Man I seriously sympathise with you. Allow me to extend my warmest congratulations and an invitation to join the 'shitty brain cooties trifecta' club. Unless yo

Man I seriously sympathise with you. Allow me to extend my warmest congratulations and an invitation to join the 'shitty brain cooties trifecta' club. Unless you are someone who experiences greater confidence when taking amphetamines (not I), it's so bloody hard to treat these three conditions simultaneously! Want to get out of bed in the morning? Sure thing, but good luck concentrating on anything when combining SSRIs with ADHD brain. Don't want to break out in a cold sweat at the prospect of being called on in a work meeting? No problemo, I hope you enjoy discovering the hidden depression sub-basement, and you thought you were already at the bottom of the pit. Then there's all the crazy drug-drug interactions with CPY2D6 inhibiting anti-depressants and whatever else you might be on. I gets better if it's something like prozac or paroxetine, as both are simultaneously substrates and inhibitors of that enzyme (i.e. they inhibit their own metabolism so have non-linear DRCs... ah wacky fun). But don't worry, you don't actually need drugs! All you need are positive thoughts filled with hopes and dreams, you filthy junkie. /rant On a more serious note, the only sustainable pharmacological treatments I can think of are: - Dexamphetamine & beta-blockers (better chances if your anxiety is closer to a 'panic' disorder). This worked pretty well for me, until my local government health authority decided I couldn't be trusted with 'dangerous' drugs like dex. Far better to cast me back into the pit than to fuel our local ice epidemic, since clearly smoking meth is 'pretty much the same thing' as taking dex under medical supervision. - Monotherapy with a non-reverse-able MAOI (e.g. Parnate, Nardil). Although good luck finding a psych willing to prescribe one, even if you can demonstrate you understand the interaction risks and know how to mitigate them.