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Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

OssiansFolly posted:

I will have to give the planner a try. I did something similar with a white board at home, but then I'd just look at it and go "I can do this later" or find something I feel needs done instead...Hopefully doing as you said will help. I will likely see a Dr. and hopefully get Adderall or something just in case, but not hold myself to a regiment of taking it. I really dislike the side effects of ADHD drugs so I'd prefer not to take them, but sometimes they are a necessary thing I guess.

Yeah, it doesn't work for me unless I put down times, because I'll just think "I still have time do this today" all the way until it's time to go to sleep and welp. Writing it down takes it out of my hands, I don't have to decide that it's time to a do a thing anymore, I just have to follow what it says in the calendar book.

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Freudian
Mar 23, 2011

Guess who has two thumbs and symptoms of predominantly inattentive ADHD. d-:downs:-b

He told me to come back in two months with descriptions of how it affects my day-to-day life so he can assess whether it's severe enough to require medication... at which point I'll get passed onto an ADHD clinic. I am kind of tired of being passed around like a parcel.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Freudian posted:

Guess who has two thumbs and symptoms of predominantly inattentive ADHD. d-:downs:-b

He told me to come back in two months with descriptions of how it affects my day-to-day life so he can assess whether it's severe enough to require medication... at which point I'll get passed onto an ADHD clinic. I am kind of tired of being passed around like a parcel.

Two months, what the gently caress? That's really weird and dumb.

Mechafunkzilla fucked around with this message at 20:40 on Aug 20, 2014

Freudian
Mar 23, 2011

Mechafunkzilla posted:

Two months, what the gently caress? That's really weird and dumb.

I'm working at this guy's pace and honestly I'm really bored of it, but I don't know how to get what I need anywhere else.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Freudian posted:

I'm working at this guy's pace and honestly I'm really bored of it, but I don't know how to get what I need anywhere else.

Did you not just laugh and say "I had to drop out of college, it's severe enough."

Freudian
Mar 23, 2011

Mechafunkzilla posted:

Did you not just laugh and say "I had to drop out of college, it's severe enough."

Is it too late to phone up and say exactly that or is that more of a spur of the moment thing...

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Freudian posted:

Is it too late to phone up and say exactly that or is that more of a spur of the moment thing...

Haha. What makes it weird is that it's not like they will prescribe you a different initial dose based on 'severity' of your symptoms. So much evaluation when they could just give you a week's worth of 10mg Adderall or whatever and be like "Did that help and if so did it help enough?" They're not antipsychotics or something like that, ADHD medication tends to be fairly tame and safe.

Cardiovorax
Jun 5, 2011

I mean, if you're a successful actress and you go out of the house in a skirt and without underwear, knowing that paparazzi are just waiting for opportunities like this and that it has happened many times before, then there's really nobody you can blame for it but yourself.

Mechafunkzilla posted:

Two months, what the gently caress? That's really weird and dumb.
I waited for 9 months just to get an appointment at all. Adult ADHS medical infrastructure is so loving bad.

Dubstep Jesus
Jun 27, 2012

by exmarx

Cardiovorax posted:

I waited for 9 months just to get an appointment at all. Adult ADHS medical infrastructure is so loving bad.

My favorite part of it is having to switch to a new doctor and worrying that they'll be antagonistic towards your diagnosis.

Xibanya
Sep 17, 2012




Clever Betty
That's bullshit. It reminded me of the time I had a therapist. I told her I suffered from anxiety that I believed was related to ADHD. She asked me to keep a log of what triggered anxiety. poo poo did not happen. But it did make me anxious to have to explain to her that I just never got around to it.

She's not my therapist any more.

Freudian
Mar 23, 2011

Xibanya posted:

That's bullshit. It reminded me of the time I had a therapist. I told her I suffered from anxiety that I believed was related to ADHD. She asked me to keep a log of what triggered anxiety. poo poo did not happen. But it did make me anxious to have to explain to her that I just never got around to it.

She's not my therapist any more.

Don't you love it when the response to "I think I have ADHD" is to make any progress contingent on homework.

samizdat
Dec 3, 2008

Freudian posted:

Don't you love it when the response to "I think I have ADHD" is to make any progress contingent on homework.

My favorite was a doctor who decided that since I also had anxiety, I wasn't going to be able to continue my Adderall prescription since he "doesn't prescribe stimulants for people with anxiety." He didn't even read the report that I gave him from the person who diagnosed me. That's nice, I had a doctor who treated me for 5 years and gave them to me when he actually read the report I handed him. I now have a better doctor upon getting insurance again. It'd be nice not to be treated like a junkie or generally stupid.

OssiansFolly
Aug 3, 2012

Suffering at the factory of sadness every year.

samizdat posted:

My favorite was a doctor who decided that since I also had anxiety, I wasn't going to be able to continue my Adderall prescription since he "doesn't prescribe stimulants for people with anxiety." He didn't even read the report that I gave him from the person who diagnosed me. That's nice, I had a doctor who treated me for 5 years and gave them to me when he actually read the report I handed him. I now have a better doctor upon getting insurance again. It'd be nice not to be treated like a junkie or generally stupid.

This was my biggest roadblock when I didn't have insurance coverage. I don't know if it is the same in every state, but "free" clinics or the financial assitance ones would NOT and could NOT prescribe Adderall or any stimulant for my ADHD. They said there was a state run program to get it at a discounted rate, but the waiting list was like 2 years behind. They offered the solution of going to see a doctor at a regular office and paying the full office visit cost and then paying full price for the Adderall. If I would have done that the cost would have been more than my rent...at the time my doctor had me on a 30mg XR in the morning, a 30mg XR around 2pm and then I had thirty 10mg XR pills to take as a "bump" when necessary to keep the medication working past 9pm.

Xibanya
Sep 17, 2012




Clever Betty

OssiansFolly posted:

This was my biggest roadblock when I didn't have insurance coverage. I don't know if it is the same in every state, but "free" clinics or the financial assitance ones would NOT and could NOT prescribe Adderall or any stimulant for my ADHD. They said there was a state run program to get it at a discounted rate, but the waiting list was like 2 years behind. They offered the solution of going to see a doctor at a regular office and paying the full office visit cost and then paying full price for the Adderall. If I would have done that the cost would have been more than my rent...at the time my doctor had me on a 30mg XR in the morning, a 30mg XR around 2pm and then I had thirty 10mg XR pills to take as a "bump" when necessary to keep the medication working past 9pm.

Interesting. My current psychiatrist told me she refuses to prescribe more than 60 mg Adderall per day (I'm nowhere near that point yet though). She is actually pretty awesome though. Her daughter has ADHD so I think that gives her empathy other specialists I've seen have lacked. And she's comparatively cheap...$140 per session (not covered by my insurance). Haha oh man.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...
Yeah, that's quite a bit. I take 10mg when I need it and it works pretty well for 4-6 hours. When I was taking 15mg XR it felt like my heart was going to explode.

Cardiovorax
Jun 5, 2011

I mean, if you're a successful actress and you go out of the house in a skirt and without underwear, knowing that paparazzi are just waiting for opportunities like this and that it has happened many times before, then there's really nobody you can blame for it but yourself.
Anyone have experience with Ritalin vs. Adderall? Are the effects substantially different from each other?

Xibanya posted:

And she's comparatively cheap...$140 per session (not covered by my insurance). Haha oh man.
Man, you people really get shafted in every sense. Sure, I need to pay ~80€ a month in insurance, but I've never had to pay for any visit to my psychiatrist and prescriptions cost 5€ a box, no matter what it is.

Cardiovorax fucked around with this message at 17:30 on Aug 21, 2014

Dubstep Jesus
Jun 27, 2012

by exmarx

Cardiovorax posted:

Anyone have experience with Ritalin vs. Adderall? Are the effects substantially different from each other?

Man, you people really get shafted in every sense. Sure, I need to pay ~80€ a month in insurance, but I've never had to pay for any visit to my psychiatrist and prescriptions cost 5€ a box, no matter what it is.

God, what I pay for a month of 10 MG Adderall XR would cover a year of your prescription, easily.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Cardiovorax posted:

Anyone have experience with Ritalin vs. Adderall? Are the effects substantially different from each other?

Man, you people really get shafted in every sense. Sure, I need to pay ~80€ a month in insurance, but I've never had to pay for any visit to my psychiatrist and prescriptions cost 5€ a box, no matter what it is.

They're both stimulants, Ritalin has more severe side effects. Adderall has a reputation as being more effective at treating symptoms, especially in terms of helping with motivation. I honestly don't think Ritalin would be prescribed very often if Adderall didn't have higher abuse potential -- I would push to try Adderall first if you can.

Cardiovorax
Jun 5, 2011

I mean, if you're a successful actress and you go out of the house in a skirt and without underwear, knowing that paparazzi are just waiting for opportunities like this and that it has happened many times before, then there's really nobody you can blame for it but yourself.

Mechafunkzilla posted:

They're both stimulants, Ritalin has more severe side effects. Adderall has a reputation as being more effective at treating symptoms, especially in terms of helping with motivation. I honestly don't think Ritalin would be prescribed very often if Adderall didn't have higher abuse potential -- I would push to try Adderall first if you can.
Less side effects would be nice, I can't really afford to lose any more of my appetite - I've lost nearly 25 pounds since getting put on Effexor. Abuse potential probably doesn't bother my psychiatrist too much. I regularly get put on Imovane because otherwise I would never, ever sleep.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Cardiovorax posted:

Less side effects would be nice, I can't really afford to lose any more of my appetite - I've lost nearly 25 pounds since getting put on Effexor. Abuse potential probably doesn't bother my psychiatrist too much. I regularly get put on Imovane because otherwise I would never, ever sleep.

Adderall might actually help with the insomnia if you time it right, you crash like a motherfucker when it wears off.

Cardiovorax
Jun 5, 2011

I mean, if you're a successful actress and you go out of the house in a skirt and without underwear, knowing that paparazzi are just waiting for opportunities like this and that it has happened many times before, then there's really nobody you can blame for it but yourself.

Mechafunkzilla posted:

Adderall might actually help with the insomnia if you time it right, you crash like a motherfucker when it wears off.
Sounds good. Adderall lasts about 12 hours, right? I rarely have class before 11:00, so that would fit together nicely. Gotta see if I can't talk the doc into trying that first, then. Thanks.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Cardiovorax posted:

Sounds good. Adderall lasts about 12 hours, right? I rarely have class before 11:00, so that would fit together nicely. Gotta see if I can't talk the doc into trying that first, then. Thanks.

My IR lasts about 6. It's a half life thing though and I take a low dose, so a bigger dose probably lasts longer. Plus you can always take additional smaller doses later in the day. Just gotta work with your psychiatrist and find what works for you.

Xibanya
Sep 17, 2012




Clever Betty
I hate Adderall XR but IR has been smooth as silk for me. I take 2-3 10 mg IR per day and I never feel a "crash" at the end like I did for XR. I think XR is just prescribed because it's harder to abuse. It basically sucks.

Oh yeah, 90 10mg IR pills for me is $15 on insurance, which is not bad compared to Strattera, which was $100 with cigna, $50 with blue cross, and $300 without anything. XR was like $70 with cigna, never had it on blue cross blue shield.

And my insurance is $100/month.

I haven't had Ritalin but I've had Rubifen IR, the European generic equivalent, and I had generic Ritalin IR from Kenya when I lived in Dar es Salaam. Had bad crashes from Rubifen and I felt like the Kenyan stuff didn't do a thing.

ziasquinn
Jan 1, 2006

Fallen Rib
Vyvanse is the tits. Also insurance rules. Thanks Obama.

75$ a month and it's probably saved me 3k this year. Idk how the hell it only has a $250 deductible.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Your Dead Gay Son posted:

Vyvanse is the tits. Also insurance rules. Thanks Obama.

75$ a month and it's probably saved me 3k this year. Idk how the hell it only has a $250 deductible.

Vyvanse is the one that lasts 12 hours, right?

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

So, where's the cheapest place to get generic Dexedrine IR?

I have an issue where I'm insured, but Washington State hasn't processed my application yet - so I can't use it. :downs: This is affecting quite a few people on the WA State Exchange. And since I need my asthma and depression meds to live - and I'm paying them all out of pocket - the ADHD med has fallen by the wayside. Work is going vaguely OK with a ton of coffee, but I hate being untreated for this.

(not to mention hospital bills, because when saddled with a ton of stress and you become suicidal? You go to the ER. Which was the good placed to go, and was needed. But still. :fireman: )

Also, as an aside, I'm getting more backing on the possible Asperger's thing; I've had a few people, who were professionally diagnosed, go 'Yup. You're on the spectrum all right :spergin: ' Not that it means a whole lot, as they're not professional doctors, but it does think that there's something there. But there was that one woman who went on about how I didn't have Asperger's, but High Functioning Autism, and I wanted to point out that Asperger's *is* high functioning Autism, but I was too busy shoveling delicious cake into my mouth.)

Dubstep Jesus
Jun 27, 2012

by exmarx

Mechafunkzilla posted:

Vyvanse is the one that lasts 12 hours, right?

Generally, and in my experience it's smoother than Adderall XR.

It's also much more difficult to abuse since it has to be metabolized to have any effect.

Xibanya
Sep 17, 2012




Clever Betty

Your Dead Gay Son posted:

Vyvanse is the tits. Also insurance rules. Thanks Obama.

75$ a month and it's probably saved me 3k this year. Idk how the hell it only has a $250 deductible.

My Psychiatrist prescribed me Vyvanse but my insurance wouldn't cover it. Tragic.

ziasquinn
Jan 1, 2006

Fallen Rib
I triple checked that all the crap would be covered. So dumb they won't cover it :(

It's real smooth. Almost invisible.

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

Oh yeah - I checked with my theoretical insurance, and generic Dex should be covered. So I can get a refund of the difference, as well as my other meds.

And then take a nice vacation with the dough I've shelled out so far. :homebrew:

(Also, I've never run into the 'pee test for stimulants' thing; I don't know if my doctor does that for other patients. He also treats patients in prison, so maybe they have to do this. I wonder how this policy would be implemented in places like Washington State and Colorado, where marijuana is completely legal on a state level.)

Qu Appelle fucked around with this message at 19:24 on Aug 21, 2014

Zhentar
Sep 28, 2003

Brilliant Master Genius
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.

Baby Babbeh
Aug 2, 2005

It's hard to soar with the eagles when you work with Turkeys!!



My Strattera is $5. Insurance is awesome.

wilfredmerriweathr
Jul 11, 2005

Qu Appelle posted:

Oh yeah - I checked with my theoretical insurance, and generic Dex should be covered. So I can get a refund of the difference, as well as my other meds.

And then take a nice vacation with the dough I've shelled out so far. :homebrew:

(Also, I've never run into the 'pee test for stimulants' thing; I don't know if my doctor does that for other patients. He also treats patients in prison, so maybe they have to do this. I wonder how this policy would be implemented in places like Washington State and Colorado, where marijuana is completely legal on a state level.)

Given that Drs prescribing any controlled substances are beholden to the DEA (check out your script next time you get it, the doc has to put their personal DEA # on there), I'd imagine that officially it would change nothing.

Unofficially, I'm sure doctors in WA and CO are probably more likely to be OK with weed, and really I've noticed that if you have a good doctor or psych they usually don't have an issue with it as long as it isn't negatively impacting your life. ADHD people are pretty likely to be marijuana users as it really helps sometimes. My psych as a teenager (head of the child psych dept at the university, internationally known as an expert on ADHD) told me once that THC can be just as good as stimulants for ADHD, but only when dosed correctly.

TheBigBad
Feb 28, 2004

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

wilfredmerriweathr posted:

Given that Drs prescribing any controlled substances are beholden to the DEA (check out your script next time you get it, the doc has to put their personal DEA # on there), I'd imagine that officially it would change nothing.

Unofficially, I'm sure doctors in WA and CO are probably more likely to be OK with weed, and really I've noticed that if you have a good doctor or psych they usually don't have an issue with it as long as it isn't negatively impacting your life. ADHD people are pretty likely to be marijuana users as it really helps sometimes. My psych as a teenager (head of the child psych dept at the university, internationally known as an expert on ADHD) told me once that THC can be just as good as stimulants for ADHD, but only when dosed correctly.

Has he published?

wilfredmerriweathr
Jul 11, 2005

TheBigBad posted:

Has he published?

Not about THC + ADHD I don't think, but if you've ever taken the TOVA test, he's the guy that developed it.

painted bird
Oct 18, 2013

by Lowtax
So do ADHD meds do anything for inner restlessness or am I stuck with that bit forever?

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

chthonic bell posted:

So do ADHD meds do anything for inner restlessness or am I stuck with that bit forever?

Yeah, they do. It helps you focus on one thing at a time rather than feel like you have to do a million things at once (which is really because you can't concentrate on any one of them).

Bobbin Threadbear
May 6, 2007

chthonic bell posted:

So do ADHD meds do anything for inner restlessness or am I stuck with that bit forever?

I found that none of the stimulants did much for my restlessness. I experimented with Intuniv which has dramatically helped.

Like Clockwork
Feb 17, 2012

It's only the Final Battle once all the players are ready.

I found that Concerta helped the mental hyperactivity a lot, and it definitely helped the most out of all the meds I've tried to date; Strattera I mostly just remember making me very sick both times I tried it, generic ER methylphenidate was worthless, and Intuniv didn't work in any fashion at the doses I tried.

...I miss my Concerta script. Being able to think was amazing. :sigh:

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Keska
Jan 29, 2007
Persistent Lurker
My doc put me on generic Zoloft about 6 months ago. I wanted it because my anxiety was getting bad again. (I was taking Lexapro for it a few years ago) It took the worst of the edge off, but I was having a lot of memory problems and inability to concentrate, even on things that were important (like work) and that I enjoyed (like conversations with my girlfriend). So I went back in a month ago to talk to him about my continuing problems, he asked a few questions and gave me a quiz, promptly declared I had ADHD (inattentive type), and gave me a script for 20mg Adderall XR.

I've gone from being a week behind at work to trying to look busy because I've run out of things to do by 3pm everyday. I'm slowly chipping away at all of the chores, art projects and other responsibilities that had built up at home. I can finally concentrate on what I need to do, and I feel pretty great, other than the dry mouth. I've even lost 10 of the 20 pounds that the Zoloft made me gain!

It's just... weird, tho. While I can certainly look at the last ten or so years (I'm 33) and see the signs of this, everybody seems to say this is a lifelong difference in the way the brain is wired. And when I look back at my childhood, I just don't see it. I was a quiet, chubby child, driven to perfection in schoolwork and forever lost in a book. My social skills were pretty terrible - I didn't have any close friends - but I was a total goody-two-shoes with adults. My memory is pretty bad - most of my childhood is a vague blur - but it just doesn't seem like the way ADHD kids are described.

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