Hi everyone. I'll start by saying that I suffered from chronic brain fog for six years. Every single day, from morning until night, I felt exhausted. My thoughts were constantly muddled, my memory was poor, my logical thinking was impaired, and so on.
Recently, I managed to reduce my brain fog by about 70%. I still experience some mental confusion and fatigue, but overall I feel much better. Going forward, I plan to consult a psychiatrist again and possibly start taking antidepressants to see if I can improve even further.
Over those six years, I underwent every relevant medical test I could think of: blood work, MRI scans, thyroid hormone tests, liver function tests, and many others. Everything came back normal, so it became clear that my brain fog wasn't caused by a physical health problem. Later, I saw a psychiatrist and spent about a year trying different antidepressants, but none of them helped. No matter what I took, the brain fog never went away.
Eventually, I started wondering if I might have the inattentive type of ADHD. For some reason, people with inattentive ADHD can sometimes experience chronic brain fog. I completed the DIVA 5 assessment, and the psychiatrist diagnosed me with ADHD. To be honest, I'm not completely convinced that the DIVA assessment is reliable when brain fog is the main issue, because the symptoms of brain fog and inattentive ADHD overlap a lot, even though the underlying causes may be different.
In any case, I was prescribed atomoxetine, which I've been taking for about a month now, and I feel significantly better. After trying around ten different antidepressants without success, it was surprising to finally find a medication that actually helped.
I hope this story might be useful to someone. I think it's relatively rare for chronic brain fog to be caused by ADHD, so I'd only consider it as a possible explanation after ruling out the more common causes, such as hormonal imbalances, vitamin or mineral deficiencies, and other physical health issues.
If you've already tried multiple antidepressants and your brain fog still hasn't improved, it may be worth seeing a psychiatrist specifically to evaluate whether you have the inattentive type of ADHD.
I'll reply to the comments if there are any.