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ADHD drug treatment and risk of negative events and outcomes

bmj.com

521–530 of 537 posts

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

#521

Earlier quoted context omitted.

> the DEA now takes potential abuse of legal drugs much more seriously and adderall (an amphetamine- it's a cousin of meth) is at a high risk of abuse. I know that I process Adderall differently having ADHD, but I still struggle to see how it's used recreationally. I took it somewhat consistently for over a year for ADHD treatment until I missed an appointment and couldn't get around to scheduling another before my p…

My doc says the best diagnostic for whether you have ADHD is to prescribe Adderall and see what happens. Those with ADHD react very, VERY differently to the drug than the rest of the population.

your doc is buying into a very pervasive myth, see e.g. https://journals.sagepub.com/doi/10.1177/070674370200601S07

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

#522

Earlier quoted context omitted.

Physical pain is subjective too. What isn't? It also appears all the qualifiers are removed, for example * Often appears not to be listening when spoken to * Frequently loses items required for tasks and activities * Is frequently easily distracted by extraneous stimuli * Often forgets daily activities * Is frequently reluctant to engage in tasks which require sustained attention and so on. Everyone forgets a name or…

and theres nothing subjective about a broken leg, no two doctors would disagree on a broken leg like they would disagree over mental health conditions. you meant to say physical "health" is subjective, ie what we class as "unhealthy".

No, I meant to say physical "pain", which is why we have subjective scales (1-10, faces) and one can't tell if someone's just faking it for drugs

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

#523

Earlier quoted context omitted.

Physical pain is subjective too. What isn't? It also appears all the qualifiers are removed, for example * Often appears not to be listening when spoken to * Frequently loses items required for tasks and activities * Is frequently easily distracted by extraneous stimuli * Often forgets daily activities * Is frequently reluctant to engage in tasks which require sustained attention and so on. Everyone forgets a name or…

but the threshold is vague and arbirtary.

As it is with the other examples. So if it can't be measured it doesn't exist? Is this the dead spirit of Robert McNamara?

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

#524

Earlier quoted context omitted.

Pain is entirely subjective and self reported, but we are still pretty sure it exists, and we have medical treatments for it.

Pain is a symptom not a disease Im not saying clumsiness, anxiety or forgetfulness dont exist either

Does fibromyalgia exist? Tension headaches? What about chronic fatigue or irritable bowel syndrome? How are they diagnosed?

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

#525

Earlier quoted context omitted.

but the threshold is vague and arbirtary.

As it is with the other examples. So if it can't be measured it doesn't exist? Is this the dead spirit of Robert McNamara?

>So if it can't be measured it doesn't exist? Nah. If its vague and arbitrary maybe it should be the basis of a medical condition

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

#526

Earlier quoted context omitted.

Pain is a symptom not a disease Im not saying clumsiness, anxiety or forgetfulness dont exist either

Does fibromyalgia exist? Tension headaches? What about chronic fatigue or irritable bowel syndrome? How are they diagnosed?

Whats that got to do with clumsiness and forgetfulness being a disease?

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

#527

Earlier quoted context omitted.

Pain is a symptom not a disease Im not saying clumsiness, anxiety or forgetfulness dont exist either

Does fibromyalgia exist? Tension headaches? What about chronic fatigue or irritable bowel syndrome? How are they diagnosed?

Pain is a symptom of all those diseases, which is why is said "Pain is a symptom not a disease"

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

#528

Earlier quoted context omitted.

[flagged]

you're doing a lot of imagining all over this thread. none of it is really based in any kind of objective reality.

im at home with a bunch of mental health larpers then

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

#529
post #42

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'm on methylphenidate and if it were addictive I wouldn't forget to take them...

but youve got ADHD and one of the symptoms is "i forget selective things", therefore you definitely could forget

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

#530

Earlier quoted context omitted.

[flagged]

Pain is entirely subjective and self reported, but we are still pretty sure it exists, and we have medical treatments for it.

And with ADHD youre saying im more clumsy than normal, but we cannot define normal and we cannot even define abnormal - its completely upto the patient to say if they think its abnormal - unless its a kid then its normally the parent making the claim
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