Living with a portwine stain, ADHD and autism, and deeply depressed.
I (26m) have a portwine stain on my right hand and arm. I'm very insecure about it. I constantly hide it. I've done CBT and exposure therapy. Nothing has worked. I'm also struggling with ADHD (inattentive) and Autism (mainly with social skills).
I attend a weekly gathering where we just chat, and the idea was to casually show my portwine stain (which I failed to do). We also discussed me bringing it up in conversation, but that idea sounds ridiculous to me. My therapist said that delaying it makes things harder, and that introducing it out of the blue can be even more intimidating. This has basically been my entire life. The cycle just continues. If I show it, I end up overthinking and ruminating everything afterward. If I don’t show it, I feel bummed out and sad that I can’t be myself, but it also feels less stressful.
There's also the struggle with Autism and ADHD. I've been in mental health treatment since 2021. I've had 3 therapists now, and a second psychiatrist.
I was in a deep depression back in 2020 and started antidepressants near the end of 2021 (Sertraline/Zoloft), with different dosages, and finally tapered off this year. (mainly because it didn't fix my autistic/adhd issues). Since then I've tried several ADHD meds (Ritalin, Wellbutrin, Piracetam, Aripiprazole/Abilify, Concerta, Strattera, and Elvanse.) None have truly worked. They always came with annoying and weird side effects.
My new psychiatrist suggested starting Wellbutrin again at 150mg. She looked at all my files and could obviously tell I was still depressed so a different antidepressant was the right approach. The first two weeks were rocky, with intense anger and constant headaches. I've been on it for 18 days now and I just feel.... neutral, i guess.
I have no clue how to move forward. My portwine stain has robbed me of living a normal life, and I know I could solve this by not caring, but past experiences have shaped this. My ADHD ruined my school years, and still to this date making it hard to actually get things done like studying and achieving something. My autism is there to discipline me somewhat, but it's more noticeable when it comes to social skills. I have no friends.
I'm truly lost, very very lost. I would like any type of advice from anyone. ❤️