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Re: Typical ADHD w/ atypical side effects? » DSCH

Posted by femlite on September 9, 2003, at 10:24:32

In reply to Typical ADHD w/ atypical side effects? » francesco, posted by DSCH on September 4, 2003, at 15:38:37

> It sounds to me like you have "typical" ADHD, inattention plus hyperactivity...

Hi DSCH,

I have been following a number of your posts with francesco, and have been very impressed with the reasonableness of your replies, and have found them helpful.

Somethings struck me about francescos descriptions (with regard to myself) and i hope you dont mind my jumping in with some comments and questions.

symptoms described by francesco, "narrow mindedness, judging people, avoidance of people, irritability, bearing grudges, trouble stopping an activity to start another, apathy and daydreaming"

I have all these symptoms and have been diagnosed as distymic. (a diagnsis I am not sure I agree with)

I have other symptoms, as follows, insomnia, exsecive talkitiveness, racing thoughts. I have these symptoms on an ongoing basis. They occasionally erupt into full mania, grandiose thinking, euphoria, but no delusional aspects.

I have not been forthcoming about suicide ideation, with pdoc, as I dont believe I would ever do it, just wishing I was dead is the extent. Had 2-3 "incidences" from adolecences into my 20s.

Pdoc believes I am hypomanic and that is my baseline personality. (I am reluctant to accept this diagnosis as well)

My brain feels stimulated to the point of interferring with my life. I am sick of it. It seems to be getting worse the older I get.(42)

I feel buzzed at all times. Unless depression sets in. Then I feel the symptoms francesco described and listed above, narrow mindesness, judging, irritability...

Could this be considered agitated depression, the suicide ideation is intermittant, and linked to life circmstances, but has not stopped and seems to be increasing slightly.

I have used opiod pain meds during the past year. I am off them now. But as i titrated down, it became apparent to me that my mood swings were returning and had obviously abated during that pain med period. (pdoc thinks this is the root of my sleep problems, which i tried to explain have been life long)

The reason I mention the opiod period is that during that time my ability to focus actually increased and was not as obssesive as it feels now. My brain waves seemed slower, but i did not feel cognitive impairment. My chess game actually improved during this time. I found myself better able to focus and block out external stimulation.
I excersized regularly, started a new diet, and lost 20 pounds. Since going off opiods depression and apathy (regarding eating habbits and excersize) have returned.

I sit at the computer for hours trying to better understand what is happening to me.

The mania is constant. Insomnia and racing thoughts, irritableness and lack of focuse and "unbuzzy" concentraition, is impossible. I feel like my brain hurts.
First pdoc recomended zoloft and I did not sleep for 3 solid days. Dicontinued imediately.

I am on nerontin for racing thoughts, but can only tolerate it at night, feel too washed out during day use.

Current pdoc has prescribed, trazadone for sleep, which so far has only worked 1 night out of 4 nights.

And Wellbutrin SR (100mg am - 100mg. at noon) for my "distymia" After one weeks use I feel sedated and emotionally blunted. Head still feels buzzy.

Wellbutrin is one of the "first line" meds for adult ADHD in the USA.

Is ADHD possible to have in conjunture with bp2?


>
What medications does classic ADHD point to other than Wellbutrin? Stimulants like the various amphetamines

I really dont want further stimulation.

My pdoc is totally opposed to something mood stabilizing or any benzo products.

I feel like I am never relaxed. I always feel agitated or anxious. (is there a difference?)

Need to run, any insights you have would be greatly appriciated.



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poster:femlite thread:250203
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