A real-talk mental health guide to your brain and relationships 

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Navigating relationships with anxiety, ADHD, or depression can sometimes emphasize the differences in your inner workings; everything that seems to come naturally to others might require extra thought and energy from you. But understanding how your brain works can actually help you build stronger, more authentic connections with the people in your life.

Let’s talk about what’s really going on and what actually helps.

Mental health and relationships image

The reality of your experiences

Living with anxiety, ADHD, or depression means that your brain processes social interactions and emotions differently. Because of ADHD, you might forget to text back for days while simultaneously feeling intense emotions about your relationships. Anxiety can have you overthinking every interaction and assuming the worst, and depression might drain your social battery so completely that even reaching out to your closest friends feels impossible.

These aren’t character flaws — they’re real neurological and psychological experiences that affect how you interact and connect with others. And accepting this reality is the first step toward building and maintaining stronger relationships.

The power of communication

In actuality, being open about your struggles can strengthen your relationships, especially when complemented by someone who understands your challenges and appreciates all of the unique ways that you show care. 

Maybe this sounds like: “Sometimes I take a while to respond because my ADHD makes me lose track of messages, but I care about you and our friendship.”

On a surface level, this sentiment might seem simple, but this kind of transparency does two things — it helps others to understand you better, and it gives them permission to be open about their own struggles.

Practical strategies that actually work

For ADHD:

orange diamond image Set intentional reminders to check in with the important people in your life

orange diamond image Use voice messages when typing feels daunting

orange diamond image Schedule regular catch-ups that become part of your routine

For anxiety:

orange diamond image Share your anxiety patterns with trusted friends so they can support you

orange diamond image Practice “reality checking” your assumptions with someone you trust

orange diamond image Create comfortable social routines that aren’t overwhelming

For depression:

orange diamond image Let close friends know when you’re in a low period

orange diamond image Be okay with “low-energy” hangouts (sometimes watching TV together is enough)

orange diamond image Keep connections alive with small gestures when big ones feel impossible

The setting (and maintaining) of boundaries

Implementing clear boundaries is necessary to build healthy relationships. Your emotional and social functions work differently than many others’, so maybe you need more alone time to recharge, or maybe group settings overwhelm you. By communicating these needs clearly (and offering gentle reminders of them as needed), you create a solid foundation for yourself and the relationships you care about. 

Reminders for when things get rocky

Relationships are complex. And relationship dynamics compounded by mental health struggles can feel especially intense. Here are some key things to keep in mind (always, but particularly during rough patches):

orange diamond image It’s okay to step back and take care of yourself

orange diamond image You can ask for what you need, which might sound like,”I’m having a hard time right now and could use some extra understanding”

orange diamond image There is professional support that can  help you navigate both your mental health and your relationships — and it’s okay to seek it

A new perspective

The uniqueness of your brain can bring depth and richness to your relationships. With your anxiety, ADHD, or depression comes an incredibly empathetic and loyal friend or partner who understands struggle, is deeply attuned to others’ emotions, and who values authentic connections.

See how anxiety, ADHD, or depression might be affecting your relationships with the Mentavi Mental Wellness Snapshot.

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Curious about stimulant or non-stimulant medication?

These terms refer to certain approaches to treat diagnosed ADHD. Mentavi Health / ADHD Online may provide stimulant approaches (certain medications under medical treatment that are generally considered Class II controlled substances) or non-stimulant approaches (medications generally not considered Class II, and/or therapy and coaching not related to medication).

A diagnosis and initial conversation with our treatment clinicians is key to the best path for you. The diagnosis is a key first step to determine if you have ADHD or other related conditions. Approximately 60% of patients with ADHD have co-occurring conditions such as anxiety or depression, for example. At the same time, patients who believe they have ADHD may not even have it. For those who do, there can be a variety of considerations into what kind of treatment works best to meet the patient where they’re at.

If you are not feeling right, your journey starts with the first step of diagnostic evaluation.

There may be a brief delay in service today between 12:30 PM and 1:30 PM ET. Thank you for your patience — we look forward to assisting you shortly.
 
The ADHD Online Team

Join Our ADHD Research Study

Mentavi Health is conducting ADHD research and is accepting a limited number of participants. Participants in our clinical study will get an ADHD Assessment at no cost. 

Who can join?
  • Age 19+
  • Primary language is English
  • Not previously diagnosed with ADHD
  • Not a current patient of ADHD Online or Mentavi Health
  • A resident of any of the 50 US states or DC (not including Puerto Rico or other territories)
 
Why participate?
Your involvement will help improve mental health care for everyone.
 
Looking to take our assessment? That’s available all day, every day, whenever and wherever is best for you!

ADHD Online will be closed on Monday, May 26, 2025, in observance of the Memorial Day holiday.

Live support will be unavailable on Monday, May 26. Send us an email or leave a message, and we’ll get back to you as soon as possible when we return on Tuesday, May 27.

Please note that each clinician sets their holiday hours and may be processing your requests during this time or may also be out.

Live support will be unavailable during regular business hours on Monday, January 20. You can always submit a request or leave a voice message. We’ll get back to you when we return.

Please note: Our clinicians have individual holiday schedules. Check with yours for their availability during the holidays.

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