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Can depressive symptoms be mistaken for ADHD? 

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Updated
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Depressive symptoms with ADHD confusion are a common challenge in diagnosing mental health conditions, as many signs of depression can overlap with those of ADHD. While ADHD and depression are two distinct conditions, the symptom confusion, such as poor concentration and low energy still occurs which often lead to confusion and misdiagnosis, particularly in adults. 

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Understanding the Overlap 

The mental health overlap between ADHD and depression often makes it challenging to distinguish one from the other. Both ADHD and depression can cause difficulty with focus, memory, and motivation. However, the root causes of these symptoms differ significantly. ADHD is a neurodevelopmental disorder, typically present from childhood, characterised by persistent inattention, impulsivity, and hyperactivity. On the other hand, depression is a mood disorder, marked by prolonged feelings of sadness, hopelessness, and loss of interest in activities. 

Key Points of Confusion 

ADHD and depression share some common symptoms that might cause difficulty while dignosisng the disorder. Following are some points that highlight those symptoms; 

  • Concentration and Focus: Both conditions can lead to trouble concentrating, but in ADHD, inattention stems from an inability to sustain focus due to distractibility, while in depression, poor concentration is usually a result of mental fatigue or emotional distress. 
  • Energy Levels: Low energy is common in both, but ADHD tends to show restlessness or hyperactivity, whereas depression typically presents with sluggishness and an overwhelming sense of fatigue. 
  • Mood Issues: While individuals with ADHD may experience frustration or impatience, those with depression face much deeper, more pervasive feelings of sadness or hopelessness. 

In conclusion, depressive symptoms with ADHD confusion are not uncommon, but understanding the distinct characteristics of each condition can help in making an accurate diagnosis. Seeking professional help is crucial for differentiating between these conditions and ensuring appropriate treatment is provided. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Differential Diagnosis of ADHD.

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Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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