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But it's hard to say if the side effects you are feeling are the result of stopping the Pristiq, which is an antidepressant. Some medications should not be stopped "cold turkey." They should be stopped in gradually decreasing dosages.
If your physician is no help in this regard, call your pharmacist and ask about withdrawal effects of Pristiq.
If your physician is not monitoring you closely and you feel he/she does not have answers for your questions, see if you can find another physician who is more knowledgeable and responsive. All physicians are not created equally.
Good luck,
Gina PeraView Thread

To address a few of your comments/questions:
1. Just because you have no physical hyperactivity does not mean you don't have ADHD. There are three sub-types to ADHD; hyperactive, inattentive, combined. Most adults with ADHD have the combined type, and the fewest have the hyperactive type. Adults typically are not physically hyperactive but can be "mentally" restless/hyperactive.
2. Physicians make a reckless error in telling patients to keep increasing the dose until they "feel" it is working. They should be working with you to establish treatment goals and objective measure. While sometimes you might "feel" you are thinking more clearly and be less "in the fog," you should be judging the medication by how you actually perform in life. That is, are you able to procrastinate less and work more efficiently? Solid treatment goals, not "feelings."
3. Not everyone responds to each class of medication. Adderall is an amphetamine medication. You might do better on the methylphenidate class (i.e. Concerta).
4. Remember that you might forget how you functioned prior to starting the medication. This happens all the time. People will ADHD will expect to feel the "new and exciting" all the time, when in fact that feeling lessens over time. Ask other people if they have noticed a difference in you since starting medication. Ask them to be specific.
Please read up more on ADHD medications.There is much more than can be provided in an answer here.
Good luck,
Gina PeraView Thread

Privacy laws prohibit healthcare providers from talking with family members or other about their patients. But there's nothing to prevent you from sending or faxing a letter to your sister's physician, detailing your concerns. This might motivate the physician to question your sister more closely about her behavior patterns. It will also let the physician know that someone is paying attention to his prescribing.
Good luck to you and your sister,
Gina PeraView Thread

Actually, you are quite correct in asking a question about dysgraphia in this forum on ADHD. The two are often quite connected.
But I'm not understanding your question. I assume you mean that you are typing long papers because you cannot hand-write them? Wouldn't hand-writing be even more laborious than typing?
As for the intense pain that can come from long hours of typing, this can happen to anyone. The reasons are many, including underdeveloped muscalature (that is, little upper-body-strengthening exercise), mental stress while writing that causes the body to be extra tense, failing to take breaks and move your arms about.
So, it would help if I knew exactly the nature of the problem. Including, have you been diagnosed with ADHD, have you tried medication for ADHD, etc.?
In general, re: dysgraphia. The medications for ADHD (stimulants) can often greatly help mitigate dysgraphia. Hand-eye coordination becomes easier, and the "connection" between thoughts in your head and movement in your hands to paper becomes more smooth and connected.
Perhaps you are saying that your dysgraphia affects even typing? That would make sense, though I haven't heard of that.
best,
Gina PeraView Thread

Well, then you have some "data" that a stimulant works well for you with the Prozac.
I have heard conjecture that Adderall and Prozac, however, work against each other. There is no published literature on this, just anecdotal. Still, you might want to keep that in mind.
Perhaps you could try another stimulant; Vyvanse is closer to Dex than Adderall is, so maybe that would be a better option for you.
BTW -- I assume you are also an Andres Torres fan? He's now with the Mets, but he was part of the World Series Giants team. AND, he is featured in a documentary tentatively called "Gigante," in which he talks about his lifelong struggles with undiagnosed ADHD -- and how diagnosis and treatment helped him turn the corner.
It's an extremely inspiring story, and I think all Giants fans but especially those with ADHD, will love it.
The producers will be screening portions of it and talking about their motivation in making the documentary at the CHADD conference in San Francisco this fall, Nov. 8-10, 2012. So, I encourage you to consider going to the conference, where you can learn a tremendous amount about ADHD at all levels.
http://www.CHADD.orgView Thread

I'm so sorry to be late in responding. I received no notification that a response was needed here.
I hope that by now you have an answer from the psychologist. The time from evaluation to diagnosis varies with each clinician. It's something they should explain at the onset, though. And if they don't, you should ask.
Remember, YOU are the customer here.

best,
Gina Pera, author
Is It You, Me, or Adult A.D.D.?View Thread

Unfortunately, yours is a scenario I hear about in abundance.
Marijuana is a bad idea for people with ADHD. It helps them to deal with the often-attendant anxiety (so they think it's great!) but it also further diminishes their working memory (but they don't care because they have less anxiety!).
Moreover, they can develop addictions. Never a good idea for brain function.
As far as convincing him to seek proper treatment, that is a complex issue. It starts with taking care of yourself and drawing boundaries, refusing to cover or compensate for him. Of course, this can often create more anger and alienation in the partner with untreated ADHD, and you have to be ready to deal with that.
There are more subtle ways of "getting through" a partner's denial about the effect untreated ADHD is having on his/her life and your relationship. You need to do just as you're doing -- finding your voice on this issue and seeking validation. Perhaps a support group would help you to firm your resolve.
Also, it's important to understand the nature of "denial" among some people with ADHD. It can be just not psychological but physiological -- that is, springing from the ADHD symptoms themselves. The more you understand this, the better you'll be able to find ways of reaching through.
If you can't find a support group near you, I encourage you to read the blog that I write for the non-profit devoted to ADHD: CHADD. http://www.YouMeADD.org
Good luck!
Gina Pera, author
Is It You, Me, or Adult A.D.D.?View Thread

Actually, there is more to taking medication than just taking medication.

It's extremely important that there be a method to the prescribing process. And sometimes physicians don't follow a method.
They will start a patient with their "favorite" medication (there should be no favorites; some individuals respond to one type better than another, and there is no way of knowing this at the front end).
Or, they will start at an "average" dose. Again, there are no averages. There are only individuals. And if you are started at too high a dose, you will never know if that is the correct medication for you.
So, I would really encourage you to focus on getting the medication right, right now, before working on other issues. That requires you to target your symptoms -- actually write a list -- so that you have something to measure against.
The entire process is too involved to repeat here, but I do include a few chapters on optimizing medication in my book.
Best of luck,
Gina Pera, author
Is It You, Me, or Adult A.D.D.?View Thread

I'm sorry to say I'm unfamiliar with phentermine. And, even thought I've read up on it now, I can't really comment.
But I can tell you that many people with untreated ADHD struggle with obesity. These are often the people who are considered "treatment failures" with traditional weight-loss programs. I write about an interesting study where these researchers identified such patients and administered ADHD medications. That resulted in weight loss AND treatment of ADHD symptoms. You can read about it here:
http://tinyurl.com/c55w4rh
I encourage you to look into ADHD and see if the description might fit, at least meriting an evaluation with a qualified professional.View Thread

Partially this can be due to the stress of living with untreated ADHD "fallout" -- being late all the time, being chewed out, fired, rejected, etc. But part of it is due to bad habits, too -- drinking too much coffee to stay away or ingesting marijuana to relax. Insomnia and other sleep disorders can contribute, too. As can co-existing conditions such as conduct disorder and bipolar disorder.
I wonder why he has never received treatment, despite being diagnosed many years ago. Was an effort made to educate him on what ADHD is -- and isn't? Are you, his mother, now aware of the same?
It is important, if you want to try to reach someone with "in denial" ADHD to truly understand their experience. If all they hear is criticism and admonishments to buckle down, etc. that can drive a wedge in the relationship and, more importantly, make you seem as just one more person who doesn't "get it."
It might help, too, if you learn about the physiological basis for "denial." It might truly be, as you suggest, that he doesn't see that he, as opposed to the rest of the world, is the problem. More specifically, his untreated psychiatric condition is the problem.
I'm not boasting when I say that my book (Is It You, Me, or Adult A.D.D.?) was the first consumer book on ADHD to explain in-depth the reasons for "denial" and how to help someone out of it. I am grateful to the international expert in this area, Xavier Amador, Ph.D, for helping me to write those chapters.
Best of luck,
GinaView Thread
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