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How about this? A much better answer I think! » francesco

Posted by DSCH on November 21, 2003, at 19:32:48

In reply to which adhd ? » DSCH, posted by francesco on November 21, 2003, at 16:54:32

> Can you help me in make the picture clearer ?

I'll try.

> My syntomps (without any meds) are:
>
> Careless about the future.
> Tendency to procrastinate.

Generally common to all types.

> No anxiety.
> No depression.

OK, this rules out limbic ADD.

> Problems in concentrating in reading, watching a movie, and so on
> Problems in concentrating gets worse when I try to concentrate
> Daydreaming most part of the day

Again, generally common. Daydreaming would tend to point towards inattentive-type, while activities involving physical movement more classic ADHD.

> Dyslexic sometimes (anyway I'm not sure "dyslexic" is the right term)

Trouble intrepreting letters, numbers, writing mistakes/transpositions, spelling? Temporal lobe?

> Easily bored (expecially when I'm alone)

Common to multiple types. Could be a sign that you are naturally extrovert.

> Shy

Maybe inattentive. Maybe not even necessarily morbid though. ;-) Perhaps a sign of mild social anxiety (yes you can be an extrovert and have this too! it just makes life that much more difficult) ;-)

> I interrupt people when they talk to say stupid (sometimes funny) things

Classic ADHD mostly. But this is something in Tourette's I believe too. Temporal lobe?

> Egocentric

Normal. LOL :-D

> Not agitated

Inattentive type.

> Problems with motivation
> Big problems with organization

Common to all basically.

> Problems with autorithy and following rules
> Problems with following also the rules I give to myself

Somewhat more interesting and characteristic I think. Some of that oppositional-defiant going on maybe. Once again, Touretters can have this too. Temporal lobe?

> Incostant in relationships
> "I don't know today what I'll do tomorrow and I don't know now what I'll do after this posting"

Common to all types.

OK... based on this what do I think?

I think we can safely elminate limbic ADD.

The oppositional behavior, blurted witicisms are not common to straight inattentive type ADD. I think we can set that aside too.

You are not restless or agitated though and tend towards daydreaming so I will set aside classic ADHD.

OK, we are left with:

Overfocus ADD
http://www.mindfixers.com/amensub3.html
(OCD + ADD)

We've been here already though. Why did Anafranil, which was a godsend for your study habits and writing (your Anfranil posts remain by far the superior in terms of your writing to the Board... but maybe not when it comes to actually *communicating*!), make so many over things worse? Amen prefers Effexor, but that's basically a cleaner version of Anafranil's psychopharmacological profile (no receptor anatagonisms). I think we should concentrate on the remaining two then.

Temporal lobe ADD
http://www.mindfixers.com/amensub5.html
(aggression, paranoia, atypical pains, vision/reading problems + ADD)

Ring-of-fire ADD
http://www.mindfixers.com/amensub6.html
(resembles bipolar disorder in certain respects, takes elements from overfocus and temporal lobe ADD)

Anti-convulsants are what Amen usually resorts to for TL-ADD and RoF-ADD.

Serotonergic meds (and by extension probably tryptophan as well) tend to make temporal lobe problems worse, but help the cingulate problems. This might be the explanation for your mixed responses to Anafranil, SSRIs, and tryptophan.

Here are temporal lobe supplements according to Amen:
http://www.brainplace.com/bp/supplements/default.asp

GABA (but does this cross the BBB?)
Phosphatidylserine (or boost B12, folic acid, essential fatty acids, and the other phosphatidyls (i.e fish oil and lecithin))
Gingko
Vitamin E
Ibuprofen (anti-inflammatory)

I would say niacin/niacinamide (which your multi lacks IIRC) would be a good addition to the list. Picamilon (Niacin bonded to GABA) might even be ideal.

I think we have an explanation for why gingko and omega-3 have been better for you than the others so far.


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