Adult ADHD Stimulant Treatment: Ritalin, adderall, dexamphetamine
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- Опубликовано: 5 июн 2021
- ADHD in adults often responds well to stimulant medications like dexamphetamine and methylphenidate (brands include Adderall, Ritalin, Concerta etc). These meds can boost frontal lobe function which helps with attention and with disinhibition of impulses. But that can stifle spontaneity and playfulness and cause a range of other effects.
We explore what Adult ADHD is: the attention systems don't develop properly in some people who sedation a somewhat child-like level of attention. We touch upon some of the possible causes of ADHD and the outcomes of ADHD including the impact upon self-view.
Often people find that ADHD medications become less effective with time (toelrance), requiring higher doses (dose creep). We explore the effect of stimulant medications upon:
1. frontal lobe functions of attention and spontaneity
2. the arousal effect on energy and alertness
3. the effect of reward pathway activation on positive emotion and appetite
4. the effect of the body of increased activation
Then we contrast that with the withdraw effects:
1. worse attention
2. less energy
3. less reward activation
4. less performance
The bigger the dose, generally the greater the withdrawal effects.
We explain how this whole mess can be minimised by taking steps to avoid dose creep including taking consecutive days off the stimulant medications every week and taking a longer break every few months.
Lastly we explore the striking similarities between the drugs and our endogenous neurotransmitters.
This isn't medical advise, it's for informational purposes and any decisions about your medical treatments should be made in consultation with your treater/prescriber.
#skillsbeforepills #ADHD #stimulants
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Suggested ASPD assessment during a prison stay for drug charges.
Ten years later and now diagnosed with ADHD and medicated.
Law student.
Healthy long term relationship.
Seven years since last contact with police and no violence or drug use for the same period.
A diagnosis followed with medication and therapy has been the most literal definition of life-changing I can possibly imagine.
Great to hear. This is a treatment which can truly be transformative
That’s Awesome!
That’s incredible love to hear this!
That’s what an addict says 🇺🇸. Stimulants will eventually ruin you. They ruin everyone.
Great to hear!! I just got diagnosed, aged 50!
For ADHD sufferers I find the positive outcomes from medication far outweigh the negative that comes along with them, life can feel impossible without medication
That’s what an addict says 🇺🇸
@Solitarian I’m atheist as fuck. Just used to take Adderall and was addicted. Now I’m
not. What Rx do you take?
@Solitarian Same difference. All ADHD medicine ruins you eventually. Google it if you don’t believe me. 🇺🇸
@Solitarian Hahahaha clearly you lack experience with it. I have ADHD as bad as anyone. ADHD medication ruins people.
@Solitarian All stimulants ruin people. They age you, make you not focus on things like family etc. Let me ask you this-are you aware that people die early from taking them?
These videos are a gold mine. The illustrations on the board really help.
Only had to watch it twice to retain the information even with my 80hd.
Totally agree [except for the retention piece :(....nothing new there].
I’m not sure about dose creep. For me, it appears that there is a threshold. My threshold is a maximum of 25 mg of dexamphetamine over the course of a day. With the initial dose of the day been 10 mg. And my systolic BP, 120/80. There might be a little bit of an increase during a stressful situation, but only during a stressful situation.
Although Ritalin, my blood pressure goes through the roof.
Very informative!
My doctor never even checked my blood pressure, pretty much just handed the meds over no questions asked... no wonder why people get into trouble with this
Are you regularly checking your blood pressure? Between weight loss and potential reduction in ADHD-induced anxiety you could end up with a lower net blood pressure than before you started taking medication (or conversely you could have high blood pressure and your medication is pushing it up even higher!). Please get a blood pressure monitor, they are like $20 and could save your life!
Neither did mine, but they did ask if I get regular medical check-ups and if I was aware of any issues. I considered that sufficient due diligence.
A lot of us are better NOT getting it checked in a clinician's office. Get a good model, check out the accuracy, and start checking/recording your own. There are plenty studies to support "white coat syndrome" [outdated name, but not outdated syndrome].
I appreciate this so much [though my brain keeps getting distracted, with poor STM and I have to watch this Y-T over and over :(), but it is so informational, explanatory, enlightening! It caused me to rethink my desire to go back to taking a low dose Adderall outside of my Vyvanse hours. I never abused my Adderral [or Mixed salts, I forget their differences]. However, I can relate to the "dose creep" experience discussed here! I have also experienced those horrible zombie affects of some meds. This Y-T is bringing back so many negative trials I've had. So, not surprisingly, I am terrified of getting kicked off my Vyvanse once I am on Medicare [next year] because I cannot afford to fork out $400/mo. Also, I am not even convinced Medicare would ever approve the generic, but maybe it would be more financially attainable to pay out of pocket.
This is really helpful thank you so much! 🙏
One of the big issues these days I imagine as well is just the use of technology, people becoming so hardwired to social media and jumping from one thing to the other so constantly. Was a guitar teacher on YT who talked about this and how some of his younger students were just confused as to what they wanted to learn and scattered, I can even find this happening to myself as an adult if I spend too much time on YT and not focused on more singular interests. I think the medical and scientific community still do not quite understand how much this has to do with just the nature of the technology as well, small sharp bright screens, very small focal points, the head position looking down, the neuroplasticity involved is pretty horrendous I believe.
You raise a really good point, and it makes a lot of sense to me. I’ve seen that with our content, it’s easy to get lost as next video content that is fed to the audience by the algorithm is optimised for keeping one engaged in the platform. Which means that one gets a lot of different material but it’s not a coherent path. Things are disconnected
From each other. For this reason we are looking at producing some courses in addition to YT content.
@@thePSYCHcollective I would suggest some further research into this, I wish I could recommend something but I only have some vague ideas around it, I just recall a neurologist saying the neuroplasticity involved in phone use is pretty bad. It is interesting from the simple perspective of eye movement and behaviour as well, excess eye activity on small screens and the corresponding brain over activity in associated regions. Having done a lot of EMDR and brain spotting it is pretty incredible sometimes how the eyes and associated neural pathways seem linked to just about everything.
I saw the other video and it got me curious to watch thix entire video as well!
would you all be able to speak about the long-acting medications like vyvanse? Or do you have a video about that? Psychiatrist basically told me that it's a good idea to stop taking short acting stimulants on weekends. He told me that when I was on Dextro. But I'm not sure about long acting meds like vyvanse though. Is there possibility for dose creep and tolerance in the long acting case? Cuz to me, it seems like it's not going to have a spike impact with a heavy drop. idk! and i'd LOVE to learn more! This was an awesome video and I appreciate you all for making the concepts so easy to grasp!
It's important to take note that conditions like ADD/ADHD can come with secondary conditions like, Anxiety disorder, depression, social anxiety, hyper sensitivity, these cocktails of emotions can be very chaotic and lead to some very bad habits, over eating and ending up with pre-diabetes or type 2 diabetes, high blood sugar can amp up the emotions creating chaos even worse and can take your ADD/ADHD to a point where it is unmanageable, this can lead to all sorts of other emotional problem and misdiagnoses of things like BDP & bipolar, it can lead to psychotic episodes, i am one of these people. I love your channel it's very informative & would love for you guys to touch base on these secondary conditions because in conjunction with ADD/ADHD.
You raise some important points. I agree it can get very complicated when multiple issues cooccur. Your point on the effect of diet/emotional eating is very relevant. This might be of interest on the role of sugar and anxiety:
ruclips.net/video/EOXLTy7DN08/видео.html
If u wish to get rid of adhd may b I can do a few suggestions if u like to esp on the diet part
Comorbidities such as anxiety (et Al) are very common with ADHD and best practice during diagnosis should be to check for these too.
Comorbidities are the norm, particularly with ADHD [unfortunately].
What is the solution if someone with ADHD doesn't want to be a better version of themselves just at work but also on the weekends when they spend valuable time with their family?
Adult ADHD stinks. Especially if stimulants don't work because your sensitive to them. Coffee helps and finding a job that's right helps a lot to. No way I could work at a desk 8hrs a day or drive Simi over the road.
Stimulant medication isn't the only kind of treatment for ADHD. There are many types of non-stimulant medications and it may be worth your while investigating these with your healthcare provider.
@@YT_User- yeah I tried a few non-stimulants. One was for high blood pressure😳 but that didn't work so I just stopped. Thinking about trying again but that scares the sh!t out of me after trying as a kid. The side effects are freaky!
@@YT_User- Coffee can ultimately make you feel much worse [some of these videos will explain why]. What I notice is that caffeine causes significantly higher b/p spikes than Adderall, etc. ever did, by itself. In fact, In terms of b/p, non-stimulants don't exactly fare well either.
serious question, i have ALWAYS had ADHD symptoms recently have been treated for ptsd and depression over the last several years due to massive changes in my life, i feel i am finally coming out the other side now and want to get on with my life but i can never concentrate massively procrastinate and just cant focus but being 41 years old no one wants to listen or help. how do i see someone that treats this serious...
There are psychiatrist clinics that “specialise” in ADHD. They tend to be expensive/lucrative. Often they will diagnose ADHD /prescribe unless there are substance issues.
Do you think Wellbutrin really helps Adult ADHD? I’m imagining it’s similar to a weak Stimulant Medication. Maybe can leave it off … At 45 newly diagnosed, I’m pretty certain trying Stimulant medicine is my best choice. I’m not sure I want to start Wellbutrin. Yikes.. maybe some depression co-morbidity is likely, but I’m suffering ADHD symptoms worse. That’s the Target.
I’ve been chasing a diagnosis for months 🙁
Yesterday I finally had my Zoom Appointment with the Prescribing Dr.
She didn’t seem educated enough on Adult ADHD, prescribed me Wellbutrin only.
Said talk to you on Zoom in 2 weeks.
😖😩
😎Livin The Dream out here .
Any way, Thanks for any information everyone!
Take Care out There 🌏
My personal experience is that it is helpful with the motivational aspect. I didn't notice as much as when I used to work the night shift and had to switch back and forth. I was really sensitive to medication effects/side-effects. A few times I really noticed, wow: It really does help. But, I also do best with added Vyvanse. The fact that Serotonergics don't work so well for ADHD explains a lot, and why I sensed a "subtherapeutic" 12.5mg dose of Zoloft to be the correct dosage for me and Trazodone is NOT helpful for sleep [or my depression].
I’m getting assessed at the moment for ADHD. That was educational. I’m curious that you didn’t mention possible psychosis as a side effect though.
Good point.
Mostly only an issue if predisposed to psychosis (eg bipolar or schizophrenia) or at very high dose.
@@thePSYCHcollective I had a psychosis 20 years ago and am an addict in recovery. I’m very concerned that this is the treatment. I just did the looking at your thumb meditation for 10 minutes. I will continue every day. It calmed me down a lot actually.
I am having a hard time figuring out if I have inattentive ADHD along with my depression, or if its all depression. I am not hyperactive, i am quite the opposite, i am messy, cannot get out of bed and i am exhausted. i have all the symptoms of inattentive ADHD and remember having them since gradeschool. I started taking vyvanse about a month ago but it seems to only work for about an hour or 2 hours and then i am back to being exausted. my psychiatrist prescribed pristiq a couple of weeks ago and im still so tired. i do have suicidal thoughts and they have increased over the last couple of days which is why i am going to tell my doctor tomorrow (i wont act on them), but i was concerned that they are increasing to another level i haven't experienced before.
Hi! How are you doing now? I'm guessing the same about inattentive ADHD, I'm going to have it check next week and probably introduce Modafinil. In regards to feeling fatigue and suicidal while on Pristiq I had the same problem. I was a total zombie. It was different with Cymbalta, it gave me so much energy, probably too much because I had anxiety in the morning, but you could ask your doctor about it, probably it could work for you.
May b I can b of help with my experience, u can msg ur no I will try 2 connect wtap
Hope you figured out what was wrong. I'm guessing you tried some different medication/approaches.
Thank you! Wellbutrin alone has worked amazingly for me. I also did blood work and found that I had low B12 levels (around 199). My doctor said he wanted to see me around 700 and I really think that has helped. I am so grateful I did end up finding the right medication and treatment, even if I am not 100% sure what my diagnosis is
@@ambernicole9595 I know this comment was from a year ago, but I hope you don't mind if I chime in- I think a lot of people could do with troubleshooting via bloodwork if medications aren't working out for them. I had a severe vitamin D deficiency in my first stint of college that had a horrible effect on my life, it was very similar to the B12 deficiency you described. ADHD can lead people not to have a healthy diet- and in absence of totally fixing that immediately (developing long-term healthy habits are a process of trial and error), taking vitamins and monitoring is essential. I'm so glad you felt better after addressing that, and I hope someone going through something similar can see that and also fix it. I wish you the best of health and luck. :)
I think I have adhd or bpd or both. My psychiatrist appointment isn't until February but have been doing so much work hyperfixating on learning as much as I can about these disorders so I can go in to the assessment well equipped to give the psychiatrist the clearest picture of what is happening for me.
Are you able to share what you would do to treat someone who has both? I don't know if it was the beginning of this video or one of the bpd ones. You mentioned that if you were to treat the adhd with stimulants and the symptoms reduced then it's adhd but aren't most psychiatrist not going to give stimulants to someone with bpd even if adhd might be present?
What I am hoping is that I can try stimulants so that I can be more attentive and present in my dpt therapy and get more out of it. But it's looking unlikely because if bpd is present psychs won't let me near stimulants at all.
I know it's really complex and nuanced but would really love some more information on the overlap of these two disorders since they're so commonly confused and/or comorbid.
@Holly-lee Dickson - If it’s CLEAR bipolar with history of mania, then stimulants pose a risk of causing mania, especially if there’s not anti mania treatments in place. Anti mania treatments like lithium can mitigate some of that risk.
A lot of what gets casually labelled as Bipolar is often not Bipolar. Features of emotional instability are very common. Very common. And emotionally unstable people with ADHD can do much better with stimulants. But it’s not the only/best approach to emotional instability. Skills work to manage emotional distress is usually of great benefit.
The labelling of “emotional instability” (psychological) as “Bipolar” (biological) is very common. Probably because it’s easier to mask symptoms with pills than it is to skill people up and address root causes. Sadly more docs these days know only how to prescribe. When you only have a hammer everything looks like a nail.
If someone has Borderline Personality and ADHD, it can be VERY helpful to treat the ADHD. Not only does it make undertaking DBT more effective, but it CAN (not always) improve people’s capacity to think through their snap judgement and be less reactive in the moment. Sure it can go the other way and some people will just be more reactive because of the increased arousal. But a trial is the only way to untangle that.
Not all ADD is hyperactive many have inattentive ADD.. poor working memories. Sugar addicts and usually addictions in the family
Yeah us ADD/ADHD people have addictive personalities and can get hooked on things easier than most.
@@leighgray8537 I get hooked on napkins. If it’s anything cool or useful, I can get addicted. 🇺🇸
Hyperactivity can also manifest differently in adults.
Did you prepare your presentation?
"Yeah".
Good you can start.
Oh that was it.
Thank you for yet another brilliant and informative video!
I am here to watch the video to learn more ahead of my ADHD assessment in March and it isn't my symptoms making it hard to follow..... she is stunning! :-D Great video folks x
I made it 30 seconds in and then my adhd kicked in and I wrote this now I’m leaving lol.
Here’s a shorter version:
ADHD Stimulant Medication Secrets: The 10 secrets to how Dexamphetamine, Ritalin and Adderall work
ruclips.net/video/LG_yD5SXuCg/видео.html
How does this link to avoidance schema?
It doesn’t.
Phentermine has a half life above 24 hours!
Thanks, really good to get a better understanding and hear the reasoning behind why you must have days off medication
Agreed. Hearing this brings back a lot of my experience with those, back in my shift work days when I desperately depended on them!
Would weed have a different effect after taking the stimulant that day?
It might
@@thePSYCHcollective It would relax you and bring stress levels down and maybe improve focus, i wouldn't go the weed route though, because most ADD/ADHD people i know tend to avoid because it mucks up there head worse, i do know a couple who take hemp oil and it helps them stay grounded and less chaotic, more emotionally balanced, it's something you'll need to do a lot of research into before going there, weed can make people paranoid as well, it'd be a cases by case thing, might work great for one person but may be bad for the next.
@@leighgray8537 I’m one of people that makes there head mucks up even worse with weed but I’m asking If I wore to use stimulants and feel good and then right after use weed would I feel the actual high that neurotypical brain experience?
Btw i never used stimulants yet with my adhd .
@@miladadil4219 Hey Milad… my psychiatrist told me that I had been using weed to self medicate, and that with the stimulants I have started taking, I would slowly start to feel that the weed was unnecessary, and that has been the effect for me - I’m smoking less. He also said that the chemical impact of not smoking weed would actually not be that significant when I started on the meds.
Then why i get an accumulative effect from it!? That’s what I googled to find your video! It seems like the next day i feel I’m still on it and I am on the lowest dose of Ritalin ever!5 mg sometimes i can’t handle it and take 2.30 mg. I feel it kind of train my brain! actually, I only can handle this baby those because I take ssri! Without SSRI I can’t handle any stimulants, including caffeine
Some people are way more sensitive to stimulants than others. There are biological reasons (eg drug breakdown variation increases duration of effect), psychological reasons (eg internal/somatic preoccupation or obsessionality) or personality reasons (eg high sensitivity) which can all contribute (and probably other factors).
The more of these factors that one has, the greater the difficulty some people can have tolerating stimulants.
SSRIs dampen down sensitivity and obsessionalty which can stimulants more tolerable if sensitivity or obsessionality are issues.
@@thePSYCHcollective this is the best explanation ever because since I’ve started SSRI, I drink gallons and gallons of coffee with not effect! I used to get
jittery from Coca-Cola! It’s like they balance each other! I’m definitely less neurotic and less sensitive on ssri! Stimulants with no ssri feel like dysphoric or psychosis hypomania to me.
Why my psychiatrist can’t explain this way!? Amazing work.
I actually I asked my psychiatrist to give me fluvoxamine after watching your comparison video on SSRIs and SNRIs! I was desperate to find the right SSRI after quitting Paxil and I choice fluvoxamine. because you said it doesn’t cause the ssri’s bluntness! 6 months on it, I agree 100%
I’m able to cry, reach orgasm, feel love and empathy, and I’m still passionate! I’m just just not compulsive anymore! Intrusive thoughts, social anxiety disappeared from the first dose. I think medications work faster on me because I’m sensitive to medication as you said. I only take 25 mg so far but will take the full pill soon. Thank you, thank you thank you because this medication is not widely used in the United States, unfortunately. It’s never the first choice.. I wouldn’t have known about it without your channel. Paxil made me so numb! Not a spark of passion or compassion! Zero dopamine and so hard to wake up in the morning I used to keep ice packs and coffee pot near my bed just to be able to open my eyes. Fluvoxamine is my magic pill. I only need Ritalin once or twice a week because fluvoxamine calms my brain and makes me focus ( sometimes just a little physically tired on it but still mentally sharp) Only side effect is that it spikes alcohol drinks more than any SSRI. When I say alcohol, I mean one or two sips. Most of SSRIs you can get away with one drink. Not with this one. So zero booze for me.
@Sara Salem
thanks for that amazing feedback and info.
Not medical advise, but why increase the dose of the low dose is working? Generally the lowest effective dose minimises problem potential.
@@thePSYCHcollective because it worked very well my OCD and social anxiety, but not on my depression. At least not as Paxil so I still think in a nihilistic and cynical way. Pixel made me see the half full of the glass. I’m glad I’ve tried Paxil despite it’s bad side effects so I can have a reference of what’s normal and what I should be expecting. I’m currently trying ketamine therapy before increasing my dose. if it worked for my depression, I won’t increase of those.
This video is bang on
What is Adult ADHD? A Child with ADHD all grown up?
Yeah, and as it’s genetic and incurable, we now know that most kids with ADHD become adults with ADHD (some manage to learn to control their symptoms)
Healthcare professionals have now accepted that ADHD doesn't basically disappear as the clock strikes 12 on your 18th birthday, and is in fact a lifelong condition.
Does feel that way often..🙃
Cosmos, a lot of things from childhood ADHD get overlooked in those of us who mostly manifest ADHD symptoms by drifting off into other worlds, not bothering anyone [until school grades came along and it becomes apparent you weren't paying attention to what you were supposed to be paying attention to!]. Especially, in the era I grew up in, they just wanted you to shut up, be still, pay attention, etc. The typical "treatment" was shame and humiliation [and, likely, physical abuse for those who displayed more obvious ADHD symptoms like the louder, more hyperactive types]. Then, as you get older and more is expected of you daily to focus, like pay bills, keeping track of schedules and tasks [and to think we didn't even have the phones to distract us then!].....It's tough!
And I don't know how up to date the info is, currently, but I will never give up the "ADD" term because I don't fully relate to that category [maybe combined type, but very limited/specific areas]. So, whether or not it is up to date, it was eye opening for me to read about "Sluggish Cognitive Tempo" or "SCT" [which may also be seen as "Cognitive Deficit Disorder" or "CDD"].I don't think that ever made it to the DSM. Being that comorbidity is the norm, it would not be surprising to have SCT or CDD with overlapping ADHD.
Check out ADDitude Magazine or "ADDA +" for info, a good place to start.
@@tombeardshaw7262 Try not to make it so dismal. Yeah, I feel it F'd up my life, but it didn't have to be, to the extent it was....not today, with the available resources out there [at least, to some extent]. What makes it so dismal is the experience of being treated like s--- over and over and being made to feel like your behaviors are a character flaw or a reflection of your lack of morality or something. It's that shame and the internal feelings of hopelessness....repeated experiences without really understanding what is going on, why socialization and relationships may be especially challenging, etc.[especially if you started school one year earlier than most].
You have wrote causes, and wrote childhood stress trauma? As being a potential cause for adhd As far as I am aware what my doctors told me and research iis that u cannot catch this or develope it you must be born with it only ...,
That’s Correct!
@@remingtonfrog3170 definatly true , I was born premature by 5 weeks and I have bad adhd
She’s so beautiful oh my
Haha that’s me hahaha I hate myself hahaha
But Maybe I should give the Wellbutrin a try.. Since I have nothing. Temporary…
Shitt .. 🙃 who knows.. so Bananas.
I don't think the lady needs to be here.. Its a bit distracting 😕
@@solitarian5532 not quite sure what you're trying to imply here, but I was saying that there was no need for her to be in the video, instead of helping she interrupted alot which was distracting.
Why would that be considered creepy exactly?
@@solitarian5532 oh lol I see, no problem... She is pretty, but I'm also a woman so not that type of pretty 😅
I actually had to go back to the video as the comment is quite old, I had forgotten about it so I didn't know what you were referring to lol
I agree! She distracted me and I am on Ritalin while watching this. She doesn’t let him finish his sentence and she distracts him too, so he doesn’t go back to what he was saying! She thinks this’s doing active listening and she helps him clarifying his points but she ends up interrupting without waiting for gaps between his sentences to illustrate her response. She might be ADHD too LOL Great videos tho
This is edited version which you might prefer: ADHD Stimulant Medication Secrets: The 10 secrets to how Dexamphetamine, Ritalin and Adderall work
ruclips.net/video/LG_yD5SXuCg/видео.html
@@thePSYCHcollective thanks ill have a look 😊👍
Having ADHD I find the hand clapping very distracting and I can’t finish watching this video…
This might capture your attention better:
ADHD Stimulant Medication Secrets: The 10 secrets to how Dexamphetamine, Ritalin and Adderall work
ruclips.net/video/LG_yD5SXuCg/видео.html
Sorry for that distraction. I guess I think of it more as a "I can relate" supportive thing. I forget triggers are different for some of us.
Stop saying “yeah, mmhm, yeah” and let him talk
i agree and disagree for various reasons
yeah
lol 😂
She’s so annoying
Nothing wrong with that…
I'm sure this is informative but you're speaking SO fast I can't listen to it. Exhausting.