Hi. I've just contributed to another interesting thread that you had replied to. My ADD is associated with lethargy, rarely with hyperactivity. I get to sleep well, mostly, but tend to wake in the night, or very early in the morning, often ruminating on things that I feel angry or guilty about. Though often lethargic, I can be restless, but that is a matter of failing to settle to a task, maybe a task I'm not very keen on. That restlessness can involve frequent trips to the fridge, to snack. I tend to branch off into a series of tasks, instead of completing the one I began. I have a daytime sleep most days - can manage without if I have to (or if there is something compelling happening) but may be very lethargic, sleepy, irritable. I can ALMOST manage to concentrate well enough to play a game of Bridge, which is a passion. No matter how bad I feel I can lose myself in a game of Bridge, though I beat myself up if my sleepiness makes me play badly. Social situations often scare me, though if I feel at ease I can then talk far too much.

I retired prematurely (from being a family physician in the UK) because of psych difficulties, partly relating to what I now, aged 61, see has been lifelong ADD. I take an unusual antidepressant, Moclobemide, but no other psych medication. I do use chocolate/cocoa or coffee to wake myself up to play Bridge or to drive a long way - the effect tends to impair sleep, up to maybe 12 hours later. I avoid sleeping pills - they all seem to do much more harm than good. I've just joined the forum, so my posts need checking by a moderator before they may appear. Best wishes, R