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deptstoremook posted:So, I know that I won't abuse stimulants, but would a psychologist? I'm a college student and I'd be going to the university's counseling service, so that also makes me suspect to begin with. I'd really like to talk to a shrink about addiction things but this makes me very scared to, I'd sooner omit my drug abuse and get a prescription. Vyvanse is the new drug being pushed as a replacement for Adderall XR (because of it's patent expiration). While the benefits of Vyvanse over Adderall to the average patient is fairly questionable, there's a clear benefit for prescribing physicians- Vyvanse is released though digestion, which means snorting it doesn't work very well. A psychiatrist is going to be a lot more willing to prescribe Vyvanse to someone with a substance abuse history than most other stimulants. And of course, there are non-stimulant treatments as well. Aside from that, people with ADD have a much higher substance abuse rate than the whole population. Plenty of psychiatrists consider stimulant abuse by ADD patients a form of self medication, and will prescribe stimulants hoping to prevent further abuse.
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Sep 4, 2009 21:55
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itthingy posted:I really hope I'm not asking a question that's already been asked, but is it possible for ADHD and/or meds for ADD to stunt physical and/or mental growth? The meds aren't known to directly stunt growth. However, the stimulants will suppress your appetite, which can result in undereating, which most definitely can stunt growth.
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Oct 6, 2009 22:17
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RightedBalance posted:So, what would one do if they think they might have ADHD but don't have any health insurance? Call around to different mental health care offices and see what they can offer. Your state may have some assistance available (somewhat unlikely), and the doctors may have self-pay or income based discounts available, and you can find what kind of appointments/information they would require. Once you get past the initial diagnosis, you can get by with a single psychiatrist visit per year, and generic dextroamphetamine can be had from Target/Walmart for well under $50/mo.
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Oct 14, 2009 23:05
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Dexedrine is just Dextroamphetamine; it's fairly similar to Adderall (which is a mix of a few different forms of amphetamine). Lots of people find it's easier to come down on adderall, but if you're not getting grouchy or angry when you're coming down, you might as well stick with the cheap stuff.
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Oct 16, 2009 20:34
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Master_Jay posted:Sorry, back on subject, I went to a psychologist to test for ADD and she says I definitely have the signs for it but I don't really trust her. She wasn't sure I had ADD because I wasn't hyper apparently. Plus group health. If she thinks you have to be hyper to have ADHD she's an idiot and probably shouldn't be practicing medicine. There are two subtypes of ADHD, predominantly inattentive, and predominantly hyperactive/impulsive, and the considerable majority of adults with ADHD are predominantly inattentive.
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Nov 11, 2009 19:25
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Goomba posted:Edit: Oh, and I don't really know if I'm ADHD. I was diagnosed ADD. I'm not really hyperactive at all. My mind is constantly going 1000 miles a minute, but I'm actually pretty laid back somehow. Don't ask me how that works. That's not unusual. There is absolutely no requirement to have hyperactivity to have ADD. ADD isn't really procrastination, it's a lack of focus. The drugs can't make you do your work, they can only help you focus on it; but they can also help you focus on your distractions. I realized I had a problem when I'd spend 4 hours at my desk trying to do my work, lose focus with even the slightest delay, accomplishing 15 minutes of actual work and I'd be totally exhausted from the effort. RE: appetite. I lost 15 pounds after starting adderall, and I've managed to regain 5. I usually have to go out of my way to remember to eat lunch. It's not uncommon for me to wake up starving, pop a couple pills while stumbling into the shower, and not feel hungry at all by the time I finish getting dressed. RE: bad emotions/side effects. When I take an extra pill, I usually start getting very agitated. It's not very pleasant, but I can't just sit down and relax so it can be very productive, so I do it occasionally to catch up on chores.
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Nov 26, 2009 05:01
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Aleksei Vasiliev posted:I went to a doctor (for the first time in two years). We met for a total of about ten minutes, and I got prescribed Adderall 5mg twice daily. He didn't really ask me about symptoms or anything. I've only taken it four times, but I can't really notice much of a difference. It took me about ten minutes to start writing this post. Will I only notice it after taking it for a while? Should I be trying to change how I do stuff too? I'm pretty much clueless, and I'm only seeing my doctor again after my next semester starts, and if I fail that semester I'll be kicked out of my school (and that would start up a whole world of really bad poo poo). What should I do? That's a pretty low dose, so you might not notice much. It shouldn't take time to kick in; it's not the sort of medication that takes a while to build up. However, it may take a while for you to learn how to take advantage of it- my first two days on Adderall were some of my least productive ever, because I was using my new found attention to focus even harder on distractions. The effects will likely be pretty subtle; it's not like you will suddenly start to feel an intense urge to do your homework. What you're most likely to notice is that when you start working on something that's not very interesting, it will be somewhat easier to keep working on it. This absolutely means you do need to be trying to change how you do stuff.
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Dec 22, 2009 17:30
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Pfhreak posted:This happens (in my understanding) to everyone, whether you have ADHD or not. I think that generally, for a given amount of adderall, someone who has ADHD is much less likely to have a really good time than someone who doesn't. But it's not something that's consistent enough to use as a diagnostic criteria or anything.
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Jan 21, 2010 17:56
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Qu Appelle posted:1. If he actually does have ADHD, don't be afraid to give him medicine for it. I have a feeling my educational years would have been a lot smoother if I had actually been given the Ritalin the doc recommended. I will recommend some caution with this - the stimulant drugs are also appetite suppressants. Young children taking them may not eat as much as they need to, stunting their development. Personally, I don't think the drugs would have helped me much at that age. Instead of being the smart kid bored to tears not paying attention because he has ADHD, I would have been the smart kid not paying attention because he's bored to tears. But, obviously, everyone is different, and the risks associated with the drugs are worth it if it allows your kid to be successful and avoid a lifetime of depression thinking they are just a worthless lazy rear end in a top hat who can't pay attention to anything because they are an inadequate failure.
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Apr 10, 2010 04:08
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Hobo Tickler posted:Well just hold up and consider whether you really need drugs. Have a meal, sit down, away from your dungeons and dragons or whatever, and try concentrating and working on boring stuff that needs to be done. It's hard, but you can manage without. I fairly regularly experience the 'hyperfocus' where I will spend hours engrossed in something, pretty much completely unaware of my surroundings. I actually get this less frequently now that I'm medicated. I first began to suspect something was actually wrong with me, and sought out treatment, after a number of days at work with a particularly boring task. In an 8 hour day, I would usually manage to spend around half an hour doing actual work - and at the end of the day, I'd have to go home and take a nap because I was completely exhausted by the effort of concentrating for so long.
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Apr 18, 2010 06:50
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drumwolf posted:OK, folks. I don't have health insurance. So if I wanted to get evaluated by a professional to see whether I have ADHD and/or Asperger's, (1) who should I go see, and (2) how much money do you think should I expect to part with? You'll want to look in your area for a mental health clinic, and see a therapist who has some specialty/experience in those areas. A therapist would be preferable over a psychiatrist, at least initially, because while they usually have less education and can't prescribe medication, you can get an hour with them for less money than 20 minutes with a psychiatrist. Prices are area dependent; around here you could get into a therapist for as little as $100 a visit, and $175 for the psychiatrist. You could reasonable expect non-lovely health insurance to cover the necessary visits, possibly without even a co-pay. The availability and price of such insurance varies wildly by area. Edit: from your post history, it looks like you're in San Francisco. I don't know how much Kaiser coverage costs around there, but if you can afford it they should cover what you'd need. Zhentar fucked around with this message at 06:03 on Apr 20, 2010 |
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Apr 20, 2010 05:51
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drumwolf posted:I assume you mean a private one? Like I said earlier in this thread, San Francisco residents have free access to a city-run public mental health clinic, but that clinic seems to be there more to make the city look good than to provide genuine treatment. The "treatment" they provided me was a cynical sham. I did indeed mean a private one. Public ones are rather rare, and generally focus on treating people who are very crazy.
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Apr 21, 2010 01:07
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flavaaDAAAAAVE posted:is there anything to worry about with mixing this and coffee? I can't stand coffee, but I love Rock Star energy drinks. Side effect wise, if I combine adderall with a greater than normal amount of caffiene, I'll often feel tweaky. Effect wise, I find caffiene does little to nothing for my attention, but it's much better than the adderall at keeping me alert when I'm tired.
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Jul 1, 2010 18:28
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ultrafilter posted:Edit: I just saw the press release for a very interesting study: Interesting, that's a clever way to analyze the issue. I did some research on the topic a while back. I could only find one really good paper that addressed mis-diagnosis rates. Their methodology had a pretty large margin of error, so it wasn't anything conclusive, but the finding was that approximately the right number of kids were diagnosed with ADD, but only 2/3rds of those diagnoses were correct.
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Aug 21, 2010 06:30
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signalnoise posted:Can anyone tell me if stims help you control your impulses or improve your willpower against doing stupid habitual poo poo or is that all gonna be CBT? Stimulates won't give you any more willpower, but they can reduce your impulses so that you need less of it.
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Jul 11, 2012 18:08
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Marv Albert posted:It doesn't say anywhere "..is definitively diagnosed with ADHD." Because you aren't! It's not that clear-cut; unfortunately there's nothing definitive about diagnosing ADD. If you've already been through a battery of tests once, future physicians will generally be pretty accepting of the diagnosis and not give you much trouble.
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Sep 30, 2013 23:11
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Outcast Spy posted:I'm not sure what I'd be willing to replace it with, given my experiences with the ten or so other antidepressants I've tried in the last fifteen years, how sick they made me. But maybe the doctor has an idea, or there's something new out there. You could try just Vyvanse. For some people, stimulants are more effective at treating depression than antidepressants are.
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Oct 9, 2013 22:33
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Marv Albert posted:Thanks for the advice. Of course, for objective evidence, there's an EEG/brain imaging test that was approved by the FDA a few months ago. But then again, money. They only approved it for children, and even then, it's still not black and white.
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Oct 9, 2013 22:38
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bad posts ahead!!! posted:I don't really want to be the first one to bring up a stim to the psych because I don't know how she will take my asking (never going to mention that I got that pill, tbh) How did you tell your doctors you needed something better? How they'll react depends on the psych, of course, but telling them that you tried it and your experience with it will probably go a lot better than you think. My wife's psych brought up trying adderall about a week after she'd tried one of my pills, and was just amused that she was so reluctant to admit trying it.
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Dec 7, 2013 19:57
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I had problems going to sleep when I first started my medication, but not for the reason you'd expect - it gave me the focus to chat with my insomniac partner for hours, instead of just passing out 15 minutes in.skipdogg posted:my main issue with sleep is my body's natural clock wants to stay up until around 2AM and sleep until 10 or so. I have the exact same problem. That, and I'm almost completely incapable of deciding to stop focusing on something interesting to go to bed.
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Dec 10, 2013 22:19
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signalnoise posted:In my pharmacy, The pharmacy I go to doesn't care if you drop the prescription off before the fill date. So that's definitely something that varies. Fluorescent posted:Question, is anyone else more of an rear end in a top hat on ritalin? I don't know if I must just be kind of an rear end normally but am usually too tired/unfocused to express it unmedicated, but I find myself getting into stupid arguments when i'm on it. But the way it makes me functional and just amazing at life in all other areas makes up for it. Vyvanse made me constantly grumpy. Try a different drug; another one might help just as much without affecting your mood. If not, then you can always go back.
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Dec 17, 2013 21:23
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CORN NOG posted:How common are shortages? Like, is that something i'm going to have to deal with constantly? My pharmacy has been out of stock when I needed a prescription filled one or two times in the past 5 or so years. YMMV.
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Dec 18, 2013 17:48
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When used for ADHD diagnosis, they observe lags in your brain's response to particular stimulus. It has nothing to do with seizures, and isn't doing exactly the same thing as your other EEGs (even if they are rather similar at a high level). It's not necessary, though; it's just apparently your specialist's chosen method for ADHD diagnosis. You'd have to ask them why they decided to use it. Horrible Smutbeast posted:A pill will not fix these problems. He'll be able to finish a hobby and move on to the next one Maybe. Although medication has done an awful lot for me, getting me to follow through on hobby projects to completion is not one of them. Zhentar fucked around with this message at 22:24 on Jun 12, 2014 |
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Jun 12, 2014 22:22
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Xibanya posted:Can someone elaborate on how the EKG helps detect ADHD? I'm a little confused on the idea that an ADHD person's brain has some kind of delay. I'm pretty good at video games...maybe it's been mega high-functioning autism all along I assume you mean EEG and are responding to my previous comment. I don't have a strong understanding of it myself, so I can't elaborate much, but I didn't mean to suggest it's simply a reaction time test. But ADHD brains struggle more to perform some tasks than normal brains (particularly if said tasks aren't interesting or otherwise stimulating). People with ADHD can generally focus well and function normally (or even show well beyond normal focus) on things they find interesting. ADHD is primarily characterized by a deficiency of dopamine. Your body releases additional dopamine as a response to rewards, so when you are doing interesting, rewarding things, you are in a sense medicated and all of your ADHD limitations go away... until shortly after you stop, all that extra dopamine gets used up and you're back at a deficiency. WYA posted:Are there things that someone can accomplish that nullifies an ADHD diagnoses? To throw one more voice in there... no, there are not. The most relevant DSM-5 diagnostic criteria would be "There is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning." The key parts I'd point out in relation to your doctor's comments are "or" (it doesn't need to interfere with every aspect of life, just one is enough), and "reduce the quality" (it doesn't need to prevent you from doing anything, just make it harder). Even then, it's worth noting that the DSM criteria (for many things, not just ADHD) are fundamentally flawed in that they define the presence of physical conditions based on the level of disruption caused by the symptoms. In the rest of the medical world, if I have a loss of cartilage in my elbow joint, I have osteoarthritis. In the DSM world, I only have osteoarthritis if the resulting joint pain prevents me from playing baseball. And then when my child moves out to go to college and I don't want to play baseball any more, my osteoarthritis is cured. Likewise, my ADHD is a physical condition that does not go away just because I get a secretary to do the parts of my job I struggle to focus on. There are good reasons for it being this way (namely, that we don't know what the gently caress we're doing and can't reliably detect the absence or presence of the underlying physical conditions in most cases, if we even know what said conditions are in the first), but that doesn't make it any less primitive.
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Jul 3, 2014 21:39
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Other popular options being Adderall and Vyvanse.
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Jul 16, 2014 20:34
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wilfredmerriweathr posted:Adderall is just a slightly shittier version of dexedrine, And by shittier, you mean fancier, right? Adderall is 25% dexedrine. DrNewton posted:It could have been that once Ritalin came out, Adderall sort faded away for a little bit. Ritalin came out in 1955. Adderall came out in 1996.
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Jul 17, 2014 15:48
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It's 75% dextroamphetamine, but only 25% is dextroamphetamine sulfate. Perhaps the inclusion of levoamphetamine does increase the side effects, but the mix of several salts that are processed at slightly different rates is certainly a substantial improvement over pure dextroamphetamine sulfate. I wasn't aware of the history with Obetrol. That's quite interesting.
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Jul 17, 2014 22:24
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gently caress Vyvanse. I was grouchy pretty much every minute I was on it. Vyvanse vs Adderall vs Ritalin pretty much boils down to whichever one happens to work better for you.
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Aug 21, 2014 19:23
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Mechafunkzilla posted:XR is loving atrocious. XR is the best thing that ever happened to me.
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Sep 12, 2014 15:21
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It's pretty well documented that untreated ADHD significantly increases the likelihood of substance abuse, and that prescribing stimulant medication significantly reduces the risk. Most psychiatrists probably won't respond as poorly to that as you think. Particularly since Vyvanse and Strattera offer treatment options with limited abuse potential.
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Sep 20, 2014 02:50
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OssiansFolly posted:Does your doc know you have trouble sleeping? Sounds like you shouldn't be on a stimulant... Stimulants would be nearly useless for treating ADHD if they weren't given to people with sleep disorders. They go together more often than not. And it's not unusual for the stimulants to actually help with insomnia in people who have ADHD.
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Sep 25, 2014 05:56
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signalnoise posted:I had to pay 500 for my diagnosis but it was a full scale IQ test and poo poo I had similar. Spent about half a day on it. And some of that wouldn't need to be repeated. I don't have my CPT codebook handy to reference, but 96118/96119 aren't billing for brain scans or EEGs or anything like that. They look like they are for basic testing that only requires a technician or psychiatrist but not any expensive equipment.
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Oct 10, 2014 01:02
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I've always used sheets of paper. Books are too big and they get too messy as you update them. The sheets of paper method still has its flaws (after 3 to 4 days, tasks start to become either invisible to me, or become feared and I actively avoid working on them), but at least there's not a big investment. Lots of year+ old papers lying around with two or three tasks that I never got around too. Usually those things now seem totally pointless and I just throw them away, fortunately.
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Oct 23, 2014 16:38
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Late payments don't go on your credit report until they are 30 days past due.
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Nov 4, 2014 23:24
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