My Forum Comments
Why are you worried about being labeled a hypochondriac?
I have been following ADHD issues since I was diagnosed in the early 1990’s. This is the first time that I recall it being brought up.
I recommend the following:
– Activate the ScreenTime option or equivalent, review with child every week.
– Chargers in parents room with a strict time to have them in the room.
– Check out the website smartsocial.com for internet safety tips with children.November 11, 2020 at 10:25 am in reply to: Newly diagnosed, prescribed wellbutrin but not depressed? #187377
This is a very popular and useful prescription for the anxiety/ADHD combo.
I often see it for students that had their anxiety increase with stimulants.
I don’t understand where the belief that you need to be depressed comes from.
What does your evening look like, and are ALL the electronics on chargers in the parent’s bedroom one hour before bedtime?
At our school, kids that don’t tolerate masks are doing better with the face shields.
Adults have to wear both on campus, so we have them in stock.
My favorite quote about medication is from Ned Hallowell’s podcast.
“Waiting to try meds for ADHD is like telling someone with bad eyesight to squint harder for a year before trying glasses.”October 30, 2020 at 12:30 pm in reply to: Switching from stimulant to non-stimulant, anxiety question #187036
I don’t have first-hand experience, but I have had students that have dealt with the ADHD combo… It really is trial and error.
The general consensus is that stimulants work for 80% of the population per Dr. Ned Hallowell’s podcast.
However, this is based on ADHD alone.
The other consensus is that non-stimulants work, but not as potently as the stimulants.
Hoewever, this is not a bad thing if you don’t respond to stimulants or the side-effects are too much.
Unfortunately, stimulants can potentially not work, or even make worse, anxiety and panic symptoms (especially if you get triggered by elevated pulse, palpitations, etc.)
In fact, I use a strong negative reaction to stimulants as a reminder that I should make sure that I have ruled out the anxiety that looks like ADHD.
When you have both, you need to experiment with your medical provider on your personal balance of managing your therapeutic benefit of the medications with the side-effects/negatives. Unfortunately, there is not magic formula, everybody is unique.
Retention is a very loaded topic with a lot of emotion.
Some things to consider.
1. The research base is very negative on retention, but the data set is generally huge population sets of people who do it right and wrong. Generally speaking, the data is skewed by states and districts that blindly retain off of a test where students haven’t met a cut-off score – which is exactly the wrong way to do it.
2. Retention is not really an intervention unless done in 1st grade when a student receives two years of direct instruction of basic phonics and math skill development. This is challenge in grades 3-5 where the students are transitioning from Learning to Read to Reading to Learn. An extra year will not equal more direct instruction in those missing skills because it is unlikely that they are being explicitly taught anymore. And of course, distance learning and COVID has complicated anything related to the last year.
3. When I have seen retention done correctly in grades other than 1st, the student is receiving excellent interventions and is improving, but they cannot close the head start that their classmates have on them to catch up. If the student is not receiving those interventions and improving at the same rate as their classmates, retention only delays addressing the problem another year – which does more harm than good.October 30, 2020 at 12:30 pm in reply to: 26yo reading psych eval from 15 – feeling hopeless #186900
This is my favorite comment that I have read in a while.
Great job seeing the strengths in the post and pointing them out!October 30, 2020 at 12:30 pm in reply to: took Adderall for 10 years, but new doctor won’t prescribe #186897
Also, for clarification, the DSM requires that you have symptoms of ADHD before the age of 7, not that you have a formal diagnosis.
This is a big deal for older folks like me who were 7 in the 1970’s, when folks had little knowledge of ADHD.
It is a stimulant, so cardiovascular issues such as BP and pulse increase are possible side-effects.
In addition, both therapeutic response and side-effects can be very individualized, so this is an important conversation to have with your medical provider about your individualized response.
I am generally against Dr. Google beyond general education, but, in this case, I even more strongly urge you to discuss with medical provider ASAP.
I have done two self-studies where I compared similar day’s work on meds and another off. I have done this twice, once in college (’90’s) and once in the 2010’s at work.
I consistently came in 6 times more productive on meds than off.
I must also state that my first MD was very systematic in his approach.
Instead of guessing a good initial dose for me, we started in 5mg of methylphenidate and slowly increased.
I kept a daily log of my blood pressure, good things, and side-effects.
We did three weeks at 5mg, 3 weeks at 10mg, 3 weeks at 15mg, started 3 weeks at 20mg – had side-effects – I called the office and 15mg became my prescribed dose at the time. The technical term for this is “titrating.”
I love that my MD did it this way.
The stimulants are banned under NCAA rules, but I believe there is a Therapeutic Use Exemption process for them.
However, for practical purposes, most therapeutic doses for ADHD are lower than what I hear athletes take for performance enhancement purposes.
(For reference, in addition to being an educational psychologist, I have a side gigs on amateur sports commissions (U.S. Fight League and the CA Amateur MMA Organization). I have an awareness of what PEDs professional and amateur athletes take as a result.))October 27, 2020 at 3:36 pm in reply to: took Adderall for 10 years, but new doctor won’t prescribe #186766
I am curious about two things.
#1 – If you don’t have ADHD, why prescribe Strattera?
#2 – What diagnostics did the new provider do? Is there a report, or is this a clinical impression after an office visit?