Understanding Overlapping Symptoms: Why Testing, Diagnosis, and Treatment Still Matter

February 28, 2025

Attention Deficit Disorder (ADD) rarely exists in isolation. Many individuals with ADD experience co-occurring conditions such as anxiety, depression, learning disabilities, or autism spectrum disorder (ASD). Overlapping symptoms can sometimes make it challenging to identify the root cause of difficulties in daily life. However, just because symptoms seem to blend together does not mean proper diagnosis and treatment should be overlooked. In fact, comprehensive testing is more important than ever for effective care.

Why Do Symptoms Overlap?

The brain is complex, and many mental health conditions share common traits. For example, both ADD and anxiety can lead to difficulty focusing. Depression and ADD can both contribute to low motivation. Sensory sensitivities seen in ASD may also be present in individuals with ADD. Without thorough testing, it
s easy to misattribute symptoms to the wrong condition or miss an important underlying issue.
A study published in The Journal of the American Academy of Child & Adolescent Psychiatry found that up to 40% of individuals with ADD also have an anxiety disorder, and nearly 30% experience depression (Pliszka, 2015). These statistics highlight why a nuanced approach to diagnosis is critical. Treating one condition while ignoring another can result in incomplete relief or worsening symptoms.

The Importance of Comprehensive Testing

Even if symptoms seem obvious, a detailed evaluation by a professional can clarify the full picture. Professional testing and assessments help distinguish between overlapping conditions and guide personalized treatment plans. The American Academy of Pediatrics (AAP) emphasizes that ADD should not be diagnosed based on symptoms alone but through comprehensive evaluations, including input from parents, teachers, and clinicians (Wolraich et al., 2019).
Accurate diagnosis matters because treatment approaches can vary widely. A child with ADD and anxiety may need a different medication or therapy strategy than a child with ADD alone. Similarly, an adult struggling with focus due to untreated depression will not benefit from stimulant medication alone.

Taking the Next Step

If you or your child are struggling with focus, impulsivity, or emotional regulation, don't dismiss the importance of proper testing. Even when symptoms overlap, a careful diagnosis leads to more effective treatment and better outcomes. Our clinic specializes in comprehensive evaluations to ensure you receive the right care tailored to your unique needs. Contact us today to schedule an assessment and take the first step toward clarity and effective treatment.


References:
  • Pliszka, S. R. (2015). Comorbidity of attention-deficit/hyperactivity disorder with psychiatric disorder: An overview. Journal of the American Academy of Child & Adolescent Psychiatry, 44(5), 406414.
  • Wolraich, M. L., et al. (2019). Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 144(4), e20192528.
August 21, 2025
As the back-to-school season approaches, many mothers brace themselves—not just the kids. Beneath the excitement of new backpacks and first-day photos, a quieter emotional struggle often unfolds. Moms can find themselves wrestling with waves of anxiety and even depression as routines shift and children return to school. The pull of separation anxiety isn't just a childhood phenomenon. Research shows that mothers with underlying anxiety or depression can find life transitions—like the start of school—particularly triggering. Maternal mental health is closely linked to parenting stress, and anxiety can heighten concerns about safety, performance, and social adjustment (The Independent, 2021). Moreover, maternal depression and anxiety have been shown to impact mother–child interactions and are associated with increased emotional and behavioral difficulties in children (BMC Public Health, 2024). These challenges are not limited to mothers of young children. While postpartum depression affects roughly one in seven new mothers, with nearly half remaining undiagnosed, its effects can persist well beyond infancy (BMC Public Health, 2024). As children grow, milestones like starting school can resurface feelings of loss, inadequacy, or uncertainty. The start of a school year also disrupts household rhythms. Homes that once thrived on all-day togetherness suddenly fall silent, and moms may find themselves second-guessing: Is my child safe? Am I doing enough? These thoughts can spiral into persistent worry or low mood, especially for those already vulnerable to anxiety or depression. External pressures—work schedules, social comparisons on social media, and guilt over “letting go”—can compound these emotions. Even routine school events like drop-off or parent–teacher conferences can carry unexpected emotional weight, sometimes triggering tears or feelings of isolation. What Can Help? Normalize the feelings : Recognizing that many mothers experience similar emotions can help reduce isolation. Reach out: Schedule check-ins with other parents. Peer support can help regulate stress. Create rituals : Daily “share your day” traditions strengthen connection and reduce anxiety. Seek professional help when needed : Persistent sadness, anxiety, or functional impairment are valid reasons to speak with a healthcare provider. Sending a child back to school may be a rite of passage for kids, but for mothers, it can be laden with emotions. Acknowledging those feelings—and treating them with care—can make all the difference in easing the transition from summer freedom to the structure of the school year. References : The Independent. (2021). Parents’ anxiety about children starting school is real – and it’s on the rise. Retrieved from https://www.the-independent.com/life-style/health-and-families/anxiety-children-parents-school-skip-health-b2807905.html BMC Public Health. (2024). Prevalence and risk factors of maternal depression and anxiety. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-18502-0
August 5, 2025
As the back-to-school season approaches, many parents are focused on school supplies, schedules, and routines. But for children and teens struggling with attention, focus, or behavior regulation, it’s also the ideal time to consider evaluation for Attention-Deficit Disorder and Attention Deficit Hyperactivity Disorder (ADD / ADHD). ADD / ADHD affects approximately 9.8% of children and adolescents in the U.S., with symptoms often becoming more noticeable or problematic during transitions—such as the return to school after summer break (Centers for Disease Control and Prevention, 2023). These symptoms may include difficulty focusing, excessive talking or interrupting, trouble following instructions, and poor time management. Early identification through formal ADD / ADHD testing can make a significant difference in a child’s academic and social development. Comprehensive testing typically includes clinical interviews, behavior rating scales completed by parents and teachers, and—when appropriate—computerized attention assessments or cognitive testing. When a diagnosis is confirmed, evidence-based treatment can begin. Most treatment plans include a combination of behavioral therapy, academic accommodations (such as 504 plans or IEPs), parent coaching, and sometimes medication. According to the American Academy of Pediatrics, treatment that includes both behavior therapy and, when indicated, stimulant or non-stimulant medications is the most effective approach for school-aged children (AAP, 2019). Starting the evaluation and treatment process before school ramps up allows families, educators, and providers to collaborate on support strategies early, and preventing academic frustration and behavioral conflicts from compounding over time. It also helps ensure that any necessary accommodations are in place before performance challenges lead to lower grades or reduced self-esteem. If you’ve noticed signs of inattention, impulsivity, or hyperactivity in your child, don’t wait. Testing and treatment during the early weeks of the school year can provide clarity, structure, and a path forward for your child to thrive—both in and out of the classroom. References : 1)Centers for Disease Control and Prevention. (2023). Data and Statistics About ADHD. Retrieved from: https://www.cdc.gov/ncbddd/adhd/data.html 2)American Academy of Pediatrics. (2019). Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents. Pediatrics, 144(4), e20192528. https://doi.org/10.1542/peds.2019-2528
April 14, 2025
As the seasons shift and spring emerges in full bloom, many people experience a boost in energy and focus. With longer daylight hours and warmer weather, spring can bring a sense of clarity and motivation that' s often missing during the darker winter months. For individuals struggling with attention-deficit disorder (ADD) or attention-deficit/hyperactivity disorder (ADHD), this seasonal shift may temporarily mask or even amplify symptoms making spring an ideal time to seek testing and treatment. A Seasonal Shift in Focus Sunlight is known to influence brain chemistry, especially through its impact on serotonin and dopamine two neurotransmitters that play a major role in attention, motivation, and emotional regulation. Increased daylight and activity can sometimes help individuals with ADD feel more alert and productive. However, this change is often short-lived and doesn' t replace the need for professional care. The Hidden Struggles of Spring While spring can be energizing for some, it may also highlight underlying attention challenges. Teachers and parents may notice students struggling to stay focused as the school year enters its final months. Adults might find their productivity dipping even with increased energy, or feel overwhelmed trying to catch up with responsibilities. If these patterns feel familiar, it could be time to consider a formal evaluation for ADD/ADHD. Why Testing Matters Now Spring provides a fresh opportunity to gain insight into your mental health and cognitive functioning. Testing for ADD is non-invasive and can help uncover patterns that might explain forgetfulness, distractibility, poor time management, or emotional dysregulation. Early diagnosis is key especially for those whose symptoms were overlooked during childhood or have evolved with age. Treatment Brings Structure to the Season If ADD is diagnosed, treatment options can be life-changing. These may include medication, therapy, or lifestyle changes that support structure, planning, and sustained focus. When combined with the natural benefits of spring more light, more movement, and better sleep treatment can help individuals thrive long after the season changes. Take the First Step If you or your child struggle with attention, focus, or follow-through, spring is the perfect time to take action. Reach out to a provider, schedule an assessment, and find out whether ADD testing and treatment can make this season not just better but more manageable, focused, and fulfilling.
March 3, 2025
Daylight savings time (DST) is a widely practiced time adjustment aimed at maximizing daylight hours. However, the biannual shift can have significant implications for mental health, particularly for individuals receiving mental health care. The disruption to circadian rhythms, sleep patterns, and overall well-being necessitates that mental health professionals and patients alike prepare for the potential psychological effects. Circadian Rhythms and Sleep Disruptions One of the most immediate effects of DST is its disruption to circadian rhythms the internal clock that regulates sleep-wake cycles. The sudden shift, even if only by an hour, can lead to sleep deprivation, increased fatigue, and mood instability. Research has shown that sleep disturbances are directly linked to higher rates of anxiety, depression, and even suicidal ideation (Harrison, 2013). Mental health care providers often see an uptick in symptoms among individuals with pre-existing conditions following the transition. Seasonal Affective Disorder (SAD) and Mood Changes The fall transition into standard time results in shorter daylight hours, exacerbating symptoms of Seasonal Affective Disorder (SAD), a type of depression that occurs cyclically with seasonal changes. The abrupt reduction in natural light exposure can lead to increased lethargy, decreased motivation, and mood imbalances. A study by Wehr et al. (2001) found that individuals affected by SAD are particularly vulnerable to the negative effects of DST. For patients prone to seasonal depression, mental health practitioners often recommend light therapy, adjusted medication schedules, and structured daily routines to mitigate these effects. Impacts on Mental Health Treatment Mental health care providers may also notice changes in patient engagement and treatment effectiveness during the DST transition. Sleep disruptions can decrease cognitive function, making it harder for patients to engage in therapy, retain information, and adhere to treatment plans. Additionally, the loss of daylight hours in the evening can reduce opportunities for outdoor activities, social interactions, and exercise factors crucial for maintaining mental well-being. Strategies for Mitigation To counteract the negative effects of DST, mental health professionals suggest several strategies: Gradually adjusting sleep schedules a few days before the time change Prioritizing natural light exposure during daylight hours Maintaining consistent routines to support emotional stability Encouraging patients to track their mood and symptoms for early intervention As research continues to highlight the mental health impacts of DST, mental health professionals must take proactive steps to support their patients through these transitions. References Harrison, Y. (2013). 'The impact of sleep loss on cognitive performance and mood.' Sleep Medicine Clinics, 8(4), 517-527. Wehr, T. A., Sack, D. A., & Rosenthal, N. E. (2001). 'Seasonality and affective disorders.' Psychiatric Clinics of North America, 24(2), 275-292.
February 10, 2025
In recent years, the gut-brain connection has gained significant attention in the world of mental health, and 2025 is no exception. Emerging research suggests that the gut microbiome—the diverse community of microorganisms living in our digestive tract—may play a pivotal role in neurodevelopmental conditions, including Attention Deficit Hyperactivity Disorder (ADHD). 1. Understanding the Gut-Brain Connection Gut-brain communication links the central nervous system with the gastrointestinal tract. This connection operates through neural pathways, hormones, and immune system responses. It’s now well-established that gut health can influence brain function, affecting mood, cognition, and behavior. 2. The Microbiome's Influence on ADHD Recent studies indicate that individuals with ADHD often have distinct gut microbiota profiles compared to those without the disorder. Research published in Frontiers in Psychiatry (2024) found that certain bacterial strains, such as Bifidobacterium and Lactobacillus, may impact neurotransmitter activity, including dopamine and serotonin—both crucial in ADHD symptom regulation. 3. Diet, Inflammation, and Symptom Management Diet plays a significant role in shaping the gut microbiome. High-sugar, low-fiber diets commonly linked to ADHD symptoms can contribute to gut dysbiosis (an imbalance in gut bacteria), potentially exacerbating attention and behavioral issues. Anti-inflammatory diets rich in fruits, vegetables, whole grains, and omega-3 fatty acids have shown promise in supporting cognitive health. A 2025 review in The Journal of Child Psychology and Psychiatry highlights that reducing processed foods and incorporating prebiotics and probiotics may help manage ADHD symptoms. While not a standalone treatment, these dietary interventions can complement traditional therapies. 4. Probiotics and Prebiotics in ADHD Research Probiotics (beneficial bacteria) and prebiotics (compounds that feed good bacteria) are at the forefront of ADHD-related gut health research. Clinical trials published in Nutritional Neuroscience (2025) suggest that probiotic supplementation may improve attention span and reduce hyperactivity in some individuals with ADHD, though more extensive studies are needed to confirm these effects. Final Thoughts While the gut-brain connection offers exciting possibilities for understanding and managing ADHD, it’s important to approach these findings with balanced optimism. Gut health interventions should be viewed as complementary to, not replacements for, evidence-based ADHD treatments. As research continues to evolve, integrating nutritional support with traditional therapies could offer more holistic care for individuals with ADHD.
January 7, 2025
The start of a new year often brings a sense of renewal and motivation to set goals for personal growth. For individuals with ADHD, creating resolutions tailored to their unique challenges can significantly improve mental health and overall well-being. This year, consider setting actionable goals that prioritize emotional balance, focus, and self-care to thrive in 2025.
December 12, 2024
The holiday season is often filled with excitement, celebrations, and endless to-do lists. For individuals with ADD/ADHD, this time of year can present unique challenges but it can also offer opportunities for growth, connection, and joy when approached with the right strategies.
October 7, 2024
October is National Depression and Mental Health Screening Month, a time to shine a spotlight on the importance of mental health care and the powerful role screenings play in identifying conditions like depression, anxiety, and other mental health disorders. Many people may struggle with their mental health without realizing it, but early detection through screening can be a crucial first step toward getting the help they need. The Importance of Mental Health Screenings Mental health screenings are simple assessments designed to help individuals identify symptoms of conditions such as depression, anxiety, PTSD, and more. These screenings are often the first step in diagnosis and can be taken online or through a healthcare provider. Various tools are widely available, including: PHQ-9 (Patient Health Questionnaire-9): A commonly used screening tool for depression, the PHQ-9 asks nine questions that assess the severity of depressive symptoms over the past two weeks. It is often used by clinicians and available online for self-assessment. GAD-7 (Generalized Anxiety Disorder-7): This screening tool focuses on symptoms of anxiety, asking seven questions about experiences like worry, nervousness, and restlessness. MDQ (Mood Disorder Questionnaire): The MDQ helps identify potential signs of bipolar disorder by screening for periods of elevated mood or irritability. PTSD Checklist (PCL-5): This screening tool is used to assess symptoms of Post-Traumatic Stress Disorder, asking individuals to reflect on their experiences related to trauma. MHA (Mental Health America) Online Screening Tools: Mental Health America offers free, confidential screening tools online for conditions including depression, anxiety, PTSD, and more. These screenings provide immediate feedback and suggest next steps. Just as regular physical check-ups are essential for maintaining physical health, mental health screenings offer a valuable opportunity to assess your emotional well-being and catch early warning signs of mental health issues. Left untreated, conditions like depression and anxiety can worsen over time, but early detection opens the door to treatment and recovery. Early Detection Can Save Lives Mental health conditions can manifest gradually, and their symptoms might be mistaken for regular stress or fatigue. Screenings help pinpoint these symptoms early, allowing individuals to seek support before the condition escalates. Whether you choose an in-person assessment with a healthcare provider or a confidential online tool, taking a mental health screening can be an empowering step toward better emotional health. Reducing Stigma One of the biggest obstacles to mental health care is stigma, which often prevents people from seeking help. National Depression and Mental Health Screening Month is a reminder that mental health should be treated as seriously as physical health. There's no shame in getting screened for depression, anxiety, or other conditions help is available, and it starts with taking that first step.
September 18, 2024
September is Suicide Prevention Month, a time to raise awareness and encourage meaningful conversations about mental health. Please help support individuals and families by helping to identify the warning signs of suicide and providing the care needed to prevent such tragedies. Suicide does not occur without warning. There are often signs, but they can be subtle or easily misunderstood. Being aware of these warning signs is crucial in recognizing when someone may be at risk and in need of support. Common Warning Signs of Suicide Talk of Death or Self-HarmIndividuals at risk may frequently speak about death, dying, or suicide. This could include phrases like 'I wish I were dead' or 'People would be better off without me.' Even indirect comments like, I just can't take it anymore, should not be taken lightly. Withdrawal from Loved Ones Isolation is a common sign. When a person begins distancing themselves from friends, family, and social activities, it may be a signal of emotional distress. This withdrawal can be physical, such as avoiding gatherings, or emotional, where they become uncommunicative or detached. Changes in Behavior or Mood Sudden, drastic changes in mood such as extreme sadness, irritability, or apathy can indicate deeper emotional issues. Similarly, behaviors like reckless driving, substance abuse, or giving away personal belongings might indicate that someone is contemplating suicide. Increased Feelings of Hopelessness When someone expresses feeling trapped, without purpose, or believes that their situation will never improve, it can indicate a risk for suicide. Pay close attention to expressions of hopelessness or helplessness, as these are strong indicators of suicidal thoughts. Loss of Interest in Life A sharp decline in interest in things the person once enjoyed, such as hobbies, work, or relationships, can be a sign. This, along with a noticeable decline in self-care or personal appearance, is a red flag. How You Can Help If you notice these signs in someone, don t hesitate to reach out. Ask them how they are feeling and encourage them to seek professional help. By raising awareness and fostering open dialogue, we can save lives. If you or someone you know is struggling contact the National Suicide Prevention Lifeline for immediate support.