Supporting Dual Diagnoses in ADHD and Depression

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Supporting Dual Diagnoses in ADHD and Depression

While ADHD is commonly viewed through the lens of attention and hyperactivity challenges, it frequently coexists with other mental health conditions – most notably, depression.

Understanding the Emotional Landscape of ADHD

Individuals with ADHD are more susceptible to experiencing low mood, emotional dysregulation, and major depressive episodes. These difficulties may stem from longstanding challenges in managing attention, impulsivity, or organisational tasks, often leading to academic, occupational, or interpersonal strain.

For individuals with co-occurring ADHD and depression, these experiences are not simply additive; they interact in complex ways. Symptoms of one condition can mask or intensify the other, complicating diagnosis and treatment. For instance, restlessness might be misinterpreted as agitation related to depression, while apathy might obscure inattentive features of ADHD.

A Neurocognitive Framework for Dual Diagnoses

At our clinic, neurocognitive assessments offer a crucial window into the interplay between ADHD and depression. These assessments help distinguish whether attention problems are rooted in executive dysfunction, low motivation, emotional fatigue, or a combination of factors.

By analysing cognitive patterns in working memory, processing speed, inhibition, and emotional regulation, our clinicians are better positioned to design personalised interventions that reflect both neurodevelopmental and emotional profiles.

In practice, this might mean integrating ADHD-specific strategies (such as behavioural structuring), with therapeutic approaches targeting mood (like CBT Integrated, Person-Centred Support).

At The London Neurocognitive Clinic, our team works closely with clients to co-create strategies that build resilience, enhance emotional wellbeing, and reduce functional impairments. Importantly, we also help clients and their families understand that struggling with both ADHD and depression is not a sign of failure or inadequacy , rather it’s a common, complex experience that deserves compassionate, evidence-informed care. By bridging neurodiversity and mental health, we aim to move beyond rigid diagnostic categories and instead support the whole person- their mind, mood, and cognition.

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