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ADHD drug treatment and risk of negative events and outcomes

bmj.com

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Re: ADHD drug treatment and risk of negative events and outcomes

#111

Post by hinkley »

SubmarineClub wrote: post #82
klipklop wrote: post #77

The irony about getting treatment for ADHD is that medical providers make it very hard to get the proper medication and treatment. People with ADHD are horrible at following through and handle rejection poorly. So the worse the ADHD is, the less likely somebody will be able to actually get treatment for it. A lot of people suffer because doctors fear losing their license like so many did during the pain pill debacle.…

Yeah, it's ridiculous. I've been taking medication for ADHD since the 3rd grade. Why in the good goddamn should I have to go in EVERY month for a refill for a medication I've been taking for over 20 years.

At least with time release now there's less of a problem of having to sneak to the nurse's office every day at lunch to take medication and have that brat from third period ask you why you're in the nurse's office and what you're taking.

Re: ADHD drug treatment and risk of negative events and outcomes

#112

Post by jackdoe »

klipklop wrote: post #77

The irony about getting treatment for ADHD is that medical providers make it very hard to get the proper medication and treatment. People with ADHD are horrible at following through and handle rejection poorly. So the worse the ADHD is, the less likely somebody will be able to actually get treatment for it. A lot of people suffer because doctors fear losing their license like so many did during the pain pill debacle.…

> handle rejection poorly

Off-topic but recently I found out about Sensitive Rejection Dysphoria, its not officially recognized as a thing but it is in active study now, and very related to ADHD, and tbh I wish I knew about it sooner

Re: ADHD drug treatment and risk of negative events and outcomes

#113

Post by kstrauser »

2c2c2c wrote: post #31

Curious if anyone has gone through the process of an adult adhd diagnosis at Kaiser SF. Through my attempts, I've been told they don't really do adult adhd diagnoses without documentation of issues as a kid. I was recommended Wellbutrin to deal with symptoms in 2017. Got onto adderall when I moved health insurance in 2021. Back to Kaiser in 2024, I was routed to the same psychiatrist who once again wouldn't budge on…

That makes me want to scream on your behalf.

"I believe in my heart of hearts you suck at your job as a psychiatrist."

Re: ADHD drug treatment and risk of negative events and outcomes

#114

Post by kstrauser »

haliskerbas wrote: post #50
f0daf0da wrote: post #48

Earlier quoted context omitted.

I made an account just to post this as I’ve gone through something similar. Get a formal psychiatric evaluation done out of network by a neurologist who specializes in ADHD. The exam will take a few hours and they will send you a full report and diagnosis. This paperwork will help you a LOT. I’ve used it multiple times when I’ve had difficulties getting care and was well worth the time and money.

What do I look up to find places and providers that do this especially if I don’t have a relationship established with the place already.

You in California by chance? I can recommend an online provider here, but they only serve CA patients.

Re: ADHD drug treatment and risk of negative events and outcomes

#115

Post by kstrauser »

footy wrote: post #42
skeezyboy wrote: post #14

Earlier quoted context omitted.

I wouldnt call it vastly different. It cant be abused for euphoria, but it still has an addiction warning on the label.

I'm on methylphenidate and if it were addictive I wouldn't forget to take them... well, probably pretty much ever, unless I misunderstand addiction. In reality I forget to take them once or twice a week. I recently started using one of day-of-the-week pillboxes, so I can tell you this week it was Tuesday.

> I recently started using one of day-of-the-week pillboxes

This is the way. I would absolutely forget to take my Adderall if it weren't in a pillbox next to my toothbrush.

Re: ADHD drug treatment and risk of negative events and outcomes

#116

Post by mjoin »

FollowingTheDao wrote: post #84

Do any of you ever wonder why, genetically and/or nutritionally, you have ADHD? I advise you to take a look at the role of GABA in ADHD. It’s probably more important than the Norepinephrine and dopamine. https://www.sciencedirect.com/science/article/pii/S002839082...

Thanks

Re: ADHD drug treatment and risk of negative events and outcomes

#117

Post by kruffalon »

schlauerfox wrote: post #41

The youtube channel of ADHD science researcher Russell Barkley gave me the push to get diagnosis in my last year of undergrad and It was like lightning to see all my symptoms laid out since childhood in context of the underlying brain science. He does a lot of debunking of bad research too. Great channel.

https://www.youtube.com/channel/UC0tLWu7ljYVFPiZQfHjTMsA

Re: ADHD drug treatment and risk of negative events and outcomes

#118

Post by jmogly »

I was diagnosed as a kid, I never really took the meds consistently. My perspective now is that adhd people are a minority tribe, very chill people living in an unchill world. I feel blessed that I have the ability to function and find my place in this world without taking the meds, not everyone with the “disease” is so lucky. Having adhd you feel alot like an alien most of the time, which can of course be alienating but also very liberating.

The question I pose to the “it’s a disease, medicate it” crowd is; is the person maladapted or is the culture maladaptive?

Re: ADHD drug treatment and risk of negative events and outcomes

#119

Post by edm0nd »

FollowingTheDao wrote: post #83
SubmarineClub wrote: post #82

Earlier quoted context omitted.

Yeah, it's ridiculous. I've been taking medication for ADHD since the 3rd grade. Why in the good goddamn should I have to go in EVERY month for a refill for a medication I've been taking for over 20 years.

It’s the same thing for me and Klonopin and my psychosis. The Klonopin is the only thing that stops my psychosis yet they only give me 20 tablets at a time and since I’m homeless and driving around it’s really hard for me to get a new doctor and a new prescription. I’ve been taking it as needed for over nine years and they still can’t get it through their thick heads that I’m not gonna abuse it.

i'm curious, are you homeless because of your psychosis?

Re: ADHD drug treatment and risk of negative events and outcomes

#120

Post by hinkley »

2c2c2c wrote: post #31

Curious if anyone has gone through the process of an adult adhd diagnosis at Kaiser SF. Through my attempts, I've been told they don't really do adult adhd diagnoses without documentation of issues as a kid. I was recommended Wellbutrin to deal with symptoms in 2017. Got onto adderall when I moved health insurance in 2021. Back to Kaiser in 2024, I was routed to the same psychiatrist who once again wouldn't budge on…

Try to talk your doctor into gaunfacine. It was an attempted BP medication that had stronger action on the prefrontal cortex, reducing rejection dysphoria (which exacerbates executive function issues). At the very least it might make it easier to confront your doctor about not prescribing stimulants. It's also compatible with Wellbutrin.

Downside is you have to absolutely avoid grapefruit unless you want to find out what bradycardia feels like.

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