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I had attempted several different medications til only one had a noticeable effect for me. After going through a series of dose increases I personal abandoned medication. The last increase of the stimulant was concerning enough for my doctor to prescribe a heart medication.
This lead me to a cognitive therapist who taught me a few exercises to help me retrain my brain based on my current concerns. They have helped tremendously in gaining some control. I’m sure if I returned I would learn a few new tricks to help concur my recent concerns. I have yet to have insurance that will cover any part of a visit to a neuropsychologist though I still plan a visit when my pocket allows.
One other tactic that has helped with many of the minor hurdles for me is routines. I will say as with my own impulsivity it was very difficult to begin. With determination most of my routines took nearly a year to instill as solid habits. Habit overrides impulsivity every time for me.