I don't have any easy answers, but just want to empathize because your DD sounds so much like mine (confusion over ADHD or not, anger, refual to continue with therapy, occasional lack of empathy, anxious, negative, socially somewhat isolated, only interests are art and band). This sentence could be written by me: ' just want DD to make it alive and well through adolescence. We are trying to figure out if we target the depression and/or the anxiety OR if the ADHD is the underlying cause." Middle school is hard for a lot of kids, I think, but some are better at hiding it. My DD has mentioned homeschooling, but in reality she doesn't really mean it.