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Dolemite posted:I was reading the Adderall shortage thread in GBS and I'm getting REALLY freaked out about being to fill my prescription! If you can't find your dose of IR, call around and ask if they have ANY strengths. My pharmacy had no 10mg. My dr had put me on focalin because of the shortage, but it gave me horrible palpitations and then made me exhausted. I called him and told him what they had so now I'm using the 20mg adderalls.
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Dec 5, 2011 13:04
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Dolemite posted:1When I last talked to my doctor, he said he'll write a prescription for Concerta if I cannot fill the Adderall one. For those of you on Concerta, does it work immediately like Adderall? I remember hearing of certain medications for ADHD that require you taking it for a good month before it starts to work! 2 - My guess is that IR has a faster turnover rate than XR, since pharmacies probably only carry 100 or some number of pills at a time and people go through several IR pills a day. 3 - Should be fine, since there is no huge difference. If you think about how it enters and leaves your system, then its easy to see the difference though. With IR, you have, say, 10mg and this peaks within an hour giving you a blood concentration of , say, "5". Then it starts being eliminated from your system, and later you have another one, so there is another rapid peak of concentration 6, and so on. With IR, you have higher peaks of the drug in your body, but also lower lows in between dosage. Extended release in contrast does not reach the same levels in your blood, but the concentration is more consistent throughout the day (so it might rise to a peak of 4, but stay near this level for a long time). You can find the graphs of how it is released in your blood by googling it. The extra high peaks are extra helpful at getting started on things like homework, so that's why it is better in a way.
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Dec 5, 2011 17:29
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taylor posted:1 - It works the same day you take it, but there isn't a significant "honeymoon effect" like you get with Adderall, which is where the drug is extra potent for the first few days. It takes about a half an hour for it to kick in, and you don't notice it's on until you realize that you're already doing stuff. It's very much a velvet hammer.
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Dec 5, 2011 18:45
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Hmm seems like some of the symptoms I have sound very much like what people are talking about in the first page. Like 50 different thoughts going on in my head at all times and not being able to do poo poo unless I find it super interesting. Getting by with top grades only if it doesn't involve lots of work because I can just memorize things after reading a chapter and stuff like that. I actually did go see my doctor a few days ago to talk about my depression because I was having suicidal thoughts. This was the first time I ever went to a doctor to discuss my mental health and I was prescribed zoloft for it. He recommended me to see a therapist for further help. I guess a therapist can properly diagnose me if I have an ADD or not? My doctor didn't mention ADD at all when we talked. Also he said that too many thoughts in my head was something called illumination or something that's related to low serotonin levels washow fucked around with this message at 04:42 on Dec 6, 2011 |
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Dec 6, 2011 04:40
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washow posted:Hmm seems like some of the symptoms I have sound very much like what people are talking about in the first page. Like 50 different thoughts going on in my head at all times and not being able to do poo poo unless I find it super interesting. Getting by with top grades only if it doesn't involve lots of work because I can just memorize things after reading a chapter and stuff like that. You should look for a psychiatrist that is trained and comfortable with Adult ADHD. While it is getting better, there are still a lot of mental health professionals who don't know how to diagnose and deal with adults with ADHD. You'll tell your story to them, they'll either just diagnose you on the spot or suggest more testing.
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Dec 6, 2011 12:18
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How can you tell when the dose isn't enough? The side effects of the Metadate have worn off. But, so it seems, has the effectiveness. I'm more distracted and irritable than ever, especially at work. And I'm doing interesting stuff there, so it's not due to boredom.
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Dec 6, 2011 17:32
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Qu Appelle posted:How can you tell when the dose isn't enough? The days you don't take it are indistinguishable from the days that you do. You really have to look at the actual productivity, not how it feels though. Personally I find the greatest contributing factor is exercise. When I work out consistently- my mind becomes much more serene. When I don't- crabby and distraction city. Its been 5 degrees so I havent really left the house this week and I barely could compose this post.
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Dec 6, 2011 17:52
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The ritalin is working like a charm. However, at the end of the day after its worn off, I have zero sex drive. When I'm on it, I kind of have one but I'm usually busy actually getting things done. Normal?
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Dec 6, 2011 17:54
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2508084 posted:The ritalin is working like a charm. However, at the end of the day after its worn off, I have zero sex drive. When I'm on it, I kind of have one but I'm usually busy actually getting things done. Normal? How long have you been on it? You may be experiencing a come down in energy that you aren't used to. I've found that now I've been on it for a while, the only really bad day is Monday, and that is because I don't take the Ritalin on the weekend, so I lose some of my tolerance. At the end of the day Monday when it starts to wear off I'm pretty non functional for an hour or so. The rest of the week doesn't have that happen. So in short, if you are still adjusting to it you may just lose that side effect. If it has been a while you should talk to your psych about dosage.
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Dec 6, 2011 18:00
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Chin Strap posted:How long have you been on it? You may be experiencing a come down in energy that you aren't used to. I've found that now I've been on it for a while, the only really bad day is Monday, and that is because I don't take the Ritalin on the weekend, so I lose some of my tolerance. At the end of the day Monday when it starts to wear off I'm pretty non functional for an hour or so. The rest of the week doesn't have that happen. First week back on, figured it was normal. I see my doc in three weeks so if it continues ill ask him. Thanks
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Dec 6, 2011 18:02
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2508084 posted:The ritalin is working like a charm. However, at the end of the day after its worn off, I have zero sex drive. When I'm on it, I kind of have one but I'm usually busy actually getting things done. Normal? Normal, but there are other factors in the causation. Check weight, age, exercise levels, food intake, amount of hyper-stimulation (video games, television), how much sexual stimulation do you subject yourself to (porn), and self esteem (which goes back to exercise). Overcoming the detrimental effects of these will do more to correct the sex drive issues than pinning it to Ritalin/ADD.
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Dec 6, 2011 18:07
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TheBigBad posted:Normal, but there are other factors in the causation. I feel for my boyfriend. I went from letsfuckletsfuck!!!! to 'I'm going to edit my resume.' Fortunately, he understands why 
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Dec 6, 2011 18:11
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You may need to pre-heat the oven (mentally) so to speak to get back to that part of your letsfuckletsfuck brain. So much of sexuality is psychological, its scary.
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Dec 6, 2011 18:27
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Well gently caress. My wife tried to drop off my prescription at my pharmacy and they told her they won't likely get any until MAYBE January or February! Even on the pills, my job is hard. I'm a developer and the source code for this application is a mess. I can't imagine trying to hack on this poo poo un-medicated.  fagalicious posted:If you can't find your dose of IR, call around and ask if they have ANY strengths. My pharmacy had no 10mg. My dr had put me on focalin because of the shortage, but it gave me horrible palpitations and then made me exhausted. I called him and told him what they had so now I'm using the 20mg adderalls. Yeah, that's not a bad idea. I should be good with 20mg pills since they worked the last time I accidentally took one instead of my 30mg dose. taylor posted:It works the same day you take it, but there isn't a significant "honeymoon effect" like you get with Adderall, which is where the drug is extra potent for the first few days. TheBigBad posted:It takes about a half an hour for it to kick in, and you don't notice it's on until you realize that you're already doing stuff. It's very much a velvet hammer. So you don't 'feel' anything with Concerta as you do with Adderall? One reason why I'd be bummed to have to switch is that I like the feeling when Adderall relaxes me. It's like drinking a coffee that lasts all day. And on a day when the meds are really working, boosts my mood up too. Hopefully Concerta can do some of those things too. Welp, time to canvas the pharmacies around here and see what I can find...
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Dec 6, 2011 23:30
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Dolemite posted:
I don't take the medication to feel something, I take it to function.
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Dec 7, 2011 00:56
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What is the best way to approach your doctor about getting put on adhd meds without looking like a pill popping speed freak? In my college days I went on the occasional adderall and I know how I react to it, but obviously I can't be like "well i have tried adderall and it works great!". I have accepted that I likely have some sort of ADHD, I have a lot of the major symptoms and these symptoms have always hosed up my life. I ready to do something about it. I want to try to get an Rx for something that is available in generic, what are my options if my doc is open to the idea?
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Dec 7, 2011 04:58
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cr0y posted:What is the best way to approach your doctor about getting put on adhd meds without looking like a pill popping speed freak? A professional diagnosis.
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Dec 7, 2011 05:14
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Dolemite posted:
You do feel it for sure, it is just that this feeling doesn't also come with a few days of ultra productivity where you clear your long to-do list you've racked up over the last few months. When you start Concerta, it will be much more like when you've been on Adderall for a couple months. In contrast, if you just start Adderall, it will be as if you had a double dosage for the first few days, in terms of its effectiveness.
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Dec 7, 2011 05:14
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Well, I was luckily able to find a pharmacy with Adderall in stock. It ended up being a mom-and-pop joint that's only open during typical 9-5 hours. They were also the only place that didn't treat me like a junkie! After this experience, I'm definitely going to talk to my doc about switching to Concerta or something. gently caress trying to canvas the city to fill a prescription and being shat on in the process by every high and mighty pharmacist! Finding a place to refill the prescription was such a pain. I checked the major pharmacies (CVS, Walgreens) and literally every place I went to treated me like an addict trying to get a fix. At a CVS, one of the pharmacists wouldn't even tell me over the phone if they have it in stock! Me: "Hi, I need to fill a prescription for Adderall. Can you do that?" Dude: "WELL, YOU NEED A PRESCRIPTION FOR THAT!" Me: "Umm...I have a prescription.  "Dude: "We can't TELL YOU THAT OVER THE PHONE YOU GOTTA COME IN!!" Me: "Thanks  "I decide to start trying the pharmacies in person after that and go to the CVS above. When I get there, I see the rear end in a top hat I spoke to on the phone. Handed him the prescription and...  : "Well let me just see if I have that in stock" :"Cool, thanks" "Hmm, looks like we don't. We only have the XR in stock so you'll need to get your doc to write a prescription for that. If you can get one ".: "Umm, yeah I don't think I'll have a problem getting my doctor to write that for me. . In the mean time, do you know when you'll have the IR in stock?"*Out of nowhere, this 90lb Eastern European chick flashes into the scene*  :"WE DON'T KNOW WHEN WE'LL GET IT! IT'S A MANUFACTURER'S SHORTAGE STOP ASKING US!": "Umm..Okay, thanks I guess.. "--- What the gently caress is all of this about? I haven't been on medication for too long, months really. Is this something experienced regularly by ADDers on Adderall? Goddamn, I felt like a total loser after the above. I'm just trying to get my medication to function. Why isn't treated any differently than someone trying to get contacts for their vision? And I can't believe I caught this poo poo from medical professionals! I thought they were supposed to be calm and...well...professional! I hope to God that my son does not ever develop this poo poo. I go out of my way to keep my little one away from the TV and only let him play with toys that really stimulate his brain. I want to make sure he never, EVER has to go through life with this. It's terrible!
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Dec 7, 2011 20:37
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Dolemite posted:What the gently caress is all of this about? I haven't been on medication for too long, months really. Is this something experienced regularly by ADDers on Adderall? Goddamn, I felt like a total loser after the above. I'm just trying to get my medication to function. Why isn't treated any differently than someone trying to get contacts for their vision? Welcome to Schedule Two.
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Dec 7, 2011 20:43
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How is the Ritalin supply holding up? I hope there isn't some second order pressure or something. Not looking forward to filling up soon here.
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Dec 7, 2011 21:05
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Chin Strap posted:How is the Ritalin supply holding up? I hope there isn't some second order pressure or something. Not looking forward to filling up soon here. I'm not on Ritalin per se, but Metadate, a Ritalin derivative. I've had no problems getting my Metadate scripts filled, but it does take a few days for them to get the medication ordered and delivered to their pharmacy. Since I don't take my pills on weekends or when I don't have work, I always have 'extra' at the end of the month. That gives me a buffer to drop off my script on the day it legally can be filled, and wait for the medication to come in. I'm so lucky that Metadate ended up being the medication that (so far!) has worked like a charm for me. And my beleaguered Rite-Aid pharmacy has had people asking for Adderall multiple times a day for months now.
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Dec 7, 2011 21:24
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Chin Strap posted:How is the Ritalin supply holding up? I hope there isn't some second order pressure or something. Not looking forward to filling up soon here. My ritalin filled with no problem at all. Its still cheap as dirt too.
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Dec 7, 2011 22:24
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Yes, it is clear the DEA knows what the gently caress its doing.
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Dec 7, 2011 22:32
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Stop making adderall! You made too much! *causes an adderall shortage* The really dumb thing here, to me, is that it's all in capsules, or at least all the amphetamines I count are capsules. You can't split a capsule. If they were tablets, you could write for a higher dosage and split it. My pharmacy is mainly out of the lower dosages most of the time, but we've always got a shitload of stuff for whoever the gently caress is basically incapable of moving and needs three times as much amphetamines as everyone else. Or you could be one of the lucky Concerta people who can pay through the nose/out the rear end for those specialized capsule tablet things.
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Dec 7, 2011 23:19
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signalnoise posted:Stop making adderall! You made too much! *causes an adderall shortage* When I was trying adderall the IR was tablets for me.
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Dec 8, 2011 01:16
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Chin Strap posted:When I was trying adderall the IR was tablets for me. Oughta make that standard, I loving hate counting capsules.
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Dec 8, 2011 01:24
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signalnoise posted:You can't split a capsule.  You sure can. Or do you mean you can't split it precisely?
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Dec 8, 2011 01:54
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Socket Ryanist posted:
Are you suggesting doctors tell their patients to split capsules? It's as if i said you can't serve drinks inside a sandwich. Sure you can, but not seriously.
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Dec 8, 2011 02:32
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Does anyone know if the Adderall shortages are also affecting Dexedrine? Luckily I don't take nearly my full prescribed dosage, so I should be good for a while.
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Dec 8, 2011 04:11
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signalnoise posted:Are you suggesting doctors tell their patients to split capsules? It's as if i said you can't serve drinks inside a sandwich. Sure you can, but not seriously.
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Dec 8, 2011 09:07
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For those who got diagnosed with ADD, who actually did it? Did you actually went to see a psychiatrist straight up or your family doctor -> referal -> psychiatrist? I went to my doctor for depression and he prescribed me some anti depression med but no mention of ADD stuff. I want to get tested because my symptoms really fit to things people are describing in this thread.
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Dec 8, 2011 09:12
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Socket Ryanist posted:Why is splitting a capsule hard? Open it, pour it out, divide whatever is inside in half, re-cap. Not rocket science. For real, are you serious about this? Are you seriously suggesting that splitting the contents of a capsule is anything close to splitting a tablet? Are you saying that if you put "take half of one capsule three times per day" on a bottle, that more than 5% of your customers will just do it without problems? And where are you getting the extra caps for the open ends of your two half capsules? Are you crimping them shut, or are you buying empty capsules? washow posted:For those who got diagnosed with ADD, who actually did it? Did you actually went to see a psychiatrist straight up or your family doctor -> referal -> psychiatrist? I took a battery of tests for learning disabilities and other things that included ADD/ADHD testing. signalnoise fucked around with this message at 09:19 on Dec 8, 2011 |
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Dec 8, 2011 09:17
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washow posted:For those who got diagnosed with ADD, who actually did it? Did you actually went to see a psychiatrist straight up or your family doctor -> referal -> psychiatrist? Apparently, I was diagnosed as a child, but I ha dno idea who did it, as I wasn't informed of this diagnosis until I was an adult (and consequently never treated for it, either). Cue adulthood. I was referred to a psychiatrist for some depression issues by my therapist at the time. He originally treated my depression with Wellbutrin, which also kinda treats ADHD. It wasn't until I got off the Wellbutrin, and I faced increased responsibilities at work, that the ADHD became a serious problem. That's when it got formally diagnosed again, and we started to treat that as the main issue. Turns out, if I have adequate Vitamin D, and the *right* ADHD medication, my depression isn't an issue! (I didn't go through formal training, just an extensive interview of my family history and my symptoms throughout childhood and adulthood.)
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Dec 8, 2011 09:41
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washow posted:For those who got diagnosed with ADD, who actually did it? Did you actually went to see a psychiatrist straight up or your family doctor -> referal -> psychiatrist? You can simply say to your doctor that you would like to be checked out for ADHD. If they feel comfortable diagnosing you, they will- else they will refer you to a specialist. I was working on PTSD with a CBT and asked her if I could have ADHD. She said its quite possible, here let me introduce you to the ADHD specialist in my practice who diagnosed me over three visits (which I think was a way to bilk my insurance company, but who cares). I told my GP that the shrink diagnosed me, and she called the shrink to confirm- voila. The answer is either way. I'd have felt comfortable with my GP diagnosing me, but she is super awesome.
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Dec 8, 2011 09:55
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signalnoise posted:Are you saying that if you put "take half of one capsule three times per day" on a bottle, that more than 5% of your customers will just do it without problems? If you're implying that a doctor assumes all of their patients are ignorant morons, then please tell me who your doctor is so I can make sure to avoid them.
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Dec 8, 2011 23:23
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Socket Ryanist posted:I didn't realize we were talking about the average customer. Yes I was talking about the average customer, I'm a pharmacy tech so the average customer is what I see all the time. I'll give and say you can split a capsule technically, but you aren't going to be anywhere near precise, and for that reason you should not be put in that position.
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Dec 9, 2011 03:21
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signalnoise posted:Yes I was talking about the average customer, I'm a pharmacy tech so the average customer is what I see all the time. I'll give and say you can split a capsule technically, but you aren't going to be anywhere near precise, and for that reason you should not be put in that position. This conversation is so distracting.
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Dec 9, 2011 04:51
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I'm sorry for crossposting from the psychiatric Q&A thread. I just don't know what to think anymore. I need answers and to tell someone about this while I'm waiting to meet a doctor.Mercrom posted:I'm posting because I am confused about my diagnosis and current mental condition. I was diagnosed with Asperger's syndrome as a child but can't identify with most of the characteristics. I don't think I lack empathy, but is there a way to examine that? As far as I remember I have never had problems detecting sarcasm or understanding figurative verbal expressions, and facial expressions and body language seem pretty comprehensible to me. For example I hate bad acting in movies. I think Stanley Kubrick's The Shining is poo poo in large part because Jack Nicholson does not at all seem like an alcoholic in it. I have some social anxiety though, but I'm fine talking in front of groups if I have a good reason to, and I find it enjoyable as long as I'm not embarrassed. TL;DR: I was diagnosed with Asperger's at 7 but don't identify with any of the symptoms. Now I've learned about ADHD and it drives me crazy. The fact that when I'm in school I sit with a pen and paper or in front of a computer for hours without being able to write a sentence, coming up with questions just so that I can have a conversation with the teacher instead. The fact that I focus better on assignments with noisy people around me, or even the fact that I play loud death/black metal or even other videos while watching porn because it gets so boring otherwise. That does not seem like loving autism.
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Dec 9, 2011 16:58
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Mercrom posted:TL;DR: I was diagnosed with Asperger's at 7 but don't identify with any of the symptoms. Now I've learned about ADHD and it drives me crazy. The fact that when I'm in school I sit with a pen and paper or in front of a computer for hours without being able to write a sentence, coming up with questions just so that I can have a conversation with the teacher instead. The fact that I focus better on assignments with noisy people around me, or even the fact that I play loud death/black metal or even other videos while watching porn because it gets so boring otherwise. That does not seem like loving autism. Frankly, I can't see why it'd hurt. You'd need to see a doctor to get treatment and prescription anyways. And, FWIW, I do have a friend with a child with professionally diagnosed Asperger's, and he is being treated with ADHD drugs for it. So even if you legitimately have Asperger's, it's not our of the realm of possibility to be treated with something like Ritalin. (Not to mention that one could actually have both disorders). Good luck!
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Dec 9, 2011 19:56
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