Hello I believe I can help you with your concern
I am so sorry that you have been experiencing these symptoms, I can imagine how distressful this must be for you
You are right that symptoms of ADHD may mimic certain symptoms of hypomania, but I would like to ask you some questions so I can give you the best information if that is okay with you
What specific symptoms is does your psychiatrist believe is related to the hypomania?
So he did not actually tell you what specific symptoms though, but there are a number of symptoms associated with hypomania, but it is rare if a person has all of them.
Okay, well that is definitely not a good sign that I would want you to stick with this psychiatrist, but I want to ask a couple more questions. Do the "hypomania symptoms" only last for around a week or two and then go away for a sustained period of time or are they there pretty much everyday, like they would be if they were associated with ADHD?
Did you feel excessively happy during these periods of energy at all, or just felt the extra energy and talking fast?
And during these periods of being full of energy and with the insomnia, you are still taking the Focalin XR?
When you get those feelings of energy, are you easily distractable too?
Well that is the ADHD medication helping you to "hyper focus." I think you are right that you may have an atypical depression and ADHD. But there is a possibility you may have Bipolar 2, but I do not believe so. Still there is a medication where you can get at both of these disorders accurately. It sounds like your depression is pretty bad, so I would recommend Lamictal, it is a mood stabilizer that is specific for Bipolar Depression episodes and can be prescribed for Atypical depression. So that may be the best treatment for you and I would ask your psychiatrist that.
Anytime, but if your psychiatrist will not consider your symptoms more or tell you to look them up, you are well within your rights to ask for a second opinion. I will acknowledge that it is hard to differentiate between ADHD and hypomania, but he still should have went through the list with you to give you a better understanding that is why you are paying him for your services
I wish you the best of luck. My goal is to provide you with excellent service, so if you ever have any further questions or concerns please do not hesitate to contact me at anytime.
You have a great rest of your weekend :)