The most frequent ADHD Medication problem? – Side effects in the afternoon when the stimulant wears off. Learn these 7 lessons from the crash. Prevent treatment failure.
The only thing more expensive than education is ignorance. [Tweet This]
Ben Franklin
#1 The PM Drop Teaches Us How [Link]: – Afternoon ADHD Medication Drop is the single most commonplace resistance and difficulty found in taking ADHD medication. In spite of admonitions here at CorePsych about not paying attention to metabolism or dosage strategies, very few either pay attention or attempt to clinically correct these several essential PM ADHD Medication Drop patterns. Even fewer see through this “PM ADHD Medication Drop” as useful, indeed instructive. This PM Video Crash Series will help correct that most frequent treatment failure challenge.
Stay tuned for these next six PM Stimulant Drop videos: If you look forward to the schedule for Stimulant Drop videos – SUBSCRIBE Here For YouTube Updates.
#2: The What Drop [Link]: ADHD Medications simply stop working, Whaaaa??? Don't deny Cognitive Reality. Back to the same ol' straightforward inability to concentrate. Why not overcome the denial and investigate when the meds simply don't work? Why ignore Treatment Failure? In this video we begin to tease out discerning important dopamine challenges from serotonin challenges. Thousands of patients experience problems with this cognitive/affective conundrum because of the woeful inadequacy of the DSM 5 – the diagnostic coding book.
#3: The Sad Drop [Link]: This is the absolute most common Emotional crash – Whining, crying and depression, feeling blue, “out-of-it” emotionally on the sad side. This video encourages a switch in clinical thinking to take readers beyond Cognition and Dopamine to consider Affect, Emotion, Feelings and Serotonin. Miss this Sad Drop and you miss more than 50% of the PM Drop ADHD Medication problems.
#4: The Mad Drop [Link]: This PM Drop is, by far, the next most common emotional crash, after the Sad Drop – Anger, rage, exceeding sensitivity to small insults, kick the wall, throw a chair, – look out here I come. And what does the uniformed clinician call it? Right: Bipolar. This video is inform both public and professionals about what it looks like, the denial that exists around that Touchy Feeling, and the associated serotonin implications – with links to other videos on the same topic. Notice the increasing confusion with each additional, different drop – more subtlety, increasing questions, more perplexity. Remember: you can't treat the specific comorbid ADHD condition unless you recognize it!
#5: The Whatever Drop: Less frequent, even more subtle, but often seen as apathetic in association – “Who cares? – not me, whatever, I'm gone.” Most characteristic of this drop, the important watershed, is the emotional tone, the feeling, behind the expression. Primary Drop Differentiation: is the person suffering with #2 above, a What Drop? The What Drop has more cognitive, dopamine, a feeling of just too much information, the mental expression of the mind not working adequately. The Whatever derives from a serotonin challenge, much more emotional, defensive, upset, pushing away to protect against hurt feelings vs trouble dealing with thinking. The hurt in the Whatever is more hidden because the person is seeking to avoid that hurt so as to not display it publicly. And, yes, as you might guess, they can reveal as combined: meaning you're experiencing a simultaneous Dopamine Drop with a Serotonin Drop and both need attention at that med check.
Whatever in the Afternoon: Only 4:29 min
#6: The Energy Drop: I simply can't move. I'm not able to do anything but sleep. Without a stimulant I can't physically do a darn thing. Different treatments, different testing required.
#7: The Combo Drop: Puzzling mixed symptoms beg for a more comprehensive perspective that combines these several provocative Drop insights. Cover every base to turn this presentation around.
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Each of these Drops reveals a specific underlying challenge one can address, only if correctly recognized and understood. Stay tuned and Like This Page below ↓ so your friends can review this brief video on important Whatever Drop details that matter everyday.
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cp
Dr Charles Parker
Author: New ADHD Medication Rules – Brain Science & Common Sense
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11 Comments
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[…] The Whatever Drop [Link]: Less frequent, even more subtle, but often seen as apathetic in association – “Who […]
[…] The Whatever Drop [Link]: Less frequent, even more subtle, but often seen as apathetic in association – “Who […]
Hello Dr Parker,
I wanted to ask for you take on leaky gut – many websites, Doctors and health advocates say that one has to give up:
-Alcohol
-Coffee
Completely for Life as they damage the gut?
I always thought that moderation was okay..
Thank you for your guidance
Natali,
Depends on the illness intensity. Some folks are completely crippled with these issues with, for example, 6-7x/day diarrhea. Serious measures are in order for serious problems. My own take is that alcohol and coffee aren’t a problem – unless using them aggravates your recovery – or in the event you are using them in abundant amounts, then they will obviously contribute to chronic illness.
cp
Thank you Dr Parker for these insights and suggestions I very much appreciate your time, honesty and help.
My Younger brother (24 years old) has been diagnosed with Aspergers Syndrome. Is there anything that you would advise for a person with Aspergers to look into? I have advised looking into the IgG Ghost and removing Casein and Gluten from his diet. This has helped his executive functions over the last few months.
Long may CorePsych continue.
All the very best to you.
Gareth – Thanks for your kind remarks, and yes IgG testing + TMA the trace element testing works exceedingly well, not suggested as an absolute fix, but clearly a beneficial contribution to most w any kind of biomedical issue – such as ASD or Asperger’s. If your elimination initial trials prove limited, do spring for the testing – as biomedical insights provide more accuracy.
Thanks again – will see you on the Path,
cp
Good evening Dr Parker,
I wanted to ask if you have ever heard of The Dopamine Dilemma or Paradoxical Decompensation. This is apparently the situation in which individuals require higher and higher doses of Stimulant Medications or their ADHD medications stop working altogether..
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3036556/
I have tried IgG testing and subsequent food elimination based on this information and even worked with several docs obtaining treatment for SIBO [Small Intestinal Bacterial Overgrowth], supplements after mineral hair analysis.
However the Dopamine Tolerance Dilemma seems to fit the bill for me because nothing has worked and my Executive Functions are even worse than before I started the meds.
Would really appreciate your advice on the above and if you think this scientific paper is just garbage or not?
ATB
Gareth
Gareth,
Without going over all the details of your treatment it’s too speculative to comment except in an excessively general way about options for you at this moment. You clearly have additional metabolic challenges that need attention. Without specific review of what your medical teams have already accomplished all I can add are two points:
1. See this CorePsych article on genetic testing and Ken Blum on Genetics of D2 receptors.
2. Listen to this Attention Talk Radio: D2 interview by Jeff Copper w Ken Blum
3. Take a look at the linked article I added above to your question – for you and other readers to consider other interventions on SIBO.
4. Liver and bowel need specific healing, and liver detox could be helpful starting w Phase II, then a mix of Phase 1&2 w serious pre and probiotic as well as nutritional support.
Regarding the Dilemma – I see this happen with Dopamine and other neurotransmitters all the time. This is why we test also for Neurotransmitter levels, and use both neurotransmitter precursors as well as the trace elements you already tired. We see significant turn arounds w these two interventions, and next do use the Organics Acid, and then also look diligently for parasites. Persistence matters.
Hope these suggestions help,
cp
So is this true for Intuniv? My son is on 4mg works great- takes it at 2pm by 10 or 11 he’s sleepy and heads in to bed. So I don’t really see it as a negative. Although I do know with stimulants it can be dramatic- he could not take them.. made him super ocd/anxious.
Dee,
Intuniv, as it is not a stimulant, does offer some advantage as an alternative if stimulant medications for ADHD create specific adverse events – problems that don’t correct following the suggestions in this series of PM Drop videos.
cp