How do you approach ADHD treatment when someone also lives with chronic pain or fatigue?

Very carefully and collaboratively. Chronic pain and fatigue can mimic or worsen attention difficulties. We first clarify what is driving what. Sometimes low dose stimulant treatment helps energy and cognitive clarity. Other times it may exacerbate symptoms if sleep is disrupted. We prioritize sleep, pacing, and nervous system regulation. Medication decisions are individualized and conservative. The goal is improving function without increasing physical stress. It often requires more frequent follow up and small adjustments rather than big changes.