The Patient’s Guide for ADHD Medications: Free White Paper and Audio
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Start Here: See if you meet these criteria for these several complimentary gifts:
- - You think you have ADHD, but aren’t sure about the diagnosis in the first place
- - You have previously failed ADHD treatment with medications
- - You are taking ADHD medications
- - You would love to be treated, but fear the multiple issues with stimulant medications
- - You have a loved one who is taking ADHD medications
- - You are a professional who treats ADHD with stimulant medications
- - You are a professional who sees patients who suffer with ADHD
- - You are an employer with employees who suffer with ADHD
- - You are an interested consumer who wonders about problems with meds used for ADHD
- - You wonder about precise diagnosis and are fed up with labels that don’t work
- - You wonder how to get the meds right if you don’t know specific dosing strategies
Did I leave anyone out? – Very likely… so,
Next: Sign Up Right Below Here For
1. A Complimentary Audio Program Detailing
- - The Problems With Diagnosis and Treatment, and
- - The Necessary Solutions.
- - The System to Keep it All Together With Your Medical Provider
And——-
2. A Succinct Complimentary Checklist Detailing the 10 Biggest Problems with ADHD Medications.
And——-
3. A Game Changing 22 Page Free White Paper: Predictable Solutions for the 10 Most Common Challenges with ADHD Medications.
Predictable Solutions Benefits:
This White Paper is a comprehensive outline of ADHD Medication Rules for your review
- I want to keep you informed about Rules Initiatives – on this email list you will receive Rules happenings.
- You will be better able to understand ADHD meds with this white paper the day you receive it.
- It contains multiple links to the many posts and references I have been speaking and writing about for the last ~ 4 years at CorePsych Blog
- Including specific notes on the evolving diagnosis of ADHD
- Including multiple notes on comorbid diagnosis and ADHD, depression, anxiety, bipolar, brain injury
- Including specific notes and reference resources on drug-drug interactions
- Including specific durations of each stimulant medication, and how to use them with dosing
- Including specific notes on the Therapeutic Window to use with your doc
- Including suggestions about how to work with your medical team
- The Patient’s Guide -
ADHD Medication Rules:
Paying Attention To The Meds For Paying Attention
Sign Up Right Here ↓To Receive These 3 Complimentary Gifts
PS:Remember, I am writing this book because I have seen it all, have spoken for 15+ years around the country with my colleagues – if there is a mistake with any ADHD medications, new or old, I have made it – and corrected it.
PPS: This system redefines the diagnosis and treatment process – with specific answers. It corrects problems from previous treatment and significantly prevents problems with medications from the outset. With The Patient’s Guide, you will have a map for the challenging territory of stimulant medication management.
PPPS: If you sign up now you will place yourself on this mailing list for other specials down the road – some specific training and coaching teleseminars regarding ADHD, medications, and other informed interventions.
Thanks, hope you enjoy the White Paper! Do drop me a note if you have any further suggestions or remarks after reading it-
cp
Related articles by Zemanta
- Dr. Parker Demystifies the ADHD Medication Mystery (adderworld.com)
- ADHD Medication Rules: Affiliate Details (corepsychblog.com)
- New Book – The Patient’s Guide for ADHD Medication Rules by Dr. Charles Parker (adderworld.com)
Make sure you take a look at these pages!
ADHD Medication Rules Purchase
“Rules” Affiliate Link
Neuroscience Details
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{ 30 comments… read them below or add one }
Dr. Parker,
A few questions (and my history briefly).
History:
Childhood — Always did well academically in school, impulsivity and hyperactivity throughout but got by because I was smart and was (hate to say it, but its true – a girl), struggled some with friendships, middle child of 3, very intense, always very low frustration tolerance/anger….aunt and few cousins dx’d w/ adhd, maternal relatives substance abuse, paternal dyslexia…my struggles were significant aside from academics but parents did not want outside help (an aunt who’s a doctor talked to them many times about various possibilities, but they refused) At one point when I was a kid, there was some book on anger management…but I don’t recall much about it. I think I was about 12 at that point.
Both parents are academics (PhDs), sister has PhD and little brother is beginning his master’s/doctorate this month.
Adolescence and young adult — had two significant depressive episodes (early high school and 1st yr college) although for completely different reasons. During 1st yr college, took prozac and then wellbutrin was added for 6 mos exactly. I hated being on it. I remember the day I could stop and flushed it all away.
On own/grad school/working — I taught for 2 yrs and then went to grad school for a year. Have two Bachelors, NYS professional teaching certification in 2 areas, MEd in Montessori. Moved across country for new job and now in 3rd yr teaching at this school. (Montessori, 6-9 yr olds) Had a very hard time the first few months I was here…my priest told me to see a therapist and recommended one. I’ve been seeing him since Oct 2008. Huge changes since then in almost all aspects of my life due largely to CBT and associated skills and subsequent lifestyle changes.
Mid June and July 2010 finally have much more balance, happier, and do what I need to do, but still very difficult to do those things. I didn’t think it was that big of a deal because it’s the things I’ve always struggled with though I thought it should be better because I had made so many lifestyle changes. My priest thought otherwise and told me to at least make an appointment for an evaluation and see about medication.
I was against going to a therapist initially; I hated it the first few times..but went because I had to and then later began to see that it was helping at least a little. I was more against this second step of an evaluation and medication — even though it’s come up as a consideration for me at least 4-5 different times in the last 8-9 years. Never went through with it because I did fine in school and I make do.
But then I did. July 2010. Diagnosed ADHD. She didn’t specify a type at the time, but I’ve done enough reading to know that it’s the combined. (At least as far as the DSM is concerned…which I don’t put too much stock in – it’s the difficulties that matter and how to solve it, not the label. That’s my special ed. certification talking…sorry.)
Ok, so back to my questions.
I started on Vyvanse at 30 mg. Main difference was less procrastination, but not much else. From there we went up 10 mg a week with no changes. Also no side effects. Then 70 mg. A new change – less hyperactivity/restlessness and could actually focus/concentrate and pray at Mass. Had a gauge now to judge DOE—seemed to be 10 hrs max from the time of taking it, but always took 1 hr to 1 1/2 hrs to take effect at all. Made sure to eat protein breakfast and no citrus just in case. So about 8 hrs of use. But no changes with misplacing and remembering or impatience (besides the CBT stuff I do) Day 9, that new change went away completely and didn’t come back in the following days. Then I didn’t take it at all for 3 days. The next day I took it later in the AM and have been taking it sense, but I notice no changes now – certainly not the concentration I initially had on the 70 and I’m not sure about the procrastination, which was better even from the beginning.
I have an appointment on Monday afternoon and she said what I thought she would which would be to change to something else. My question for you is what suggestions you have? Do you have any other advice? When you change to a new one do you start low again? Should I keep taking what I have now until then? I’ve done a lot of reading and I’ve read all your info about the therapeutic window and things to know about meds. It was just so hard for me to even be willing to try this to begin with, and I just want to make sure I make informed decisions.
OK, well so much for being brief. If you can get back to me before my appointment that would be really great.
Thank you so much for all your information and willingness to help people. I’m cautious of the internet thing, but you responded to all the other comments in a meaningful way so I thought I’d take a chance.
Thanks!
Julia
Julia,
Super note, thanks for taking a shot at sharing your story. Truth be known: you feel odd because you are so smart and have done so well with handling your changing reality. It doesn’t make sense that you might have ADHD, but that is the precise reason I wrote Rules – you are more typical than atypical if you use the Tennis Rules vs the Golf Rules as delineated in Rules. Your subtlety puts you in that different game, a different medical geography, and you will get it right, be reassured.
How do I know? Because of the success you have had when the meds weren’t entirely adjusted correctly – and with your new information, you can help your med team get it exactly right. Vyvanse sounds like it’s working, but the DOE at 10 with the long onset combo likely means the dose at 70 was just not right. I have many adults at more than 70 but your doc might be following carefully FDA guidelines. If you stay with the DOE metabolic precision the possibility of coming out the Top of the Window is much less.
Yes, start low if starting with another med, not nec. if increasing the Vyvanse. The next click, with your doc’s approval and understanding would be increase of 10 to 2×40mg in the AM after that great protein breakfast. Sounds like you are having some easy adjustment problems on the front end, and with no other symptoms like agitation or sleep problems I doubt that you are on too much.
Thanks for your thoughtful note, you’re getting close-
cp
Hi, I watched your Cognitive Anxiety video and have come to realize that I have that very severely. My dr. put me on Adderall 10mg IR 2-3 times a day and the first 2 or 3 days was amazing! It was like all of heaven was singing in my head and I was focused and alert. Then it went down hill and everything, all my ADD symptoms included got worse and I was confused, unfocused, moody, irritable and extremely fatigued. I could not get off the couch for days even after the last dose of meds. Well a month later my dr. thought I should try Vyvanse since it is smooth and I was having so much trouble crashing on Adderall. Again, 2 MAYBE 3 days of amazing results, and it was so smooth too and lasting all day. I felt chilled out and nothing bothered me, but now I am less focused with ups and downs throughout the day like 1 hour I feel it is working then the next hour I feel confused again and EVERYTHING is bothering me. I just feel like my symptoms of ADD are made much worse like 10 times what they are normally when I have been on a medication after 3 days time. I feel robotic and less creative, like my emotional side is gone, where as during the first few days everything felt balanced. I sleep very very well at night while on this however, and have had very little side effects to the Vyvanse, where as Adderall I had terrible side effects and generally a bad reaction I think. So after watching your videos and reading your articles I feel that I have Cognitive Anxiety very badly and I am nearly OCD at home about little things around the house. If I where to sum up what I now believe I am dealing with besides ADD it would be, ADD/Cognitive Anxiety/Depression.
So is there even hope for someone that has every aspect of ADD? I am just seeing a regular family Dr. right now, would you recommend a physiatrist instead? I really have no idea what medications to try next.
Any thoughts you have I would be greatful for!
Thank you!
Tiana,
Best guess is that your stimulant meds significantly amplified your tendency to manage issues thru a subtle Clint Eastwood personality. Serotonin, already dysregulated downward, is aggravated further downward by the addition of DA as indicted in the last part of that ADHD and Anxiety YouTube Video.
My new book ADHD Medication Rules documents these issues in some detail – especially the appearances when meds are added and these kinds of deteriorations occur.
Yes, likely a psych will be better, but make sure you find an adult psych with an understanding of ADHD, – as many still think it’s a belief system. See this note over on Gina Pera’s blog documenting her experience with these ADHD Medication matters at Stanford.
cp
Hi, my son has had ADHD since the age of 7. He has been on Adderall XR 50mg once a day and Clonidine 0.1mg twice a day for the last couple of years. Overall, he’s been doing well except for occasional outbursts and social issues in school with other kids. He’ll argumentative and exhibit aggressive verbal behavior as well. Due to this, his doctor has prescribed Tenex 1mg twice a day in addition to what he is already on. I haven’t started him on it yet. I guess my question is, is it okay for him to be on Tenex and Clonidine together? He hasn’t had any issues being on the Clonidine.
Rachael,
Shire is recommending against using those two meds in the same family together – as the possibility of a drop in blood pressure or additive effect with the meds is quite possible.
Having said that… I will tell you what I do – I do what they say.
Some clinicians are using them together, but my take is that the potential for trouble is there, and I suggest you discuss alternatives. Taper the Clonidine or taper the Intuniv depending the selection of med.
cp
I am an adult professional with ADD (not hyperactive). I have been taking Strattera for several years and I feel that it has improved my life (home and work) significantly. Here is the interesting part — the first year or so that I was taking it, it had a terrible effect on my mood. Although my concentration was greatly improved, it made me feel angry and dark and yet very uncommunicative. At that time I was taking mild doses of antidepressants that I had been taking for several years before that. I actually wanted to find an alternative to Strattera and I started to supplement it with L-Tyrosine, which I had taken as a ‘natural’ remedy (with some mild success) before trying any actual ADD medications. I thought perhaps I could gradually get off the Strattera. However, something very unexpected happened — I noticed a tremendous improvement in mood when I took both. So I have stayed on both for several years, very successfully. I gradually reduced antidepressant and am now completely off them. (Clearly my ADD was causing my depression). I take 50 mg (two 25 mg capsules) of Strattera, which is a low dose, and I take roughly 125 mg of L-Tyrosine (I buy 500 mg caplets and cut them into 4ths in a pill cutter). This seems to correlate with the topic of neurotransmitter precursors mentioned in places on this site. Thought you might be interested.
Before I tried Strattera I had tried concerta and adderall briefly. Concerta made me uptight and angry– got off it very quickly; adderall (along with anti-depressant Celexa I was taking at that point) made me feel wonderful, but did nothing significant for my concentration or focus. As a matter of fact, I had gone from Strattera to adderall, because of the mood issues, and then back to Strattera because the Adderall was so ineffective.
RBC,
Interesting note, thanks for sharing. Upon reading your story many thoughts come to mind, but of course they are all pure speculation without knowing the specifics on your neurotransmitter levels.
1. L-Tyrosine is a precursor for both DA and NE, Strattera only hits NE… it’s an NE chicken catcher. The Tyrosine likely corrected a deficit in your neurotransmitters, both NE and DA, and Strattera then collected the guys.
2. The reason the Adderall and Concerta didn’t work was likely due to diminished DA in the first place.
3. The Celexa feeling is likely secondary to low 5HT [serotonin], and 5HTP [serotonin precursor] might help fill out that set of chickens if the depression lingers on any level, – as DA will down regulate 5HT levels even with neurotransmitters alone – see the article by Marty Hinz under NeuroAssist here.
Glad to hear it’s working out – my prediction is that we will all be encouraging Neurotransmitter testing in the near future – why not use the available biomarkers if we can more clearly target the specific imbalances?
cp
Interested to have information for our resources
Bruce,
Anything we can do to help your mission will be most happy to fill in any blanks, – hope you like the White Paper on Precise Solutions!
cp
Hi Dr. Parker! I am a 40-year old mother with a husband and 3 children. I was diagnosed with ADD 2 years ago, and myself chose Strattera as my treatment. My doctor was open to the suggestion, as it is a non-stimulant and I also have an anxiety disorder. However, I have maxed out the Strattera dosage at 100mg. It no longer seems to have the same effect on me as it did the first few months that I was taking it. My treating physician is not on board with trying something different. What should I say to him to make him understand my point? FYI…I also have been seeing a psychologist since before the initial diagnosis. This is actually the second psychologist; the first one I absolutely adored died from a massive heart attack early last summer. I like the new one, but he seems to think I am doing great! Your input would be greatly appreciated! Thank you!
Susan,
Each physician has their own comfort zone, and that zone is pretty well built-in during medical school. Change does occur during a life of practice, as each of us digs deeper into the areas of medicine that matter more – and the feeling of wanting to improve old intervention strategies, especially in specific chosen areas of medicine. The non-curious, the extra busy, and those simply not interested in that particular subject, like ADHD, may simply not be the person to consult on the many new options. Further, some still have a considerable bias against specific strategies, as they don’t know the parameters there. Specifically, many continue their discomfort with stimulants, simply because they don’t know how to use them, and want to do-no-harm. Interestingly, some of those same folks will be uncomfortable with measuring and recommending more comprehensive interventions such as using neurotransmitter precursors, as they are not harmful, – but simply don’t fit the institutional mold, and appear too unconventional… it all requires much more reading and comfort with evolving paradigms. The evolution of science is sometimes quite slow – see the Structure of Scientific Revolutions.
Short answer: The standard of care for stimulants with 40 yo women with ADHD is clearly there, and both stimulants and targeted neurotransmitter precursor interventions can be practiced safely by the docs who are interested. Your problem is simply out of his comfort zone – so find someone who is comfortable and informed. You should be able to call and shop up any doc, as I am regularly shopped up with those interested in what I do. No problem. No reason to pay someone to find out what they do – a phone call to the office with a nurse or admin person, or hopefully the doc themselves, will help you take those important next steps in finding your next best provider for that particular service. You don’t have to change doctors completely, you simply need a second opinion.
cp
Is your book out yet?
Susan,
Thanks for asking – yes it’s done, and will be out quite soon, – just have to rewrite one more time, and get into good, readable pdf format – then should be available in mid to end of Feb-
cp
Do you have any thoughts on the seemingly explosive growth of the “energy drink” market? Drinks like 5 Hour Energy are clearly advertised as stimulant drugs targeted primarily to young males. 5 Hour Energy’s pitch specifically boasts that it increases “focus” with no resulting “crash.” Are there potential interaction problems with these drinks and ADHD medications? It’s a bit like there’s an arms race in the unregulated stimulant market.
Stuart,
Right on with your concerns – and yes we see difficulties with stimulant drinks, as well as simple carbonated drinks with more or less average doses of caffeine. The additional problem with the energy drinks is the additional dysregulations with, for example, taurine. The taurine acts as an inhibitory neurotransmitter to smooth out the pump, but some find themselves overdosed on the taurine as well. Even the inhibitory neurotransmitter precursors, such as taurine, can result in dysregulating the emotions.
As far as interactions: Caffeine can significantly effect stimulants, but is not a direct effect thru the Cyp 450 pathway, as best I can see, – rather just too amplified, coming out the top, and unable to function on the OD of stimulants.
cp
Dr. Parker,
My son, Mitchell, was diagnosed with ADHD at the age of 5. He has been on concerta for 4 years. He was on 54mg for school and 36mg on weekends. We started going to a highly recommended doctor who specializes in meds for kids(highly trained). He has diagnosed Mitchell as also having general anxiety disorder inwhich he prescribed lexapro (now at 10mg). We started having issues with Mitchells behavior….getting into everything…destructive behavior..almost like the concerta was not working anymore. The Dr. recommended a increase of the concerta to 72mg. After the increase on concerta the behavior seemed to subside a bit…but he started having tics….after our appointment today he has given him intuniv to try. He is now on 72mg of concerta, 10mg lexapro, and now 2mg of intuniv. WOW! I am overwhelmed with all this medication. I feel like he has become immune to the concerta. The lexapro has helped with the outburst he used to have. Is it possible the become immune? What will all this medication do to him? Is it possible to cut the dosage of concerta with the intuniv? Any suggestions
Thank you for listening!
Deb Woodward
Deb,
Yes, you could cut the dosage of the Concerta while on the Intuniv, working in concert with your doc. Without being there, without completely understanding the clinical indication in the first place, it sounds from this description that he simply started too high on the Lexapro, or that the Lexapro is the counterproductive one from some other perspective [just the wrong med]. I would encourage you and your doc to stick with revising/reviewing the dosage and indications for Lexapro.
Intuniv may be indicated, and it does appear that he is more symptomatic, but I doubt that the symptoms are based upon the original ADHD, but rather suspect, from this note, a primary medication/metabolism challenge. Sometimes ADHD in the first place, the ‘cognitive anxiety,’ is actually more ADHD than based upon depression as described int this Anxiety and ADHD video. Do discuss this further with your doc as well. Challenges like this need more careful review than a brief comment on the Internet.
Best to all,
cp
Please help. I am terribly confused. I came here for the “free” ebook (white paper?) but I don’t see anywhere to download it. I signed up and sent in my email address, etc. but all I got was an email with an advertisement for a book that is coming out (presumably in stores?). Any clarification on where I can download this interesting free ebook would be great! Thanks!
http://adhdrollercoaster.org/the-basics/all-about-adhd-meds-dr-parkers-free-ebook/#comments
Sorry Ross,
Will have to fix that page, it’s not clear, but down at the bottom is the link to the pdf document.
Do run back over there, I will go over right now to provide better directions.
Thanks,
cp
Updated and available, try it again at Precise Solutions for the 10 Most Biggest Challenges with ADHD Medications.
Thanks!
cp
Euhmm
I’m sorry, but the links for the free ebook are completely impossible for me to find on this page.
Jeobel,
Please just scroll to the lower one third of that adhdbook page, across from the Medpedia badge, and drop your email and name there in the signup, and you will be forwarded to a page with all the complimentary downloads,
tnx
cp
I have a 16 year old daughter with ADHD inattentive type. She has no other co-exhisting conditions. She began adderall XR as a young child and did wonderfully. About the time of puberty, we began on a 2 year struggle of trying to find the right drug/dosage. When we would up the dosage to where it would help her attention, she would become very anxiety ridden, and would lose lots of weight. We were bringing on problems that didn’t exist before meds. Unfortunately, we still do not have a good medication. We truly have tried them all, and in many combinations, and tried many second line medications as well. Currently she is taking 15 mg. of adderall, as well as fish oil supplements. We also have completed cogmed. She is doing ok, but her attention still is not what it should be. She is a child with an IQ of over 140, but continues to get B’s and C’s in high school. Her performance clearly does not live up to her potential. I am a CHADD facilitator, as well as a Parent to Parent educator in my community. I am well versed in ADHD, but continue to struggle finding a better alternative for my daughter. Would a spect scan be helpful, and do insurance companies cover them? Also, is it difficult to find doctors that are versed in this type of diagnosis in Iowa?
Julie,
The subtlety of these problems, the often unrecognizable comorbidity of issues as she presents do require more careful investigation. Hormones, neurotransmitters and immune challenges all come to mind as possibly contributory factors, – all of which are almost never obvious to those not familiar with those inquires. We do phone inquiry evaluations, and could shed some light on her situation with a consult if you would wish to chase down more details.
The price of SPECT make it a last choice after all the other less expensive inquiries and lab reviews have been locked down. Caitlin is my Patient Care Coordinator in the CorePsych office for further inquiry if you are interested.
cp
Hi;
We have a beautiful 8 years old son diagnosed with severe ADHD. He is very intelligent and has been placed in ‘gifted’ by the school he attends, after scoring 98% on SATs. He is in 3rd grade. Problem is that although he proves understanding the material covered, he makes so many mistakes that his grades are starting to come down to 40’s%. He has a hard time focusing, has hand tremors and writing is not easy but can do it (done all types of test – no epilepsy, no tumors, conclusion was familial), is loud, impulsive, hyperactive, hums songs, overeats if allowed, has sensory issues (don’t like kisses on face, certian socks, etc) will talk about subject of interest (now-a-days anything computers and games), walks twisting ankles, and tip toes, is friendly, charming, sweet, lovable, independent, cooperative, but constantly challenges boundaries. When younger, around 4 he was a runner, openned and closed doors constantly, had anxiety, once suddenly jumped into a lake – opened gate and ran for it (I was next to him and jumped after). Following the advice of two doctors we placed him on: Focalin 10 mg (walked the walls), adderall up to 40 mg (got deppressed), Concerta 10 mg (made him stick hands into mouth), and strattera up to 40 mg (worked for one year, then not). Teacher’s and I are concerned with his academics – she said focuses not more than 4 minutes at a time, one on one help in class is limited, but, even this is not working out, most days won’t finish work, homework is a huge, huge task everyday.
Please, help – can you provide feedback – what else can we do for him? We live in South Florida – know of any specialist either psychiatrist or md, or neuro good with ADHD and meds or alternative methods? We’ve done DNA testing w/all good results, pet scans-good, epilepsy-none. Visited three Neurologists – all three prescribed different meds -very confusing. All said he has ADHD. Visited Neuro-Psychologist – said he needed meds and ADHD, saw some signs of Asperger. He was born with an intermittent kidney reflux- seems outgrown, and had genetic history of fatal heart problems in family members at age 45, and diabetis after 60. Some family members consumed alcohol.
We are desperate to find help for him – it is very hard dealing with this situation, we are truly concerned for his future, plus we have other children which makes it more challenging.
Any help/suggestion would be greatly appreciated! Thank you.
ARS-
Complicated ADHD, not one to lean back and make pronouncements over the ethers on a blog. Sounds like you have been very busy, have had numerous good medical checks and yet, something is clearly being missed. His problem is biologic, the evidence is just not in yet. He does need more, multiple levels of further investigation.
Two points that are most optimistic, but may not sound like it on the front: I’m pleased to hear he got depressed on Adderall, that fact alone indicates possible comorbid issues. He clearly has metabolic challenges and gets toxic on what would be expected to be a reasonable amt of meds.
As you likely know from reading here, and especially on this particular page, I am not a guy that’s up for speculative adventure, even on a casual presentation I go thru all the details. If you would like me to review it by phone with you please call Caitlin on the Services page – email or phone. After more details I am sure we can at least come up with specific next reasonable fact finding.
In the meantime listen to the presentation on this page and download there several interesting papers on Neuroscience investigations.
Talk soon,
cp
Hi I live in South Africa and participated in the online ADHD conference. Very briefly I used concerta for 2.5 years. It helped me enourmously. Side effects I didn’t enjoy were really just that from being someone who was very self concious and anxious I became a superhero who didn’t worry to much about other peoples feelings. My compassion and generosity disappeared. When I stopped the medication I went through the hardest time in my life ( I am 50 and a succesfull businessman). It has totally been a mid altering experience and I now, over a year later do not know where to turn. I experienced the worst anxiety of my life and was happy to end it there. Never before have I felt like this. My biggest problems in lfe are:
THink Think Think. feeling of hopelessness.
Have abuse alchohol.
Do not believe I am a depressant because up until stopping the Concerta I never had a don’t care attitude although I often felt low. I believe I am ADHD.
Poor sleep.
Cannot translate my thoughts verbally which causes big problems with self esteem and feeling stupid.
Your suggestions would be extremely grateful.
Neil,
Yours is a very fixable problem, I can completely assure you. No need to think about ending it when multiple solutions are available. Sounds like you are very much tied up, as many successful people are, with cognitive anxiety – see this post on “Wrecked by Success”
If you Search Cognitive Anxiety on this Blog you will get about 10 pages with refs, – and if you go over to YouTube you will find this brief review on Cognitive Anxiety.
Easy recommendation:
1. do the neurotransmitter NT testing, it is always helpful,
2. dial in the stimulant for the correct DOE mentioned throughout my postings,
3. depending on the NT results, I strongly suspect that a small dose of some kind of serotonin support will make your day solid with the stimulant of choice – this in spite of the feeling of “not depressed.”
Best,
cp
Julia,
So many of your questions are answered there… no problem with your profile, – it’s just like leaving your email anywhere on a download, so I can send updates to all my readers when I do revisions on Rules. – Another benefit: keeping you current with my revisions, no cost for the next edition!
Please do read the book, everything here will be answered.
cp
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