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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 23 of 23. This is the beginning of the thread.
Posted by bookgurl99 on December 15, 2002, at 4:49:12
Ok, so I've ignored my ADD dx for about 6 months, but now I'm noticing that it's _really_ getting in the way of my functioning. (Maybe I'm just tired of being 27 and _still_ having a messy room, and _still_ having trouble finishing my homework.) I'm thinking of asking my doc if I could try a trial.
My question is, I'm worried that a psychostim, by affecting my dopamine metabolism, will 'blunt' my long-term enjoyment of things. Has anyone noticed dulled feeling, decreased mental functioning, or anything similar to this from using a psychostim? I'm also concerned about an overall decrease in creativity.
What have your experiences been with these types of medications?
I'm also trying to change my diet to a higher protein, lower carb (lower refined carb) one, and eliminate allergens to help myself out.
AAUGH! This is so frustrating and scary.
bookgurl99
Posted by viridis on December 15, 2002, at 23:28:36
In reply to AUGH! ADD! Fears/questions on psychostims., posted by bookgurl99 on December 15, 2002, at 4:49:12
I'm much happier and more focused since I started a low dose of Adderall a year or so ago (I was already taking Klonopin for anxiety, but Adderall was added for ADD). I find it a very positive drug with strong antidepressant properties, and I can easily go without it if I choose to. Rather than blunting my experience of life, Adderall makes me feel sharper and more enthusiastic.
Posted by oracle on December 16, 2002, at 0:09:13
In reply to AUGH! ADD! Fears/questions on psychostims., posted by bookgurl99 on December 15, 2002, at 4:49:12
Has anyone noticed dulled feeling, decreased mental functioning, or anything similar to this from using a psychostim? I'm also concerned about an overall decrease in creativity.
Quite the opposite.
Posted by bookgurl99 on December 16, 2002, at 0:21:42
In reply to AUGH! ADD! Fears/questions on psychostims., posted by bookgurl99 on December 15, 2002, at 4:49:12
Because I just moved from one hospital system to another, do I need to have an old record forwarded saying that I've had neuropsych testing that indicates I may have ADD; or do I just describe my symptoms? I know 'speed' is controlled, so I'm wondering what it takes to try it.
I'm still scared of the addictive potential, however. :(
Posted by viridis on December 16, 2002, at 3:04:49
In reply to Re: How do I bring this up to my doc?, posted by bookgurl99 on December 16, 2002, at 0:21:42
I'm not sure how your medical system works, but as long as you have a reasonable doctor, I'd simply bring up the issue and volunteer to have your records forwarded if necessary. A good doctor/psychiatrist won't be afraid to try pstims if they're justified.
I got on Adderall as follows: during an episode of severe anxiety/depression, I saw a therapist who quickly concluded that I needed better med treatment (I was taking Prozac at the time, which was awful for me). She also suggested that I might have ADD. She referred me to a cognitive therapist who deals mainly with children. After a few sessions, detailed questioning re: history etc., and examination of brain wave patterns, he said I clearly fit within the ADD spectrum and urged me to find a doctor who would prescribe pstims. He offered to help and write a letter if necessary. I resisted (didn't want to take "speed").
A couple of years later, after many more rounds of intolerable anxiety and depression and bad reactions to ADs, I started to see a very good psychiatrist. First he got the anxiety under control with benzos (he also retried SSRIs, which was disastrous -- these are now off the list for me). Then he suggested that I really seemed to fit the ADD profile and asked if I'd consider pstims. I told him about my previous diagnoses, did a detailed questionaire, answered many questions about childhood experiences etc., and he then reiterated the suggestion more emphatically. I agreed to try Provigil, which was OK but didn't really do the trick. So, I moved to Adderall, and it's been great. I take a very small dose (5-10 mg/day) and have no trouble skipping doses when I feel like it. I certainly don't seem to be dependent on it, nor have I needed to increase the amount so far.
I'm not sure how it would work for you, but I'd just discuss it with your doctor and see what he/she thinks. Again, a knowledgeable doctor shouldn't have a problem with pstims if they're warranted and you're not likely to abuse them. You might find them very helpful, and it's certainly worth a try. These drugs sometimes get a bad rap because a few people use them recreationally and run into problems, but if they correct a chemical imbalance and help you function better, then you shouldn't be afraid of them.
Posted by bookgurl99 on December 16, 2002, at 3:19:56
In reply to Re: How do I bring this up to my doc?, posted by viridis on December 16, 2002, at 3:04:49
Thanks for the info.
I'm not sure if I understand how pstims work. Do you take them when you need a short-term burst of concentration? Or do you take them sort of preventively 'in case' you need help concentrating?
###
I guess I'm really scared to consider that I could have ADD. It's hard to accept, because I actually did really well in school until I reached mid-college. Neuropsych testing showed that I am quite gifted in a lot of areas, but my short-term memory is horrid. I think being naturally smart, and having a strong identity connected to that, makes it hard to identify as ADD.
But, then, I realize, hey, most people don't need to draw while the professor is lecturing. Most people can sit at the computer and do a half-hour assignment in half-an hour (instead of 2-1/2 hours of web surfing plus 1/2-hour of work.). On top of that, I'm 'creative' and naturally disorganized.
My partner was just looking at the ADD checklist for me at "Healing ADD". She laughed out loud at the symptoms that she recognizes me as having. I feel weird that I got this far in life without noticing.
Posted by mattdds on December 16, 2002, at 9:38:47
In reply to Re: How do I bring this up to my doc?, posted by viridis on December 16, 2002, at 3:04:49
Hi Viridis,
You mentioned "neuropsychiatric" testing for ADD. This was interesting to me - I had never heard of anything like that. What do these tests consist of? Is it just a battery of questions? I would like to take one of these tests.
I wondered for a long time if I have some of the symptoms of ADD. I have taken the questionairre-type tests, and I test negative. For example, my attention span is excellent (unless I'm very anxious or depressed), and I am the polar opposite of impulsive. But I do lose or misplace things quite often (usually I'm thinking about something else that's "much more important" when setting something down), and feel like the entropy of living sets in easily for me. For example, I am really streaky about keeping things tidy. I also got a lot of "not living up to potential" feedback on childhood report cards. My second grade teacher even had me take an IQ test, which turned out quite high. But I did not achieve that much in school. However, as an adult now, I am in dental school and am in the top 20%.
So I'm wondering if one of these "neuropsych" tests might be more sensitive / accurate? Maybe a lot of my anxiety is from undiagnosed ADD? Or maybe I get ADD-like symptoms from anxiety.
I sure do like the feeling of pstims. I never had a prescription, but I bummed a few off a friend with ADD while in undergrad. It made me feel like I could tune out all the peripheral noise and really study. I also felt like I could sit very still. But don't they do this to even non-ADD'ers?
Well, this post itself is starting to sound ADD!
Thanks,
Matt
Posted by Saragram on December 16, 2002, at 11:39:25
In reply to Re: Thanks for the info » viridis, posted by bookgurl99 on December 16, 2002, at 3:19:56
Don't think 27 is late to be diagnosed with ADD. I am 58 and seeing a therapist for depression and anxiety. I'm taking Lexapro 10 mg/day and occasional xanax to sleep. I've thought for years I might have ADD and asked the therapist to screen me and she says yes, my answers really correlate.
I had the typical "Sara could do so much more if she'd just apply herself" all through school. I eventually got a master's degree in journalism but changed colleges twice, dropped out, married and had 3 kids, then went back, took lots of "incompletes" when I couldn't finish class assignments by the due date, and was 34 when I got my BA, 42 when I got my MA.
I worked for 10 years as a publications editor at a college and 10 years as a marketing coordinator for a consulting engineering company but ALWAYS was stressing out about deadlines, forgetting details, and feeling overwhelmed and like an imposter.
I got laid off in 1998 and took a job with an ice cream company, and after changing job titles several times settled into a research/marketing position that involves a LOT of variety and few deadlines. I websurf to research for the company (and for me) and usually have a spreadsheet program, word processing program, and one or two graphics programs going at once, shifting back and forth between projects. I can hyperfocus and cut and paste addresses and telephone numbers for a mailing list all day without getting bored, because I can shift tasks for a break whenever I need to. I don't like TV but often read a novel for 5 hours straight.
My room is STILL a mess! (So is the whole house, and my desk at work), and I have suffered endless shame about it, especially since I have a neat-freak son and daughter-in-law who seem to do everything effortlessly.
I'm going to give Ritalin or Adderal a try in January and will post as to how I do.
Posted by viridis on December 16, 2002, at 12:14:34
In reply to Re: Thanks for the info » viridis, posted by bookgurl99 on December 16, 2002, at 3:19:56
I just take 5 mg of Adderall in the AM (along with 1 mg Klonopin) and it helps make me feel calm and collected. Often I'll take another 2.5-5.0 mg in the afternoon, especially if I really have to focus on something and not get distracted (distraction is a major problem for me).
There's no real burst of energy (one of the "hallmarks" of ADD is that stimulants have a calming effect, in contrast to what the average person would experience). I also suffer from anxiety, and activating antidepressants (plus caffeine) make me feel wired and nervous. Adderall doesn't have this effect, nor did Provigil.
I think the fact that I can focus better on what needs to be done is a major anxiety-reliever in itself. I've never noticed any "crash" with Adderall (although some others here have reported this); its effects last a few hours and then gradually fade away. I can also take it in the evening and it seems to have no effect on sleep. All around, it's a very good med for me and, as I mentioned before, definitely has antidepressant properties, which is an added bonus.
Posted by cybercafe on December 16, 2002, at 12:22:45
In reply to Re: Thanks for the info » bookgurl99, posted by viridis on December 16, 2002, at 12:14:34
i just got diagnosed ADD after spending 6 years being unsuccessfully
treated for depressionhave been on ritalin sr 20 mg for 2 weeks and i don't feel that much better
i'm wondering if meds ever make you totally normal (i.e. will i be able to work a techie job)
or if you have to adjust your lifestyle and find work with more variety/interaction with people/excitement or something
Posted by viridis on December 16, 2002, at 13:18:16
In reply to Neuropsych testing for ADD? » viridis, posted by mattdds on December 16, 2002, at 9:38:47
Hi Matt,
I'm not sure how mainstream the brainwave evaluations that my therapist did are. The way we arrived at this was that he started with a cognitive-behavioral approach in which we focused on anxiety- and depression-provoking situations and behaviors. He was a big proponent of biofeedback, so we tried the standard kind, in which skin electrical conductivity is measured. The idea is that if you can learn to sense changes that will lead to or result from negative thinking, you can alter this, and one way to learn to do so is to be aware of subtle physical changes (which can manifest themselves in terms of skin conductivity).
This didn't work, because I just didn't show the range of variation in conductivity that's necessary. So, he suggested an approach (which he termed experimental) in which electrodes are hooked up to your head and an image of brainwave patterns is generated. The idea here is that if you can "see" how your brain is working, you can learn to alter its activity in a positive way. This turned out to be quite interesting, but (at least in a few sessions) I didn't have much success in controlling the brainwaves. However, the therapist did comment several times that my brainwave patterns are unusual, and very similar to those he sees in children with ADD.
This led to a battery of questionaires and detailed inquiries about my history in school etc. He finally told me that "psychologically" I seemed fine, but that I almost certainly had some form of ADD. At this point he advocated treatment with stimulants, which he wasn't licensed to prescribe, and urged me to find someone who could.
I'm not sure how scientific all of this was (and he freely admitted that his approach was considered unconventional by many). I'm not even sure whether this constituted an "official" diagnosis of ADD. But, a couple of years later, when I started seeing a psychiatrist, he quickly picked up on the ADD thing (or "attentional problems", as he calls it). He was very interested in what I just described, questioned me in detail about my childhood etc. The answers I gave were very honest -- erratic performance in school, ranging from poor to excellent (depending mainly on what interested me at a given time); numerous reports from teachers etc. of me not living up to my potential (but praise from others); severe difficulty with concentration sometimes, but intense, almost obsessive focus at others; frustration over endless unfinished projects (but others completed very succesfully); unable to sit still, frequently misplacing things, always trying to do two or more things at once, and so on.
He concluded that I fit the "official" criteria for ADD (although my impression is that he sees "ADD" as a spectrum of conditions, not just one specific disorder). That's when he started me on pstims, and they help a lot. He seems very happy with my response, and was especially pleased when I commented on the antidepressant effects of Adderall (major depression has been a recurring problem for me, but I haven't been able to tolerate any of the standard ADs I've tried).
You sound a lot like me. I have managed to get a PhD and am pretty successful in research, yet I've wanted to quit many times because I just can't keep track of everything, get very anxious as a result (including clusters of panic attacks), and have episodes of severe depression. The meds haven't fixed everything, but I sure feel a lot better. I'm still trying to dig my way out of years of disorganization, and I'm not exactly super-organized now, but at least I seem to be able to deal with everything more rationally and prioritize more effectively. I really wish I'd gotten appropriate treatment earlier, but at least I'm starting to get it together.
I think that pstims affect different people in different ways. When I was a teenager, some of my friends used amphetamines recreationally, and it certainly didn't make them calm -- they used them to party. I don't respond this way, and can't imagine using "speed" to get high. It just doesn't affect me that way. So, I suspect there is a real difference in the way ADDers respond to stimulants. This certainly seems to be the case for ADD/ADHD kids who are given stimulants and become calmer as a result.
Posted by mattdds on December 16, 2002, at 21:22:25
In reply to Re: Neuropsych testing for ADD? » mattdds, posted by viridis on December 16, 2002, at 13:18:16
Viridis,
Cool information, thanks for responding. Do you, by chance, live in New York City? There is a place I got treated at (briefly) that was really enthusiastic about that neurofeedback or brainwave type of stuff. The place you described sounded just like that place.
You mentioned that you tried CBT, and that interested me. How did that work for you? CBT was, and continues to be one of my mainstays of treatment. I bet a lot of the behavioral techniques could be quite helpful for the procrastination and task-orientation problems that so often accompany ADD. Whatever their origin, I experience ADD symptoms to a much greater degree when depressed or anxious, and CBT seems to help alleviate this.
Did you ever suspect that you had ADD prior to your therapist suggesting it?
True, seems like we do have very similar symptom patterns, as well as life histories.
Take care,
Matt
Posted by bookgurl99 on December 16, 2002, at 23:16:51
In reply to Neuropsych testing for ADD? » viridis, posted by mattdds on December 16, 2002, at 9:38:47
Matt,
I went through neuropsych testing that was basically 4 hours of testing some basic skills (i.e., visual processing, pattern-seeking, etc.) and recall skills. This was an expensive way to find out why I can't find my keys. But it was kind of fun to see how I compare to the general public, especially to note my few 'genius level' skills.
I did it because I was having neurological symptoms that turned out to be caused by a migraine disorder. It was a really expensive way to discover the problem. I think a lot of people dx add based on symptoms and response to treatment.
bookgurl
Posted by Ritch on December 17, 2002, at 8:05:17
In reply to Re: Neuropsych testing for ADD? » mattdds, posted by bookgurl99 on December 16, 2002, at 23:16:51
> Matt,
>
> I went through neuropsych testing that was basically 4 hours of testing some basic skills (i.e., visual processing, pattern-seeking, etc.) and recall skills. This was an expensive way to find out why I can't find my keys. But it was kind of fun to see how I compare to the general public, especially to note my few 'genius level' skills.
>
> I did it because I was having neurological symptoms that turned out to be caused by a migraine disorder. It was a really expensive way to discover the problem. I think a lot of people dx add based on symptoms and response to treatment.
>
> bookgurl
bookgurl, Are you still taking verapamil? Just wondering how it was helping you, if any.--Mitch
Posted by bookgurl99 on December 17, 2002, at 9:37:30
In reply to Re: Neuropsych testing for ADD? » bookgurl99, posted by Ritch on December 17, 2002, at 8:05:17
> bookgurl, Are you still taking verapamil? Just wondering how it was helping you, if any.--Mitch
>Mitch,
Hi. Yes the verapamil does help me a lot for the migraine disorder. Sometimes they happen anyways, but more like 2 or 3 times a month instead of several times a week.
I notice that the mood-stabilizing characteristics (which I wasn't taking it for, but experienced nonetheless) of it seem to have worn off. This could be that I'm taking a lower dose than is prescribed for mood stabilization.
:D
Posted by Ritch on December 17, 2002, at 12:45:53
In reply to Re: verapamil, posted by bookgurl99 on December 17, 2002, at 9:37:30
Posted by Thygrrr on December 17, 2002, at 16:24:16
In reply to Re: AUGH! ADD! Fears/questions on psychostims., posted by viridis on December 15, 2002, at 23:28:36
Dumb question:
Adderall is, if I understand correctly, 'Speed', just like Ritalin, etc.
Here in Germany, that means you will test positive on the police's amphetamine tests - on the bottom line, you may not drive a car anymore.
Isn't that also the case in the far more drug-aware USA? (e.g. marijuana is mostly legal in Germany as opposed to America)
Posted by Ritch on December 17, 2002, at 21:38:00
In reply to Re: AUGH! ADD! Fears/questions on psychostims. » viridis, posted by Thygrrr on December 17, 2002, at 16:24:16
> Dumb question:
>
> Adderall is, if I understand correctly, 'Speed', just like Ritalin, etc.
>
> Here in Germany, that means you will test positive on the police's amphetamine tests - on the bottom line, you may not drive a car anymore.
>
> Isn't that also the case in the far more drug-aware USA? (e.g. marijuana is mostly legal in Germany as opposed to America)If you have a legal prescription for an amphetamine here you can't be prosecuted. Even positive urine tests associated with employment are OK if you are under a doctor's treatment and supervision and have a legal prescription for the controlled substance being tested. Is it illegal in Germany for a doctor to prescribe an amphetamine (i.e.), for ADD? Does the diagnosis of ADD even exist there? Just curious. Conversely, would testing positive for marijuana be cause for a traffic offense or dismissal from employment in Germany?
Posted by HannahBeGood on December 18, 2002, at 1:12:07
In reply to jobs for ADDers, posted by cybercafe on December 16, 2002, at 12:22:45
For me, ritilan (sp?) was a total bummer, even at max dose, I had to go to bed and nap 2 hrs. just to get rid of the Jagged anxiety it caused me. Its effect wd. last about 45 minutes, I felt nothing positive, no focus or motivation or clarity-Just completely uncomfortable for an hour and then exhausted and HAD to sleep.
But, 2 yrs. later a real p-doc let me try Adderall, which was a vast improvement, but still thought we could fine-tune. I now take 30-45 mgs. of dexedrine spansules, and have Dexstrostat 5mg.(immediate release) to augment with when necessary. I usually end up taking a 40-60mg. combo daily, and I take a break every couple of weeks to just relax...and veg. On those days I may take anywhere from 15mgs. to nothing, just so my muscles and brain can totally relax and I don't wear myself out. I have fibro and chronic myofascial pain in neck, shoulders and head along w/a herniated cervical disc. So, deep sleep is important. But I can nap with 60 mgs. of dex in me, or NOT, the choice is mine. And I suffer no insomnia whatsoever.I also have clonazepam, darvocette, soma and propanolol on my med roster & have recently added Lexapro. I do not need the darv. and soma every day, but clonaz and propanolol are a great combo for severe anxiety (which I had long before adding p-stims to my meds).
Point of message: Try all the different p-stims before you decide they are not right for you.I was not dx'd ADD til I was 45 yrs. old. Keeping my pain under control has certainly helped my life-long (since late teens) depression and anxiety, but with hypersomnia + ADD, I simply cannot function even halfway normally without the p-stims.
I know my dose is high,but I have a high tolerance to many drugs and my pain and anxiety meds relax me a bit (they have to, since muscle tension/spasm is my worst pain prob) and I do not get the jagged jitters with the high dose of dex. It calms me somewhat, b/c it allows me to function much better (tho I am not yet fully recovered from my dep.) and I am interested in things again. Before Adderall, i was in the grips of a major depression and had lost all interest in life or the future.That was Sept 2001. I have taken dozens of A-D's, but none helped with fatigue or motivation. For some patients, p-stims are the best antidepressant available.
Take care.
Posted by bookgurl99 on December 18, 2002, at 2:12:40
In reply to Re: Thanks for the info, posted by Saragram on December 16, 2002, at 11:39:25
Saragram,
thx for sharing.I guess my big fear in myself is that, even after the neurospych testing, that ADD is just an excuse for being lazy and undisciplined. I mean, I've had MONTHS to complete 2 classes that were left unfinished when I was ill, and I sit down to the computer and just can't make myself do the work. I don't know what it is.
I'm also so frustrated of being diagnosed and labeled. After being treated for several medical conditions, I'm wary of how docs see what they want to see. Is ADD just a simple explanation?
bookie
Posted by Christina on December 18, 2002, at 8:12:04
In reply to AUGH! ADD! Fears/questions on psychostims., posted by bookgurl99 on December 15, 2002, at 4:49:12
Hi.
I think the diet changes are first step in the right direction. Reducing refined carbs will certainly help your energy level.I take Adderall XR 30/mgs, and I find that while it's working, I am mentally energized, focused and my creativity is enhanced (I'm a freelance writer by trade).
But when it wears off, I'm noticed a marked decrease in focus and creativity. In fact, I have trouble speaking in a professional and coherent manner.
I don't think it's an effect of the stims, per se, but just a true indicator that Adderall helps my ADD.
Posted by viridis on December 18, 2002, at 13:49:33
In reply to Re: Neuropsych testing for ADD? » viridis, posted by mattdds on December 16, 2002, at 21:22:25
Hi Matt,
I'm not in NYC, but I can imagine that these "alternative" approaches would be especially popular there. I did CBT for a while, and like the various kinds of therapy I've had, it was helpful to a limited extent. I've found that with therapy, each time I discover a few things about myself, gain a few insights, and learn ways of modifying my behavior. Then it just seems like I'm spinning my wheels and the therapist eventually says I need a better medication regimen.
I definitely do best with meds, generally at low doses. Now that I'm on a good drug combo and have a psychiatrist whom I trust and can talk with freely and openly, I don't feel the need for therapy, although there is considerable evidence that for many, a combination of meds and therapy is the best approach.
I resisted the ADD diagnosis at first and frankly, was skeptical that this was a "real" disorder. But now I'm quite convinced that's it's a genuine syndrome although (as I infer my psychiatrist thinks too) it probably encompasses a spectrum of brain disorders that have similar and/or overlapping symptoms. In any case, I'm a real convert to pstims and find Adderall very helpful for concentration, focus, and enthusiasm, with essentially no side effects.
I also don't think ADD is necessarily a bad thing -- it's more the fit of an ADD person into a highly structured world that can be difficult. I once asked my psychiatrist if I needed all of my meds in a "fundamental" way (i.e., if I had a different career and lifestyle, with less stress and detail-oriented requirements, would Adderall etc. be necessary). He just shrugged and said who knows -- probably not, but he's treating me for my situation, and my situation and context definitely warrant drug treatment.
I think a lot of this is classic "genotype by environment interaction": people have different genetic predispositions to certain mental disorders, but the environment they're in can have a big effect on how (and if) the conditions manifest themselves.
Posted by mattdds on December 18, 2002, at 16:39:57
In reply to Re: Neuropsych testing for ADD? » mattdds, posted by viridis on December 18, 2002, at 13:49:33
Hey Viridis,
This is some interesting insight on ADD that you have. You certainly sound like you are doing well on your current regimen. I hope you continue to do well on it. You are very fortunate to have found something that works.
Since the other post that I wrote, I took an online ADD screening, and scored pretty low. But during a particularly bad bout of depression, however, I would be willing to bet that I would be functionally ADD! My attention seems to be one of the first systems to go when I get extremely anxious / depressed.
When I am in extremely anxious states, it seems everything is screaming for my attention, and it is easy to get off task. For me, it is that I get distracted by intrusive anxious thoughts or images. Probably my amygdala working overtime, constantly monitoring for threat-related information. So threat-related intrusions are usually what kill my attention, and it becomes severely fragmented.
But what is interesting is that if, in this fragmented, ADD-like state, I take a 1/2 mg of Klonopin, all of a sudden my attention comes right back within an hour or so! Not quite what you would expect from benzos, which are purported to adversely affect short term memory. My memory is also improved by benzos, especially Klonopin.
The fact that my "ADD" is worse with anxiety and relieved with Klonopin tells me that anxiety is more likely the problem with my attention, rather than "primary" ADD. When I am relaxed, my mind, attention and even ability to learn are all pretty good. As long as I don't feel overwhelmed, I can concentrate quite well.
What you said about the genotype-environment interaction makes a lot of sense, and I agree, that ADD is not a pathological thing per se. Like anything else, treatment should depend on if it's causing any significant functional problems or suffering. I think I read somewhere that Thomas Edison, and a number of famous thinkers are now believed to have had it. I bet it, like other traits, exists on a spectrum. Perhaps people with ADD are just on one extreme end of it?
BTW, that is cool that Adderall (Adderall, right?) works as an antidepressant for you! I wish docs gave that out like they do Lexapro! Hell, at least I would be able to concentrate better while depressed!
So there are my ADD thoughts about ADD!
Best,
Matt
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