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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Anxiety, Panic Attacks, Anger Issues While Having Crohns Disease Indicate ADHD?

i am 24 male with crohns disease and i have social anxiety/generalized anxiety/panic attacks, i have no motivation or drive, i cant seem to enjoy things very long,even things i like,i have somewhat of a anger problem like just snapping sometime for no good reason. Does this sound like i could have adhd or something else? (adderall really helps)
Thu, 20 Feb 2014
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Psychiatrist 's  Response
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Symptoms of ADHD and depression are somewhat similar and the difference is its pervasiveness. If you are having these non-specific symptoms right from the age of 7 years and they are constinuous at least in 2 settings then you should consider it as an ADHD. However if these are recent change say since a few months or a year then the more probable diagnosis is depression. I would like to go ahead with the diagnosis of depression in your case.
Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.
If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.

Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                        
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
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Does Anxiety, Panic Attacks, Anger Issues While Having Crohns Disease Indicate ADHD?

Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Symptoms of ADHD and depression are somewhat similar and the difference is its pervasiveness. If you are having these non-specific symptoms right from the age of 7 years and they are constinuous at least in 2 settings then you should consider it as an ADHD. However if these are recent change say since a few months or a year then the more probable diagnosis is depression. I would like to go ahead with the diagnosis of depression in your case. Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep. If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.