CorePsych Radio: ADHD Multiple Diagnoses

7 Comments

1. ADHD and Bipolar: Controversy Explored at CorePsych Radio : corepsychblog.com says:

   April 12, 2009 at 8:19 PM

   […] CorePsych Radio: ADHD Multiple Diagnoses (corepsychblog.com) […]

2. betsy davenport says:

   March 19, 2009 at 4:31 PM

   you asked what is a concern re psychiatric practice currently

   answer: separation of brain from body
   imprecision esp. re the cognitive functions

   not taking into account physiological differences/influences on brain

   • Dr Charles Parker says:

     March 22, 2009 at 10:53 AM

     Thanks Betsy
     Appreciate your suggestions, and will incorporate in my review, have to get over there and pull them down,
     Great having a chance to connect out here!
     Chuck

3. John says:

   March 17, 2009 at 6:20 AM

   Dear Dr.Parker,

   Im a 25 year old male diagnosed with adult ADHD. I’m currently taking 60 mg of Vyvanse trying to get the right dosage. Before i was diagnosed with ADHD i was diagnosed for having depression. My doctor prescribed me 60 Mg of Cymbalta. Since the day i started Cymbalta i never felt any of its advantages. When i started taking Vyvanse I felt like it was a wonder drug. I was positive my depression was just a result of me not accomplishing my goals bc of my ADHD. Due to the sexual side effects of Cymbalta i quit 60 mg cold turkey 9 days ago. I was on the medicine for 2 months. I know i should have weaned of the drug but the side effects made me want to just quit taking it. The withdrawal symptoms are horrible. i have serious headaches, dizziness and brain zaps. I feel like this drug should be classified as addictive, but for some reason when i take the vyvanse the withdrawal symptoms goes away. Do you have any idea how long the withdrawal can last?
   I have been trying to find my DOE for Vyvanse. I eat a protein breakfest and then take the Vyvanse 60MG at noon. At approximately 1:00 p.m. i can feel it kick in. I usually suffer from a little social anxiety, but when I’m on the Vyvanse i become confident. I look people in there eyes and can focus on what they are saying. I get all of my tasks completed. I have read articles about people not feeling the likability effect they got from adderall. I feel that effect with the vyvanse. The main problem I have is at 5:00 pm i get a major headache and feel completely unmotivated. My hands and feet get extremely cold and numb and this only happens at around 5:00. I become very irritable and feel extremely depressed and tired. I noticed this blog is about ADHD and multiple diagnosis. Im wondering if this is the drug wearing off too early or if it could be a mood disorder brought out by the Vyvanse. For 5 hours I feel an increase of Energy ,motivation, and positive mood. I also find myself being extremely social during the first 4 hours. For example, i will call people and be very talkative. My appetite is suppressed but i still make myself drink and eat on a steady schedule. I feel very hungry around 6 pm. I usually make my number 2 in the morning and before i go to sleep. Is it possible i’m outside the “top of the window”? For the first 5 hours i feel perfect. its just afterwards that causes me major problems. I can take the vyvanse at 5:00 P.M. and still fall asleep at 1:00 A.M.. Any additional information would help. My Doctor doesn’t seem to be to versed on ADHD meds. This became apparent to me when he told me 30 mg of Adderall is equal to 30 mg of Vyvanse (which i know is incorrect). Thank you so much. i wish all doctors could be as educational as you are.

   • Dr Charles Parker says:

     March 22, 2009 at 11:03 AM

     John,
     I confess your extensive question is so completely typical in the sense that the details of med management are almost completely overlooked across the board. And it’s not your docs fault. Since prozac, when we realized in the mid 80s that we couldn’t kill people with psych drugs, as many did suicide with tricyclics, we just got “safe” and lazy on the details. Another contribution that I spend some time on in my book: the targets aren’t clear so how can you adjust the trajectory. Target confusion is not caused by your doc, again confusion is the byword of the day!

     Without examining you in the office, and with your docs help, it sound like you were on not enough as you didn’t get the 12-14 hr burn. Please go to my Squidoo page, and listen to my radio show for the complete details of how to make it happen.

     I do *not* recommend taking the Vy after noon unless under some very clear and tight circumstances, certainly whilst not paying attention the correct dialing in in the first place.

     Also type in Vyvanse in the search here and read all the posts that will tighten things up.
     tnx
     cp

4. ADHD Strategies Inattentive Males dealing with relationships - ADHD Forums … « says:

   March 16, 2009 at 4:53 PM

   […] CorePsych Radio: ADHD Multiple Diagnoses By Dr Charles Parker Synchronize the meds with the emotional and cognitive hierarchy; Yes you can have Bipolar Disorder and treat the ADHD; You must know about depression and depression meds or they can create big problems with impulsivity … CorePsychBlog – http://www.corepsychblog.com/ […]

5. drcharlesparker (drcharlesparker) says:

   December 31, 1969 at 11:59 PM

   New blog post: CorePsych Radio: ADHD Multiple Diagnoses http://tinyurl.com/daapqm