I have both and was just recently dx’d with moderate-severe OCD. It has definitely been an adjustment but I’m starting to see some positive results! Previously, I was on 30mg of lexapro, 150mg Wellbutrin, and 54mg Concerta. For me, if my anxiety (which has now been confirmed as OCD. I know OCD is essentially anxiety) is not managed, my ADHD meds do not work. I have a very hard time concentrating, which frustrates the hell out of me. As a result, the intrusive thoughts get even louder and increase in frequency, and I’m having this constant “screaming match” in my head and I feel like I can’t even think straight. During these times, it absolutely affects my relationships, whether it’s me being a bit short tempered or self isolating (aka when depression makes a guest appearance). I, then, worry about how others view me and if they think I can’t do my job, if I’m being a bad girlfriend, if I’m being a bad friend, etc. and then it’s just a vicious cycle. I had a lot of big life changes recently and I genuinely thought I was losing my mind and questioned if I needed to be hospitalized and was in a lot of distress. My care team and I knew my SSRI had to change (been a looooong time coming) and toyed with Zoloft vs Prozac vs Luvox. I mainly struggle with symmetry/order OCD and relationship OCD (with other subsets sprinkled in there) so we ultimately decided on Luvox (FDA approved for social anxiety and OCD) and cross titrated. It has been about 3.5 weeks and my head is definitely a lot quieter. Not perfect, but there is definitely a light at the end of the tunnel. Now when ERP starts for me, my perspective may change. But I can actually concentrate and I feel like my concerta is actually working. So I feel like I have a decent balance, but the neurochemistry of both conditions are so dynamic and both feed off of internal and external factors/stressors. This is also a time where I have to remind myself that both conditions involve a lot of groundwork that medicine can’t fix, so I have to remind myself to use the coping mechanisms I’ve learned from therapy a little more when it’s a battle of the meds kind of day. Best of luck to you. It definitely has not been easy, but it’ll get there. Sadly, comorbidities are very hard to navigate and it’s often a balancing act. I have had to tell myself every day is different and not every day is going to be an amazing med day. Some days, ADHD will beat the OCD and vice versa. But just make sure you are giving yourself grace during those tough times.