Add, adhd, learning disability, social anxiety

Patient

Q: I am 27 years old and ever since I was in middle school I remember noticing that I lose concentration easily. I can't stay focused when it comes to long conversations, and often just hear the other person but don't process what they are saying. I have trouble staying focused when i'm reading and tend to have to read paragraphs over and over again. It's often difficult for me to keep consistent on certain tasks. Sometimes I get social anxiety and feel awkward tension around certain people, sometimes even people that i've known for years.
Overall, people would probably describe me as a sweet and overly-nice, and calm girl... many would probably also bring up the fact that I am smart.
I recently had a birthday lunch with co-workers of FIVE YEARS and whenever I was talking I noticed I started sweating a little and felt awkward. Yet I still have the courage to speak in front of a group of about 60 people for my work 2 times a month and don't break a sweat.
I mentioned this a few times to my parents as I was growing up and in my teens and they always seemed to reject it or brushed it off and told me that everything was fine with me. I still feel like I am experiencing these symptoms everyday and I dont want to feel like this is going to be a barrier for my future, especially because im planning to go back to school.

Question: What does this sound like to you?

Symptoms:  Loss of concentration, focus, social behavior, social anxiety, anxiety, add, adhd, learning disability
Doctor

A:   Hello,
Thank you for writing to askthedoctor.com.

Your problem is looking more like Attention deficit hyper-activity disorder predominantly attention deficit with comorbid Anxiety.
Order of treatment is - Anxiety followed by ADHD.
so, I suggest you to meet your family physician or a psychiatrist and start medication.

Thank you

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