12/23/2023 0 Comments Add vs adhd vs ocdThe persistence of chronic depressive symptoms, fatigue, and blunting of affects has often led us to a more detailed study of their ancient and more recent anamnesis. But mostly, these patients come to us complaining of depression, anxiety, sleep disorders, diagnoses of a depressive state, and even borderline personality disorders. The reasons these patients mention when consulting mainly concern exhaustion and problems in professional life and studies, e.g., burnout, mobbing, school failure, and disorders at the level of social interaction. In the following, we will use either the masculine or the feminine without distinguishing, except when it has a specific clinical reason. For conciseness, we will refer to the person affected by the Triple Diagnosis as a TDP patient in the following. In our experience, with different degrees in different patients, these are always present simultaneously. To make ourselves easily understandable to patients when describing this situation, we use a well-known metaphor, and we speak of the “three little piglets”: Asperger’s syndrome, ADHD, and OCD. In dealing with these patients, we have been struck by the almost universal occurrence of the simultaneous presence of this symptomatologic triad (Asperger’s syndrome, ADHD, and OCD). These patients often have significant obsessive-compulsive (OCD) symptoms associated with attention deficit disorder with or without hyperactivity disorder (ADHD). We recall that Asperger’s syndrome, obsessive-compulsive disorder (OCD), and attention deficit disorder with or without hyperactivity disorder (ADHD) are conditions affecting a large portion of the population, with a prevalence that, in spite of several epidemiological studies, is not clearly defined (ADHD Institute, 2022 Fawcett et al., 2020 Fombonne, 2009 Polanczyk et al., 2007 Sasson et al., 1997 Song et al., 2021 WHO, 2022 Wikipedia, 2022). In our clinical practice (242 active patients on file on January 1, 2022), we follow 28 patients (11.6%) diagnosed with Asperger’s syndrome, and since 2016 we have evaluated about 50 patients. Conclusions: Awareness of this comorbidity may facilitate early diagnosis and treatment, improving the clinical outlook and reducing human and societal costs. Results: We suggest that it is essential to understand how the frequent simultaneous presence of these three conditions, admittedly at different degrees of intensity, may have a mutually reinforcing effect on hampering the patient’s social insertion and increasing their psychological and physical exhaustion. Method: This paper explores their correlations based on our clinical experience, and we propose some clinical and therapeutical paths to alleviate the situation of these patients. It is our experience that these three conditions are often associated, and we try to offer in this paper a clinical view of their association. Purpose: These are invalidating conditions that take a high toll both from the human and the social point of view. Background: Asperger’s syndrome, obsessive-compulsive disorder (OCD), and attention deficit disorder with or without hyperactivity disorder (ADHD) are conditions affecting a large portion of the population with different prevalence following studies.
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