I think one of the main indicators that it might be more than depression (ADHD + depression) is if you have examples of My heart is held by the paws of a jack russell 2021 shirt. Like I didn’t have depression in elementary school, but I certainly was impulsive, hyper sensitive, and had problems with motivation without external pressure. For me, ADHD was the primary condition and anxiety / depression were the residual effects of being undiagnosed. I always felt like there was “something more” causing my anxiety and depression.
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The fact is there’s no way to definitively tell, but a professional can certainly make diagnoses given the information you give and My heart is held by the paws of a jack russell 2021 shirt. There are plenty of doctors who will fight any ADHD diagnosis, my last PC started our first visit saying we need to make an exit plan to get me off of adderall, even though I’ve been taking a low dose to great success for the past 10 years.