- To Change Your Mind - Details Matter
Predictable Solutions For ADHD Medications
ADHD – The Galileo Moment
March 10, 2014
Yeast, Candida Matters
April 22, 2014
ADHD Medication Details Dramatically Updated
Knowledge is knowing that a tomato is a fruit.
Wisdom is knowing that a tomato doesn't belong in a fruit salad.
Miles Kington
If you or your loved ones suffer with any misunderstandings about ADHD medication treatment strategies, don't be surprised, you're in the majority, not the minority. Don't fret yet… – fresh, understandable, complimentary answers live behind the cover of this freshly rewritten, second edition Special Report For Predictable Solutions.>>>> Click on it to download it and 7 other complimentary, useful information resources – some audio, some PowerPoint.
If you don't click on this cover Predictable Solutions are available at this link, suitable for forwarding to those frustrated and in denial | http://corepsych.com/adhdbook
ADHD Medications: Seriously Misunderstood
From the NY Times to Possum Hollow, far too many associated with, both taking and writing for ADHD medications, are confused, angry, frustrated and misinformed – simply because ADHD diagnostic and treatment criteria are woefully, painfully, embarrassingly, outdated. – By about 20 years. We live in a cracker barrel, sit-around-the-stove-and-gossip mind set, and we're the thought leaders in the world. Did you feed the chickens this morning? Do you think the fox got into the hen house?
Thought leading does require more critical thinking. This remarkable ADHD denial-conundrum is at once paradoxical and unimaginable. On the one hand we know too much, and yet we aren't thinking – or considering thinking more deeply.
Be Trendy: Accentuate The Negative
Do you have time for a little muckraking misinformed ADHD journalism with no positive solutions? What's the point? Why? Sensationalism rules over objectivity. It's popular to wring your hands and fret.
But from the patient's perspective: fretting and finger pointing doesn't provide fresh answers for those suffering with executive function challenges.
Oh Yeah, Remember: They're selling papers & magazines. ADHD medications are a hot topic, in a “market” crying for real answers beyond gossip. Too many do suffer with abundant ADHD guesswork and medical speculation. Why?… because diagnostic and treatment criteria, are remarkably outdated and inaccurate. Yes, inaccurate. Accurate for appearances, inaccurate for underlying brain function.
Solutions Matter
Hey, I'm not selling papers. Yes, I'm giving this useful and accurate information away. For the extraordinary price of your email address – from which you can easily unsubscribe at any time. I don't have a mission other than your personal progress and your understanding about mind issues that make a global difference for thousands of people. I do want you in this imperative next discussion.
In about 7600 words – 25 pages [in Predictable Solutions] I begin to break down ADHD diagnostic and treatment details for your comfortable review and comments here below. That word count is more than a casual reportage, but doesn't begin to do the complexity of the ADHD subject justice in depth of understanding or real evidence.
But these Predictable Solutions do provide a start with data-driven dialogue for any parents, patients or professionals interested in the subject of “ADHD” and the inevitable evolution of understanding Brain Executive Function.
“ADHD Doesn't Exist?” …Are You Awake?
Not worthy of comment, but the innocent, misinformed Neurologist [go figure!] correctly highlights the need for improved ADHD information. How could a physician with any background in neurophysiology miss more than 20 years of literature on that inquiry. The inevitable conclusion, even from the completely uninformed: “What in the heck is he thinking?” His book? Not remotely on the radar. Sales hyperbole. 180° reverse advertising strategy: Say the complete opposite to stir the pot for irrational, emotionally based, uninformed assertions that reverberate with mind-denial.
At the risk of appearing that I'm supporting him by attempting to get him off the stupidity death-hook he created for himself, he's actually making a point: the current ADHD Standard of Care is almost completely in denial about neuroscience and brain data. In that sense ADHD doesn't biologically exist. ADHD is a symptom, an indicator, not a medical diagnosis. The criteria for ADHD diagnosis, like an antique, primitive chair from New England, is worn beyond sitting. Or like the antique dealer selling an axe labeled “Abe Lincoln's Axe:” His response, when someone commented that it looked brand new: “Well it has had 3 new heads and 2 new handles.” New science introduces fresh perceptions.
Predictable Solutions begins the next discussions in an effort to provide practical solutions for ADHD diagnosis based upon specific discoveries taking place in biomedical science. And, by the way, we are using completely different tools to dissect that Executive Function Reality. Neuroscience lives in a reality far past axe handles.
Yes, We're Living In An Interesting Galileo Moment
Galileo wants measurable data. We will benefit from improved mind data. Download Solutions. With that download you're on our mailing list. In the larger perspective regarding psychiatry in general ADHD is low hanging fruit. ADHD is easy to take apart, as it's the epitome, the most obvious psychiatric example, of not paying attention to neuroscience. The next complexity on my radar: how to take mind-evidence into every office as an improved standard of care for everyone. [See the last notes in Solutions.]
Read Solutions, listen to the audio programs, read the book, and then please comment below – it takes a village of concerned citizenry to stop this ADHD dog from chasing his tail and move forward with hunting for Real Executive Functions using biomedical evidence.
Mind evidence is out there in the woods, we just have stop fretting and go find it.
cp
Dr Charles Parker
Author: New ADHD Medication Rules – Brain Science & Common Sense
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21 Comments
[…] the effectiveness of the medications. See example below. (Acess Dr. Parker’s 2nd edition of Special Report For Predictable Solutions.>>>> Click on it to download it and 7 other complimentary, useful information resources […]
I read in one of your blog posts or responses that you might have a new book coming out later this year – I LOVED ADHD Medication Rules. When will there be more information on this book and can I order it from Amazon?
E
E,
Thanks, this next one is designed to have even more utilitarian value and, yes, will be on Amazon as well. Big Thanks!
cp
CP, you have to know how much *I* love this post.
“How could a physician with any background in neurophysiology miss more than 20 years of literature . . .” GOOD for you!
I have been through the ringer this past year, but I’m starting to see light at the end of what was beginning to look like an ENDLESS tunnel. Your website’s looking great, btw. Haven’t been able to get here for a while.
It’s PAST time for us to have a serious chat! 🙂 I’ll be in Phoenix, so carve out some time, OK? (and I will most certainly be in the peanut gallery for your session – looking forward to it!)
xx,
mgh
(Madelyn Griffith-Haynie – http://ADDandSoMuchMore.com)
– ADD Coach Training Field founder; ADD Coaching co-founder –
“It takes a village to educate a world!”
Many thanks Madelyn,
Looking forward to giving you the personal pitch when I see you out there! Appreciate your weighing in!
Talk soon,
Chuck
Thanks for the information Dr Parker, gratefully recieved. When looking for yeast is the OAT test usually better than the Comprehensive Stool Analysis?
Sluggish,
OATS tests for completely different things than stool. I use stool if I’m failing with OATS for additional insights.
cp
Is Sluggish Cognitive Tempo (SCT) best treated with different medication than that used to treat ADHD? Looking at Russell Berkelys report and presentations he seems to think it is a distinct disorder better treated with Atomoxotine or Modafinil.
My main symptoms ‘fit’ better with SCT than ADHD – lethargy, sleepiness, hypoactivity and brain fog.
I am taking a comprehensive approach as your book recommends and have followed my IgG Food sensitivity diligently. However I still have problems with even small amounts of AMP – Vyvanse or Dexedrine. SSRI’s make me feel worse even at low doses (2D6 clean – Zoloft or Pristiq) but I remain convinced I am not depressed but rather Sluggish and Foggy.
Do you have any experience / pointers for those with Sluggish Cognitive Tempo?
Sluggish,
Much as I agree with Russ about so many things, and appreciate his work, I don’t copy on this one for two reasons. The problems:
1. “Sluggish” is a surface appearance, and very well may result from too much going on with hesitancy the result. It follows the same reasoning as treating ADHD differently than ADD. Both arise from PFC dysfunction and slowing.
2. True slowing is far more likely metabolic in origin and might arise from many challenges covered for years in the Autism Spectrum literature [including the definitive book by Sidney Baker Autism: Biomedical Treatments] on yeast/candida. The specific paradoxical findings on stimulants that you describe I often see w associated yeast challenges. See this pdf on yeast, answer the questionnaire, and review the video linked there to see if this makes sense:
http://corepsych.com/yeasttest
cp
Hello Dr,
I wander if you would be able to help me. I did all of the tests you suggest – IgG, Parasites, Neurotransmitters in Urine and Mineral Hair Analysis.
I have changed my diet to follow the IgG allergies discovered and also the supplements highlighted from my hair analysis. Neurotransmitter testing of my urine and blood highlighted low dopamine and serotonin.
I have been on a gut healing diet avoiding IgG’s and take Neurotransmitter Precursors but whenever I stop taking the precursors my medication stops working…
Do you ever come across folks that need to take precursors indefinitely?
Yes David,
Precursors and other supplements: Often for a longer time than first expected, but not necessarily “indefinitely.” If, over months, I find our work together at some plateau I always ask myself about both the med and/or the supplement mix, and the possible need for treatment target redefinition – looking for something missed. I do have many who find supplements do enhance life over time.
cp
Outstanding once again Dr Parker – Thank you so much for these fantatsic insights.
A final question would be on ‘Obsessive Compulsive Personality Disorder’ – would you see this as possibly being part of the ADHD Avoidant subset?
I was diagnosed with this several years ago but have seen no light until stumbling across your Internet Portal!
Alex,
Those suffering with external OCD symptoms can internally experience a brain function imbalance most often associated with the Cognitive Anxiety subset – Thinking ADHD. When the Thinking becomes overwhelming they may experience Avoidance to attempt to move away from troublesome Reality. Unfortunately, however, they often become locked inside their own brain, painted in a corner, unable to let it rest, unable to get away from multiple layers of Reality. Many wish to practice Avoidance, but can’t pull it off.
cp
Hello Dr Parker,
Thanks for your useful information – I will look at having some of these tests performed. Is it best for me to call in on the main telephone numer?
I was reading both Dr Brown and Dr Berkleys books on Executive Dysfunction in ADHD. I prefer Dr Browns model of EFD as I am not sure Dr Berkley has hit the spot with inhibition being the main problem.
While both are brilliant Doctors they diagnose Blue Ties – I think your videos on Avoidant ADHD are brilliant – thats the way I feel, life is passing me by because I cannot cope with all the variables and cognitive depression.
On this point how does one differentiate between Adrenal Fatigue and Cognitive Depression – surely quite similar.
I am working with my Dr in the UK and wanted ask if you would be willing to perhaps give me a list of the 10 most valuable blood/tests to conduct for individuals that are treatment refactory?
Thanks and Regards!
Alex
Alex,
You’re very kind, I appreciate your thoughtful perspective and, as you do, so much appreciate the evolving dialogue. Will be reviewing Dr Brown’s book at CorePsych soon Smart and Stuck, looking very good and right up my alley.
These are the tests we prefer for the metabolically challenged. Over here seeing so much Candida I added that one on the list. All of these can be completed in the UK and sent over if you wish – just send a note to Desiree on the Services page or the CorePsych number she can tell you all about them. Testing resources -> http://corepsych.com/tests14 – These are the 4 tests we prefer on a pdf w links for your convenience. Details easily available there.
The Adrenal Fatigue/Cognitive depression: that one is hard but best simplified this way: Adrenal is a pure washout of somatic energy. Cognitive depression is based on emotional vulnerability. Emotional vulnerability can result in 1. Depression w sadness, 2. Anger, 3. Whatever: Feelings of avoidance based upon vulnerability [vs avoidance of more cognitive abundance], 4. Political: I feel vulnerable on the inside but remains smiling on the outside to avoid talking about and admitting that unresolved sensitivity. These are spelled out more at this video playlist: http://www.corepsych.com/7videosPMDrop
Thanks again!
cp
Dr. Parker,
I was diagnosed as a kid as having adhd and was out on medications until my mother lost her insurance… Recently my husband and work made me bring up the issue again and I went too the doctor.. Well where I’m from the doctors think anyone who is 25 is going too abuse the drug… After being tested again the doctor gave me vyvanse… We have increase dosage and it still doesn’t help with my forgetfulness or my concentration, the fog in my head or my motivation… I have asked my physic doctor too maybe try adderall instead as that’s what I took when I was younger and my mother said it worked well and I wanted too see if it works better than the vyvanse for me now as an adult… and he simply tells me he doesn’t prescribe it EVER… I ask for another medication and he says things that make me feel like I’ve for something wrong… I can’t go too another doctor except my pcp and I’m about too try that at this point… I get it is highly abused but just becuz some people do bad things doesn’t mean I will… I don’t know what too do at this point maybe just buy some illegal drugs and try too self medicate… I tried too get doctors records from when I was little but the clinic we went too has shut down and I guess any place doesn’t keep them pasted 7yrs… Why are doctors so fast too assume you will abuse a drug just becuz others your age has… I didn’t take over 4 months and a 3 hour test too just try too “score”…
Shae,
This is the increasingly sorry state of affairs with the pervasive mix of bad ADHD press, docs who really don’t know what they are doing adding to the bad press, and docs who increasingly admit they are uninformed about stimulant meds and try to stay away from potential suits. The underlying problem: both patients and docs don’t get the neuroscience and increasingly admit that innocence.
My only suggestion, wherever you are: Just keep asking around. It doesn’t hurt w your testing and prep to look for someone more experienced with built in management protocols for their office practice.
Adderall is a different drug than Vyvanse. It hits two receptors both NE and DA, while Vyvanse is almost entirely Dopamine. Adderall may work for you, but w the fog and failure of Vyvanse I would start looking at metabolic issues. See these vids: http://bit.ly/mindgut Consider these tests: http://corepsych.com/tests14
to evaluate possible biomedical contributions even your young age.
cp
Hello Dr,
I wanted to ask if Candida / Yeast is ever a ‘real’ problem? If so how does one test and treat it?
Here in the UK it is frowned upon – but there is an alternative test called ‘Comprehensive Parasitology’ that could be an option for me.
Finally are high strength Probiotics and elimination of IgG foods sufficent to correct imbalances?
I read Dr Kharadzians books on Brain health and some of his suggestions seem a bit to crazy – the likes of Coffee Enemas and ultra strict Leaky Gut Diets.
I have avoiding ADHD – the subset you identified – and all the variables is enough to drive me crazy so I have found your more scientific but modest approach very beneficial so far.
All the best
Alexander
Alex,
Thanks for your inquiry and kind remarks. I am sending along two links to pdfs for information that are helpful. We do test for yeast two ways: IgG with Great Plains and OATS with them as well -at: http://www.corepsych.com/yeasttest – this pdf has a very good video on OATS, the most revealing test, with far more info, of the two – and a bit more expensive: 299$ US [we don’t upsell testing]. IgG is 219$ US. OATS is urine, IgG is blood.
And the Yeast Questionnaire from Crook is often quite helpful: http://www.corepsych.com/yeastquestions
Probiotics very helpful, dietary elimination quite necessary, preparing a diet link on that one, and we use Nystatin once the problem is on the table so to speak. Once you kill the bugs it’s quite important from my vantage point to get that IgG testing anyway to preclude other contributory problems that kill gut health. I treated a very cool PhD from Yale in DC who, unknown to us, suffered from a remarkable garlic immunity and killed her gut everyday with her favorite garlic. Once identified, she was out of bed in 2 days after weeks of nearly loosing her practice, just sick as a proverbial dog.
If your docs don’t want to do the Nystatin [my personal experience over here as well – requiring me to learn about it] there are some other, over the counter, less approved interventions: see ASAP 2000 for the colloidal silver and Dr Mercola for comments on coconut oil – on the edge, but I’ve had patients come to me who swear by these. Worth looking at if you find yourself constrained by your medical folk.
No, I’m not a the coffee enemas yet. I keep the coffee going on the other end ;-).
Best and thanks!
cp
Good afternoon Dr Parker,
I wanted to ask if you could explain under what circumstances do people require treatment with Neurotransmitter Precursors?
Surely one just eats Protein and this is converted to the Amino Acids?
Are the precursors for those who have had IgG gut damage before repair can take place or for those with Reward Deficiency Syndrome. I dont have access to these expensice genetic tests so just wanted clarification on what the best course of action is and if everyone benefits?
Thank you in advance!
Alfred,
My cardinal rule, after missing this point myself, is to clear up any immunity before adding any precursors. If IgG problems are present and malabsorption continues you could, just as with psychiatric meds, continue to shoot blanks as precursors don’t come on board – and if they did receptor sites are often preoccupied with cytokines.
In my clinical experience, after those issues are cleared, the precursors work much faster than simply taking in protein and hoping for adequate digestion. Often digestion is corrupted and the precursors often do help directly. Without thinking or addressing these variables precursors suffer the same fate as medications – unpredictable, less than satisfactory outcomes.
Not “everyone” benefits, but most do if the gut is healed, immunity is addressed and neurotransmitter levels guide next interventions with specific precursors. I save the genetic testing for those that just don’t turn around when all these variables create unexplained treatment failure. I want to get those answers to discover what we’re missing, and know from experience that if we’re doing everything correctly that person should get better.
cp