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Executive functioning.....For Meri-Tuuli and Nick!

Posted by Tom Twilight on September 3, 2005, at 8:23:08

In reply to Re: executive functioning etc..... » Meri-Tuuli, posted by Nickengland on September 2, 2005, at 14:04:47

Hey Meri

Sorry about the delay, I'm really tired!
I'll do my best to respond to your questions, and Nick's Excellent post!

>I have a faint feeling that I have as much chance of being prescribed a stimulant here in the UK as landing on the moon. Sigh

> From what I've read on the boards and my persoanl experience with GP's and psychiatric medications, I am afriad to say I very much doubt one would prescribe a stimulant.

I'm afraid your both absolutely right!

Unfortunatly the vast majority of British Psychiatrists both NHS and private will not prescribe Stimulants for love nor money.
A few British psychiatrists will prescribe stims, but probably only if your classic ADHD, and your lucky, and possibly prepared to lie (you must say that you find stims sedating/calming)
As for GPs forget it, unless you've got a diagnosis from a psychiatrist

> Most NHS psychiatrists are pretty crap

Also, I'm afraid very true!

> I think Tom Twilight has been prescibed a stimulant before through a privite psychiatrist, hopefully if he see this post he'll be able to add more.

I'll do my best!
Nick's right, I did get a prescription for Dexedrine and an ADD diagnosis from a private UK psych.

He was a nice guy, although rather eccentric.
Unfortunatly he was forced to retire, partly because he prescribe stimulants and he also disagreed with most UK psychiatric practice and wasn't shy of saying so! (I miss him)
I went to see an NHS psychiatrist after him, who was absolutely terrible and deeply unpleasant,I'm still angry, but thats another story.

> If a stimulant is what you need, because at the end of the day that is what will relieve your symptoms, then I think you will definately be able to get one ~ you just have to push for it and look in the right places, but you will get one.

Amen Nick, that is an excellent sentiment! and true

Meri, I hope I haven't been to negative in this post, I'm trying to be realistic without crushing you
As Nick says if your determined you will get a stimulent prescribed, either in the UK or abroad.

Personally I would consider going to America, I know this sounds like a big step, but you could waste a lot of money on Private UK psychiatrists without getting what you want (I have done this).

I have heard of people who have traveld to the US to get stims, so it can be done.
Alternativly you could have luck with a UK doc, I just wouldn't count on it

Here is a short list of alternative medications for ADD/Executive functioning which aren't as tightly controlled as classic stims

1) Parnate-has been shown in a few clincical trials to help ADD, its occasionally prescribed in the UK
Parnate can be combined with Reboxetine, despite what some people think

2) Provigil-Can be bought easily if not cheaply over the internet, I didn't like it, but other people have success

3) Sellegiline-MAO B inhibitor, somewhat helpful for ADD

4) Donzepil-Acetylcholine Cholinesterase Inhibitor (phew), shown in clinical trials to help Executive function in ADD.
Not usually used alone to help ADD though

Take care Meri
If you have any questions don't hesitate to ask

(PS) Sorry if this post is a bit ropey
I've been suffering from nasty insomnia lately, which is effecting me


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poster:Tom Twilight thread:549779
URL: http://www.dr-bob.org/babble/20050901/msgs/550277.html