For me, the mental side effects of ADT were the worst part. I hardly had any physical side effects at all other than insomnia and occasional chills. No hot flashes or anything like that, but did have a really bad depression and some suicidal ideation, and loss of concentration/forgetting things. When things got really bad, I went to a therapist and was put on Wellbutrin which initially helped with the concentration issue and then about a month later helped bring the depression under control. If you have these kinds of feelings I would seek help for them sooner rather than waiting as most meds for anxiety and depression take at least 4-5 weeks to start working.