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Are ADHD and Depression Misdiagnosed as Each Other? 

The ADHD depression misdiagnosis problem is a recognised issue in mental health. Both conditions share similar symptoms, including difficulties with concentration, low energy and emotional regulation problems. This overlap can lead to false positives, where someone is diagnosed with one condition when they actually have the other, or where both are present but only one is identified. 

One of the key challenges is that ADHD and depression can look very similar during an initial assessment. In ADHD, lack of focus and forgetfulness are caused by attention deficits, whereas in depression they can stem from low motivation and slowed thinking. Without a thorough differential diagnosis, these distinctions may be missed, leading to treatment that does not fully address the underlying condition. 

Common Factors Behind ADHD and Depression Misdiagnosis 

Symptom overlap 

Shared features such as fatigue, inattention and irritability can make it difficult to determine which condition is present. 

Changes over time 

Symptoms of ADHD may become more pronounced during stressful periods, mimicking depression, while long-term depression can create cognitive issues that resemble ADHD. 

Inadequate assessment 

Without a detailed history, it can be hard to establish whether symptoms are lifelong (ADHD) or developed later (depression). 

Addressing the ADHD depression misdiagnosis challenge requires careful evaluation and the use of structured assessment tools to ensure individuals receive the correct diagnosis and effective treatment. 

Visit providers like ADHD Certify for personal consultations and expert advice tailored to your needs.   

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Depression.  

Harriet Winslow, BSc - My patient advice author - mypatientadvice.co.uk

Harriet Winslow, BSc

Author

Harriet Winslow is a clinical psychologist with a Bachelor’s in Clinical Psychology and extensive experience in behaviour therapy and developmental disorders. She has worked with children and adolescents with ADHD, autism spectrum disorder (ASD), learning disabilities, and behavioural challenges, providing individual and group therapy using evidence-based approaches such as CBT and DBT. Dr. Winslow has developed and implemented personalised treatment plans, conducted formal and informal assessments, and delivered crisis intervention for clients in need of urgent mental health care. Her expertise spans assessment, treatment planning, and behavioural intervention for both neurodevelopmental and mental health conditions.

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, author and a reviewer for my patient advice - mypatientadvice.co.uk

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.