Environment can also play an enormous part in the management of
ADHD coupled with depression and
can become a vicious cycle if it goes untreated. It's not uncommon, from what I've learned, for some patients to go through a variety of stimulants, non-stim's, and antidepressants before they find one that actually works for them. It can be so frustrating to go through the trial and error phase of finding the right meds.