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Testing
It is not that caffeine does not work, it just does not work conclusively.
Folks with undiagnosed ADHD are 6 times more likely to self-medicate with Cocaine.
So I do not find that argument compelling.
Medical doctors are more comfortable with reverse engineering diagnosis based off of response to medication than I am... especially ADHD because of the overlap with other disorders.
I have an issue with not doing enough prep before saying, "Let's give this a try and hope it does not trigger a manic episode (or panic attack, or high-blood pressure, etc.)
I have seen diagnosis and treatment of hyperthyroidism delayed one year because of this.
This is different than a self-test for Lactose Intolerance (Go 2 weeks without any dairy and see if you feel better, then eat a half-gallon of ice cream. You will be pretty close to anything a doctor will be able to tell you.) Although uncomfortable, the risk-benefit equation is more favorable.
Medicating ADHD is a very individualized response.
In the perfect world, a medication gives a therapeutic benefit at a very low dose while side-effects do not kick-in until a much higher dose.
For many people, normal doses of caffeine do not provide a therapeutic benefit... the amount needs to be much higher.
Therefore, no response to caffeine is inconclusive.
In that case, the higher doses - for some - side-effects come into the equation especially in how you ingest the caffeine.
Furthermore, the perception of attentiveness or productivity may (or may not be) merely perception.
Therefore, feeling like it works may be inconclusive.
http://askdreric-schoolpsychologist.blogspot.com/
In summary, someone may have ADHD == =or it may be something else instead, or in addition to.
If caffeine does not work, it may mean you do not have ADHD... but you cannot conclusively say.
If caffeine works, well then you may have ADHD, in which case you may only need caffeine. Again, you cannot conclusively say, and no one is helping you monitor side-effects or potential negative reactions.
Of course, you may also have a more serious comorbid condition that will go undiagnosed.
If you have a doctor that prefers trial-and-error of medications, you may get quicker and cheaper results if you both are right.
If not, there may be serious.. albeit rare... medical repercussions.
So I see a minimal benefit, but a lot of serious potential negative consequences.
That is not a risk that I would personally take with myself or my children.
Quote: scrapeuse said:
The caffeine advice is actually sound no matter what Dr. Eric says. The overwhelming majority of adults with ADD self medicate with coffee or a caffeinated soda, until they get diagnosed. People who cannot do drugs to handle their ADD symptoms often have another handicap. For instance, someone who is bipolar cannot do stimulant drugs because they become manic.
While the caffeine idea is NOT a full proof test, it can (notice I said can) be a simple way to check out possible ADD before making an expensive Dr.'s appointment.
BTW Dr. Eric, my psychiatrist says the caffeine test is a good simple check...
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