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ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.

Dolemite posted:

I just don't know how I'll be able to handle it if the doc tells me to get lost.

Get a new doctor. It took me 2 years of "Are you going to treat it yet?" with my doctor because I couldn't change doctors. Its not a bad thing to find someone who will help you.

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SAVE-LISP-AND-DIE
Nov 4, 2010

SAVE-LISP-AND-DIE fucked around with this message at 03:52 on Feb 15, 2011

Dolemite
Jun 30, 2005
Well, I think things went good. I don't know. The doctor wants to do blood work first. I guess some of the things I described (can't focus, hyperfocus on things I like, can't stay organized, forgetful, hyperactive) are also found in people that are either anemic or have thyroid issues.

So he wants to do blood work to rule that all out because in his words "I don't want to pump you full of Ritalin until we know for sure". He gave me a list of psychologists to call that specialize in ADD. He says they can help me develop coping strategies and just get more detail about my condition.

I just hope this means the doc doesn't think I need medication. I'm going to be BEYOND PISSED if the psychologist just hands me a cheap organizer and says 'Durrr maybe you should use this!' :downs:

Thanks for your help so far everyone. I'll just have to keep going through this and not go all E/N about it.

TheBigBad
Feb 28, 2004

Madness is rare in individuals, but in groups, parties, nations and ages it is the rule.
I was in treatment for PTSD, and we were getting somewhere. A friend of mine at film school, we're both the same age, mentioned she got diagnosed with ADHD. I asked my therapist the next session, is it possible I had it due to similarity in circumstance. She said- There's a 100% chance you have the symptoms, whether you have the conditions and respond to medications is what will determine whether you have it. Here's a specialist across the hall.

So I went and talked to the specialist. I actually tried to say the right things- and in retrospect I don't know why. She said it would take 3 meetings. I was also in a room full of toys so evidently her client base was mostly children. We just talked, and I babbled on about how I haven't been able to complete a degree, and how I lose time. Mostly how I couldn't read. I just wanted to be able to read at that point. (Meaning be able to push through the urge to stop reading after 45 seconds).

Second session she brought an ancient computer device with 3 buttons, and file with some paper. Push the button when this number comes up. I tried really hard. I thought I did rather well... in fact I thought I did too well for someone to have the affliction. Then there were some whats the difference between this drawing and that drawing exercises. Look at this picture... at the end draw that picture from memory.

Last session, pretty much convinced me that this was a for profit scam. She could have assessed me in 2 sessions. She just wanted to be able to bill my insurance for 3 sessions. She offered to write letters to the university and my former employer explaining that I was now protected under ADA, etc... for more money. But she handed down the diagnosis, and it was ADHD.

I was happy for six weeks. There was a reason. Something was wrong with me. I wasn't lazy. So I carried a notebook around with me. Wrote notes to myself like Memento, kept lists. Took my meds when I thought I would need them which wasn't every day. Now about 6 months later, I take them consistently and I struggle.

The meds don't fix anything for me. They just add capacity. I still have all the bad habits I developed. I still have little control when it comes to switching into focus or hyper-focus. I can just push through the urge to drift off if I decided to get on something. I also find if I keep the house clean, my inner monologue gets better and better. (I don't beat myself up all the time).

This thread is helpful. I thought I would share.

Aculard
Oct 15, 2007

by Ozmaugh
I just wanted to ask if anyone else gets chest pains/tightness when taking the dexedrine. I'm on 10mg a day (one pill, early in the day) versus my old 20mg Adderall Xr, and it's really making my heart beat. The chest pain/tightness isn't severe, it'd be maybe a 1-3 on the pain scale out of 10, but it's pretty concerning.

It's also strange because I did not get any of this with the extended release medications (concerta, adderall xr) and only with the instant release (ritalin, dexedrine).

Qu Appelle
Nov 3, 2005

"If a COVID-19 pandemic occurs, public health officials may have additional instructions, such as avoiding close contact with others as much as possible, and staying home if someone in your household is sick." - Official insights from Public Health: Seattle & King County staff

Aculard posted:

I just wanted to ask if anyone else gets chest pains/tightness when taking the dexedrine. I'm on 10mg a day (one pill, early in the day) versus my old 20mg Adderall Xr, and it's really making my heart beat. The chest pain/tightness isn't severe, it'd be maybe a 1-3 on the pain scale out of 10, but it's pretty concerning.

It's also strange because I did not get any of this with the extended release medications (concerta, adderall xr) and only with the instant release (ritalin, dexedrine).

I've never experienced that. Are you on straight Dex, or Dex Spansule (the extended release version)? If you're on the former, could you switch to the Spansule formulation?

Dolemite
Jun 30, 2005
So I mentioned earlier that the doc wants me to schedule an appointment with a psychologist. In looking at the different ones that are covered by our health plan, I see some are actual PhDs and others just have master degrees in things like social work.

Can someone with a degree in a non-medical field like social work still escalate my case to a psychiatrist? Or at least, suggest to my GP that he write me a prescription for medication if I come across as bad enough off?

I'm asking because in the list of psychologists the GP gave me, I see only one is in our network and she has only a masters in social work. I just don't know how well I trust that versus a PhD. At my college at least, I just don't remember the social work students being all that bright.

I know I'm not being reasonable, but that just bugs me.

Another question: how does it work with psychologists communicating with the GP if the psychologist I see is was one that wasn't on the list of suggested ones? Again, that's because I'd rather see a PhD, but none of the clinical psychologists on the suggested list are in my network. :(

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.
Of alllllll the things.. I found my backpack zipper had split when I went to take my adderall. Now I can't find my adderall. I split it into two bottles, one at home and one on the go since I take one of my doses on the way to class (can't go home or I'd leave it there).

Half my adderall is missing. I hope I just misplaced it in my apartment, but I could swear I put it in my backpack.

e. I have enough to last me all month if I don't take any on the weekends. If I don't find it, I guess I'll just do that.

ladyweapon fucked around with this message at 05:00 on Feb 2, 2011

volts5000
Apr 7, 2009

It's electric. Boogie woogie woogie.
Well, Straterra is a no-go. I did a little more research before I filled my prescription and found out there's some side effects. Increased BP! That's the reason I wanted the drat medicine! It's a non-stimulant! Throw in the potential for mood swings and sexual dysfunction and me and my wife put the kibosh on that.

I'm going to talk to my GP about taking Adderall alongside a stronger BP medicine.

extraneousXTs
May 4, 2004

2508084 posted:

Of alllllll the things.. I found my backpack zipper had split when I went to take my adderall. Now I can't find my adderall. I split it into two bottles, one at home and one on the go since I take one of my doses on the way to class (can't go home or I'd leave it there).

Half my adderall is missing. I hope I just misplaced it in my apartment, but I could swear I put it in my backpack.

e. I have enough to last me all month if I don't take any on the weekends. If I don't find it, I guess I'll just do that.

Invest in a few pillcases so you don't have this scary worry ever again. :( I found some at CVS that are metal with a pretty plastic picture on front, and they are wonderful and stick to magnets so there are a few grab-and-go daily dosages on a magnetic whiteboard and fridge.

Any paranoia about being caught with a day's dose and no prescription label on a bottle can be made better or worse by about worrying about being accused of intending to sell your prescription by carrying around 2-weeks worth of a controlled substance med to a college campus. :v:

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.

extraneousXTs posted:

Any paranoia about being caught with a day's dose and no prescription label on a bottle can be made better or worse by about worrying about being accused of intending to sell your prescription by carrying around 2-weeks worth of a controlled substance med to a college campus. :v:

This reminds me of when I was homeless (in my car) and I got pulled over because I was driving at 4AM in a small town.

:siren: You had anything to drink tonight ma'am?
:kiddo: I.. uh.. had a Dr. Pepper? *points to can*

I didn't even think of the idea that someone would think I'm hocking pills on campus, but now someones walked into a buttload of cash apparently. :stare:

Maybe I'll be super lucky, since my name is on the bottle, they'll return it? :kiddo:

TheBigBad
Feb 28, 2004

Madness is rare in individuals, but in groups, parties, nations and ages it is the rule.
A psychologist working with a general practitioner is perfectly fine as far as credentials are concerned. Its important to evaluate your medical practitioners on their individual merits.

I've had a psychiatrist that I refer to as Dr. Feelgood because he did absolutely no therapy, he just gave me whatever drugs I wanted if I said the right thing to him. (And I got rid of him after a bit)

As illustrated in the previous post, the ADHD specialist I have little faith in, but the referring therapist I still see to help with the cognitive therapy. She recommends that you find someone who has been able to make a living for 10-15 years in the field because they are the ones that actually help people and continually have new clients. My GP makes sure that the drugs don't interfere with anything else going on. It also helps that she did her her residency in my hometown- so she gets the nuance of my language when I describe stuff.

Make sure they fit you, if you can.

RE: Blood pressure.

Funny thing... I had high blood pressure and depression we'd been treating until I started treating the ADHD. Now I have normal blood pressure, and the depression is 'normal' and doesn't require pharmaceutical treatment. Not suggesting this is the case for anyone else, but sometimes things are downstream of the cause.

Chumbawumba4ever97
Dec 31, 2000

by Fluffdaddy
.

Chumbawumba4ever97 fucked around with this message at 12:30 on Sep 18, 2012

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.

2508084 posted:

Half my adderall is missing.

So maybe I'm attributing too much to the drug or something, but an hour or two after I took my morning dose of adderall, a little voice in the back of my head goes "What did you put in the side pocket of your backpack that you never put anything in before?"

My other bottle of adderall. I put it in a safe place so it wouldn't get lost :downs::blush:


Hamburglar posted:

If it helps, Adderall gave me major heart-rate problems. Neither gave me sexual dysfunction, though.

If it helps, Adderall (not XR) gives me zero heart-rate problems :v: Medicine effects everyone differently. For one person who's blood pressure rises, theres one person who will have nothing happen.

ladyweapon fucked around with this message at 02:41 on Feb 3, 2011

huskyjackal
Mar 17, 2009

*peek*

TheBigBad posted:

I was happy for six weeks. There was a reason. Something was wrong with me. I wasn't lazy. So I carried a notebook around with me. Wrote notes to myself like Memento, kept lists. Took my meds when I thought I would need them which wasn't every day. Now about 6 months later, I take them consistently and I struggle.

The meds don't fix anything for me. They just add capacity. I still have all the bad habits I developed. I still have little control when it comes to switching into focus or hyper-focus. I can just push through the urge to drift off if I decided to get on something. I also find if I keep the house clean, my inner monologue gets better and better. (I don't beat myself up all the time).

This thread is helpful. I thought I would share.
Hello, stranger, you just put into words another aspect of my life I couldn't quite explain to others. Thank you! I feel this pain. I am frustrated in a different way now, knowing that I am now capable but still not accomplishing. So hard to break these habits I've had for nearly my entire life.

I finally experienced a "bad doctor" today. I've been getting my meds but I need to see a psychiatrist again, so I talked to my grandpa (a doctor) and he suggested a longtime neighbor/the guy who worked with my schizo/crazy mom. It went HORRIBLY. I was shocked and almost appalled.
He rushed me. Cut me off mid-sentence to change the subject. I came in and said I was diagnosed by two psychiatrists with ADD, one diagnosed depression. Medicated for both. Been off-on adderall for nearly 7 years now. I expected him to test me again (to be sure) or ask for my previous medical records..he didn't. In fact, he told me outright "I don't like prescribing these drugs. I never prescribe over 20mg a day (I am on 30mg/day)." I was polite, tried to be concise and informative so he didn't have to sift through a bunch of garble to find out what the answers he was looking for were, and I didn't push for my meds. I was very open to him testing me so he wouldn't think I was out to get :catdrugs:.

He kept talking down about amphetamines. They're addictive, overly abused, etc. Mentioned how kids in college use them to study and that it's "one [molecule? forget the word he used] away from methamphetamine!" I...I know. He just kept bringing up how much he dislikes Adderall/amphetamine as a drug and that it's so abused, etc. I forreal was starting to feel like he was indirectly just categorizing me as a drug seeker! Then he asked if I was in school/how old I was. I said I was 24 and not in school but I want to go back. He sort of sat back and said "well I don't like prescribing these to anyone who's not in school" - WTF? So he points out that college kids abuse the poo poo out of it but ONLY prescribes to people in school? Wha--? Basically he sounded skeptical that ADD was even a real disorder in adults (the whole "you grow out of it as a kid" type mentality) and he kept pushing that it can only possibly affect studying and never work, daily activities, or your life. :psyduck: I pushed that the medication didn't turn me into a speedmonster but it made my scattered thoughts go away and centered me mentally, which in turn made me less stressed, less depressed, and more able to act like a normal loving person. He told me he doesn't like to prescribe it long-term because of the health effects (meth mouth, depression, anxiety) and I had JUST TOLD HIM how I was careful to only take it when I needed it and how it did the OPPOSITE of make me depressed or anxious... I was just shocked at this point, my attitude went from open expectancy to be tested/have a thorough session to disbelief and confusion.

I decided that I wasn't going to go back after he scoffed at my expression of disbelief when he essentially dismissed my problem as a not-legitimate-disorder. Totally unprofessional. It was mind-numbingly frustrating being there even for such a short time. I did my best to explain how I wasn't drug-seeking (the guy checked to see if my hands shook/trembled) and I just wanted the prescription to help me function. He didn't seem to understand at all that ADD affected my daily habits and work.. Like hell I don't have trouble scanning repetitiously for 6+ hours a day without medication! I didn't say I couldn't do it, I said it was much easier for me to not struggle with something as simple as keeping my mind on one task or set of tasks without wanting to quit OMG RITE NOW.
Just.. it was awful. It really was. He did write me out for 20mg/day adderall even though I said not 15 minutes before that 20mg wasn't giving me therapeutic improvements/help but ok... I thanked him and left, but not before he berated me for missing my first appointment (o haaay I didn't have my meds that week and whaddayaknow I forgot I had the drat thing, shocking) and telling me to see him in 2 months. What? 2 months? Shouldn't he see me sooner so he can, uh, see for himself via testing that I'm not bullshitting him before he rants about how my meds are abused and pretty much just meth?

Oh I did tell him I didn't understand why people were addicted so badly to it (I never did understand addiction well, I KNOW it, but don't -get- it) and asked his opinion. He said, "Well they feel the same exact thing you feel when they take it and they just get addicted" So I countered with, "It makes them feel calm? 'Cause it calms me down and centers me, makes me able to stop over-analyzing everything..." and he didn't even have a reply, he looked confused and changed the subject.

I went straight to my grandpa and told him exactly what happened since he had faith in the guy and we've known him since I was a baby but he agreed it was ridiculous. I was so flustered and angry after that session it was unbelievable, I haven't felt that pissed off in a while (and I had a lovely day, told to go home from work after 1.5 hours because I spent "too long in the bathroom, it's like stealing company time since you were clocked in" wtf?! I can't go potty at work now? c'MON but it didn't affect my mood) and it took a few hours for me to finally shake it off and move on. God drat. What a failure.
Definitely finding someone else and hopefully someone who specializes in ADD.

I feel so bad for you guys who had these kinds of doctors, good god, how irksome.

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.
meth mouth is caused by smoking meth.

Thats all the input I have. lovely docs are everywhere.

How do I know if an increase in my Adderall would help anything? I feel way, way more normal than I ever have, but I'm still scatterbrained, forgetful, etc, just less so. How would I bring this up? I'm not a doctor, maybe I just have a lovely memory over all, I don't know. The reason I'm hesitant, as I've posted before, is my 'therapist' really wants me to have an addiction problem (any addiction, it doesnt matter) and my psych took 2 years to prescribe me adderall despite persistent, textbook, life inhibiting symptoms.

Chumbawumba4ever97
Dec 31, 2000

by Fluffdaddy
post edited due to further education on the subject making some of my old posts becoming misinformation to others.

Chumbawumba4ever97 fucked around with this message at 17:26 on Apr 9, 2013

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.

Hamburglar posted:

I'm surprised anyone could take Adderall and not have an increased heart-rate. It's literally like taking speed/high doses of caffeine. In fact, that's a major reason why people abuse it. To have energy/stay up late.
Adderall gives me zero extra energy. It might increase my heart rate, purely by being an amphetamine, but I've never noticed any kind of increase in my heart rate. So if it does, its minimal at best. It has sunk my semblance of an appetite though. I still get my requisite calories per day one way or another. Everyone knows why people abuse adderall, especially people with ADD.

And no one likes doing boring poo poo, its just a matter of being able to. I actually study sometimes now :v:

Kuri
Jun 26, 2009
I posted a few hundred posts ago about being diagnosed in my late 20s. So far, I've been on varying doses of Adderall, finally settling on 10mg XR 3x a day. I can control timing and peak doses rather well now, and despite being about the most expensive way to get 30mg of Adderall XR, I've been very happy with this approach. My life has really come together, my mood has dramatically improved, and my attempts at going back to school for an advanced degree have been going swimmingly.

Just got out of my quarterly prescription appointment with my GP, where I brought up Intuniv. He's had good success as an adjunct to other drugs and agreed to trying a trial to see how it would work for me. Even better, he provided samples so I don't have to even shell out cash to try it.

I'm following the 1-2-3-4mg titrating dose; he thinks that we might have to go as high as 6mg due to weight (I am a fair bit taller than the standard patient that those doses were calculated for). As I go through the ramp up, I'll post a few times about how it is working for me.

As is, the Adderall has been rather mild for me; I get a minor increase in heart rate, but my blood pressure has actually gone down since I started due to the immense drop in anxiety. My appetite is reduced during dosing, but I eat if I actively think about it. Trip report coming soon!

Pilot to Gunner
Aug 21, 2009

That's what you get, you get fork stabbed.

2508084 posted:

meth mouth is caused by smoking meth.

Not just smoking, but also snorting, injecting and swallowing meth! :eng101:

Serious answer- the doctor was probably referencing the side effects from the med that lead to Dry Mouth and Teeth Clenching/Grinding, both frequently occur with stimulant medications and are common causes of what is informally referred to as "meth mouth". Regardless of whether the actual cause was meth, cocaine or something like Adderall, the results are "meth mouth"- bad breath and a degradation of the enamel from grinding and lack of saliva. But any doctor who refers to such side effects as "meth mouth" without explanation is suspect as hell.

"Kuri posted:

Just got out of my quarterly prescription appointment with my GP, where I brought up Intuniv. He's had good success as an adjunct to other drugs and agreed to trying a trial to see how it would work for me. Even better, he provided samples so I don't have to even shell out cash to try it.
This is kind of unrelated to your experience and I wish you luck, but I had never heard of Intuniv so I googled it and there was page after page after page of comments from parents who had their three year olds on it, and many of said parents had already tried other medications like Adderall and Ritalin.

What in the loving gently caress? For every doctor who refuses to help an actual ADD patient, it appears there is another who is willing to throw medications at 2 and 3 year olds who are "playful and can't sit still for 1-2 hours during pre-school before wanting to play with toys". That's a direct quote :cry:.

Qu Appelle
Nov 3, 2005

"If a COVID-19 pandemic occurs, public health officials may have additional instructions, such as avoiding close contact with others as much as possible, and staying home if someone in your household is sick." - Official insights from Public Health: Seattle & King County staff

Pilot to Gunner posted:

What in the loving gently caress? For every doctor who refuses to help an actual ADD patient, it appears there is another who is willing to throw medications at 2 and 3 year olds who are "playful and can't sit still for 1-2 hours during pre-school before wanting to play with toys". That's a direct quote :cry:.


Jesus.

As much as I love my :catdrugs: for my current ADHD, and as much as I bemoan not having them when I was in school back when I was a kid, I'm really thankful that my pre-school years were essentially unstructured, and that drugs weren't even an option then. I was just dubbed 'strong-willed'. People just left me alone to climb my trees and romp around in the woods.

Kuri
Jun 26, 2009
poo poo like that is scary. I have a toddler and, even though I'm looking for early signs so he can avoid the "fun" I had as a kid, I can tell the difference between being two and having ADHD.

My doctor is awesome, though. He's been completely willing to modify treatment as I see fit; it helps that I'm keeping my doseof adderall as low as possible. Hell, I could go for the big guns and get Desoxyn if I really wanted; I'll save that for later. I moved 60 miles away from where I used to live, but still head back to see him just because of how great he is.

Ashex
Jun 25, 2007

These pipes are cleeeean!!!
I finally got diagnosed last April for ADD right before my insurance expired at an old job. My doctor gave me two prescriptions of Generic Adderall (XR and IR) to last me ~4 months. I stopped taking in for a few months but am back on it since it's a pain to get poo poo done at work.

XR works amazingly well for me as the effects stay for about 12 hours and is awesome. The downside is that as soon as it wears off I'm exhausted and just go to sleep. I also found on weekends when I didn't take it I had horrible headaches.
I've switched to IR which doesn't work as well since it peaks after 2 hours and last a total of maybe 5 hours. I do end up a bit tired when it's worn off but I sleep much better on days I take it.

I haven't seen my doctor since April and am planning on scheduling to do a follow-up and get a new prescription. When we last spoke she was happy to prescribe me a different med if I didn't find it was working that well. Is there another type of medication similar to Adderall XR without the horrible withdrawal effects and exhaustion?

wilfredmerriweathr
Jul 11, 2005

Kuri posted:

poo poo like that is scary. I have a toddler and, even though I'm looking for early signs so he can avoid the "fun" I had as a kid, I can tell the difference between being two and having ADHD.

My doctor is awesome, though. He's been completely willing to modify treatment as I see fit; it helps that I'm keeping my doseof adderall as low as possible. Hell, I could go for the big guns and get Desoxyn if I really wanted; I'll save that for later. I moved 60 miles away from where I used to live, but still head back to see him just because of how great he is.

If you have side effects from your adderall, I highly recommend Desoxyn. It works so well at such small doses (10mg for me). It is literally superior in every way to adderall/dex, providing the same therapeutic effects at a lower dose with less side effects.


Also, regarding 'meth mouth,' the cause is partially due to the dry-mouth you get from amphetamines, but it is also in large part due to being so tweaked that you go days without drinking water or brushing your teeth while at the same time guzzling soft drinks/candy (pretty much all someone like that can stomach).

So basically meth mouth can be prevented by not being a tweaker with no personal hygiene.

TheBigBad
Feb 28, 2004

Madness is rare in individuals, but in groups, parties, nations and ages it is the rule.
Trying Vyvanse today because the Concerta was just not cutting it anymore. Its prohibitively expensive, so this will probably be the only month I'll get to use it until I land a permanent job. Have to be honest, its a bit too overwhelming at the moment. If I hadn't hurt my back last week I'd probably be at the gym trying to run it off.

Moms Stuffing
Jun 2, 2005

the little green one
Medicaid won't cover my Ritalin. :( Shot in the foot before I even got started.

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.

Moms Stuffing posted:

Medicaid won't cover my Ritalin. :( Shot in the foot before I even got started.

Do you have a costco near you? The prices fluxtuate, but right now I'm paying 27$ for 60 pills of adderall 5mg. I don't know how much you take, or if Adderall is an option, but look into Costco regardless. You don't need a membership to use their pharmacy, just tell the greeter you're there for the pharmacy and they point you to where it is. My wellbutrin is more expensive than my adderall. Its actually one reason I'm hesitant about trying an increase in adderall if I can. I already pay 75/mo just to be sort of normal, chemically. Wellb spiked from 24$ to 40$ per month when I went from 150mg to 200mg.

Qu Appelle
Nov 3, 2005

"If a COVID-19 pandemic occurs, public health officials may have additional instructions, such as avoiding close contact with others as much as possible, and staying home if someone in your household is sick." - Official insights from Public Health: Seattle & King County staff

TheBigBad posted:

Trying Vyvanse today because the Concerta was just not cutting it anymore. Its prohibitively expensive, so this will probably be the only month I'll get to use it until I land a permanent job. Have to be honest, its a bit too overwhelming at the moment. If I hadn't hurt my back last week I'd probably be at the gym trying to run it off.

That's horrible.

If it's an option, see if you can try Dexedrine Spanules instead. This is the long lasting version of Dexedrine. The good thing is that because it's been out forever, there's a generic available, and that should be much more reasonably priced. I asked for this instead of Vyvanse when my doc wanted to put me on it, because even though I have insurance, it probably wouldn't be covered under a decent copay.

If not, the makers of Vyvanse has a Patient Assistance program, that might be of help: http://www.shire.com/shireplc/en/contactus/patientassistance/

Kuri
Jun 26, 2009
Intuniv trial
Day Four: Sleepy. Taking the pill at night is definitely a requirement as your body gets used to the guanfacine; I took 3-4 hour naps on the weekend above the 8 hours of sleep each night. My heart rate is down about 5-8 BPM, blood pressure down about 8/5. The adderall slightly raises my HR, but intuniv kills that. The drug supposedly takes up to two weeks, but I've found some effects, albeit slightly. I came into work this morning and noticed I had all of yesterday's work in nice, neat piles in folders in lieu of piles, as normal.

Side effects: aside from the somnolence and the reduction of HR and BP, I'm a little thirstier and a bit more anorexic. Adderall caused the later somewhat, but the effect seems compounded with Intuniv. I'll be curious to see if it continues.

So far so good.

CompeAnansi
Feb 1, 2011

I respectfully decline
the invitation to join
your hallucination
I have a question for those who have dealt with getting diagnosed and prescribed ADD meds. I think that I have a pretty clear cut case of ADD, the only thing that is atypical about it is that it hasn't caused huge problems in my life. That is, I have been academically/professionally successful despite my untreated ADD.

I think that normally this would be a disqualifying factor but in my case the only reason I have done well is because I can do good work at the very last minute while pumped full of caffeine. I think that this might qualify as a sort of coping mechanism, which could mitigate the fact that it my ADD hasn't fully manifested its detrimental effects in my professional life. What do you all think? Is it worth going through the whole process given what I've said?

Angry Diplomat
Nov 7, 2009

Winner of the TSR Memorial Award for Excellence In Grogging
I think you should probably take everything you just wrote and tell it to a professional instead of asking the internet. You're likely a lot more qualified to determine whether a doctor's visit is worthwhile than a bunch of strangers on a messageboard :shobon:

Qu Appelle
Nov 3, 2005

"If a COVID-19 pandemic occurs, public health officials may have additional instructions, such as avoiding close contact with others as much as possible, and staying home if someone in your household is sick." - Official insights from Public Health: Seattle & King County staff

Mr.Kite posted:

...which could mitigate the fact that it my ADD hasn't fully manifested its detrimental effects in my professional life. What do you all think? Is it worth going through the whole process given what I've said?

Are there other aspects of your life that you feel are affected badly by ADHD, like relationships, friendships, and the like? And if you do get diagnosed, what would you want to do with that?

Moms Stuffing
Jun 2, 2005

the little green one

2508084 posted:

Do you have a costco near you? The prices fluxtuate, but right now I'm paying 27$ for 60 pills of adderall 5mg. I don't know how much you take, or if Adderall is an option, but look into Costco regardless. You don't need a membership to use their pharmacy, just tell the greeter you're there for the pharmacy and they point you to where it is. My wellbutrin is more expensive than my adderall. Its actually one reason I'm hesitant about trying an increase in adderall if I can. I already pay 75/mo just to be sort of normal, chemically. Wellb spiked from 24$ to 40$ per month when I went from 150mg to 200mg.

I was freaking out about this yesterday, but I'm calmer about it today. There has to be some weird mistake, how can something as common as Ritalin (and Prozac!) not be covered?

I am so tired of always being a disorganized mess. For instance, I paid for a class for my daughter months ago. I wrote it down on the calendar and tried my hardest not to forget the class. Guess who forgot about the class on the day of until it was too late?

TheBigBad
Feb 28, 2004

Madness is rare in individuals, but in groups, parties, nations and ages it is the rule.

Moms Stuffing posted:

Guess who forgot about the class on the day of until it was too late?

Guess who forgot he had George Clinton and the P-Funk tickets.

Qu Appelle posted:

That's horrible.

If it's an option, see if you can try Dexedrine Spanules instead. This is the long lasting version of Dexedrine. The good thing is that because it's been out forever, there's a generic available, and that should be much more reasonably priced. I asked for this instead of Vyvanse when my doc wanted to put me on it, because even though I have insurance, it probably wouldn't be covered under a decent copay.

If not, the makers of Vyvanse has a Patient Assistance program, that might be of help: http://www.shire.com/shireplc/en/contactus/patientassistance/

Thanks. It was weird, my writing was still all over the place- but I could do it. Gonna try day 2.

volts5000
Apr 7, 2009

It's electric. Boogie woogie woogie.
I'm on day three of Adderall XR 10mg. Today, it seems that the drug has lost a lot of efficiency. The first day I took it, I was like "Whoa!" My mood was better, I had more patience than I've had in a long time, I didn't give a poo poo about what was on TV or what was happening on the message boards. I was able to do laundry and play with my kids so well.

Second day, I came into work and immediately started cleaning up my desk. I was getting poo poo done. Again, I didn't feel the urge to screw around on the computer.

Today, I don't feel like I did those first two days. I've felt my mind slightly wandering and generally feeling distractable (I don't care if Firefox thinks that's not a word). Granted, it's not as bad as it was pre-meds, but I definitely feel like the Adderall isn't working as hard. Is this my body adjusting and I'll level out or is my body acclimating itself and I need to adjust my dosage?

My doctor gave me 60 pills, so I can adjust my dosage freely.

TheBigBad
Feb 28, 2004

Madness is rare in individuals, but in groups, parties, nations and ages it is the rule.
I think there's an ebb and flow, and you have to build good habits while you have good days because these drugs are not a wonder cure. You still gotta figure out how to manage things that you simply weren't capable of.

I think I'm peaking as far as Day 2 on Vyvanse. Yesterday my hands were shaking, and I felt like I was tweaking out. Today I just feel flush and jittery like I drank too much coffee. My friends in my support group say it takes about a week for your system to get used to it, so I can't imagine there isn't an adjustment period for Adderall. Give it a week before you start playing with the dosage (common sense advice) or whatever your doctor/more experienced person said/says.

ultrafilter
Aug 23, 2007

It's okay if you have any questions.


Brief diversions vastly improve focus, researchers find:

quote:

CHAMPAIGN, Ill. — A new study in the journal Cognition overturns a decades-old theory about the nature of attention and demonstrates that even brief diversions from a task can dramatically improve one's ability to focus on that task for prolonged periods.

The study zeroes in on a phenomenon known to anyone who's ever had trouble doing the same task for a long time: After a while, you begin to lose your focus and your performance on the task declines.

Some researchers believe that this "vigilance decrement," as they describe it, is the result of a drop in one's "attentional resources," said University of Illinois psychology professor Alejandro Lleras, who led the new study. "For 40 or 50 years, most papers published on the vigilance decrement treated attention as a limited resource that would get used up over time, and I believe that to be wrong. You start performing poorly on a task because you've stopped paying attention to it," he said. "But you are always paying attention to something. Attention is not the problem."

Lleras had noticed that a similar phenomenon occurs in sensory perception: The brain gradually stops registering a sight, sound or feeling if that stimulus remains constant over time. For example, most people are not aware of the sensation of clothing touching their skin. The body becomes "habituated" to the feeling and the stimulus no longer registers in any meaningful way in the brain.

In previous studies, Lleras explored the limits of visual perception over time, focusing on a phenomenon called Troxler Fading: when continual attention to a stationary object in one's peripheral vision can lead to that object's complete "disappearance" from view.

"Constant stimulation is registered by our brains as unimportant, to the point that the brain erases it from our awareness," Lleras said. "So I thought, well, if there's some kind of analogy about the ways the brain fundamentally processes information, things that are true for sensations ought to be true for thoughts. If sustained attention to a sensation makes that sensation vanish from our awareness, sustained attention to a thought should also lead to that thought's disappearance from our mind!"

In the new study, Lleras and postdoctoral fellow Atsunori Ariga tested participants' ability to focus on a repetitive computerized task for about an hour under various conditions. The 84 study subjects were divided into four groups:
  • The control group performed the 50-minute task without breaks or diversions.
  • The "switch" group and the "no-switch" group memorized four digits prior to performing the task, and were told to respond if they saw one of the digits on the screen during the task. Only the switch group was actually presented with the digits (twice) during the 50-minute experiment. Both groups were tested on their memory of the digits at the end of the task.
  • The "digit-ignored" group was shown the same digits presented to the switch group during the task, but was told to ignore them.

As expected, most participants' performance declined significantly over the course of the task. But most critically, Lleras said, those in the switch group saw no drop in their performance over time. Simply having them take two brief breaks from their main task (to respond to the digits) allowed them to stay focused during the entire experiment.

"It was amazing that performance seemed to be unimpaired by time, while for the other groups performance was so clearly dropping off," Lleras said.

This study is consistent with the idea that the brain is built to detect and respond to change, Lleras said, and suggests that prolonged attention to a single task actually hinders performance.

"We propose that deactivating and reactivating your goals allows you to stay focused," he said. "From a practical standpoint, our research suggests that, when faced with long tasks (such as studying before a final exam or doing your taxes), it is best to impose brief breaks on yourself. Brief mental breaks will actually help you stay focused on your task!"

Most of us are probably aware of this to some degree, but it's nice to see some support.

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.
Saw my psych today for the first time since he prescribed me the Adderall. He said I'm "like another person" and asked where my "biting sarcasm" was. I'm pretty chill now, doc. He wants to try me on Adderall XR, but we decided to wait until classes are over since I'm having a good amount of success right now. He refused to up it any for that same reason. Since I'm cash pay, he wants me to go ask how much XR 10mg is compared to what I'm taking now. He said its usually more expensive, and if it is, he'll keep me on the regular Adderall.


I like that my ability to pay for medicine determines what kind of medicines I'm privvy to. I've literally been mentally sick, varying from 'severe' to 'jesus loving christ', my entire life because I could not afford to get better.

:patriot:

TheBigBad
Feb 28, 2004

Madness is rare in individuals, but in groups, parties, nations and ages it is the rule.
Day 3: Definitely giving up coffee. Just not interested in this feeling anymore.

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wilfredmerriweathr
Jul 11, 2005
^^^^

Congrats! I wish more people would realise this; when you're taking the most powerful stimulants that science has come up with, you really don't need coffee. It'll just make you feel lovely :)

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