Apologies if this veered too much off topic. I’ve been kicking this around for a week or two, and felt the need to add recent events and post.
It’s 5am, I haven’t eaten in 12 hours, had anything substantial to drink in about 8, have been sitting on the toilet for over an hour, and instead of doing something about any of those things I’m editing a comment to fix a typo.
As someone else said upthread (and I’ve told a lot of people myself) if you’re depressed but know you can focus and accomplish things, the first thing you accomplish might be suicide.
This is one of the few places where I agree with standard practice. Depression first, then ADHD.
I have many opinions on this but will summarize for my personal situation which is unique to me, obviously.
I’ve had depression since puberty started, or earlier but that’s just when I noticed it. While medications may have improved my life I manifest many rare side effects and effectively am at the point where I’ve tried every SSRI or SNRI with no effective tenable results. So you can say treatment resistant.
In my situation I’m used to it. Do I want it treated? Yes, that would be nice, but I’m not holding my breath.
What is more important to me is the acute problem making my life difficult (uncontrolled ADHD).
Think of it like that chart for “important” and “urgent” tasks. In many people’s cases treating depression is important but not urgent whereas treating ADHD is important and urgent. And yes, vice versa for many people, which is why the medical professional should use discretion rather than following the standard plan in every case.
Edit: removed irrelevant paragraph