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ADHD drug treatment and risk of negative events and outcomes

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71–80 of 537 posts

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

#71
post #45

Earlier quoted context omitted.

Not quite? Here's the DSM-5 criteria: https://www.aafp.org/dam/AAFP/documents/patient_care/adhd_to...

[flagged]

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

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

#72
post #45

Earlier quoted context omitted.

Not quite? Here's the DSM-5 criteria: https://www.aafp.org/dam/AAFP/documents/patient_care/adhd_to...

[flagged]

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 a word every once in a while and that doesn't mean they are senile, yet we recognize senility exists past a threshold.

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

#73
post #45

Earlier quoted context omitted.

Not quite? Here's the DSM-5 criteria: https://www.aafp.org/dam/AAFP/documents/patient_care/adhd_to...

[flagged]

i'm confused as to why you think you're suddenly the arbiter of the lived experience of others? all of the questions you're asking are things that are easily found online, but something makes me think you're not after knowledge.

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

#74
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…

Too many psychiatrists do very little continuing education in their practice. I have heard more than a few try to asset that ADHD can only be diagnosed for children. As if a neurodevelopmental disorder just magically vanishes when you hit age of majority. It's pretty wild that despite it being a disorder that has been documented for hundreds of years, people still make the argument that people are just lying.

I saw a (alleged) medical student claim on reddit that its childhood-only just last year. So that indoctrination appears to be ongoing.

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

#75

Earlier quoted context omitted.

> It cant be abused for euphoria Depends on the drug, vyvanse can't really be, but focalin can.

[flagged]

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

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

#76
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…

This is exactly my experience. I got diagnosed as some variant of bipolar 9 years ago and put on a mood stabilizer, but the symptoms never really fit. I’m in general high functioning and got great grades up through postsecondary, didn’t start really having a problem until I started experiencing burnout after having kids during the pandemic. Got evaluated for ADHD, psychiatrist focused on childhood symptoms. Refused to prescribe anything for ADHD because ADHD meds can cause manic episode in bipolar patients, they put me on Wellbutrin instead. Wellbutrin (which affects different people very differently) caused me to have a crisis and spent a week in inpatient care at a non-Kaiser facility.

It was the best thing that has happened to me in years. Inpatient psychiatrist disagreed with the bipolar diagnosis and said that inpatient care was a safe space so we could try Adderall and a different antidepressant (Lexapro). On Adderall I feel calmer, less anxious, and if I’m tired it actually puts me to sleep, which is all in line with ADHD patients. I can focus at work again and have my life back.

I don’t feel like I’ve “lost” anything on Adderall, I would describe my experience with ADHD as having a buggy thread scheduler that would overallocate CPU time to background threads. On Adderall I feel like I have control again. I can still daydream, but all 5 trains of thought are not trying to enter the station at the same time.

I’ve had 3 different Kaiser psychiatrists and all have been sub-par, refusing to re-visit prior diagnoses, being aggressive and overly rigid in their own opinions, and sometimes just being plain incompetent. My recommendation is to seek mental health care from somewhere outside Kaiser that accepts Kaiser insurance. Kaiser’s mental health division is oversubscribed and probably underpaid. Overall our experience with Kaiser has been that no matter which division you’re dealing with, you have to be pushy and advocate for yourself or they’ll just slap the easy label on you and throw medications at the problem that may or may not actually address the root cause.

I’m very open about my experience because mental health issues are highly stigmatized in this country and there are a lot of people who don’t get the care they need. Accepting that I needed inpatient care was one of the most difficult things I’ve ever done, but coming out the other side it was nothing but a positive experience and I feel like I have my life back.

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

#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. It's a risk for them to prescribe a stimulant, but zero risk to tell you to eff off.

As many have said in this thread, most doctors will tell you to go away or give you Welbutrin (which works poorly, if at all). I feel for your struggle.

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

#78

Earlier quoted context omitted.

Too many psychiatrists do very little continuing education in their practice. I have heard more than a few try to asset that ADHD can only be diagnosed for children. As if a neurodevelopmental disorder just magically vanishes when you hit age of majority. It's pretty wild that despite it being a disorder that has been documented for hundreds of years, people still make the argument that people are just lying.

I saw a (alleged) medical student claim on reddit that its childhood-only just last year. So that indoctrination appears to be ongoing.

I think a lot of people see "developed coping strategies and learned to tell people what they want to hear" as "grew out of it".

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

#79
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 a nicotine patch

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

#80
post #45

Earlier quoted context omitted.

Not quite? Here's the DSM-5 criteria: https://www.aafp.org/dam/AAFP/documents/patient_care/adhd_to...

[flagged]

Are you really here trying to claim that ADHD is not a real developmental disorder? To a bunch of people who have lived all their lives with ADHD?

Yes, the symptoms of ADHD are mostly things that most people experience sometimes in their lives. The reason it's a disorder is because they occur commonly enough to affect our lives.

This is not that dissimilar from many other neurodivergencies and mental health issues: Many people feel anxious from time to time. Many people enjoy the rush of gambling from time to time. Most people do not have clinical anxiety or gambling addiction.

Next time you're tempted to come into a thread of people talking about a widely-recognized developmental disorder or mental health problem and drop your superior wisdom that actually, it's not real, and you're much more rational and intelligent than we all are, because you can recognize that the diagnostic criteria are "subjective," which is the same as saying they're meaningless, please consider turning off your computer and going outside instead.

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