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Should we investigate adhd assessment or anti depressants for my ds19

162 replies

Anonymous07200408 · 14/11/2025 21:07

Some advice please from those with kids who have a spiky ND profile. What I really don’t need is the usual suspects who don’t really believe in ND weighing in with scathing remarks - there are a lot on here and I don’t need that kind of wisdom please - this is very difficult for us as a family and sensitive. I am very experienced with ND and work in the field - I know my son is ND but just need some help teasing our depression vs autistic burnout vs ADHD procrastination etc. I am posting to AIBU for traffic even if the ASN boards would probably be a more natural home for this.

my 19yr old ds got a dyspraxia diagnosis in year 3 and ever since then has had various educational and social challenges. Looking back at his report from then there seem to be loads of indications of inattentive type adhd. He had a small, tight group of friends but is very socially anxious and incredibly passive. Identified as very bright from early on - effortlessly managed straight As until his final year where he pretty much took to the sofa/buried his head in the sand and crashed out in exams. Luckily he had an unconditional offer to uni and is now nearly at the end of his first semester.

He has needed an unbelievable amount of scaffolding in every way - socially and academically and in terms of life skills. Luckily he is local so I have been in and out helping him most weeks. He literally seems unable to answer text messages/ engage fully with uni support services etc - to the point he is now very far behind academically and talking about repeating the year. He has actually done really well socially and made a small group of friends who are luckily very proactive but he has already pissed them off by not responding to WhatsApp messages. The amount he has struggled has surprised us. He presents as having a low mood and flat affect and without us chivvying him to get to lectures and friends chivvying him to go out I think he would spend most of his time doom scrolling. He reports as being “ok” and I think he’s enjoying some of the social stuff but his self esteem is on the floor and always has been.

We have now started thinking that we need to do more to help - the situation is untenable. My question is, should we be investigating a private assessment for adhd (i am very sure he has asd but can’t afford an auDHD assessment)? His procrastination, inability to start tasks, dreaming, torpor, binge eating, insane avoidance all fit with my understanding of inattentive type adhd (my other son is medicated for combined type adhd so I know a little about it).

Or should we be investigating ssris for his mood? I obviously have reservations about side effects (particularly blunting of emotions - they couldn’t be any more blunt tbh) and am not sure if he is actually depressed - he doesn’t really think he is but knows something is wrong.

thank you so much if you’ve got this far - so aibu to get him an adhd assessment with the idea of trialling meds

or ainbu if you think I should look into antidepressants?

any wisdom gratefully received - he is a gorgeous, hilariously funny, self aware, empathetic boy who is suffering at the moment 🙏🏼

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Anonymous07200408 · 15/11/2025 11:45

Sk73djej · 15/11/2025 11:42

Exactly and having had children whose mental illness wasn’t treated sooner enough and ended up getting massively worse due to being untreated it’s clear the concerns re under diagnosis are valid.

Quite. And the correlation between undiagnosed ND, mental health crises and suicide are the real issue. Not over diagnosis ffs. I would never pursue an assessment and all it entails because I am NT and the traits my son experiences haven’t been an issue for me. Why anyone would seek to be diagnosed if they don’t need to be is just nonsensical.

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Sk73djej · 15/11/2025 11:42

Anonymous07200408 · 15/11/2025 11:37

💯. I also didn’t come on here asking if i was imagining how my son is presenting. I came on asking if in people’s experience he was experiencing a mental health related crisis or an ND related crisis. I know that he is neurodivergent. That much is not up for debate.

Exactly and having had children whose mental illness wasn’t treated sooner enough and ended up getting massively worse due to being untreated it’s clear the concerns re under diagnosis are valid.

Jadebanditchillipepper · 15/11/2025 11:41

He sounds very similar to my son. He had a few problems socially in school and was diagnosed with ASD when he was 15. Flew through his GCSEs on about 60% attendance doing no work at all. We moved him to a different school for sixth form and he struggled with his A levels. He missed his university offer by two grades, but was lucky that they offered him a place anyway.

He took a gap year between School and University and did essentially nothing for the first six months, then got a very part time job.

We had an ADHD assessment for him during his gap year and he started meds just before he started University in September. He's at a local University and lives at home. He is enjoying his course, but is finding it challenging - he has needed quite a lot of help to get his first two assignments done. Currently we are still waiting for DSA, which I think might help. The meds don't seem to have made his autistic traits worse and he is definitely more motivated than he was during his A levels. Socially, he's really enjoying himself.

It sounds as if your son might be burning out to me. I would probably try and get a combined ASD/ADHD assessment and Go from there - would he consider restarting University next year to give him some time out to recover and get started on meds if he does have ADHD?

Good luck. I think too many neurodiverse people are out on SSRIs when they aren't the right thing. The right treatment for neurodiversity is reasonable adjustments/support and ADHD meds if relevant

Anonymous07200408 · 15/11/2025 11:37

BallerinaFall · 15/11/2025 11:35

If you click the link you can have access to the depression scale and use it

Thank you! I did try but I’ll take another look.

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Anonymous07200408 · 15/11/2025 11:37

Sk73djej · 15/11/2025 11:24

ADHD isn’t mental illness.

There is no widespread agreement on the extent of overdiagnosis.

Experts including the President of the Royal College of Psychiatrists, state that severe mental illnesses are still under-recognized and underdiagnosed, and that early diagnosis is crucial for preventing more complex, lifelong conditions.

💯. I also didn’t come on here asking if i was imagining how my son is presenting. I came on asking if in people’s experience he was experiencing a mental health related crisis or an ND related crisis. I know that he is neurodivergent. That much is not up for debate.

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BallerinaFall · 15/11/2025 11:35

Anonymous07200408 · 14/11/2025 22:42

Interesting thank you. I wish I could access the actual tool - although I do ask him about suicidal ideation often and so far he hasn’t expressed it.

If you click the link you can have access to the depression scale and use it

Sk73djej · 15/11/2025 11:24

Amy454 · 15/11/2025 11:01

I don’t really see the point of this thread as you only want 1 answer which will in your eyes validate your actions.

The over diagnosis of mental health issues is at epidemic levels in the UK. In many cases parents are the biggest contributory factor.

I wasn’t in the slightest bit surprised to see you state you already medicate another DC.

I feel sorry for the children. They are being pushed down a path they really don’t need to go down.

ADHD isn’t mental illness.

There is no widespread agreement on the extent of overdiagnosis.

Experts including the President of the Royal College of Psychiatrists, state that severe mental illnesses are still under-recognized and underdiagnosed, and that early diagnosis is crucial for preventing more complex, lifelong conditions.

Anonymous07200408 · 15/11/2025 11:18

Amy454 · 15/11/2025 11:15

You have pretty much proved my point.

Ok cool 🙄. They have embraced it because they see it to be true.

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Amy454 · 15/11/2025 11:15

Anonymous07200408 · 15/11/2025 11:13

And can I just say to those who think they know better than I do, my parents are approaching their 80s. They are posh, stoical, hate psychobabble and would rather die than admit anyone is mentally ill. They accepted his struggles years ago, have embraced the idea of him being ND and are endlessly supportive of him, me and our approach. They actually know him so maybe think about that before you comment on a family and situation you have no knowledge of.

You have pretty much proved my point.

Anonymous07200408 · 15/11/2025 11:13

And can I just say to those who think they know better than I do, my parents are approaching their 80s. They are posh, stoical, hate psychobabble and would rather die than admit anyone is mentally ill. They accepted his struggles years ago, have embraced the idea of him being ND and are endlessly supportive of him, me and our approach. They actually know him so maybe think about that before you comment on a family and situation you have no knowledge of.

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Anonymous07200408 · 15/11/2025 11:08

Amy454 · 15/11/2025 11:01

I don’t really see the point of this thread as you only want 1 answer which will in your eyes validate your actions.

The over diagnosis of mental health issues is at epidemic levels in the UK. In many cases parents are the biggest contributory factor.

I wasn’t in the slightest bit surprised to see you state you already medicate another DC.

I feel sorry for the children. They are being pushed down a path they really don’t need to go down.

I have had multiple different answers and the only ones I am discounting are the conspiracy theory rooted ones. Why do I not medicate my other NT children? Why does my ND adult child decide himself if he would like to take medication on a particular day (because he sees the benefits for things like driving tests/exams)and not on other days? - that is his own lived experience that you are invalidating. Nothing to do with me.

I have had a kid who has struggled for 19 years with undiagnosed neurodivergence - if I am so set in my ways, why are we only reaching this point now? Could it possibly be that he has reached out because he is really struggling and would now like some answers? The parent blaming and shaming is extraordinary - you haven’t lived a day in his or my shoes and yet feel qualified to blame me for his struggles?

Honestly - you really need to give your head a wobble. I am totally open to other people’s advice when it is constructive - ie. I am prepared to accept he may be in autistic burnout rather than have adhd or he may be having a mental health crisis. What I am not prepared to accept as a mental health professional and a mother of 4 very diverse kids is that either he or I are imagining his difficulties. what would you have me do out of interest? Maybe offer some constructive advice rather than just blaming me - if your advice is to leave him to it then I will probably discount it as he is suffering and has told me as much. It would be negligent to ignore this.

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Amy454 · 15/11/2025 11:01

I don’t really see the point of this thread as you only want 1 answer which will in your eyes validate your actions.

The over diagnosis of mental health issues is at epidemic levels in the UK. In many cases parents are the biggest contributory factor.

I wasn’t in the slightest bit surprised to see you state you already medicate another DC.

I feel sorry for the children. They are being pushed down a path they really don’t need to go down.

Anonymous07200408 · 15/11/2025 10:59

Wbeezer · 15/11/2025 10:50

It’s horrible being judged by others who seem to think you are collecting diagnoses for fun, I have three sons who all have diagnoses. Only one is on meds.
DS2 has an NHS diagnosis of ASD but because he got straight As at High School and coped with Uni and is polite I know some people are a bit sceptical but they didn’t notice how awful primary school was for him, he developed mental and physical health problems no small child should have to deal with. They don’t refer children to CAMHs just because a parent is a bit of a worrier!
Providing scaffolding is like “ a stitch in time saves nine” I’d rather help when needed in the moment than pick up the pieces when they have been left to “ learn the hard way” because that is ultimately exhausting and demoralising for everyone.

Thank you for sharing your experience and empathy. That’s the thing - so many different presentations make it very complex.

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Anonymous07200408 · 15/11/2025 10:58

LilySad91 · 15/11/2025 10:52

If you can diagnose, why can't others?

To me it very much looks like the mother here has Munchausen by proxy. Treatment should include high dosage medication.

The son just needs to learn that there isn't actually anything wrong with him. Of course he's asking for support - his mother is constantly telling him his brain isn't functioning normally

Wow. You’re quite something. I assume you’re trying to be funny with your munchausens by proxy? You’re not. You’re actually being pretty cruel but yay for cheap laughs on Mumsnet.

luckily I have a thick skin and 3 normally functioning kids who are independent and thriving - thus I have little involvement beyond normal parenting. I don’t really give a shit what you’re saying - some other people might not be quite so robust.

thankfully the world has moved on exponentially from old fashioned ridiculous views like yours which is enabling so many more people to be seen, understood and helped to thrive. You need to get back to the 80s.

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Frostynoman · 15/11/2025 10:56

ADHD route first port of call. They sound like they’re drowning without executive function. If you can, go private and get them on drugs - it at well be revolutionary

LilySad91 · 15/11/2025 10:52

If you can diagnose, why can't others?

To me it very much looks like the mother here has Munchausen by proxy. Treatment should include high dosage medication.

The son just needs to learn that there isn't actually anything wrong with him. Of course he's asking for support - his mother is constantly telling him his brain isn't functioning normally

Wbeezer · 15/11/2025 10:50

It’s horrible being judged by others who seem to think you are collecting diagnoses for fun, I have three sons who all have diagnoses. Only one is on meds.
DS2 has an NHS diagnosis of ASD but because he got straight As at High School and coped with Uni and is polite I know some people are a bit sceptical but they didn’t notice how awful primary school was for him, he developed mental and physical health problems no small child should have to deal with. They don’t refer children to CAMHs just because a parent is a bit of a worrier!
Providing scaffolding is like “ a stitch in time saves nine” I’d rather help when needed in the moment than pick up the pieces when they have been left to “ learn the hard way” because that is ultimately exhausting and demoralising for everyone.

Anonymous07200408 · 15/11/2025 10:33

LimeGoose · 15/11/2025 10:22

Your neurobabble is relentless. How can any young man flourish when his mother is constantly seeking diagnoses on his behalf? There is no sense of his agency in your posts.

Also, this literally doesn’t make sense. He got a dcd diagnosis 13 years ago and I am now, at nearly 19 and at his request looking into a different assessment. How is that constantly seeking diagnoses ffs?! Not to mention the massive struggles he has had throughout his life which you are barely privvy to. Do you think I want to throw 1.5k I can barely afford down the toilet for fun? Have a word with yourself, you’re exhausting 🙄🙄. You do know it’s not compulsory to come onto every thread on aibu and proffer an opinion when you know nothing about the subject?

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Anonymous07200408 · 15/11/2025 10:30

Wbeezer · 15/11/2025 10:23

Your son sounds like my son, definitely ND, a combo of ADHD/ASD with an element of PDA. Major difference being that DS1 always had at least some academic struggles and a miss match between potential and performance. He dropped out of school at the beginning of Fifth year so not even any Highers. Various routes and ideas were tried but nothing stuck and the only thing he had any traction with was semi pro gaming! He basically mostly stayed in his room on and off for years managing some part time work with a lot of help and prodding from us. Very sloth like and passive and often very low mood, I really worried.
the thing that made a difference was an ADHD diagnosis ( private) and meds, it was like he had the mental energy to tackle things for the first time, passed his driving test, went to college to do access course and HNC, progressed to uni and is now in fourth year. Still needs scaffolding ( lives at home) but has sorted out all his disability accommodations himself. He is older though, 27 now. He burnt out every time he tried things when younger and without meds ( eg he joined the Navy at 18 but couldn’t stick it past basic training). Couldn’t have managed uni at 18 even if he had the entry requirements.
Meds aren’t without issues but made a massive difference to performance and mood.
he’s still a bit of a tricky character and it will be good to have a break when he finally moves out but I’m proud of how he’s come on and that we’ve got a decent relationship with him as an adult after all the tribulations.
started this post in the small hours, waking up at night worrying has become a rather ingrained habit!

Thank you for getting it and showing some of the boring skeptics accusing us of helicopter parenting what it might actually be like. Really glad he has come on and very interesting about the meds.

what the very few naysayers on here don’t seem to get is that the meds are not a slippery slope to addiction. My other son uses them when he wants to “lock in” as he puts it. They are metabolised and then gone and he barely takes them any more. Some people do not have a clue.

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Anonymous07200408 · 15/11/2025 10:28

LimeGoose · 15/11/2025 10:22

Your neurobabble is relentless. How can any young man flourish when his mother is constantly seeking diagnoses on his behalf? There is no sense of his agency in your posts.

Maybe be humble enough to realise you don’t have the full picture and you may not be the expert on this topic. Why would I value your contribution when I have dozens of people who have lived and breathed this showing empathy, understanding and decent advice?

where is the lack of agency? Could his reticence possibly have to do with his neurodivergence?! Do you think executive function might have a teeny tiny something to do with his apparent lack of agency? I’ve told him he can leave/stay/repeat/avail himself of any of the support I’m offering. Or not. He is asking for this support.

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Wbeezer · 15/11/2025 10:23

Your son sounds like my son, definitely ND, a combo of ADHD/ASD with an element of PDA. Major difference being that DS1 always had at least some academic struggles and a miss match between potential and performance. He dropped out of school at the beginning of Fifth year so not even any Highers. Various routes and ideas were tried but nothing stuck and the only thing he had any traction with was semi pro gaming! He basically mostly stayed in his room on and off for years managing some part time work with a lot of help and prodding from us. Very sloth like and passive and often very low mood, I really worried.
the thing that made a difference was an ADHD diagnosis ( private) and meds, it was like he had the mental energy to tackle things for the first time, passed his driving test, went to college to do access course and HNC, progressed to uni and is now in fourth year. Still needs scaffolding ( lives at home) but has sorted out all his disability accommodations himself. He is older though, 27 now. He burnt out every time he tried things when younger and without meds ( eg he joined the Navy at 18 but couldn’t stick it past basic training). Couldn’t have managed uni at 18 even if he had the entry requirements.
Meds aren’t without issues but made a massive difference to performance and mood.
he’s still a bit of a tricky character and it will be good to have a break when he finally moves out but I’m proud of how he’s come on and that we’ve got a decent relationship with him as an adult after all the tribulations.
started this post in the small hours, waking up at night worrying has become a rather ingrained habit!

LimeGoose · 15/11/2025 10:22

Your neurobabble is relentless. How can any young man flourish when his mother is constantly seeking diagnoses on his behalf? There is no sense of his agency in your posts.

Anonymous07200408 · 15/11/2025 10:10

Octavia64 · 15/11/2025 10:02

I have a child with AuDHD who did a physics degree.

firstly, the nature of the degree will not be helping. Maths degrees they recommend not to take a year out because of deskilling. Each year (like physics) also builds on the next.

my dd had trouble in third year because she’d worked strategically in second year and not studied whole sections that were then assumed knowledge in third year.

we got her diagnosed and medicated just before college (access course) and the adhd meds did help but also unmasked the autism. So more work done, more able to pay attention but much lesssble to tolerate people,

she got dsa and also weekly study support (basically someone meeting with her weekly to help plan her work and give her a kick up the bum). Uni were very helpful. She has physical illnesses as well.

she’s been on anti depressants as pain meds for some years (has auto immune illness) so can’t comment on that.

Yes I didn’t understand the deskilling part until it was too late sadly. Maybe we should assume resits and a repeat of the year at the very least - if that’s what he wants to do. I’ve asked about alternate courses but he doesn’t seem to have any ideas - just a conviction he wants to stay.

im feeling much better prepared for the dsa meeting on Monday which is great 😊

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Sk73djej · 15/11/2025 10:08

Anonymous07200408 · 15/11/2025 10:04

Thanks so much. This is the exhausting bullshit I should expect on here and why I should probs stick to the asn boards but so many people have shared so willingly and helpfully I don’t regret it.

Yes just ignore it. You do get more responses on yabu. You will always get back up from those of us with actual experience rather than conspiracy theories.

Anonymous07200408 · 15/11/2025 10:04

Sk73djej · 15/11/2025 10:02

What are you on about?She has had alternative views, mine included which she has handled with careful consideration. You on the other hand with due respect are sounding a little obsessive.

Thanks so much. This is the exhausting bullshit I should expect on here and why I should probs stick to the asn boards but so many people have shared so willingly and helpfully I don’t regret it.

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