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I was in the same situation as your daughter.
My name is Michael and I have been attempting to get the correct combination of meds for years. I am 15 and was diagnosed young with mild/moderate ADHD in addition to OCD and general anxiety disorder. The first med I tried was Strattera. For some it works very well, but it made me miserable. I got extremely depressed and panicky. I didn't feel like myself at all. Partially attributed to the OCD, but also from the Strattera, I would have to check my medicine container many times before I left the house and would always be scared that I took too much or not enough, and came home crying many days. I was miserable and wanted my old self back, and was sick of all the tears. I think we tried Concerta after that which worked well for the focus part, but did more harm then good, since it made me paranoid. At this point, I was very skeptical about trying new meds. My OCD got better through months of very difficult cognitive behavioral therapy (CBT). I was ready to try meds again. I started off with a low dose of the Daytrana Methylphenidate Transdermal patch by Shire Pharmaceuticals. I was amazed. For the first time ever, I could focus and not feel completely overwhelmed by my homework. Worked very well into and out of middle school, and now I am a freshman in highschool. Since the patches only go up to a certain amount of mg/hr (3.3 I think), we added a generic version of the name brand drug Ritalin, in the Methylphenidate family (at least I think it is generic). It is called Metadate CD, a long lasting release capsule. I have increased the dosage over time, now with the highest patch and two- 20mg metadates a day, one in morning and one after school or as needed. This works very well and I love how it helps, It's just a matter of applying myself to my studies and putting in the hard work it takes for any kid, plus some. It DOES reduce my appetite quite a bit and for awhile, I was very underweight. That also had to do with my germ-phobia and not eating anything unless it was sanitary. With some protein shakes, I was brought back up to weight and now am even a little bit husky, which is better than too skinny I guess. So overall, these medications work very well for me, but if they don't provide enough stimulants for me at the time (it always depends on what my focus level needs to be) I just drink a strong coffee or a Red Bull and am able to sit right back down to do my work. I love the feeling these medications give me in long car rides, because I am finally able to make it through an 8 hour ride without going insane. I have had no bad side effects from them except the temporary weight loss. So yes, the meds may affect her anxiety, but you will notice right away and be able to stop them immediately, because for most meds prescribed for ADD and ADHD, they do not build up in the body or have long half-lives. I am no longer overly anxious but I do notice a difference in anxiety levels on and off meds. I am much calmed on the meds and tend to be more anxious when I can't sit still or do my work. It is very stressful to have ADHD, so the meds actually make me less anxious since they help me so much. The one thing I will add is that I do find that sometimes, I don't feel like myself. I am usually very upbeat and humorous, but sometimes when I'm on the meds, I kind of lose that edge that I have and become hyper-focused and apathetic, but these periods only last for a short while. I hate that I lose a part of myself, but it is MORE than worth it based on the benefits. If you have any other questions, send me an email at mfuchs88@yahoo.com. Best of luck, Michael.
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