated for extended periods.
  • Constantly moving around in the seat or being unable to sit still.
  • Finding it difficult to engage in leisure activities quietly or calmly.
  • Often speaking more than others in conversations.
  • Answering questions before they’re fully asked.
  • disrupting other people without waiting for them to finish speaking or doing something.

3. Combined Type

People who suffer from mixed-type ADHD exhibit symptoms of both inattention and hyperactivity-impulsivity.

What Causes ADHD? 

Just like many other mental disorders, experts haven’t pinpointed specific causes for ADHD yet.

According to recent studies, heredity is a major factor. If we take ADHD as an example, we find that approximately 75% of people with the disorder also have a first-degree relative who suffers from it.

Other potential factors include brain injuries, exposure to lead or toxins early in life, and maternal use of alcohol or tobacco during pregnancy. Premature birth or low birth weight might also contribute.

It’s important to note that ADHD isn’t linked to excessive TV watching, consuming sugary foods, or poor parenting, despite common beliefs. Research suggests that ADHD affects between three to seven percent of school-aged children in some form.

What Is Depression? 

Depression goes beyond feeling sad or blue—it often involves persistent episodes that can last for weeks or even months.

Depression can make it hard to do things like go to work or school, take care of oneself, or even eat healthily. This illness is extremely dangerous because it can cause suicidal thoughts in extreme circumstances.

Symptoms Of Depression

Followings are the depression symptoms:

  • Sadness, despair, or a lack of fulfillment
  • Irritability, annoyance, or unease
  • Disinterest in things you used to love
  • Having trouble focusing
  • Mood swings, including an increase or decrease in food intake; trouble sleeping, including restless legs syndrome or waking up multiple times during the night
  • Tiredness and lack of energy all the time

Types Of Depression

There are several types of depression, each with its own set of symptoms. These include major depression, persistent depressive disorder, bipolar disorder, postpartum depression, and seasonal affective disorder (SAD).

1. Major Depression

Also known as clinical depression, MDD involves feeling constantly sad or losing interest in things around you nearly all day, almost every day. A general guideline for diagnosis is experiencing symptoms for at least five days a week over a period of two weeks or more. Symptoms of major depression include:

  • Feelings of sadness, despair, or emptiness that don’t go away
  • Decline in interest for earlier enjoyable activities
  • Notable shift in body mass index (gain or decrease)
  • Sleep disorders such as insomnia or hypersomnia
  • Feeling tired or lacking energy
  • Depression, anxiety, or feelings of overwhelming guilt
  • Having trouble focusing or deciding
  • Recurrent thoughts of death or suicide
  • Restlessness or delayed movements, sometimes known as psychomotor agitation or retardation

2. Persistent Depressive Disorder (PDD)

A person with persistent depressive disorder (PDD), formerly called dysthymia, feels down most of the time, on average, for at least two years. Although the severity of symptoms of persistent depressive illness is lower than those of major depression, they last longer.

The Symptoms of major depression include:

  • Appetite shifts.
  • Lack of sleep or excessive sleepiness.
  • Feeling exhausted all the time.
  • Lack of confidence.
  • Problems focusing or settling on a course of action.
  • Weak and despairing.

3. Bipolar Disorder 

Bipolar disorder, also called manic depression, involves fluctuating moods and energy levels that swing between extreme lows (depression) and highs (mania). During depressive episodes, symptoms are similar to major depression, with periods of intense sadness.

Manic episodes can bring on a variety of symptoms, including:

  • Experiencing a state of extreme pleasure or bliss.
  • Anxiety attacks.
  • Experiencing agitation or hyperactivity.
  • Sleeping less or more disturbed than usual.
  • Rapidly discussing a range of subjects.
  • Radical ideas.
  • Enhanced desire to engage in sexual activity, eat, or drink.
  • Experiencing a profound sense of self-importance, genius, or authority.

What Causes Depression? 

Depression is thought to have hereditary components, much to ADHD. For Example, if one twin in a set of identical twins suffers from depression, the other is almost 70% more likely to have signs of depression themselves.

Several factors can increase the risk of depression, including major life crises, stressful situations, and traumatic events. Moreover, certain medications for illnesses like diabetes, cancer, or cardiovascular disease may also contribute. Also, high levels of childhood and teenage anxiety, persistent exposure to harmful situations such as abuse or lack of supervision, and personal characteristics like a negative attitude or poor self-esteem are additional risk factors. Likewise, an imbalance of neurotransmitters in the brain is also believed to play a role in the development of depression.

Though it most commonly manifests in middle age and beyond, depression can strike at any age. When it comes to young people, the symptoms of depression sometimes manifest more as irritability than the usual changes in mood.

What Is The Overlap Of ADHD And Depression? 

People with ADHD are more prone to also suffer from depression, since the two disorders frequently overlap. Some important aspects of their overlap are as follows:

  • When compared to their non-ADHD counterparts, depressive symptoms are more common among adolescents with ADHD.
  • Depression affects individuals with ADHD at a rate three times higher than that of adults without the disorder.
  • The risk of acquiring depression increases dramatically within the first year following an ADHD diagnosis.

According to research, anxiety disorders, major depressive disorder, early-onset depression, or severe depression are all associated with an increased risk of ADHD. 

In addition, studies have shown that people with ADHD are more likely to have suicide thoughts. Emotional intelligence, goal-oriented behavior, and emotional regulation all play a role in this connection.

How Can I Tell The Difference Between Adhd And Depression?

Is it depression or ADHD? You can tell the answer. Actually the symptoms of ADHD and depression are similar enough that it could be difficult to tell the difference between ADHD and depression. Worse yet, certain ADHD medications can cause side effects that resemble depression, such as loss of appetite or trouble sleeping.

ADHD is a childhood disease. While both ADHD and depression affect mood, concentration, and motivation, they have distinct differences. Mood swings in ADHD typically start in childhood and involve rapid changes, whereas depression-related mood shifts often begin in the teenage years or later and last for weeks or months.

ADHD patients can feel themselves motivated. Motivation is another area where ADHD and depression differ. With ADHD, you might find it easier to focus on things that interest you, but depression can make even previously enjoyable activities feel exhausting and unappealing.

The sleep pattern of individuals with ADHD is typically hyperactive. Sleep patterns also vary between the two conditions. ADHD can make it difficult to settle down at night due to an overactive mind, while depression-related sleep issues are often tied to negative thoughts and insomnia.

Importantly, ADHD is a lifelong condition, whereas major depression symptoms tend to improve over time with treatment. Understanding these differences can be crucial in seeking the right support and treatment for each condition.

Can ADHD Mask Depression? 

Yes, ADHD can sometimes mask depression or make it more challenging to recognize. This is because ADHD and depression can share similar symptoms, such as difficulty concentrating, irritability, and mood swings. People with ADHD may also experience low self-esteem and negative thoughts, which are also symptoms of depression. Moreover, depressive symptoms may go unnoticed or even buried by the impulsivity and hyperactivity that characterize ADHD. 

Also, neither the observer nor the person suffering from ADHD will necessarily recognize the agitation and hyperactivity as symptoms of a depressive disease. Because of this, people who suffer from ADHD may not give their sadness the attention it needs or may even mistake it for another symptom of ADHD. In order to diagnose and treat each patient appropriately, healthcare providers must thoroughly evaluate and distinguish between various disorders based on their specific symptoms and needs.

What Are The Treatment Options For ADHD And Depression?

Treatment options for ADHD and depression are available and effective which are as follow: 

1. Medications

Your doctor will probably give you medicine to help with the symptoms of ADHD, depression, or both if they diagnose you with either.

Medications such as atomoxetine (Strattera), dextroamphetamine (Dexedrine), and methylphenidate (Ritalin) are frequently used for ADHD. Incorporating these into your routine will help you concentrate more, think more clearly, and control your impulses. You can even buy ADHD medication online

Antidepressants and selective serotonin reuptake inhibitors (SSRIs) are common drugs used to treat depression. Their mechanism of action involves elevating brain neurotransmitter levels, which in turn improve mood and reduce other symptoms of depression.

Be patient; it may take several weeks of taking medication for depression or ADHD before you feel better. Even if you feel no different right away, it is critical that you keep taking your medicine exactly as prescribed. Moreover, if going to the drugstore for a refill is becoming too much of a hassle, you can even buy prescription medication online

2. Psychotherapy And Behavioral Therapy

Both ADHD and depression often get better with therapy, whether used alone or alongside medication.

For ADHD, various types of therapy can help, such as cognitive behavioral therapy (CBT), family and marital therapy, and parenting skills training (for children with ADHD).

When it comes to depression, common therapies include cognitive behavioral therapy, problem-solving therapy, and interpersonal therapy (IPT).

3. Other Forms Of Treatment

If your mental health professional has diagnosed you with ADHD or depression, they may suggest making some adjustments to your daily routine to alleviate your symptoms.

For ADHD, managing symptoms can involve creating routines, using lists and calendars to stay organized, and breaking down big tasks into smaller, more manageable steps to boost motivation and focus.

For depression, small habit changes like regular exercise, setting realistic goals, and spending more time with supportive friends and family can significantly improve symptoms

Conclusion

Understanding the various types of depression is essential for identifying the unique difficulties each type brings and for customizing treatment to fit personal requirements. 

If you or someone you know is showing signs of depression, it’s crucial to reach out to a healthcare provider for a precise diagnosis and the right treatment.

Medically Reviewed By

Dr. Melissa J. Roybal
Dr. Melissa J. Roybal

Melissa has over 15 years of experience since graduating from Georgetown University, specializing in pediatrics, adult, and geriatric care. She is passionate about helping patients via telemedicine for various conditions.

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