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Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.Signs of ADD in Adults: * Disturbances in Focus ? Lack of focus is mostly for activities that patient is not interested in. An ADD afflicted male may become too absorbed in tastes that are stimulating and rewarding which is known as hyperfocus. * Disorganization-Due to inherent difficulty in sorting and prioritizing information, patient show poor organizational skills. They often complain of difficulty in initiating or completing tasks. Therefore, often find it difficult to work with deadlines. * Forgetfulness-Due to inability to concentrate, memory issues often prevail. * Impulse Control Problems? Impulsivity manifests itself as poor self control leading to in appropriate social behavior like interrupting others during conversation sitting still during long meetings. * Emotional Stability? Due to above mentioned issues , patients see themselves as misfits. Frustration and anger is common and they are not able to manage them leading to mood swings. * Lack of motivation? The inability to perform adequately due to unstable mood & emotions leads to dissatisfaction. This discourages individual and they appear to lack motivation. * Anxiety? Negative consequences of ADHD lead to restlessness and apprehension often exhibited as anxiety. * Physical Health Issues? Due to disorganization and emotional issues patients have poor coping skills which promotes unhealthy behavior like overeating, avoiding exercising & not taking medicines regularly leading to multiple health problems. * Substance Abuse Problems? People are often unaware of ADD as an illness and therefore patients try to self medicate themselves for restlessness, anxiety by taking alcohol/ tobacco or other drugs available to them. * Relationship Issues? The challenges faced by ADD patients make it difficult for them to sustain long term

ADHD in children manifests as lack of attention, being accident prone and disturbance in academic performance. In adults, fidgetiness is often sign of hyperactivity. Other common manifestations are disorganized, forgetful and clumsy adult who appears to have difficulty in handling responsibilities. ADHS & Adult ADD are now well recognized neuropyschiatric problems and management includes both medication & psychotherapy. Please see a psychiatrist in your vicinity.

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Inability to concentrate can be because of stress, anxiety, boredom, preoccupation with a bothersome thought or Attention Deficit Disorders. Identifying the cause is first step in treatment. Please see a psychiatrist.

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