Although I'm not a child, and my youngest is 23 years old, Imust wonder about medication. I found myself being more aggressive on higher doses of medications, and on what I'm on now - including Concerta 54mg, Bupropion 300mg, L-tyrosine 1000mg/d, and Intuniv 3mg every day - I have hand and head/neck tremors, verbal tics (my constant humming drives my stepdaughter nuts) and neck muscle spasms. On a higher dose of Vyvanse (in the past), I lost it one afternoon with my secretary (who in retrospect has TERRIBLE UNDIAGNOSED ADD - and who was killing me with un-done assignments) and when my boss asked why, I realized it was not-me, and asked for a medicine switch shortly. (The secretary didn't get better, but my tolerance for him jumped up dramatically. Still I was glad he was let go.) Again, kids are different, but I wonder if lowering his stimulant dose and adding a nonstimulant (Intuniv/guanfacine or Strattera) or even herbal supplement would be worth a try. Likely he has a long journey ahead of him, and if a doctor runs out of options or wants to stick with a medicine regimen that's not working, it's time for a new doc. It has taken a LOT of medicines and dose changes to FINALLY have me optimistic about my future with ADD (the rest of my life). BTW, anger is a reaction/emotion, which can CERTAINLY be triggered by the way one thinks, especially perfectionistically. There is no room for error in PERFECTIONISM, so ERROR can EVOKE anger in a perfectionist. ANGRY people can have a poor tolerance for error, too. My question is: Is he ONLY angry when something should've been done PERFECTLY (his way) or is he angry otherwise (when you call him and he's busy, when you correct him or remind him, or during simple conversation)? Of course, then there's Aspergers - a probably-not-uncommon-comorbidity. In my niece with Asperger's, blatant emotional displays are common, but I don't really see anger being one of them. And my sister FREQUENTLY frustrates her with firm or flexible boundaries, but I don't see anger as her response. She's been bullied at school, too, but I don't hear anger as a response. My sister and bro-in-law refuse to medicate her, but her behavioral improvements have been DRAMATIC with CONSISTENCY alone. She is stubborn, determined, but NOT perfectionistic or angry. I'm also assuming oppositional-defiant disorder is not an issue.

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ADDDOC said: Although I'm not a child, and my youngest is 23 years old, Imust wonder about medication. I found myself being more aggressive on higher doses of medications, and on what I'm on now - including Concerta 54mg, Bupropion 300mg, L-tyrosine 1000mg/d, and Intuniv 3mg every day - I have hand and head/neck tremors, verbal tics (my constant humming drives my stepdaughter nuts) and neck muscle spasms. On a higher dose of Vyvanse (in the past), I lost it one afternoon with my secretary (who in retrospect has TERRIBLE UNDIAGNOSED ADD - and who was killing me with un-done assignments) and when my boss asked why, I realized it was not-me, and asked for a medicine switch shortly. (The secretary didn't get better, but my tolerance for him jumped up dramatically. Still I was glad he was let go.) Again, kids are different, but I wonder if lowering his stimulant dose and adding a nonstimulant (Intuniv/guanfacine or Strattera) or even herbal supplement would be worth a try. Likely he has a long journey ahead of him, and if a doctor runs out of options or wants to stick with a medicine regimen that's not working, it's time for a new doc. It has taken a LOT of medicines and dose changes to FINALLY have me optimistic about my future with ADD (the rest of my life). BTW, anger is a reaction/emotion, which can CERTAINLY be triggered by the way one thinks, especially perfectionistically. There is no room for error in PERFECTIONISM, so ERROR can EVOKE anger in a perfectionist. ANGRY people can have a poor tolerance for error, too. My question is: Is he ONLY angry when something should've been done PERFECTLY (his way) or is he angry otherwise (when you call him and he's busy, when you correct him or remind him, or during simple conversation)? Of course, then there's Aspergers - a probably-not-uncommon-comorbidity. In my niece with Asperger's, blatant emotional displays are common, but I don't really see anger being one of them. And my sister FREQUENTLY frustrates her with firm or flexible boundaries, but I don't see anger as her response. She's been bullied at school, too, but I don't hear anger as a response. My sister and bro-in-law refuse to medicate her, but her behavioral improvements have been DRAMATIC with CONSISTENCY alone. She is stubborn, determined, but NOT perfectionistic or angry. I'm also assuming oppositional-defiant disorder is not an issue.

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