ADHD/ADD: I agree. This happens in people with other diagnosis too; like autism. I see them dual-diagnosed all of the time.
Yea, I would say this is the safer approach to treating depression in people with narcolepsy. I am a clinician; sleep is a huge contributing factor to host of mental health disorders. Treating both at the same time is safe, but may not be needed if your mood is more dysthymic and not major unipolar depression. It really depends on the case; but I would always argue for minimal and graduated interventions.
Yeah, we're two clinicians "locked in violent agreement," as my dad would say. I just wanted to emphasize the point that having both depression and narcolepsy as comorbid conditions which are not connected (other than by the psychological stress caused by having a chronic medical illness) is definitely possible.
It's unfortunately way too common (and I'm probably preaching to the choir with you, but making the point for other folks) for people with undiagnosed N to be told they have clinical depression which they don't have, because their primary care docs tell them "nothing's wrong" and then the sleepiness gets mistaken for depression. Or the person gets treated for "insomnia" with benzodiazepines which only exacerbate the problem. So as a result -- and of course, it's understandable -- there's a lot of antipsychiatry sentiment that comes up in the N community. So people who have true major depression or bipolar disorder sometimes have their symptoms minimized, or are told to stop taking their medications, or feel guilty if they can't, because they're told they don't really have a psychiatric condition.
So in summary to all readers -- if you have significant depression and haven't seen a mental health provider yet, don't wait to get help, because you can start psychotherapy and/or meds now and get relief, and you can always stop treatment once the N's under control if you want to. If it's mild depression and you'd rather wait, that's fine too, particularly because all stimulants are mild antidepressants anyway. And any of you out there already diagnosed with major depression or bipolar disorder on meds, it's OK to stay on your treatment even with N, and don't let anyone tell you any differently.