Posted by bleauberry on July 23, 2012, at 17:17:44
In reply to Regular doc thinks ADHD..., posted by sheilac on July 23, 2012, at 15:24:32
I don't see anything wrong with that plan, I think it looks good. But....it is the manner in which it is executed that will play a big role in success or failure. For example, you are right, you can't just stop lithium. You'll have to take everything in calculated steps, maybe lithium is weaned off first, weaned lower, kept the same for now, or whatever. If anxiety is an issue, ssri's can be very good for that but they also frequently make it worse in the first few days sometimes few weeks. What I'm trying to say is, shooting for 100mg is way too aggressive. Should start at 25mg and gently increase after stabilizing at each new dose. You might find for example that 50mg felt ok but 100mg was problematic. Or maybe vica versa. If you haven't tried ritalin, try it instead of adderall to see if it feels better.
I happen to think depression and ADHD share a lot in common. My doc has been telling me for years I have ADHD (because I respond well to ritalin) even though it looks like depression and I really don't have any attention problems. No matter, the names mean nothing, just a way for us to attempt some sort of organization to a bunch of different symptom clusters, all of which overlap and make the whole thing cloudy. No black and white.
Theo only thing I can say is to change any doses in small amounts and give plenty of time to stabilize at that dose before doing anything else.
poster:bleauberry
thread:1021999
URL: http://www.dr-bob.org/babble/20120718/msgs/1022003.html