ADD Forums - Attention Deficit Hyperactivity Disorder Support and Information Resources Community  

Go Back   ADD Forums - Attention Deficit Hyperactivity Disorder Support and Information Resources Community > ADULTS AND ADD/ADHD > Adult Diagnosis & Treatment
Register Blogs FAQ Chat Members List Calendar Donate Gallery Arcade Mark Forums Read

Adult Diagnosis & Treatment This forum is for the discussion of issues related to the diagnosis of AD/HD

Reply
 
Thread Tools Display Modes
  #1  
Old 10-02-10, 06:10 AM
alexander123 alexander123 is offline
Member
 

Join Date: Nov 2009
Location: somewhere
Posts: 66
Thanks: 1
Thanked 15 Times in 13 Posts
alexander123 is on a distinguished road
ADHD or Social Anxiety Disorder ?

I am troubled. I fit into ADHD and Social Anxiety Disorder. Personally, I am confused as to what the primary "disorder" is in my case.

Does anyone know of a way to tell which is more likely to be the primary problem when both conditions seems to exist? I have tried treatment for ADHD without success (cant tolerate meds)... though I do well at very high dosages. When it comes to concentrating, I find that when I am around people I am comfortable with, I do better than when I am around people I am uncomfortable with. When I am alone, I find it hard to concentrate or get organised, yet in the company of others this improves. Because of my social anxiety, I am alone very often, even though I wish the company of others. It's all very confusing. I have had a diagnostic test done where the doctor found signs of ADHD symptoms but thought ADHD was not the cause but rather self-worth-problems (which would point towards Social Anxiety Disorder). Another doctors is of the opinion that ADHD is the root of the problem and Social Anxiety is a result of it. But again, since I cant get medicated properly, I am wondering whether it isnt the social anxiety...

As you can see, I am rather confused.

Anyone have hepful hints, experience, etc?

Alexander
Reply With Quote
The Following User Says Thank You to alexander123 For This Useful Post:
Abi (10-03-10)
  #2  
Old 10-02-10, 06:38 AM
Abi Abi is offline
Registered
 

Join Date: Jun 2010
Location: The Underworld
Posts: 16,416
Blog Entries: 4
Thanks: 14,231
Thanked 17,744 Times in 8,895 Posts
Abi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond repute
Re: ADHD or Social Anxiety Disorder ?

Generally when ADHD is suspected to be comorbid with an anxiety or mood disorder, the latter are treated first.

I'd suggest you seek treatment for anxiety, and see how that goes for about 2 or 3 months, and then re-evaluate your concentration, etc. to see if you meet the criteria for ADHD.

Have you been on any anxiety medications such as benzodiazepines (Klonopin, Ativan, etc.) or SSRIs (Lexapro, Prozac, Zoloft, etc)?
__________________
"If we were all ice cream [...] Abi would be rocky road" - RHW

"I think David Archuleta's picture is starting to annoy me." - BellaVita

"A glass of water is healthier than a glass of vodka - but you don't substitute one for the other." - aeon

Follow ADDForums on Twitter & Facebook
Reply With Quote
The Following User Says Thank You to Abi For This Useful Post:
ADHDTigger (10-02-10)
  #3  
Old 10-03-10, 05:43 AM
alexander123 alexander123 is offline
Member
 

Join Date: Nov 2009
Location: somewhere
Posts: 66
Thanks: 1
Thanked 15 Times in 13 Posts
alexander123 is on a distinguished road
Re: ADHD or Social Anxiety Disorder ?

Quote:
Originally Posted by abi2010 View Post
Generally when ADHD is suspected to be comorbid with an anxiety or mood disorder, the latter are treated first.
can you recommend any reading on that (i.e. studies, etc.?). my current psychiatrist seems to be of different opinion. personally, I would instinctively agree with what you say.

Quote:
I'd suggest you seek treatment for anxiety, and see how that goes for about 2 or 3 months, and then re-evaluate your concentration, etc. to see if you meet the criteria for ADHD.
that sounds sensible to me.
incidentally, i am having a first meeting with a psychotherapist specialised in social anxiety tomorrow. i suppose a therapist would need to have experience in ADHD too though, right...?

Quote:
Have you been on any anxiety medications such as benzodiazepines (Klonopin, Ativan, etc.) or SSRIs (Lexapro, Prozac, Zoloft, etc)?
i did fairly well on venlafaxin but not on standard SSRIs. I do well on clonazepam (Klonopin) and a combination of lorazepam and propranolol. In fact, the only way I could face my final masters oral exams were on lorazepam and propranolol... and I got very good marks in all oral exams... without having taken any other medication.
Reply With Quote
Sponsored Links
  #4  
Old 10-03-10, 05:53 AM
Abi Abi is offline
Registered
 

Join Date: Jun 2010
Location: The Underworld
Posts: 16,416
Blog Entries: 4
Thanks: 14,231
Thanked 17,744 Times in 8,895 Posts
Abi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond repute
Re: ADHD or Social Anxiety Disorder ?

Did you have any "ADHD-like" symptoms when you were taking either Klonopin or Lorazepam/Propranalol?

Difficulty Concentrating on studies or other things?
Making silly, careless mistakes is your ativities?
Oblivious when others are talking to you?
Disorganised?
Procrastination?
Hyperactivity?
Edginess or Restlessness?
Easily distracted from your studies or other activities?
Forgetful/Losing things?
Impulsive in your speech or actions? Doing inapproprate things or being rude, etc?

Which, of any of these, can you recall being applicable during the time you were on those meds?
__________________
"If we were all ice cream [...] Abi would be rocky road" - RHW

"I think David Archuleta's picture is starting to annoy me." - BellaVita

"A glass of water is healthier than a glass of vodka - but you don't substitute one for the other." - aeon

Follow ADDForums on Twitter & Facebook
Reply With Quote
The Following User Says Thank You to Abi For This Useful Post:
alexander123 (10-03-10)
  #5  
Old 10-03-10, 06:08 AM
Jarl Jarl is offline
ADDvanced Member
 

Join Date: May 2010
Location: Illinois
Posts: 103
Thanks: 42
Thanked 58 Times in 33 Posts
Jarl is on a distinguished road
Re: ADHD or Social Anxiety Disorder ?

In my sons case, it was very obvious the ADHD was the main problem. He has been rejected and let down by people so frequently he lost all faith in people. At times he could think everyone was against him, or that he wasn't wanted by anyone, which led to avoiding social situations and 'inner panick'

But I can imagine the ADHD might be caused by the anxiety as well. Anxiety often causes clumsy social behaviour which one tries to hide but usually doesn't really succeed in.
I see in my son that his ADHD-like social behaviour worses when he doesn't know how his environment will react and is afraid he does something wrong.

Issues as depression and anxiety are often the first to be treated because it would be more urgent? I honestly can't see the logic behind that because depression and anxiety are more often things you 'catch up' during your life than for instance ADHD or autism. The first are therefore more likely to be secondary. Also mind that ADHD it a hell load more than concentration and organizing.
Good luck with this nasty combination!
Reply With Quote
  #6  
Old 10-03-10, 06:12 AM
Abi Abi is offline
Registered
 

Join Date: Jun 2010
Location: The Underworld
Posts: 16,416
Blog Entries: 4
Thanks: 14,231
Thanked 17,744 Times in 8,895 Posts
Abi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond reputeAbi has a reputation beyond repute
Re: ADHD or Social Anxiety Disorder ?

Quote:
Originally Posted by Jarl
But I can imagine the ADHD might be caused by the anxiety as well.
Not to be pedantic, but I'd just like to clarify that ADHD is believed to be a genetic, chronic condition.

It cannot be "caused" by social anxiety.

However, it may be exacerbated by social anxiety. Another possibility is that the individual concerned may NOT HAVE ADHD, but the behaviours caused by his Social Anxiety are mimicking ADHD symptoms.

__________________
"If we were all ice cream [...] Abi would be rocky road" - RHW

"I think David Archuleta's picture is starting to annoy me." - BellaVita

"A glass of water is healthier than a glass of vodka - but you don't substitute one for the other." - aeon

Follow ADDForums on Twitter & Facebook
Reply With Quote
The Following 2 Users Say Thank You to Abi For This Useful Post:
ADHDTigger (10-03-10), Marspider (10-07-10)
  #7  
Old 10-03-10, 06:34 AM
alexander123 alexander123 is offline
Member
 

Join Date: Nov 2009
Location: somewhere
Posts: 66
Thanks: 1
Thanked 15 Times in 13 Posts
alexander123 is on a distinguished road
Re: ADHD or Social Anxiety Disorder ?

Quote:
Originally Posted by abi2010 View Post
Did you have any "ADHD-like" symptoms when you were taking either Klonopin or Lorazepam/Propranalol?

Difficulty Concentrating on studies or other things?
Making silly, careless mistakes is your ativities?
Oblivious when others are talking to you?
Disorganised?
Procrastination?
Hyperactivity?
Edginess or Restlessness?
Easily distracted from your studies or other activities?
Forgetful/Losing things?
Impulsive in your speech or actions? Doing inapproprate things or being rude, etc?

Which, of any of these, can you recall being applicable during the time you were on those meds?
I'd have to think about this carefully. Definitely good points!

I'll get back to you on this in detail. Perhaps I'll do a little test as well.

There is one issue though that makes answering these questions difficult (as mentioned in my initial posting): all the things you mention above seem to be affected by whether I am lonely sitting at home feeling totally lost or in comfortable company. (it's more complex than that of course).

Your input/feedback is definitely helping, thanks!
Reply With Quote
The Following User Says Thank You to alexander123 For This Useful Post:
Abi (10-03-10)
  #8  
Old 10-03-10, 12:21 PM
Jarl Jarl is offline
ADDvanced Member
 

Join Date: May 2010
Location: Illinois
Posts: 103
Thanks: 42
Thanked 58 Times in 33 Posts
Jarl is on a distinguished road
Re: ADHD or Social Anxiety Disorder ?

@ Abi2010: I thought it was obvious that I was referring to what TS sees as his ADHD symptoms. We are talking in syndromes here, not actual things with determined causes.
Reply With Quote
The Following User Says Thank You to Jarl For This Useful Post:
ADHDTigger (10-03-10)
  #9  
Old 10-04-10, 04:13 AM
alexander123 alexander123 is offline
Member
 

Join Date: Nov 2009
Location: somewhere
Posts: 66
Thanks: 1
Thanked 15 Times in 13 Posts
alexander123 is on a distinguished road
Re: ADHD or Social Anxiety Disorder ?

Quote:
Originally Posted by abi2010 View Post
Did you have any "ADHD-like" symptoms when you were taking either Klonopin or Lorazepam/Propranalol?

Difficulty Concentrating on studies or other things?
Making silly, careless mistakes is your ativities?
Oblivious when others are talking to you?
Disorganised?
Procrastination?
Hyperactivity?
Edginess or Restlessness?
Easily distracted from your studies or other activities?
Forgetful/Losing things?
Impulsive in your speech or actions? Doing inapproprate things or being rude, etc?

Which, of any of these, can you recall being applicable during the time you were on those meds?
hello again,

here's some feedback from pre-tests: I tried the Klonopin yesterday and even though anxiety went down, concentration wasnt at its best. then I recalled that lorazepam is about the only benzo that does not impair cognitive function (which is why I took it during exams etc.) and tried that yesterday evening with proporalonol evening and found that symptoms were reduced overall and I had a clearer head also in terms of organising, planning and doing one thing after the other, and also not being overwhelmed by all the things that need to be done. I did take Piracetam in the morning though so I am not sure what effect that had alltogether and how it influenced the other meds.

I will get back to you soon on the specific symptoms you mentioned above after more detailed testing and self-watching.

I do keep thinking though: for someone that apparently has ADHD, how well would he do in 05, - 1 hour oral exams on masters levels, where questions from the examinator are few and one does most of the talking? I mean, I got straight A's! With lorazepam and propranolol. It's all so confusing.
Reply With Quote
  #10  
Old 10-06-10, 02:22 AM
alexander123 alexander123 is offline
Member
 

Join Date: Nov 2009
Location: somewhere
Posts: 66
Thanks: 1
Thanked 15 Times in 13 Posts
alexander123 is on a distinguished road
Re: ADHD or Social Anxiety Disorder ?

1st impression: I think some of the symptoms are definitely better with lorazepam and propranolol. i have taken it with 0,5mg clonazepam though and felt rather tired, so either the combination makes one tired (as I dont recall lorazepam to make one tired during the day) or it's seasonal tiredness (autumn is setting in).

@abi2010: I will probably need a few days before I can give definite "feedback", will send you a PM then...
Reply With Quote
  #11  
Old 10-07-10, 02:09 PM
alexander123 alexander123 is offline
Member
 

Join Date: Nov 2009
Location: somewhere
Posts: 66
Thanks: 1
Thanked 15 Times in 13 Posts
alexander123 is on a distinguished road
Re: ADHD or Social Anxiety Disorder ?

@abi2010: right, i have been taking lorazeam 0,5mg - 1mg + 10-20mg propraponolol three times daily AND: i get more things done, can stick to one task (like reading) for longer and am not chasing from one thing to the next. i.e. it could be the anxiety driving me nuts, not adhd.
Reply With Quote
Reply

Bookmarks


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is On
Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
local providers Andrew New York 42 04-21-16 08:38 AM
ADHD with comorbid social anxiety: some important findings yoonjb Anxiety Disorders, OCD & PTSD 15 11-04-13 09:40 PM
Anxiety & hypertension preventing me from being treated for my ADHD; what can I do? Tommot Anxiety Disorders, OCD & PTSD 11 08-16-10 03:42 PM
Top 10 toys for children with ADHD Gregster ADD News 8 01-25-09 04:47 PM
Ease your child's anxieties Andi Anxiety Disorders, OCD & PTSD 0 04-21-05 03:13 PM


All times are GMT -4. The time now is 04:01 PM.


Powered by vBulletin® Version 3.7.4
Copyright ©2000 - 2018, Jelsoft Enterprises Ltd.
(c) 2003 - 2015 ADD Forums