Overcoming Low Self-Esteem and ADHD: Seeking Help for Mental Health Issues

Since childhood, I have struggled with low self-esteem, lack of confidence, and have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD)?

From childhood to adulthood, I often experience negative thoughts related to work, studying, and interpersonal relationships with friends.
I tend to be overly concerned about others' opinions, criticisms, judgments, and mockery, which leads to frequent feelings of low self-esteem, lack of confidence, and depressive tendencies.
These issues are more prevalent in real life, while online criticism seems to have less impact.
Can this aspect of mental health be treated with medication, such as anxiolytics? Should I see a doctor regarding these symptoms? I am currently on medication for ADHD and have been taking Strattera for nearly four months.

Hsu Chao-Pang, 20~29 year old female. Ask Date: 2020/03/16

Dr. Zhang Gengjia reply Psychiatry

Dear Zhaobang,
From your letter, I can clearly sense your discomfort and distress.
Since you are experiencing issues such as depressive symptoms, it is very important to have regular outpatient follow-ups and discussions.
Our clinic is open Monday to Friday, both in the morning and afternoon.
I recommend that you consider coming to the hospital for a personal evaluation of your symptoms by a physician, so we can collaboratively discuss the best decisions for you.
Lastly, I want to share that living in this world inevitably brings about feelings of self-doubt and the pressure to overcome oneself.
There is always a voice deep within me that echoes, "Not enough, not enough; what you are doing is still insufficient." I hope this voice can guide everyone to overcome their own weaknesses and downfalls, empowering them to respond more strongly and live healthier lives.
Wishing you mental and physical well-being.
Sincerely,
Dr.
Zhang Gengjia
Department of Psychiatry

Reply Date: 2020/03/16

More Info

Overcoming low self-esteem and managing ADHD can be a challenging journey, especially when compounded by negative thoughts and feelings of inadequacy. It’s important to recognize that these feelings are not uncommon, and many individuals experience similar struggles throughout their lives. The good news is that there are effective strategies and treatments available to help you navigate these challenges.

Firstly, it’s essential to understand the relationship between ADHD and low self-esteem. Individuals with ADHD often face difficulties in attention, organization, and impulse control, which can lead to challenges in academic and social settings. These difficulties can result in negative feedback from peers, teachers, or even family members, contributing to feelings of inadequacy and low self-worth. It’s crucial to acknowledge that these feelings are valid and that seeking help is a positive step forward.

Regarding your question about medication, it is indeed possible for individuals with ADHD and accompanying emotional challenges, such as low self-esteem or anxiety, to benefit from pharmacological treatment. Medications like stimulants (e.g., methylphenidate or amphetamines) are commonly prescribed for ADHD and can help improve focus and reduce impulsivity. Additionally, non-stimulant medications, such as atomoxetine, may also be effective.
For the emotional aspects, such as anxiety and depression, antidepressants or anti-anxiety medications may be prescribed. Selective serotonin reuptake inhibitors (SSRIs) are often used to treat anxiety and depression and can help improve mood and emotional regulation. However, it’s essential to have a thorough evaluation by a mental health professional to determine the most appropriate treatment plan tailored to your specific needs.

In addition to medication, therapy can be incredibly beneficial. Cognitive-behavioral therapy (CBT) is particularly effective for addressing negative thought patterns and building self-esteem. CBT helps individuals identify and challenge irrational beliefs, develop coping strategies, and foster a more positive self-image. Engaging in therapy can provide you with tools to manage your emotions, improve your interpersonal relationships, and enhance your overall quality of life.

Moreover, it’s important to cultivate a supportive environment. Surrounding yourself with understanding friends and family can make a significant difference. Open communication about your feelings and experiences can foster empathy and support, which are vital for emotional healing.
Practicing self-care is also crucial. Engaging in activities that bring you joy, maintaining a healthy lifestyle through regular exercise, balanced nutrition, and adequate sleep can positively impact your mental health. Mindfulness practices, such as meditation or yoga, can help reduce anxiety and improve emotional regulation.

Lastly, it’s essential to seek professional help if you haven’t already. A mental health professional can provide a comprehensive assessment and guide you through the treatment options available. They can help you navigate the complexities of ADHD, low self-esteem, and any other emotional challenges you may be facing.

In conclusion, overcoming low self-esteem and managing ADHD is a multifaceted process that often requires a combination of medication, therapy, and self-care strategies. It’s commendable that you are seeking help and exploring your options. Remember, you are not alone in this journey, and with the right support and treatment, it is possible to improve your self-esteem and overall mental health. Don’t hesitate to reach out to a healthcare provider to discuss your symptoms and explore the best treatment options for you.

Similar Q&A

Seeking Help for ADHD and Depression: A Family's Journey

I have a learning disability in mathematics and have attended resource classes from elementary school through high school. After four years in the workforce, I have changed jobs ten times, often making mistakes at work (for example: moving too slowly, daydreaming, forgetting thin...

Dr. Peng Liyun reply Psychiatry
Hello! Thank you for your hard work! Based on your description, I initially suggest that you help your family fully understand the difficulties you are currently facing and the efforts you have previously made. It is important for them to recognize that you need professional medi...

Understanding ADHD: Seeking Effective Treatments and Solutions

Hello, I was diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) in my first year of high school, and I am now a sophomore in college. However, I don't feel that my condition has improved since entering university (I was admitted through a recommendation process)....

Dr. Chen Wenyu reply Psychiatry
Hello, Arting: The first-line medication for treating Attention Deficit Hyperactivity Disorder (ADHD) is "Ritalin" (methylphenidate). However, some individuals may experience symptoms such as palpitations and anxiety, as you described. You should discuss this further wi...

Overcoming Mental Health Struggles: A Journey Towards Self-Discovery

Hello, doctor. I apologize for reaching out late at night, but I am troubled and unable to sleep. I am a mental health patient with a handbook and a major card. Recently, due to various issues, I have been feeling quite disturbed! Additionally, due to frustrations and other facto...

Dr. Qiu Junda reply Psychiatry
Hello. You have a medical history. Please continue to attend regular follow-up appointments. If you have any psychological or emotional concerns, you can consult with your attending physician to discuss possible solutions for improvement.

Understanding Mental Health: Overcoming Social Anxiety and Academic Struggles

I'm sorry to hear that you're feeling this way. It's really important that you talk to someone who can help you, such as a mental health professional or a trusted person in your life.

Dr. Liang Sunyuan reply Psychiatry
Hello, many factors can affect cognitive abilities, including emotions, interests, and physical condition. Generally speaking, if you are experiencing significant distress, it is advisable to seek a face-to-face evaluation for a comprehensive assessment. A psychological evaluatio...