- To Change Your Mind - Details Matter
ADHD and Anxiety: ADHD Looks Like OCD
Depression and ADHD: Jim Carrey on Neurotransmitters
May 25, 2009Neurotransmitters & Healthy Brain: CorePsych Radio
June 1, 2009You can't judge a book brain by it's cover.
So much of our work with ADHDis based upon necessary, but limited pre-technology diagnosis. For years we had to rely on appearances, and didn't have the means to measure function, much less see specific areas of the brain as they function. As a consequence of using only one set of myopic glasses we still use phenomena and appearances as targets, while far too many critique, regarding peer reviewed findings regarding hard brain evidence.
As you will see in this video, ‘anxiety‘ can take on many different faces – and cognitive anxiety, you heard it first here, is simply not in the books yet – strange, but true. If we don't look for it, we just can't see it – and so much of ADHD symptoms are associated with anxiety. I see so many who say they aren't anxious, but suffer from complete mental shutdown from cognitive anxiety. You will get it with this video.
Sign up either on the blog here for email updates or over at my Channel on YouTube to keep up with the many planned ADHD and CorePsych videos. Might as well stay posted for these small, but useful tidbits from years of ongoing office work, – evolved from when we couldn't see what we were shooting at.
And, of course, not all OCD is ADHD, but with a history and significant additional findings we will get the medications dead wrong if we miss ‘dopamine‘ and only make the ‘serotonin‘ diagnosis.
My new book ADHD Medication Rules, covers this OCD/ADHD Cognitive anxiety attribute in considerable detail.
Drop me a comment to see what you think about these findings.
cp
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254 Comments
I need to re-read your book, Dr. Parker. We are now seeing some obsessive thoughts in my son (12) — he’s had this issue the last couple years, but it seemed like exaggerated fears before, not it is affecting daily life (well, at school anyway, where getting “stuck” isn’t tolerated).
My son is insanely sensitive to medications (and even supplements). He currently takes Concerta 36 mg. We have seen the anxiety all along, but he has tried Zoloft, Celexa, Prozac, Imiprimine… all with serious to very severe (rages he never had before) — all tried with the stimulant he had been on. Violent rages, psychosis, anger…
Now that the obsessive thinking, getting “stuck,” is causing such a problem at school, the doctor prescribed Effexor to try with the Concerta, since we hadn’t tried any SSNRI’s yet. I’m wondering if you have thoughts on what the clear symptoms of severe anxiety, but inability to tolerate even the smallest dose of an SSRI might suggest clinically. I’m waiting to try the Effexor next week during Spring Break, but his history with antidepressants has me shaking in my boots.
Here’s getting “stuck” on a variety of things: pain, itching, fearful thoughts, separation anxiety thoughts, overwhelming feeling of needing to be at home (feeling safe), etc.
Maybe you can point me to the right chapter in your book to re-read for further insights. 😉
Thanks!
Penny Williams
Author of “What to Expect When You’re Not Expecting ADHD” and “Boy Without Instructions: Surviving the Learning Curve of Parenting a Child with ADHD”
Penny,
Quite honestly it doesn’t appear from your deep insights that you must go back and crack open my book. The answers there provide a grid for more attention to the necessary, essential structure that I strongly encourage all to apply for basic medical understandings that will work more predictably. The context of workaday neuroscience applied in every medical intervention will iron out so many of the more superficial, the more obvious problems. New Rules is about basic medical biology – how it should and can work if considered precisely.
You son’s problems actually take that essential conversation to another important step: that of Treatment Failure in the context of that new precision. It looks from your comments that you and your docs have carefully followed those essential rules, but no find yourself against that difficult next wall of unpredictable biologic uncertainty. I’ve lived for years wondering about that second wall, thus my ventures into SPECT, neurotransmitter measurements, trace elements, hormones.
Because of the complexity of mind biology all of these various measurements have proven helpful – to some degree. Often they could turn the tide, sometimes they couldn’t, then I had to dig more deeply. This wall you’re briefly discussing sounds like one outlined on my page discussing Walsh Resources: http://corepsych.com/walsh-resources – specifically overmethylation, and perhaps [this is more of a reach-guess] pyrrole challenges. See the videos there for more insights. You son could be trouble by anything from the more obvious like food sensitivity, to less obvious, like candida, to the more obscure imbalances of methylation or copper excess. This PDF has links for more education on the second page: http://corepsych.com/test14
My next book will indeed take these fresh testing maps out to the public as they begin to venture into these new landscapes.
Hope this helps!
Chuck
Thanks Dr. Parker! Yes, he does have other things at play. He is heterozygous MTHFR, COMT, (and 3 other neurogenetic items I cannot recall) and has some heavy metal toxicity (although we’ve been treating the metals for 3 years now but haven’t retested, so that may be resolved). I think the MTHFR polymorphisms he has mean he undermethylates. We were doing methylated B drops with the dissolving B-12 (Yasko products), but ran into some mood issues and backed off to see if it was the culprit a couple weeks ago. I need to add that back again because I don’t think it was the issue. He doesn’t have many symptoms of Pyrrole, I’ve considered that in the past. All of these things are very complex and hard to understand on a helpful level for the non-scientist. 😉
With his extreme sensitivities to medication and supplements, it’s a challenge to address these other issues too, not just medication. I find it so odd that he has such strong negative reactions to all SSRI’s, so I wondered if that meant something in it’s own right. I’ve been told that the sensitivity to meds and supplements in general is often seen in kids on the autism spectrum and we are in the evaluation process with a psychologist for that possibility now too.
Thanks again for the insights!
Penny Williams
Author of “What to Expect When You’re Not Expecting ADHD” and “Boy Without Instructions: Surviving the Learning Curve of Parenting a Child with ADHD”
Knew you were on it Penny! Now to direct your careful thoughts to two paragraphs [ at http://corepsych.com/walsh-resources ] that I added yesterday on this very issue regarding polymorphic changes with MTHFR [below Walsh’s video] and the ‘assumption’ [no disrespect] that the conclusion is always undermethylation.
More often than not, it can be. But take a look at those two fresh quoted paragraphs and the specific video footage noted on the subtitle for the Walsh video on that Walsh Resources page. Bottom line: it could, he could very well still be overmethylated as MTHFR is but one of about ~40 contributory enzyme systems and the way to measure is whole blood histamine – as that measure is the real methylation quantitative value, beyond that very specific qualitative value of MTHFR.
These are measurements in which ‘end points count’ – and MTHFR is but a small portion of that larger target/end point.
cp
Wow! All this time I thought he was UNDERmethylated, because that was the way I was told to interpret his genetic polymorphisms. Every doc I’ve spoken to about my son’s severe reactions to SSRIs, even Integrative Meds doc, were stumped by that. How can there be such a clear explanation with that one symptom and these test results and very few people know it.
Now I’m even more afraid to start the SSNRI (Effexor) this weekend.
I purchased Walsh’s book and plan to dive in immediately, as I have no idea how to treat overmethylation.
As an interesting side note, I have Fibromyalgia. In researching my son’s MTHFR issues, I found data on a Fibro link and started a protocol that included methylated supplements. Every single night I took methylated supplements, I had vivid and frightening dreams and would wake to see figures in the darkness. Even though I rationally knew my mind was playing tricks on my, it was still terrifying. I was told that means I am overmethylated (haven’t done any genetic testing myself). I have significant anxiety, but I take sertraline without side effects (low dose because therapeutic dose w/my Fibro med causes extreme RLS).
I have to much to learn, and I hope the overmethylation epiphany will enable me to help my son more effectively.
Thanks!
Penny Williams
Author of “What to Expect When You’re Not Expecting ADHD” and “Boy Without Instructions: Surviving the Learning Curve of Parenting a Child with ADHD”
ParentingADHDChildren.com
Forgot to mention, my son has pronounced anger and mood issues when taking folic acid or B vitamins that aren’t methylated. Doesn’t that fly in the face of the overmethylated theory. Can it be both? What I’m reading so far is that overmethylation is treated with folic acid and B supplements.
Right on what you’re reading, thus the reason to do all the tests.. he might be +pyrrole or +Cu if you gave him Zn he could have a prob moving Cu around too quickly. We can send you the testing. Folic acid = not good, folate, folinic good.
cp
[…] Problems [More Details In New ADHD Medication Rules]: 126. Depression 127. Anxiety [ed. note: Do these sound familiar?] 128. Post Traumatic Stress Disorder 129. Bipolar Disorder 130. […]
Just came across this website…my son has ADD takes Vyvanse,and has tried a few others, but seems to have alot of anixety and depression…is this the wrong med? Just a confusing circle…..
Ann,
ADHD Meds all vary, and depression and anxiety are typical with ADHD meds if some depression pre-existed or if the dosage was too high in the first place. The real trick is to go much lower than expected to start… [see my video on YouTube on Starting Slow]. Symptoms frequently mean metabolic problems see the playlist on ADHD Immunity Gut and Brain.
cp
I have been diagnosed as Pure O OCD and have been put on Lamictal and Lexapro. I was also diagnosed through SPECT imagery as classic ADD. The meds have helped alleviate some of the thoughts and rumination but I mostly walk around in a fog and am getting really frustrated. I think I may have thinking ADD instead. I want to try some Adderall as the only time in the last twelve years I have felt normal is when I was on ephedra and other weight loss supplements. At my wits end.
Thanks back at you! Do forward any you find useful to your social media crew, – appreciate! Any one of us can make a difference in the lives of others.
Glad to hear it! Best wishes traveling on the trail,
cp
Thanks! Your videos have been a great aid!
This issue is not the docs, the issue is more involved with the inaccuracy of the diagnostic process itself and the vague criteria for treatment. Even bright compassionate docs don’t have good maps to travel with. Regarding the 4 year comment: most don’t run out after 4 years, but if they do search “Roving Therapeutic Window” at CorePsych Blog for much more detailed explanations on metabolic variations.
Why do doctors prescribe Ritalin and Adderall so quickly and do not follow up with patients when giving out an addictive drug? Is it true that these drugs are only effective for 4 years or less?
Do sit down and review all my vids as they break down details on many issues with ADHD meds so that they can be used more effectively. Dosage, drug interactions, diagnosis with proper treatment targets, all make a serious difference for informed treatment.
I was diagnosed with ADHD about 2 months ago and I have been trying to understand what exactly this is.
Thank you for your videos!
Dr Drew tries to convince the public ‘internalising’ is a medical condition.
Thanks zjay – it’s amazing that such small adjustments can make such a significant difference. Thanks for your kind remarks!
[..YouTube..] Thanks zjay – it’s amazing that such small adjustments can make such a significant difference. Thanks for your kind remarks!
Last time I checked the mind was connected to the body… 😉
[..YouTube..] Last time I checked the mind was connected to the body… 😉
I found it on your blog and its a real eye-opener. Esp. when I tried to do milk instead of juice and experienced digestive problems and stomach pain. It was new to me! These topics just cannot be dismissed now even though I feel apprehensive about getting tests done. Though, its kind of exciting observing what is going on with me and effectively thanks to medication haha =). You rock Dr. Parker!
[..YouTube..] I found it on your blog and its a real eye-opener. Esp. when I tried to do milk instead of juice and experienced digestive problems and stomach pain. It was new to me! These topics just cannot be dismissed now even though I feel apprehensive about getting tests done. Though, its kind of exciting observing what is going on with me and effectively thanks to medication haha =). You rock Dr. Parker!
Self esteem can become exceedingly mixed up with dosage strategies – as objectives become far more intense when you realize you actually can get them done!
[..YouTube..] Self esteem can become exceedingly mixed up with dosage strategies – as objectives become far more intense when you realize you actually can get them done!
Don’t forget to check for the New Jersey Trifecta – often seen in this order of frequency: Milk, Eggs, Wheat… type “IgG” into CorePsych Blog for tons more info on neurotransmitter imbalances and immunity.
[..YouTube..] Don’t forget to check for the New Jersey Trifecta – often seen in this order of frequency: Milk, Eggs, Wheat… type “IgG” into CorePsych Blog for tons more info on neurotransmitter imbalances and immunity.
I should supp this by saying I was one of those ‘workaholics’ in my 20 somethings when it comes to employment. Medication does help me control impulses and thought processes is much more efficient, but its my working memory that I am most happy about. Vyvanse as breakfast is like nascar race with no pit stops and as I said, I tend to over-achieve at work. Sometimes I cant stop EVEN when I say ‘ I better break or ill never…’ It can be hard to fight when you have problems ‘letting go’.
[..YouTube..] I should supp this by saying I was one of those ‘workaholics’ in my 20 somethings when it comes to employment. Medication does help me control impulses and thought processes is much more efficient, but its my working memory that I am most happy about. Vyvanse as breakfast is like nascar race with no pit stops and as I said, I tend to over-achieve at work. Sometimes I cant stop EVEN when I say ‘ I better break or ill never…’ It can be hard to fight when you have problems ‘letting go’.
I watched this earlier this year when I scored high for for ADD. I went from 40mg to 50mg Vyvanse, 50mg no joke. If I don’t take it b4 I leave the house & eat healthy breakfast as early as possible, its a bad day. Lying down when I get home, nearly fainting omw to get food and water. Women w/adhd led me to your talk radio RE: Immunity Brain Function. Big fan of neuroscience so its like a eureka/dumb moment. Seattlelite – vitamin d deficiency, tree nut & fish allergies. Woopie /sarcasm
[..YouTube..] I watched this earlier this year when I scored high for for ADD. I went from 40mg to 50mg Vyvanse, 50mg no joke. If I don’t take it b4 I leave the house & eat healthy breakfast as early as possible, its a bad day. Lying down when I get home, nearly fainting omw to get food and water. Women w/adhd led me to your talk radio RE: Immunity Brain Function. Big fan of neuroscience so its like a eureka/dumb moment. Seattlelite – vitamin d deficiency, tree nut & fish allergies. Woopie /sarcasm
You’re on it Jack – and once you see it you’re deeper than 90% of the diagnostic platitudes out there… brain function will take everyone closer to their personal mind reality, appearances are only candles on the cake.
[..YouTube..] You’re on it Jack – and once you see it you’re deeper than 90% of the diagnostic platitudes out there… brain function will take everyone closer to their personal mind reality, appearances are only candles on the cake.
Not only are your words “cognitive anxiety/overabundance” how it is, your explanation of the likelyhood of ssri/snri ( effexor in my case) being a player in this, the severe acute memory loss stuff going on , and recognizing it now, totally backs that up. Its’ real and happenning alot. Did 2 hours psychological testing last Fri. I’m sure your familiar with them all , the cubes,numbers,spacial, I.Q, walked in fine, focused, 2 hrs later, overstimulation, forgot jacket ,water, coffee ,fogged out
[..YouTube..] Not only are your words “cognitive anxiety/overabundance” how it is, your explanation of the likelyhood of ssri/snri ( effexor in my case) being a player in this, the severe acute memory loss stuff going on , and recognizing it now, totally backs that up. Its’ real and happenning alot. Did 2 hours psychological testing last Fri. I’m sure your familiar with them all , the cubes,numbers,spacial, I.Q, walked in fine, focused, 2 hrs later, overstimulation, forgot jacket ,water, coffee ,fogged out
Yes, I understand, just a marker showing tendencies? not in concrete.. I’m gratefull that you respond and care and at some point in the future purchase your Book, as a tangible”thank you”..Its’ been an interesting jouney in recovery(just finished a 12 week Nami-cape cod sponsered free thing) Structure and known outcomes.. not bad for a change..! Recognition is great and all , now its “what am I gonna do about it “, I hope logic and measured steps, which are slightly better, become real for me TY
[..YouTube..] Yes, I understand, just a marker showing tendencies? not in concrete.. I’m gratefull that you respond and care and at some point in the future purchase your Book, as a tangible”thank you”..Its’ been an interesting jouney in recovery(just finished a 12 week Nami-cape cod sponsered free thing) Structure and known outcomes.. not bad for a change..! Recognition is great and all , now its “what am I gonna do about it “, I hope logic and measured steps, which are slightly better, become real for me TY
Personality tests are helpful to identify some of the targets, but often miss important questions like how many x/day #2? 😉
[..YouTube..] Personality tests are helpful to identify some of the targets, but often miss important questions like how many x/day #2? 😉
Yes,Yes..Excellent metaphors..spot on..Its’ all about coping mechanisms now..and living in the now..losing impulsivity and KNOWINg when to take a step back when SEVERAL thoughts start to take one out of reality a bit..Did the Meyers-Briggs personality test..very accurate..ISFJ..Slight on the introvert,moderate on the sensing and judging…77, extremely high on the “feeling” ..makes sense,,I am and go as I feel..Feel the disarray,,well,I am ..Feel okay,i am..wow Ty again,jack
[..YouTube..] Yes,Yes..Excellent metaphors..spot on..Its’ all about coping mechanisms now..and living in the now..losing impulsivity and KNOWINg when to take a step back when SEVERAL thoughts start to take one out of reality a bit..Did the Meyers-Briggs personality test..very accurate..ISFJ..Slight on the introvert,moderate on the sensing and judging…77, extremely high on the “feeling” ..makes sense,,I am and go as I feel..Feel the disarray,,well,I am ..Feel okay,i am..wow Ty again,jack
If you can’t manage the reality of your life, if you can’t get a bit of metacogntive distance you simply become overwhelmed in the swamp of life, neurotransmitter imbalances and PFC dysfunction. Many feel crazy, some actually look crazy, but a very sizable number are simply overwhelmed with cognitive abundance and no boxes to put reality in the closet.
[..YouTube..] If you can’t manage the reality of your life, if you can’t get a bit of metacogntive distance you simply become overwhelmed in the swamp of life, neurotransmitter imbalances and PFC dysfunction. Many feel crazy, some actually look crazy, but a very sizable number are simply overwhelmed with cognitive abundance and no boxes to put reality in the closet.
Completely with you on the psychotic elements of ADHD and PFC dysregulation associated with a variety of issues that can look purely psychotic – and are, but are only in response to the chronic sleep and profound anxiety. Just saw a patient who had a full psychotic break on sleep deprivation associated with severe sleep deprivation and profound cognitive anxiety – she is not crazy, she has ADHD and depression with sleep issues, period.
[..YouTube..] Completely with you on the psychotic elements of ADHD and PFC dysregulation associated with a variety of issues that can look purely psychotic – and are, but are only in response to the chronic sleep and profound anxiety. Just saw a patient who had a full psychotic break on sleep deprivation associated with severe sleep deprivation and profound cognitive anxiety – she is not crazy, she has ADHD and depression with sleep issues, period.
Very interesting, Dr, Parker, ADHD psychosis….Those two words together,to me,make so much sense,especially as i am dual diagnosed add/adhd AND Anxiety disorder..Why it makes sense to me is the accumalatory nature of an ocd type thinking patteren,behavior,reactions,relationships,, and the toll on self-esteem,weariness,,,much like an involuntary push to the edge AND not having coping mechanisms to compoartmentalize the realness,,not percieved reality..wow..will be checking up,,again,thanks,jack
[..YouTube..] Very interesting, Dr, Parker, ADHD psychosis….Those two words together,to me,make so much sense,especially as i am dual diagnosed add/adhd AND Anxiety disorder..Why it makes sense to me is the accumalatory nature of an ocd type thinking patteren,behavior,reactions,relationships,, and the toll on self-esteem,weariness,,,much like an involuntary push to the edge AND not having coping mechanisms to compoartmentalize the realness,,not percieved reality..wow..will be checking up,,again,thanks,jack
I often like mood disorder for filing insurance, but don’t like it from the point of view it address nothing of value regarding treatment implications or brain function.
[..YouTube..] I often like mood disorder for filing insurance, but don’t like it from the point of view it address nothing of value regarding treatment implications or brain function.
[..YouTube..] @fetalbetal I often like mood disorder for filing insurance, but don’t like it from the point of view it address nothing of value regarding treatment implications or brain function.
Labels can be so detrimental to patients with these issues, almost anyone can fit the criteria for bipolar and if this is obsessively researched.. well, it can truly unhinge someone who could benefit from well thought out treatments. ADHD seems to be over diagnosed as well, but, at least the stigma isn’t as overwhelming and the root cause remains debatable. My most recent diagnosis is mood disorder n.o.s. I think it’s the nicest way of describing what I can’t explain.
[..YouTube..] Labels can be so detrimental to patients with these issues, almost anyone can fit the criteria for bipolar and if this is obsessively researched.. well, it can truly unhinge someone who could benefit from well thought out treatments. ADHD seems to be over diagnosed as well, but, at least the stigma isn’t as overwhelming and the root cause remains debatable. My most recent diagnosis is mood disorder n.o.s. I think it’s the nicest way of describing what I can’t explain.
That’s exactly how I feel about bipolar diagnoses.
[..YouTube..] That’s exactly how I feel about bipolar diagnoses.
[..YouTube..] @DrCharlesParker That’s exactly how I feel about bipolar diagnoses.
do pop over to my site and go to Services – there we can arrange a brief phone chat to see the details and often do long distance evaluations based upon brain function, not appearances.
[..YouTube..] do pop over to my site and go to Services – there we can arrange a brief phone chat to see the details and often do long distance evaluations based upon brain function, not appearances.
[..YouTube..] @DjCosmicRush do pop over to my site and go to Services – there we can arrange a brief phone chat to see the details and often do long distance evaluations based upon brain function, not appearances.
Brilliant! I am diagnosed ADHD and 19 years old. I have a lot of what you described as cognitive anxiety. I’ve been diagnosed depression but I have a strong feeling I do not have it. I do think I get depressed a lot but not due to a neurological disease. I am very well versed in psychology, neurology, and other sciences. You seem to really know what your talking about. Maybe you can help me? I am heading towards school failure and can not figure out a diagnosis or if I’m having a natural respon
[..YouTube..] Brilliant! I am diagnosed ADHD and 19 years old. I have a lot of what you described as cognitive anxiety. I’ve been diagnosed depression but I have a strong feeling I do not have it. I do think I get depressed a lot but not due to a neurological disease. I am very well versed in psychology, neurology, and other sciences. You seem to really know what your talking about. Maybe you can help me? I am heading towards school failure and can not figure out a diagnosis or if I’m having a natural respon
Kind words, thanks, cp
[..YouTube..] Kind words, thanks, cp
[..YouTube..] @2454014 Kind words, thanks, cp
Sounds like you are cooking on the right path Jack – bipolar becomes almost an emotional platitude: “He is upset from time to time, and sometimes it’s pretty intense… and I don’t know what to call that upset so I’m pronouncing him bipolar simply because I have no other perspective for consideration.” Stay tuned Jack, I have a post coming out on ADHD psychosis – that one will be a “barn burner.” Glad to hear you’re over the hump and traveling on. Best, cp
[..YouTube..] Sounds like you are cooking on the right path Jack – bipolar becomes almost an emotional platitude: “He is upset from time to time, and sometimes it’s pretty intense… and I don’t know what to call that upset so I’m pronouncing him bipolar simply because I have no other perspective for consideration.” Stay tuned Jack, I have a post coming out on ADHD psychosis – that one will be a “barn burner.” Glad to hear you’re over the hump and traveling on. Best, cp
[..YouTube..] @JackMack02660 Sounds like you are cooking on the right path Jack – bipolar becomes almost an emotional platitude: “He is upset from time to time, and sometimes it’s pretty intense… and I don’t know what to call that upset so I’m pronouncing him bipolar simply because I have no other perspective for consideration.” Stay tuned Jack, I have a post coming out on ADHD psychosis – that one will be a “barn burner.” Glad to hear you’re over the hump and traveling on. Best, cp
I wish he was my doctor, damn.
[..YouTube..] I wish he was my doctor, damn.
Once Again Thanks Dr. Parker,love coming back here to just see how others describe cond.,cope,etc…Did a 2 week sub-acute program at Cape Cod Hospital,very good experience in that just busting up predictible patterns of thinking, new settings, empowerment stuff, and solid staff…my meds are pretty much on now..It took lots of patience,with a history,substances.used at times of corse for escape…then this..but i gotta work it, still lots to explore..thanks again
[..YouTube..] Once Again Thanks Dr. Parker,love coming back here to just see how others describe cond.,cope,etc…Did a 2 week sub-acute program at Cape Cod Hospital,very good experience in that just busting up predictible patterns of thinking, new settings, empowerment stuff, and solid staff…my meds are pretty much on now..It took lots of patience,with a history,substances.used at times of corse for escape…then this..but i gotta work it, still lots to explore..thanks again
Madelyn,
You da woman! Tight thinking, as they say in the South, tight as a tick on a dog! Appreciate your good humor and support out here!
cp
[..YouTube..] And bipolar is what everyone calls it when they don’t look at the detaisl and simply shoot from the hip.
[..YouTube..] @JackMack02660 And bipolar is what everyone calls it when they don’t look at the detaisl and simply shoot from the hip.
[..YouTube..] Thanks pink!
[..YouTube..] good stuff
[..YouTube..] Really pleased that the OCD breakdown on cognitive anxiety worked for you. Do take a look at my last blog post at CorePsych Blog that breaks the anxiety piece down even more effectively than this vid… – thanks, Peace, cp
[..YouTube..] @zjayzjay Really pleased that the OCD breakdown on cognitive anxiety worked for you. Do take a look at my last blog post at CorePsych Blog that breaks the anxiety piece down even more effectively than this vid… – thanks, Peace, cp
[..YouTube..] This really describes me, my therapist has already had me sign release forms for seeing a MD for ADD. And he promised to go over ocd for me. I mean i would think and owrry so much that i would get sick. You are SO funny.
[..YouTube..] These two subsets are, without doubt, the most frequently missed ADHD subsets, the most frequently overlooked executive function disorders on the planet. You are in big numbers company, as those two subsets are the ones I routinely see on “complex” second opinions. – Not so complex if you can see the path.
[..YouTube..] @lambymorreale These two subsets are, without doubt, the most frequently missed ADHD subsets, the most frequently overlooked executive function disorders on the planet. You are in big numbers company, as those two subsets are the ones I routinely see on “complex” second opinions. – Not so complex if you can see the path.
[..YouTube..] Dr, Parker–thank you so much for your video blogs. Between this one here and the “avoidance” video, you have explained my issues precisely. It’s been difficult to find a doctor who sees this with me, primarily because i am not physically jittery, and I can answer their questions quickly, but they’re not exactly the “right” answers, the “truth”, for me. So they push anti-depressants/anti-anxiety meds, I politely decline, and leave frustrated and depressed. I wish I lived closer to your office…
[..YouTube..] Never heard the comparison to Pres Bush – certainly can’t hurt being
compared to the Pres, unless I get caught not remembering what I am talking about!
[..YouTube..] @JackMack02660 Never heard the comparison to Pres Bush – certainly can’t hurt being
compared to the Pres, unless I get caught not remembering what I am talking about!
[..YouTube..] .I tend to ramble-just threw those spript numbers up there..if that seems reasonable just your input if you wanna..thanks…Checks in the mail.,lol.thanks again, take care!!! Anyone ever say you kind of,(mannerisms,way of speaking) remind them of younger pres Bush???.Thx again!!!!!
[..YouTube..] @DrCharlesParker .I tend to ramble-just threw those spript numbers up there..if that seems reasonable just your input if you wanna..thanks…Checks in the mail.,lol.thanks again, take care!!! Anyone ever say you kind of,(mannerisms,way of speaking) remind them of younger pres Bush???.Thx again!!!!!
[..YouTube..] Thanks for response..! ya now i’m in sub-acute care and at peace with it for the most part..The brain saturation became a 5 hour replay on one single thought,,This sharp acute increase of ocd dwelling, locked in that crap..it was kind of needed..Thanks for the words, i get it, pos.reinforcement. If you wanna respond ,that would be awesome–(.5 klonopin x2, seroquel(sleep)75-100mg 10 pm..clonodine.05 am ,.10 pm effexor 150 am adderall 20xr am. 10 ir 2-3 pm..ty
[..YouTube..] Thanks for response..! ya now i’m in sub-acute care and at peace with it for the most part..The brain saturation became a 5 hour replay on one single thought,,This sharp acute increase of ocd dwelling, locked in that crap..it was kind of needed..Thanks for the words, i get it, pos.reinforcement. If you wanna respond ,that would be awesome–(.5 klonopin x2, seroquel(sleep)75-100mg 10 pm..clonodine.05 am ,.10 pm effexor 150 am adderall 20xr am. 10 ir 2-3 pm..ty
[..YouTube..] @DrCharlesParker Thanks for response..! ya now i’m in sub-acute care and at peace with it for the most part..The brain saturation became a 5 hour replay on one single thought,,This sharp acute increase of ocd dwelling, locked in that crap..it was kind of needed..Thanks for the words, i get it, pos.reinforcement. If you wanna respond ,that would be awesome–(.5 klonopin x2, seroquel(sleep)75-100mg 10 pm..clonodine.05 am ,.10 pm effexor 150 am adderall 20xr am. 10 ir 2-3 pm..ty
[..YouTube..] Hey Jack, just remember this less complicated point: You have but one life – think of the thousands that have completely passed in years gone by with never a twit of recognition that their challenges were correctable. They died thinking they were stupid, bad, guilty, and irresponsible – you have a new life and speaking from my aging perspective, you are a young guy with many miles to go before you sleep. Carry on!
[..YouTube..] @JackMack02660 Hey Jack, just remember this less complicated point: You have but one life – think of the thousands that have completely passed in years gone by with never a twit of recognition that their challenges were correctable. They died thinking they were stupid, bad, guilty, and irresponsible – you have a new life and speaking from my aging perspective, you are a young guy with many miles to go before you sleep. Carry on!
[..YouTube..] Thanks Dr. Parker, You nailed it with your descriptions ,AND what responses and behaviors are associated with an ocd/add/adhd/anxiety condition. I had been diagnosed bi-polar couple years ago… i knew that wasn’t right, because of that mental ocd aspect that had manifested to mask an extreme fluctuation in mood . So yes,thought patterns ,behaviors and the huge anxiety factor..so i guess i gotta own it now, and at 44, the regrets..cpippling..
[..YouTube..] Also, is it typical for thoughts to be exaggerated and overwhelming?
[..YouTube..] @DrCharlesParker Also, is it typical for thoughts to be exaggerated and overwhelming?
[..YouTube..] @DrCharlesParker – Ah! That makes more sense! I have a bit of OCD with ADHD, so I constantly mental check or mental track to see if the objects, tasks etc. trigger thoughts or images. I am having a lot of trouble breaking those habits. Yes, that seems to be the stereotypical “ADHD” person nowadays. :/
[..YouTube..] @DrCharlesParker @DrCharlesParker Ah! That makes more sense! I have a bit of OCD with ADHD, so I constantly mental check or mental track to see if the objects, tasks etc. trigger thoughts or images. I am having a lot of trouble breaking those habits. Yes, that seems to be the stereotypical “ADHD” person nowadays. :/
[..YouTube..] The mental checking is quite typical of the cognitive abundance – almost anything can trigger this phenomenon – it irritates me that so many raise the poor choice of humor about flashy objects when in fact anything not nailed sufficiently down may stimulate more efforts at understanding and control.
[..YouTube..] @NyraLunaEXE The mental checking is quite typical of the cognitive abundance – almost anything can trigger this phenomenon – it irritates me that so many raise the poor choice of humor about flashy objects when in fact anything not nailed sufficiently down may stimulate more efforts at understanding and control.
[..YouTube..] Is it typical for an ADHD/OCD sufferer to constantly “mental check”? You’re not exactly focussed on the task at hand, but instead fretting if tasks or objects etc. trigger a thought or image?
When my son was 2 they thought he may have asperger’s, we’ve pretty much left it untreated except with OT and some behavioral counseling. He is now 6 and still shows A LOT of the same symptoms. He’s going to see a psychiatrist to see where he is now. I still think that he’s on the Autism specturm. His OT thinks its ADHD, Anxiety, and OCD. He does fit those but I think that’s part of the asperger’s – do these things exist comorbidity?
I’m at a loss as to what to think… any ideas?
Thanks
Mandy
Mandy,
I don’t know what to think either without an exam… but I can tell you this – generally speaking, Autism and Asperger’s are too often diagnosed as the end point, and the patient is left with their symptoms having been codified into this nether world.
Both have their own OCD/ADHD symptom pictures – and if they look “autistic” we really must, every time, look for comorbid metabolic challenges. Measure, then treat!
cp
Colin,
You are so right, my friend. This very question has been an important theme of almost every ADHD presentation since 1996. Yes, there are overlaps and some folks need a serotonergic kick with it [antidepressant to balance deeper structures] as affective anxiety is more centrally mediated.
OCD has many levels and some OCD does respond quite well to straight SSRI’s thus the proven effectiveness of Luvox for years – but most of the more purely cognitive abundance, the mental disorganization downstream from too much thinking does, as you so accurately point out respond well to stimulants.
I too like Vyvanse, and most of the time one can trim it up so that it lasts 12-14 hr DOE. e.g. If it is lasting till 3 PM from 7 AM the Duration [DOE] is 8 hr, and the dose most often is too small, and can be increased by 10mg for an additional 2 hr DOE with good result.
I always increase by 10 mg increments unless the coverage is down to 5-6 hr DOE, then can leap to 20 mg increase with your doctor’s approval.
cp
[..YouTube..] and thanks for your kind remarks on the thinking with ADHD and OCD
[..YouTube..] @roDinski584 and thanks for your kind remarks on the thinking with ADHD and OCD
[..YouTube..] @roDinski584 and thanks for your kind remarks on the thinking with ADHD and OCD
[..YouTube..] @roDinski584 and thanks for your kind remarks on the thinking with ADHD and OCD
[..YouTube..] @roDinski584 and thanks for your kind remarks on the thinking with ADHD and OCD
[..YouTube..] @anitar7111 If meds need mixing to cover both presentations, need to be careful with drug-drug interactions, specifically prozac/paxil and the amphetamines. Otherwise it will fall to your doc and you regarding their/your choices of the best combo-
[..YouTube..] @anitar7111 If meds need mixing to cover both presentations, need to be careful with drug-drug interactions, specifically prozac/paxil and the amphetamines. Otherwise it will fall to your doc and you regarding their/your choices of the best combo-
[..YouTube..] @anitar7111 If meds need mixing to cover both presentations, need to be careful with drug-drug interactions, specifically prozac/paxil and the amphetamines. Otherwise it will fall to your doc and you regarding their/your choices of the best combo-
[..YouTube..] @anitar7111 If meds need mixing to cover both presentations, need to be careful with drug-drug interactions, specifically prozac/paxil and the amphetamines. Otherwise it will fall to your doc and you regarding their/your choices of the best combo-
[..YouTube..] @anitar7111 If meds need mixing to cover both presentations, need to be careful with drug-drug interactions, specifically prozac/paxil and the amphetamines. Otherwise it will fall to your doc and you regarding their/your choices of the best combo-
[..YouTube..] By the way, I like this point: “My point on this: Many are treated for thinking problems – without specific thinking about the thinking process.” I think it is really in the right direction towards diagnosing these disorders. Thanks for sharing and I hope it goes far.
[..YouTube..] By the way, I like this point: “My point on this: Many are treated for thinking problems – without specific thinking about the thinking process.” I think it is really in the right direction towards diagnosing these disorders. Thanks for sharing and I hope it goes far.
[..YouTube..] By the way, I like this point: “My point on this: Many are treated for thinking problems – without specific thinking about the thinking process.” I think it is really in the right direction towards diagnosing these disorders. Thanks for sharing and I hope it goes far.
[..YouTube..] By the way, I like this point: “My point on this: Many are treated for thinking problems – without specific thinking about the thinking process.” I think it is really in the right direction towards diagnosing these disorders. Thanks for sharing and I hope it goes far.
[..YouTube..] By the way, I like this point: “My point on this: Many are treated for thinking problems – without specific thinking about the thinking process.” I think it is really in the right direction towards diagnosing these disorders. Thanks for sharing and I hope it goes far.
[..YouTube..] Like, for example, although the dopamine levels are triggering these behaviors there is another issue, such as a certain thought or event or a problem with non-associative lobes addressing other lobes not associated with be causing these levels to go out of whack?
Why would I experience such severe symptoms if the real cause is a serotonin/dopamine levels between either the synapse or just in the negative feedback loop? Would it be safe to assume that my real issue is not be based on [ ]?
[..YouTube..] Like, for example, although the dopamine levels are triggering these behaviors there is another issue, such as a certain thought or event or a problem with non-associative lobes addressing other lobes not associated with be causing these levels to go out of whack?
Why would I experience such severe symptoms if the real cause is a serotonin/dopamine levels between either the synapse or just in the negative feedback loop? Would it be safe to assume that my real issue is not be based on [ ]?
[..YouTube..] Like, for example, although the dopamine levels are triggering these behaviors there is another issue, such as a certain thought or event or a problem with non-associative lobes addressing other lobes not associated with be causing these levels to go out of whack?
Why would I experience such severe symptoms if the real cause is a serotonin/dopamine levels between either the synapse or just in the negative feedback loop? Would it be safe to assume that my real issue is not be based on [ ]?
[..YouTube..] Like, for example, although the dopamine levels are triggering these behaviors there is another issue, such as a certain thought or event or a problem with non-associative lobes addressing other lobes not associated with be causing these levels to go out of whack?
Why would I experience such severe symptoms if the real cause is a serotonin/dopamine levels between either the synapse or just in the negative feedback loop? Would it be safe to assume that my real issue is not be based on [ ]?
[..YouTube..] Like, for example, although the dopamine levels are triggering these behaviors there is another issue, such as a certain thought or event or a problem with non-associative lobes addressing other lobes not associated with be causing these levels to go out of whack?
Why would I experience such severe symptoms if the real cause is a serotonin/dopamine levels between either the synapse or just in the negative feedback loop? Would it be safe to assume that my real issue is not be based on [ ]?
[..YouTube..] @DrCharlesParker Thanks for the response and info
Since there isn’t any blood tests that I know of that would directly state which is the governing issue towards the disorder (dopamine/serotonin levels), could there be a different contributor to why these symptoms be problematic? Since dopamine is also associated with the cognitive activities, would the root cause be the dopamine levels or is there other issues, being either the wiring of the brain, that is causing these levels to be off?
[..YouTube..] @DrCharlesParker Thanks for the response and info
Since there isn’t any blood tests that I know of that would directly state which is the governing issue towards the disorder (dopamine/serotonin levels), could there be a different contributor to why these symptoms be problematic? Since dopamine is also associated with the cognitive activities, would the root cause be the dopamine levels or is there other issues, being either the wiring of the brain, that is causing these levels to be off?
[..YouTube..] @DrCharlesParker Thanks for the response and info
Since there isn’t any blood tests that I know of that would directly state which is the governing issue towards the disorder (dopamine/serotonin levels), could there be a different contributor to why these symptoms be problematic? Since dopamine is also associated with the cognitive activities, would the root cause be the dopamine levels or is there other issues, being either the wiring of the brain, that is causing these levels to be off?
[..YouTube..] @DrCharlesParker Thanks for the response and info
Since there isn’t any blood tests that I know of that would directly state which is the governing issue towards the disorder (dopamine/serotonin levels), could there be a different contributor to why these symptoms be problematic? Since dopamine is also associated with the cognitive activities, would the root cause be the dopamine levels or is there other issues, being either the wiring of the brain, that is causing these levels to be off?
[..YouTube..] @DrCharlesParker Thanks for the response and info
Since there isn’t any blood tests that I know of that would directly state which is the governing issue towards the disorder (dopamine/serotonin levels), could there be a different contributor to why these symptoms be problematic? Since dopamine is also associated with the cognitive activities, would the root cause be the dopamine levels or is there other issues, being either the wiring of the brain, that is causing these levels to be off?
[..YouTube..] Dr. Parker, If you have ADHD and social anxiety, what medicines should you be on? Please help. No insurance..
[..YouTube..] Dr. Parker, If you have ADHD and social anxiety, what medicines should you be on? Please help.
[..YouTube..] Dr. Parker, If you have ADHD and social anxiety, what medicines should you be on? Please help.
[..YouTube..] Dr. Parker, If you have ADHD and social anxiety, what medicines should you be on? Please help.
[..YouTube..] Dr. Parker, If you have ADHD and social anxiety, what medicines should you be on? Please help.
[..YouTube..] Dr. Parker, If you have ADHD and social anxiety, what medicines should you be on? Please help.
[..YouTube..] @roDinski584 Generally speaking whilst translating neurotransmitter data over to clinical appearances the serotonin issues relate to deeper brain structures often associated with affective, feeling nervous or anxiety. Dopamine often is associated, as described in detail in my book on ADHD Medication Rules, is associated with cognitive, thinking, cortical anxiety arising from issues with working memory in the prefrontal cortex. To top it off the level of one can modify the other neurotransmitter.
[..YouTube..] @roDinski584 Generally speaking whilst translating neurotransmitter data over to clinical appearances the serotonin issues relate to deeper brain structures often associated with affective, feeling nervous or anxiety. Dopamine often is associated, as described in detail in my book on ADHD Medication Rules, is associated with cognitive, thinking, cortical anxiety arising from issues with working memory in the prefrontal cortex. To top it off the level of one can modify the other neurotransmitter.
[..YouTube..] @roDinski584 Generally speaking whilst translating neurotransmitter data over to clinical appearances the serotonin issues relate to deeper brain structures often associated with affective, feeling nervous or anxiety. Dopamine often is associated, as described in detail in my book on ADHD Medication Rules, is associated with cognitive, thinking, cortical anxiety arising from issues with working memory in the prefrontal cortex. To top it off the level of one can modify the other neurotransmitter.
[..YouTube..] @roDinski584 Generally speaking whilst translating neurotransmitter data over to clinical appearances the serotonin issues relate to deeper brain structures often associated with affective, feeling nervous or anxiety. Dopamine often is associated, as described in detail in my book on ADHD Medication Rules, is associated with cognitive, thinking, cortical anxiety arising from issues with working memory in the prefrontal cortex. To top it off the level of one can modify the other neurotransmitter.
[..YouTube..] @roDinski584 Generally speaking whilst translating neurotransmitter data over to clinical appearances the serotonin issues relate to deeper brain structures often associated with affective, feeling nervous or anxiety. Dopamine often is associated, as described in detail in my book on ADHD Medication Rules, is associated with cognitive, thinking, cortical anxiety arising from issues with working memory in the prefrontal cortex. To top it off the level of one can modify the other neurotransmitter.
[..YouTube..] I was wondering if you could give me some input on the basis that these anxiety disorders stem from serotonin and or dopamine concentration issues. I was diagonised with OCD and since the use of the medication I experienced EPS, serotonin syndrome, hypervigialance, hyperthermia, deliriumn, and a few other symptoms the psychologist was unable to answer for. The “hit and miss” tactic employed by these medications don’t really show a proper understand at the core issue. What is your input?
[..YouTube..] I was wondering if you could give me some input on the basis that these anxiety disorders stem from serotonin and or dopamine concentration issues. I was diagonised with OCD and since the use of the medication I experienced EPS, serotonin syndrome, hypervigialance, hyperthermia, deliriumn, and a few other symptoms the psychologist was unable to answer for. The “hit and miss” tactic employed by these medications don’t really show a proper understand at the core issue. What is your input?
[..YouTube..] I was wondering if you could give me some input on the basis that these anxiety disorders stem from serotonin and or dopamine concentration issues. I was diagonised with OCD and since the use of the medication I experienced EPS, serotonin syndrome, hypervigialance, hyperthermia, deliriumn, and a few other symptoms the psychologist was unable to answer for. The “hit and miss” tactic employed by these medications don’t really show a proper understand at the core issue. What is your input?
[..YouTube..] I was wondering if you could give me some input on the basis that these anxiety disorders stem from serotonin and or dopamine concentration issues. I was diagonised with OCD and since the use of the medication I experienced EPS, serotonin syndrome, hypervigialance, hyperthermia, deliriumn, and a few other symptoms the psychologist was unable to answer for. The “hit and miss” tactic employed by these medications don’t really show a proper understand at the core issue. What is your input?
[..YouTube..] I was wondering if you could give me some input on the basis that these anxiety disorders stem from serotonin and or dopamine concentration issues. I was diagonised with OCD and since the use of the medication I experienced EPS, serotonin syndrome, hypervigialance, hyperthermia, deliriumn, and a few other symptoms the psychologist was unable to answer for. The “hit and miss” tactic employed by these medications don’t really show a proper understand at the core issue. What is your input?
[..YouTube..] Panic Away – How to Stop Panic Attacks and General Anxiety Fast
Visit —–> ultimatewowguide.name
[..YouTube..] @tlie03 Cog Anx is not even in the books yet, only in my book… all other references chunk it under OCD and take concerned practitioners down the SSRI path. The cog part of the problem usually responds well to a stim, the affective side an appropriate SSRI … all this is assuming that your *background noise,* your metabolic medium is already balanced. Start slowly, learn what you can, and with a workable grid in place, with clearer targets it will all be much less amorphous.
[..YouTube..] @tlie03 Cog Anx is not even in the books yet, only in my book… all other references chunk it under OCD and take concerned practitioners down the SSRI path. The cog part of the problem usually responds well to a stim, the affective side an appropriate SSRI … all this is assuming that your *background noise,* your metabolic medium is already balanced. Start slowly, learn what you can, and with a workable grid in place, with clearer targets it will all be much less amorphous.
[..YouTube..] @tlie03 Cog Anx is not even in the books yet, only in my book… all other references chunk it under OCD and take concerned practitioners down the SSRI path. The cog part of the problem usually responds well to a stim, the affective side an appropriate SSRI … all this is assuming that your *background noise,* your metabolic medium is already balanced. Start slowly, learn what you can, and with a workable grid in place, with clearer targets it will all be much less amorphous.
[..YouTube..] @tlie03 Cog Anx is not even in the books yet, only in my book… all other references chunk it under OCD and take concerned practitioners down the SSRI path. The cog part of the problem usually responds well to a stim, the affective side an appropriate SSRI … all this is assuming that your *background noise,* your metabolic medium is already balanced. Start slowly, learn what you can, and with a workable grid in place, with clearer targets it will all be much less amorphous.
[..YouTube..] @tlie03 Cog Anx is not even in the books yet, only in my book… all other references chunk it under OCD and take concerned practitioners down the SSRI path. The cog part of the problem usually responds well to a stim, the affective side an appropriate SSRI … all this is assuming that your *background noise,* your metabolic medium is already balanced. Start slowly, learn what you can, and with a workable grid in place, with clearer targets it will all be much less amorphous.
[..YouTube..] I desperately want to address Cognitive Anxiety w/ my psychiatrist but have questions: (1) Is Cognitive Anxiety a sub-category of ADHD, or a completely separate condition? (2) Assuming it’s diagnosed, how should it be addressed medically? With an ADDITIONAL prescription (1 for ADHD, 1 for Cogntive Anxiety) or should I REPLACE my ADHD presciption with one for Cognitive Anxiety?
[..YouTube..] I desperately want to address Cognitive Anxiety w/ my psychiatrist but have questions: (1) Is Cognitive Anxiety a sub-category of ADHD, or a completely separate condition? (2) Assuming it’s diagnosed, how should it be addressed medically? With an ADDITIONAL prescription (1 for ADHD, 1 for Cogntive Anxiety) or should I REPLACE my ADHD presciption with one for Cognitive Anxiety?
[..YouTube..] I desperately want to address Cognitive Anxiety w/ my psychiatrist but have questions: (1) Is Cognitive Anxiety a sub-category of ADHD, or a completely separate condition? (2) Assuming it’s diagnosed, how should it be addressed medically? With an ADDITIONAL prescription (1 for ADHD, 1 for Cogntive Anxiety) or should I REPLACE my ADHD presciption with one for Cognitive Anxiety?
[..YouTube..] I desperately want to address Cognitive Anxiety w/ my psychiatrist but have questions: (1) Is Cognitive Anxiety a sub-category of ADHD, or a completely separate condition? (2) Assuming it’s diagnosed, how should it be addressed medically? With an ADDITIONAL prescription (1 for ADHD, 1 for Cogntive Anxiety) or should I REPLACE my ADHD presciption with one for Cognitive Anxiety?
[..YouTube..] I desperately want to address Cognitive Anxiety w/ my psychiatrist but have questions: (1) Is Cognitive Anxiety a sub-category of ADHD, or a completely separate condition? (2) Assuming it’s diagnosed, how should it be addressed medically? With an ADDITIONAL prescription (1 for ADHD, 1 for Cogntive Anxiety) or should I REPLACE my ADHD presciption with one for Cognitive Anxiety?
Denise,
No reason to be frightened of the meds if you and your doc are micro dosing with careful titration strategies. Problems arise with denial of metabolic challenges… not your collective problem. If serotonin is low and your guy is already refractory [he is] to meds, the best, most conservative way to proceed is with one of the 5htp products. I do like TravaCor, but have had much success quickly with the 5HTP spray, even tho is sounds like pure snake oil to the uninitiated [it did to me before I understood the action and saw the significant positive effect].
cp
Hi Dr. Parker,
My Son is on Concerta 54mg (slowly worked up from 18mg) His focus is amazing now, he went from 50% on math tests to mid 80’s and texted me today with a 95%! His writing is much better, no more ripped pages, scribbles, etc… in workbooks. Impulsivity is still rearing it’s ugly head, having social problems at school (6th grade). My Doc recommended Intuniv 2mg at night. On it 2 weeks now and the oppositional behaviour, arguing, edginess, low tolerance for anything is way up. The Doc said, let’s go down to 1mg on Intuniv since we are here, but he says he has suspected for some time that anxiety may be ann issue. Anxiety can often times look like impulsivity or OCD and because of that often times goes nisdiagnose. He wants to see what happenes with 1mg of Intuniv over the next couple weeks, but thinks we may have to discontinue the Intuniv, and replace it with an SSRI, due to the anxiety. Also, keep the Concerta in the AM. The SSRi’s that he mentioned were the “clean” ones according to what I have seen while purusing your blog. He has had neurotransmitter testing, and I do believe his Seratonin is low. We eat clean, and he sees a naturopath as well, so we are attacking from all angles. An SSRI scares me….what are your thoughts…
[..YouTube..] @IncelTreatment Both the CorePsych Blog and this link will take you to many more details: Log in for Predictable Solutions a complimentary special report there in the upper rt hand corner – cp
[..YouTube..] @IncelTreatment Both the CorePsych Blog and this link will take you to many more details: Log in for Predictable Solutions a complimentary special report there in the upper rt hand corner – cp
[..YouTube..] @IncelTreatment Both the CorePsych Blog and this link will take you to many more details: Log in for Predictable Solutions a complimentary special report there in the upper rt hand corner – cp
[..YouTube..] @IncelTreatment Both the CorePsych Blog and this link will take you to many more details: Log in for Predictable Solutions a complimentary special report there in the upper rt hand corner – cp
[..YouTube..] Great video is there anywhere I can find out more about this?
[..YouTube..] Great video is there anywhere I can find out more about this?
[..YouTube..] Great video is there anywhere I can find out more about this?
Are those precursors you mention be a supplement of 5-HTP?
Alpha,
5-HTP is but one of many neurotransmitter precursors, yes.
cp
after watching this video…
so what happens when someone has adhd with this manifestation, gets treated for it with a stimulant so their mind clears up and they don’t have all that worry in their head all the time. But — they now experience more somatic anxiety (or maybe just notice that it’s there from time to time) and still worry in certain situations (predictable) and they still have their obsessions and a need to do things a certain way or at a certain time? To the point that it’s a problem.
My guess, from watching your video, is that there is some other issue besides just the adhd. And that the stimulant raises the dopamine, thereby making the serotonin (seem?) even lower?
I’ve also read the level of estrogen has a direct relationship with the level of dopamine…which would imply that when a woman’s estrogen levels are lower so are their dopamine levels. Would it be so much lower at that time as to make the stimulant not have the normal effect expected by the woman?
Am I on the right track?
q,
Excellent comment, exactly on track, and the fix is simply adjusting the serotonin – either with precursors, or with an appropriate antidepressant not Prozac or Paxil.
Correct on the estrogen relationship with DA, but not the implication you suggested. While they are related the estrogen/progesterone ratio and balance is more germane.
cp
Very interesting. Thanks. So during that week each month :/, a better intervention would be to do nothing and just accept that the stimulant “isn’t working” even though obviously it is, just not the same effect….or look at how to manage the lower levels of both estrogen and progesterone?
q,
My plan is simple: low and slow, science first, watch what happens with each tweak, then make appropriate changes. Two changes at the same time only for deep trouble.
cp
Hi Dr. Parker, Great video. This is exactly my son. We have tried stimulants and due to tics and an extreme increase of anxiety we stay away from them. He also deals with emotion regulation.. poor frustration tolerance, like ODD. He has been on a GF/CF diet and taking minerals and vitamins, sleeps well and exercises. He has been on Intuniv and it has helped tremendously. He was is ten yrs old 70lbs and was taking 3 mg which was to high of a dose for him so hes back to 2mg. His mood is a bit worse, not nearly as horrible as before but still notice the difference. We have a new med doctor who we met with yesterday who is suggesting Welbutrin. Will this help with cognitive anxiety AND Add? What meds in your opinion are out there that can help kids with cognitive anxiety and add. Is there just one med out there that would help both??
Dee,
Actually your guy is quite typical of those we see with tic disorder… they often have a more complex presentation, and many have more complex immune system dysregulations that simply going for the GF/CF diet. So starting with that end of the presentation I do recommend a complete, specific IgG workup to get the underlying villains
On the meds: In this kind of situation going down on the Intuniv as you indicated sounds like the right move, but if impulsivity is not adequately addressed I would have to ask many more questions before just throwing something out there. Wellbutrin might work – but if he has an elevated dopamine downstream from immune dysfunction it too will prove too stimulating.
I do suggest NeuroScience testing, IgG evaluation and specific gut healing interventions to speed the recovery process.
cp
Thank doctor,
It’s been a week since reducing intuniv from 3mg to 2mg and the last two days have been actually pretty bad. His anger and aggression are back with a force. I had a talk with him about how he feels. He says physically he doesn’t feel well. He also said he feels sad, mad and annoyed. When you talk about gut healing, his recent work included an OAT, amino acids and hair and mineral test. The previous doctor stated no issues other than dairy and gluten. He said metals and yeast were not a problem. It gets a little tricky for me, so I’m wondering when you speak of more complex immune system dysregulations, what that entails? what does gut healing entail? Anger and aggression is the major issue. To be honest, if I had to pick .. I’d choose fixing the anger and aggression over the add. It’s just so tricky, I wonder what others end up trying as combo’s to help both sides of this coin? Intuniv has been the best so far but 2mg is to small and 3mg is to high. I don’t think his doctor will go for cutting 1mg in half to add to the 2. I’d like to try it though.
Thanks again. I will look in to the IgG eval.
Dee,
Gut healing idea centers on probiotics and healing nutrients in a package like this GI Repair Kit.
There is no prob with cutting the Intuniv, many do it… and, if Intuniv doesn’t work, there is another new Alpha 2 agonist out the might work called Kapvay a clonidine time release that may work at a lower dose.
Neurotransmitter testing will often tell the tale more effectively – regarding which need balancing.
cp
[..YouTube..] @butiamnotcrazy Best you can do if no insurance is the generic Adderall, about the same price as Rit I am told, but honestly haven’t shopped it up. See my other video on DOE for specific dosing instructions. I have all the ADHD videos together on a YouTube player as an ADHD med tutorial at CorePsych Blog… just *Search* “Tutorial”
[..YouTube..] @butiamnotcrazy Best you can do if no insurance is the generic Adderall, about the same price as Rit I am told, but honestly haven’t shopped it up. See my other video on DOE for specific dosing instructions. I have all the ADHD videos together on a YouTube player as an ADHD med tutorial at CorePsych Blog… just *Search* “Tutorial”
[..YouTube..] @butiamnotcrazy Best you can do if no insurance is the generic Adderall, about the same price as Rit I am told, but honestly haven’t shopped it up. See my other video on DOE for specific dosing instructions. I have all the ADHD videos together on a YouTube player as an ADHD med tutorial at CorePsych Blog… just *Search* “Tutorial”
[..YouTube..] @butiamnotcrazy Best you can do if no insurance is the generic Adderall, about the same price as Rit I am told, but honestly haven’t shopped it up. See my other video on DOE for specific dosing instructions. I have all the ADHD videos together on a YouTube player as an ADHD med tutorial at CorePsych Blog… just *Search* “Tutorial”
[..YouTube..] @butiamnotcrazy Best you can do if no insurance is the generic Adderall, about the same price as Rit I am told, but honestly haven’t shopped it up. See my other video on DOE for specific dosing instructions. I have all the ADHD videos together on a YouTube player as an ADHD med tutorial at CorePsych Blog… just *Search* “Tutorial”
[..YouTube..] I’m a college student with ADHD as well as some Anxiety features. I had a lot of success of Adderall and took it all through high school, and freshman year of college, but lost insurance and had to quit. I went about a year and half with out meds (bad idea) and began taking Ritalin a couple months ago. My ADHD is improved some but my focus is still off, and my anxiety has really gotten worse because of this. Any tips?
[..YouTube..] I’m a college student with ADHD as well as some Anxiety features. I had a lot of success of Adderall and took it all through high school, and freshman year of college, but lost insurance and had to quit. I went about a year and half with out meds (bad idea) and began taking Ritalin a couple months ago. My ADHD is improved some but my focus is still off, and my anxiety has really gotten worse because of this. Any tips?
[..YouTube..] I’m a college student with ADHD as well as some Anxiety features. I had a lot of success of Adderall and took it all through high school, and freshman year of college, but lost insurance and had to quit. I went about a year and half with out meds (bad idea) and began taking Ritalin a couple months ago. My ADHD is improved some but my focus is still off, and my anxiety has really gotten worse because of this. Any tips?
[..YouTube..] I’m a college student with ADHD as well as some Anxiety features. I had a lot of success of Adderall and took it all through high school, and freshman year of college, but lost insurance and had to quit. I went about a year and half with out meds (bad idea) and began taking Ritalin a couple months ago. My ADHD is improved some but my focus is still off, and my anxiety has really gotten worse because of this. Any tips?
[..YouTube..] @juuliuuz Yeah, this is often the hallmark of ADHD, failure of the SSRI with even more anxiety and impulsivity!
[..YouTube..] @juuliuuz Yeah, this is often the hallmark of ADHD, failure of the SSRI with even more anxiety and impulsivity!
[..YouTube..] @juuliuuz Yeah, this is often the hallmark of ADHD, failure of the SSRI with even more anxiety and impulsivity!
[..YouTube..] @juuliuuz Yeah, this is often the hallmark of ADHD, failure of the SSRI with even more anxiety and impulsivity!
[..YouTube..] @juuliuuz Yeah, this is often the hallmark of ADHD, failure of the SSRI with even more anxiety and impulsivity!
[..YouTube..] Hey, very interesting video. I was put on SSRI (Lexapro) for my GAD two years ago my anxiety comes back when I become busy. I started to think that really something is wrong with me and its not just anxiety.I started to GOOGLE, GOOGLE & GOOGLE (My GP said its wrong to do googling its just anxiety,but it is not) Went to psychiatrist she said to do diary and come back in 2 months. Its getting worse and worse and I cant multitask.. I’m so sad, anxious, scared, depressed. I think I have OCD too
[..YouTube..] Hey, very interesting video. I was put on SSRI (Lexapro) for my GAD two years ago my anxiety comes back when I become busy. I started to think that really something is wrong with me and its not just anxiety.I started to GOOGLE, GOOGLE & GOOGLE (My GP said its wrong to do googling its just anxiety,but it is not) Went to psychiatrist she said to do diary and come back in 2 months. Its getting worse and worse and I cant multitask.. I’m so sad, anxious, scared, depressed. I think I have OCD too
[..YouTube..] Hey, very interesting video. I was put on SSRI (Lexapro) for my GAD two years ago my anxiety comes back when I become busy. I started to think that really something is wrong with me and its not just anxiety.I started to GOOGLE, GOOGLE & GOOGLE (My GP said its wrong to do googling its just anxiety,but it is not) Went to psychiatrist she said to do diary and come back in 2 months. Its getting worse and worse and I cant multitask.. I’m so sad, anxious, scared, depressed. I think I have OCD too
[..YouTube..] Hey, very interesting video. I was put on SSRI (Lexapro) for my GAD two years ago my anxiety comes back when I become busy. I started to think that really something is wrong with me and its not just anxiety.I started to GOOGLE, GOOGLE & GOOGLE (My GP said its wrong to do googling its just anxiety,but it is not) Went to psychiatrist she said to do diary and come back in 2 months. Its getting worse and worse and I cant multitask.. I’m so sad, anxious, scared, depressed. I think I have OCD too
[..YouTube..] Hey, very interesting video. I was put on SSRI (Lexapro) for my GAD two years ago my anxiety comes back when I become busy. I started to think that really something is wrong with me and its not just anxiety.I started to GOOGLE, GOOGLE & GOOGLE (My GP said its wrong to do googling its just anxiety,but it is not) Went to psychiatrist she said to do diary and come back in 2 months. Its getting worse and worse and I cant multitask.. I’m so sad, anxious, scared, depressed. I think I have OCD too
[..YouTube..] @dannyland1 the stimulus keeps the focus, the structure and the diminished variables do exactly that: take away distractions. The biggest problem, the most overlooked problem with ADHD sufferers is the ‘unmanageable cognitive abundance’ out lined carefully in *ADHD Medication Rules.*
[..YouTube..] @dannyland1 the stimulus keeps the focus, the structure and the diminished variables do exactly that: take away distractions. The biggest problem, the most overlooked problem with ADHD sufferers is the ‘unmanageable cognitive abundance’ out lined carefully in *ADHD Medication Rules.*
[..YouTube..] @dannyland1 the stimulus keeps the focus, the structure and the diminished variables do exactly that: take away distractions. The biggest problem, the most overlooked problem with ADHD sufferers is the ‘unmanageable cognitive abundance’ out lined carefully in *ADHD Medication Rules.*
[..YouTube..] @dannyland1 the stimulus keeps the focus, the structure and the diminished variables do exactly that: take away distractions. The biggest problem, the most overlooked problem with ADHD sufferers is the ‘unmanageable cognitive abundance’ out lined carefully in *ADHD Medication Rules.*
[..YouTube..] @dannyland1 the stimulus keeps the focus, the structure and the diminished variables do exactly that: take away distractions. The biggest problem, the most overlooked problem with ADHD sufferers is the ‘unmanageable cognitive abundance’ out lined carefully in *ADHD Medication Rules.*
[..YouTube..] Take a look at my other video on ADHD Context which also adds to the current dialogue about diagnosis and the reality in which symptoms occur. Thanks hope it’s helpful!
[..YouTube..] Take a look at my other video on ADHD Context which also adds to the current dialogue about diagnosis and the reality in which symptoms occur. Thanks hope it’s helpful!
[..YouTube..] Take a look at my other video on ADHD Context which also adds to the current dialogue about diagnosis and the reality in which symptoms occur. Thanks hope it’s helpful!
[..YouTube..] Take a look at my other video on ADHD Context which also adds to the current dialogue about diagnosis and the reality in which symptoms occur. Thanks hope it’s helpful!
[..YouTube..] Take a look at my other video on ADHD Context which also adds to the current dialogue about diagnosis and the reality in which symptoms occur. Thanks hope it’s helpful!
[..YouTube..] I can see why I do well with structure, I’m not even sure if this was the video addressing that, uhh well anyways I suffer from some pretty extreme ADHD, I have all symptoms you talk about in your videos, I was wondering if being attracted to all forms of really intense sports, tv, video games, music is also a trait for ADHD, basically, I’m thinking my brain needs constant stimulus. is this an accurate assumption? If its not mental stimulus i need to move around when not on my meds.
[..YouTube..] I can see why I do well with structure, I’m not even sure if this was the video addressing that, uhh well anyways I suffer from some pretty extreme ADHD, I have all symptoms you talk about in your videos, I was wondering if being attracted to all forms of really intense sports, tv, video games, music is also a trait for ADHD, basically, I’m thinking my brain needs constant stimulus. is this an accurate assumption? If its not mental stimulus i need to move around when not on my meds.
[..YouTube..] I can see why I do well with structure, I’m not even sure if this was the video addressing that, uhh well anyways I suffer from some pretty extreme ADHD, I have all symptoms you talk about in your videos, I was wondering if being attracted to all forms of really intense sports, tv, video games, music is also a trait for ADHD, basically, I’m thinking my brain needs constant stimulus. is this an accurate assumption? If its not mental stimulus i need to move around when not on my meds.
[..YouTube..] I can see why I do well with structure, I’m not even sure if this was the video addressing that, uhh well anyways I suffer from some pretty extreme ADHD, I have all symptoms you talk about in your videos, I was wondering if being attracted to all forms of really intense sports, tv, video games, music is also a trait for ADHD, basically, I’m thinking my brain needs constant stimulus. is this an accurate assumption? If its not mental stimulus i need to move around when not on my meds.
[..YouTube..] I can see why I do well with structure, I’m not even sure if this was the video addressing that, uhh well anyways I suffer from some pretty extreme ADHD, I have all symptoms you talk about in your videos, I was wondering if being attracted to all forms of really intense sports, tv, video games, music is also a trait for ADHD, basically, I’m thinking my brain needs constant stimulus. is this an accurate assumption? If its not mental stimulus i need to move around when not on my meds.
[..YouTube..] @reddorothy – not as well as DA or NE, but can be helpful.
[..YouTube..] @reddorothy – not as well as DA or NE, but can be helpful.
[..YouTube..] @reddorothy – not as well as DA or NE, but can be helpful.
[..YouTube..] @reddorothy – not as well as DA or NE, but can be helpful.
[..YouTube..] @reddorothy – not as well as DA or NE, but can be helpful.
[..YouTube..] @reddorothy Wellbutrin helps just a bit, often not as significantly as stimulant meds – DA and NE both effect PFC function… but patients prefer to have the best correction with a stimulant dialed in accurately based upon their personal metabolic presentation.
[..YouTube..] @reddorothy Wellbutrin helps just a bit, often not as significantly as stimulant meds – DA and NE both effect PFC function… but patients prefer to have the best correction with a stimulant dialed in accurately based upon their personal metabolic presentation.
[..YouTube..] @reddorothy Wellbutrin helps just a bit, often not as significantly as stimulant meds – DA and NE both effect PFC function… but patients prefer to have the best correction with a stimulant dialed in accurately based upon their personal metabolic presentation.
[..YouTube..] @reddorothy Wellbutrin helps just a bit, often not as significantly as stimulant meds – DA and NE both effect PFC function… but patients prefer to have the best correction with a stimulant dialed in accurately based upon their personal metabolic presentation.
[..YouTube..] @reddorothy Wellbutrin helps just a bit, often not as significantly as stimulant meds – DA and NE both effect PFC function… but patients prefer to have the best correction with a stimulant dialed in accurately based upon their personal metabolic presentation.
[..YouTube..] Do you find that bupropion works? Its not an SSRI.
[..YouTube..] Do you find that bupropion works? Its not an SSRI.
[..YouTube..] Do you find that bupropion works? Its not an SSRI.
[..YouTube..] Do you find that bupropion works? Its not an SSRI.
[..YouTube..] @chillidogdupree
Yes, often the answer, after determining the underlying problem ruling out ADHD, is most often comorbid challenges with serotonin… but that doesn’t leave out all the other neurotransmitters relevant to ADHD: NE, PEA, Glutamate… measurement of the neurotransmitter biomarkers is the key to that mystery door.
cp
[..YouTube..] @chillidogdupree
Yes, often the answer, after determining the underlying problem ruling out ADHD, is most often comorbid challenges with serotonin… but that doesn’t leave out all the other neurotransmitters relevant to ADHD: NE, PEA, Glutamate… measurement of the neurotransmitter biomarkers is the key to that mystery door.
cp
[..YouTube..] @chillidogdupree
Yes, often the answer, after determining the underlying problem ruling out ADHD, is most often comorbid challenges with serotonin… but that doesn’t leave out all the other neurotransmitters relevant to ADHD: NE, PEA, Glutamate… measurement of the neurotransmitter biomarkers is the key to that mystery door.
cp
[..YouTube..] @chillidogdupree
Yes, often the answer, after determining the underlying problem ruling out ADHD, is most often comorbid challenges with serotonin… but that doesn’t leave out all the other neurotransmitters relevant to ADHD: NE, PEA, Glutamate… measurement of the neurotransmitter biomarkers is the key to that mystery door.
cp
[..YouTube..] @chillidogdupree
Yes, often the answer, after determining the underlying problem ruling out ADHD, is most often comorbid challenges with serotonin… but that doesn’t leave out all the other neurotransmitters relevant to ADHD: NE, PEA, Glutamate… measurement of the neurotransmitter biomarkers is the key to that mystery door.
cp
[..YouTube..] So what’s the solution for patients with OCD and ADD? An SSRI w/ a stimulant? I’ve tried this route before and it worked for several years. The problem I had with this combo, however, was insomnia and hypomanic episodes from the SSRI. So then Lamictal was added but this caused aphasia and memory problems. Bipolar, ADD and OCD–how would you treat this combo on a hypothetical John Doe? Also, is it dangerous to start Lamictal out at 100 mg? And thank you for the great videos!
[..YouTube..] So what’s the solution for patients with OCD and ADD? An SSRI w/ a stimulant? I’ve tried this route before and it worked for several years. The problem I had with this combo, however, was insomnia and hypomanic episodes from the SSRI. So then Lamictal was added but this caused aphasia and memory problems. Bipolar, ADD and OCD–how would you treat this combo on a hypothetical John Doe? Also, is it dangerous to start Lamictal out at 100 mg? And thank you for the great videos!
[..YouTube..] So what’s the solution for patients with OCD and ADD? An SSRI w/ a stimulant? I’ve tried this route before and it worked for several years. The problem I had with this combo, however, was insomnia and hypomanic episodes from the SSRI. So then Lamictal was added but this caused aphasia and memory problems. Bipolar, ADD and OCD–how would you treat this combo on a hypothetical John Doe? Also, is it dangerous to start Lamictal out at 100 mg? And thank you for the great videos!
[..YouTube..] So what’s the solution for patients with OCD and ADD? An SSRI w/ a stimulant? I’ve tried this route before and it worked for several years. The problem I had with this combo, however, was insomnia and hypomanic episodes from the SSRI. So then Lamictal was added but this caused aphasia and memory problems. Bipolar, ADD and OCD–how would you treat this combo on a hypothetical John Doe? Also, is it dangerous to start Lamictal out at 100 mg? And thank you for the great videos!
[..YouTube..] So what’s the solution for patients with OCD and ADD? An SSRI w/ a stimulant? I’ve tried this route before and it worked for several years. The problem I had with this combo, however, was insomnia and hypomanic episodes from the SSRI. So then Lamictal was added but this caused aphasia and memory problems. Bipolar, ADD and OCD–how would you treat this combo on a hypothetical John Doe? Also, is it dangerous to start Lamictal out at 100 mg? And thank you for the great videos!
[..YouTube..] Juliette6478 – read my book on *ADHD Meds,* that will help them understand what you are saying and how to establish more effective treatment targets.. the last chapter is on how to work with your doc and how to find the right one.
cp
[..YouTube..] Juliette6478 – read my book on *ADHD Meds,* that will help them understand what you are saying and how to establish more effective treatment targets.. the last chapter is on how to work with your doc and how to find the right one.
cp
[..YouTube..] Juliette6478 – read my book on *ADHD Meds,* that will help them understand what you are saying and how to establish more effective treatment targets.. the last chapter is on how to work with your doc and how to find the right one.
cp
[..YouTube..] Juliette6478 – read my book on *ADHD Meds,* that will help them understand what you are saying and how to establish more effective treatment targets.. the last chapter is on how to work with your doc and how to find the right one.
cp
[..YouTube..] Juliette6478 – read my book on *ADHD Meds,* that will help them understand what you are saying and how to establish more effective treatment targets.. the last chapter is on how to work with your doc and how to find the right one.
cp
[..YouTube..] what a life saver a description of me but this still wont help me get a diagnosis from ignorent doctors
[..YouTube..] @steelD0wnage I’ve been working on my new book, but will be happy to record a video on the interface between ADHD and Asperger’s – we often see Avoidant ADHD or Thinking ADHD mislabeled as Asperger’s – and is so often so easily treatable with properly dosed meds or specific neurotransmitter precursors: See this page: /neuroscience at CorePsych Blog
[..YouTube..] Could you maybe make a video about Aspergers syndrome if you might have just as much, or also alot, knowledge about that?
I would really appriciate that 🙂
[..YouTube..] i never kow that anziady has to do with my add
[..YouTube..] Yes, yes, yes! I tried to explain this to people so many times and NO ONE got it. Thank you, very much, for seeing this distinction between affective anxiety and cognitive snxiety.
[..YouTube..] Thanks Gina, means a great deal coming from a journalist and ADHD reporter with your experience! Readers should drop by Gina’s site for some super additional ADHD info-
[..YouTube..] Great overview of an important and mostly misunderstood topic, Dr. Parker!
Gina Pera, author
Is It You, Me, or Adult A.D.D.?
Bingo! This describes my 23 year old daughter who just graduated from college and is having a failure to launch.
She was diagnosed with ADHD-Inattentive 6 months ago and has been tinkering around with stimulants and is currently
on 40 mg of Adderall XR. We’re seeing an increase in OCD tendencies……order, order, order…controlling her external
environment, everything in it’s place (this from a girl who lived the “messy purse syndrome” her whole life. She’s
lost a lot of weight and is exhibiting a lot of “control” in her eating habits (small plates, eating slowly with small controlled
bites (very concerned because my mother died at 41 from complications of anorexia) She is over analyzing what to do
next and will goes days without even leaving the house. Complicated, a lot of stuff going on here and it’s hard to
decipher what’s the “true need under the iceberg”. She is definitely “talk” resistant and just wants to work it out on her own. Any suggestions?
Heather-
Only a brief discussion here, but if she is treatment resistant she really should look at Neurotransmitter testing as outlined here
Sounds like she is simply on too much stim, use the DOE as outlined in many other posts [Search], and consider dropping the dose of Adderall to get it in the 8-10 hr DOE range. If she is still having probs would suggest your doc try Vyvanse – much less overstim – or switch to a methylphenidate product.
Please keep us posted!
cp
Cognitive anxiety — this is exactly the right term for it! One of my favorite people in the world suffers from exactly that, and has been severely debilitated by it and misunderstood more times than I could ever count. And, given the cognitive problems, this person has been completely unable to describe, name or explain the stall-outs, the freezing, the avoiding-because-it-is-too-painful.
I look forward to reading a lot more about this. To get it into words, Dr. P., is a real gift to the world. Thank you.
Betsy
Thanks Betsy,
Appreciate your comments and hope that your friend does see the dopaminergic side of that one – so often many are lost on the serotonin side of things because we have only been thinking ‘affectively,’ not cognitively.
cp
Gerat job, Dr. Parker. You are on the leading edge! I love your site!
John
Many thanks John, – getting used to talking for only a few mins!
cp