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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by utopizen on February 6, 2011, at 17:52:20
can anyone help me research on Medline or something to help me find some abstract of a study that explains a patient or group of patients happen to have AD/HD w/ comborbid paranoia or a similar state?
I believe what I had was reactive paranoia; the prognosis is even just as good without being treated with an antipsychotic, although I'm on Risperdal anyhow and don't mind that...
anyhow, because I'm on Risperdal, I'm looking for a study that happens to discuss a treatment regimen after someone got or has paranoia-- one that --doesn't-- include taking the person off an antipsychotic.
He's a new doc, and isn't even entertaining lowering the dose and keeping in mind I'm on an antipsychotic, it's not unreasonable to receive stimulant therapy.
He hasn't even slapped me with assurances he might try Straterra (not to say I want it or it's likely to help) -- but if that gives a hint at how he just cares about me not getting psychotic again. He is convinced all his peers would never think to keep me on an amphetamine.
I've heard kids with cardiac arrest from Adderall get their dose lowered a tad and get a beta blocker added-- and that's a life or death situation. I was a peaceful paranoid, in the episode I had. I don't think it's even something I'd call a risk. More of a potential annoyance... not heart-stopping.
Basically, he's paranoid I might get paranoid again if I were given a stimulant, and doesn't understand the ramifications of not getting ADD therapy is having on my life. I lost my job recently for not doing some simple task in a reasonable time, and I don't want to add failed out of school to my list.
He doesn't care I'm in classes... and trying to put my life together. please help if you read anything where I could bring to him... thanks!
Posted by linkadge on February 6, 2011, at 17:54:55
In reply to new pdoc won't treat ADD -- need research help, posted by utopizen on February 6, 2011, at 17:52:20
Thats going to be a hard battle. I've had the occasional manic / paranoid reaction to a stimulant, but I knew if I reported it, that'd be the end of the stimulant treatment forever.
Linkadge
Posted by Christ_empowered on February 6, 2011, at 20:44:25
In reply to Re: new pdoc won't treat ADD -- need research help, posted by linkadge on February 6, 2011, at 17:54:55
Can you change docs? I had one doctor who offered me a lower dose of Adderall after a weird psychotic episode. That was an older doc, though; younger docs seem to see paranoia and think "high dose atypicals, NOW AND FOREVER!" Or maybe that's just my take on it.
Plus, lots of shrinks don't care about your level of functioning once psychosis is involved. They really just care about making sure you're "adequately treated" for the psychosis, which usually means hefty doses of some sort of antipsychotic, no matter what problems that may cause you.
I can't imagine that any studies would sway this doc. I could be wrong, though.
Posted by Phillipa on February 6, 2011, at 23:57:30
In reply to Re: new pdoc won't treat ADD -- need research help, posted by Christ_empowered on February 6, 2011, at 20:44:25
I must say agree with C E. Phillipa
Posted by 49er on February 8, 2011, at 11:17:34
In reply to new pdoc won't treat ADD -- need research help, posted by utopizen on February 6, 2011, at 17:52:20
> can anyone help me research on Medline or something to help me find some abstract of a study that explains a patient or group of patients happen to have AD/HD w/ comborbid paranoia or a similar state?
>
> I believe what I had was reactive paranoia; the prognosis is even just as good without being treated with an antipsychotic, although I'm on Risperdal anyhow and don't mind that...
>
> anyhow, because I'm on Risperdal, I'm looking for a study that happens to discuss a treatment regimen after someone got or has paranoia-- one that --doesn't-- include taking the person off an antipsychotic.
>
> He's a new doc, and isn't even entertaining lowering the dose and keeping in mind I'm on an antipsychotic, it's not unreasonable to receive stimulant therapy.
>
> He hasn't even slapped me with assurances he might try Straterra (not to say I want it or it's likely to help) -- but if that gives a hint at how he just cares about me not getting psychotic again. He is convinced all his peers would never think to keep me on an amphetamine.
>
> I've heard kids with cardiac arrest from Adderall get their dose lowered a tad and get a beta blocker added-- and that's a life or death situation. I was a peaceful paranoid, in the episode I had. I don't think it's even something I'd call a risk. More of a potential annoyance... not heart-stopping.
>
> Basically, he's paranoid I might get paranoid again if I were given a stimulant, and doesn't understand the ramifications of not getting ADD therapy is having on my life. I lost my job recently for not doing some simple task in a reasonable time, and I don't want to add failed out of school to my list.
>
> He doesn't care I'm in classes... and trying to put my life together. please help if you read anything where I could bring to him... thanks!
> can anyone help me research on Medline or something to help me find some abstract of a study that explains a patient or group of patients happen to have AD/HD w/ comborbid paranoia or a similar state?
>
> I believe what I had was reactive paranoia; the prognosis is even just as good without being treated with an antipsychotic, although I'm on Risperdal anyhow and don't mind that...
>
> anyhow, because I'm on Risperdal, I'm looking for a study that happens to discuss a treatment regimen after someone got or has paranoia-- one that --doesn't-- include taking the person off an antipsychotic.
>
> He's a new doc, and isn't even entertaining lowering the dose and keeping in mind I'm on an antipsychotic, it's not unreasonable to receive stimulant therapy.
>
> He hasn't even slapped me with assurances he might try Straterra (not to say I want it or it's likely to help) -- but if that gives a hint at how he just cares about me not getting psychotic again. He is convinced all his peers would never think to keep me on an amphetamine.
>
> I've heard kids with cardiac arrest from Adderall get their dose lowered a tad and get a beta blocker added-- and that's a life or death situation. I was a peaceful paranoid, in the episode I had. I don't think it's even something I'd call a risk. More of a potential annoyance... not heart-stopping.
>
> Basically, he's paranoid I might get paranoid again if I were given a stimulant, and doesn't understand the ramifications of not getting ADD therapy is having on my life. I lost my job recently for not doing some simple task in a reasonable time, and I don't want to add failed out of school to my list.
>
> He doesn't care I'm in classes... and trying to put my life together. please help if you read anything where I could bring to him... thanks!I agree that you need to see a new doctor.
By the way, I find it quite interesting that many psychiatrists who are so cautious about prescribing stimulants don't seem to use the same caution with other meds.
Not that I think stimulants should be prescribed like candy but that is something I am noticing.
49er
This is the end of the thread.
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