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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by zonked on April 18, 2016, at 14:51:08
Meh. My ADHD and (I know it changes, but I would describe it as "dysthymia") is so bad I drank today. Shhh. I can't tell anyone except you guys, or I'll be kicked outta my house.
I know why it is. I need my Focalin back. It takes the final edge off the depression and anxiety, and what happens is that I switch to taking my Klonopin for rebound anxiety at night. I don't abuse sh*t when I am on this combo along with Nardil and Prazosin.
Okay, calm your intoxicated *SS down - I need to make clear that I need my Focalin to stay abstinent. SLS - you must have a very good, longstanding relationship with your provider. I am facing a new one due to having moved but shall produce records.
I just think the pressure, from society, not to take ADHD meds (and also from a recent doctor I spoke to, who IS NOT mine) is a bunch of b*llsh*t -- this doctor said "the evidence isn't good for Adults being on stimulants."
I think he's full of sh*t and that if I don't get my ADHD treated I may find myself in a ghetto seeking crystal meth.
Meh, bad mood, bad drug (ethyl alcohol)
-z
Posted by Tomatheus on April 18, 2016, at 18:19:20
In reply to SLS+others: help. drinking cuz meds aren't right, posted by zonked on April 18, 2016, at 14:51:08
Zonked,
Although I think that determining the efficacy, tolerability, and safety of various medications for different mental health conditions is something that absolutely must be done and that data on these measures should guide initial treatment decisions perhaps more than anything else, evidence on how responsive somebody else with a mental health condition that's the same as mine or similar to mine is to a particular treatment only means so much to me. I say this mostly because I've tried so many mental health treatments that are perhaps rightfully regarded as evidence based only to experience either no long-term improvement or a worsening of symptoms. Don't get me wrong, it's definitely better to have data that can give us some idea as to how helpful a treatment might be for us, but I'm just saying that the best evidence on how helpful a treatment is for a particular person is to see how that person -- and only that person -- is affected by the treatment in question. To me, it doesn't matter if a particular patient with a given mental health condition (let's say ADHD) is the only person with that condition who's responsive to that treatment. If a patient finds a particular treatment to be immensely helpful, that, at least to me, should be a lot more important than how effective the treatment is in a larger group of individuals who share the same diagnosis.
Basically what I'm saying is that it matters less to me whether the doctor that you spoke to recently was correct in what he said about the evidence associated with adult stimulant use than it does that Focalin seems to be an extremely beneficial part of your treatment regimen. It's quite unfortunate that one of the medications that you definitely seem to benefit from has so much stigma attached to its use, and I hope that the next treatment provider that you'll find yourself working with will be sufficiently receptive to your mental health needs.
In the meantime, I wish you all the luck possible with taking the best care of yourself that you possibly can, at least with all things being considered.
Tomatheus
This is the end of the thread.
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