- To Change Your Mind - Details Matter
ADHD Rules: Always Target Context
ADHD Medication Rules: Paying Attention To Details
September 12, 2010CorePsych DC: Parker Reopens Near Tyson’s
October 4, 2010ADHD Treatment Targets Need Clarification – Reality Changes
If you wonder why you can't get the meds right. If you wonder about diagnosis and the question: “Is it hyperactive, inattentive or combined?” – Consider this elemental perspective of context – the reality, the real world context where the ADHD problems occur.
Checkout this video on context – then review the additional explanation below. If you aren't thinking this way, you are missing some important treatment targets – and will remain in a quandary of fixed ADHD thinking and fixed diagnostic labels.
Characteristics of Reality and Context
Consider these elemental characteristics of reality:
1. Reality is always changing – so context becomes relevant for working memory
2. Reality frequently changes at a rate not in keeping with our preference at the moment: Too fast or too slow.
3. The Prefrontal Cortex is constantly sorting reality and remembering previous experiences to adjust correctly with good executive function – working memory.
4. Effective working memory has improved our relationships with nature, and with our fellow humans. Working memory provides some protection from previously unpredictable changes – and helps make reality more predictable.
5. ADHD slowing of working memory causes functional disarray of the two main prefrontal cortical functions: Thinking and Acting. [Feeling is most often mediated through deeper brain connections with the PFC.]
6. If the rate of change is not in keeping with our preference and is characterized by too rapid an increase in variables associated with diminished structure, absent a focus – ADHD symptoms proliferate. Think: 6th grade, Freshman year in HS, Freshman year in college.
Do see this other video on the subject of Thinking, Acting and Brain Function, – and the importance of counterproductive reaction patterns in the context of changing reality.
Many more details are in my new book: ADHD Medication Rules – Paying Attention To The Meds For Paying Attention. Stay tuned for more videos on ADHD diagnostic and treatment details…
cp
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101 Comments
[…] and subcellular set of variables includes Brain Function, Metabolic Challenges, Change, Cognition, Context and Working […]
Yes, that`s true. Could be very weird if you have to deal with both disorders. You never know what`s refering to one or the other. Main problem is that medication, stimulances i.e. work for one disorder worthening the other and vice versa.
[..YouTube..] Yes, that`s true. Could be very weird if you have to deal with both disorders. You never know what`s refering to one or the other. Main problem is that medication, stimulances i.e. work for one disorder worthening the other and vice versa.
[..YouTube..] @DrCharlesParker Yes, that`s true. Could be very weird if you have to deal with both disorders. You never know what`s refering to one or the other. Main problem is that medication, stimulances i.e. work for one disorder worthening the other and vice versa.
[..YouTube..] @DrCharlesParker Yes, that`s true. Could be very weird if you have to deal with both disorders. You never know what`s refering to one or the other. Main problem is that medication, stimulances i.e. work for one disorder worthening the other and vice versa.
[..YouTube..] @DrCharlesParker Yes, that`s true. Could be very weird if you have to deal with both disorders. You never know what`s refering to one or the other. Main problem is that medication, stimulances i.e. work for one disorder worthening the other and vice versa.
[..YouTube..] @DrCharlesParker Yes, that`s true. Could be very weird if you have to deal with both disorders. You never know what`s refering to one or the other. Main problem is that medication, stimulances i.e. work for one disorder worthening the other and vice versa.
[..YouTube..] @DrCharlesParker Yes, that`s true. Could be very weird if you have to deal with both disorders. You never know what`s refering to one or the other. Main problem is that medication, stimulances i.e. work for one disorder worthening the other and vice versa.
All of this has much to do with both disorders, not simply one or the other.
[..YouTube..] All of this has much to do with both disorders, not simply one or the other.
[..YouTube..] @jcmangan All of this has much to do with both disorders, not simply one or the other.
[..YouTube..] @jcmangan All of this has much to do with both disorders, not simply one or the other.
[..YouTube..] @jcmangan All of this has much to do with both disorders, not simply one or the other.
Amazing to me the cubbyholes we can find with reductionisitic thinking – little safe burrows that welcome the groundhogs back if the wind is just too cold – Feb 2 and any day reality is confusing.
[..YouTube..] Amazing to me the cubbyholes we can find with reductionisitic thinking – little safe burrows that welcome the groundhogs back if the wind is just too cold – Feb 2 and any day reality is confusing.
[..YouTube..] @kbeautylicious Amazing to me the cubbyholes we can find with reductionisitic thinking – little safe burrows that welcome the groundhogs back if the wind is just too cold – Feb 2 and any day reality is confusing.
[..YouTube..] @kbeautylicious Amazing to me the cubbyholes we can find with reductionisitic thinking – little safe burrows that welcome the groundhogs back if the wind is just too cold – Feb 2 and any day reality is confusing.
[..YouTube..] @kbeautylicious Amazing to me the cubbyholes we can find with reductionisitic thinking – little safe burrows that welcome the groundhogs back if the wind is just too cold – Feb 2 and any day reality is confusing.
[..YouTube..] @kbeautylicious Amazing to me the cubbyholes we can find with reductionisitic thinking – little safe burrows that welcome the groundhogs back if the wind is just too cold – Feb 2 and any day reality is confusing.
[..YouTube..] @kbeautylicious Amazing to me the cubbyholes we can find with reductionisitic thinking – little safe burrows that welcome the groundhogs back if the wind is just too cold – Feb 2 and any day reality is confusing.
DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structuralizing, contextualizing, to regulating/modulating focus. It’s like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
Maybe. But it was a good illustration which gave me a better perspective in creating supportive external structures.
[..YouTube..] Maybe. But it was a good illustration which gave me a better perspective in creating supportive external structures.
[..YouTube..] @jcmangan Maybe. But it was a good illustration which gave me a better perspective in creating supportive external structures.
[..YouTube..] @jcmangan Maybe. But it was a good illustration which gave me a better perspective in creating supportive external structures.
[..YouTube..] @jcmangan Maybe. But it was a good illustration which gave me a better perspective in creating supportive external structures.
[..YouTube..] @jcmangan Maybe. But it was a good illustration which gave me a better perspective in creating supportive external structures.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structurlizing, contextualizing, to regulating/moduating focus. Its like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structurlizing, contextualizing, to regulating/moduating focus. Its like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structurlizing, contextualizing, to regulating/moduating focus. Its like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structurlizing, contextualizing, to regulating/moduating focus. Its like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
[..YouTube..] @DrCharlesParker DEFINATELY has helped. My adult ADHD is like having developmental problems with formatting. My problem clusters mounts from developmental limitations in structurlizing, contextualizing, to regulating/moduating focus. Its like the results of a computer operating system, a really CRUDE O/S–software is Intelligent but O/S requires continual re-formatting.
Context, changing reality and the dynamic activity of the brain is completely overlooked in current diagnostic thinking – Harvard and Stanford simply don’t get it. cp
[..YouTube..] Context, changing reality and the dynamic activity of the brain is completely overlooked in current diagnostic thinking – Harvard and Stanford simply don’t get it. cp
[..YouTube..] @lak3rgurl1 Context, changing reality and the dynamic activity of the brain is completely overlooked in current diagnostic thinking – Harvard and Stanford simply don’t get it. cp
[..YouTube..] @lak3rgurl1 Context, changing reality and the dynamic activity of the brain is completely overlooked in current diagnostic thinking – Harvard and Stanford simply don’t get it. cp
[..YouTube..] @lak3rgurl1 Context, changing reality and the dynamic activity of the brain is completely overlooked in current diagnostic thinking – Harvard and Stanford simply don’t get it. cp
[..YouTube..] @lak3rgurl1 Context, changing reality and the dynamic activity of the brain is completely overlooked in current diagnostic thinking – Harvard and Stanford simply don’t get it. cp
It’s much easier when you understand something than when it is sloppy, imprecise and a mystery. Fixing ADHD is like going to get good glasses for visual correction… I hated glasses in the third grade, but know I can’t drive without them! Thanks!
[..YouTube..] It’s much easier when you understand something than when it is sloppy, imprecise and a mystery. Fixing ADHD is like going to get good glasses for visual correction… I hated glasses in the third grade, but know I can’t drive without them! Thanks!
[..YouTube..] @lak3rgurl1 It’s much easier when you understand something than when it is sloppy, imprecise and a mystery. Fixing ADHD is like going to get good glasses for visual correction… I hated glasses in the third grade, but know I can’t drive without them! Thanks!
[..YouTube..] @lak3rgurl1 It’s much easier when you understand something than when it is sloppy, imprecise and a mystery. Fixing ADHD is like going to get good glasses for visual correction… I hated glasses in the third grade, but know I can’t drive without them! Thanks!
[..YouTube..] @lak3rgurl1 It’s much easier when you understand something than when it is sloppy, imprecise and a mystery. Fixing ADHD is like going to get good glasses for visual correction… I hated glasses in the third grade, but know I can’t drive without them! Thanks!
[..YouTube..] @lak3rgurl1 It’s much easier when you understand something than when it is sloppy, imprecise and a mystery. Fixing ADHD is like going to get good glasses for visual correction… I hated glasses in the third grade, but know I can’t drive without them! Thanks!
[..YouTube..] @lak3rgurl1 It’s much easier when you understand something than when it is sloppy, imprecise and a mystery. Fixing ADHD is like going to get good glasses for visual correction… I hated glasses in the third grade, but know I can’t drive without them! Thanks!
Hardest part about all this is accepting. I recently realized that i have been suffering with possible add because i have almost all symptoms, completed questionnaires which indicated i have severe add, and affected loved ones (i was called insensitive and lazy). I will have myslef checked nxt week. This is a great video btw
[..YouTube..] Hardest part about all this is accepting. I recently realized that i have been suffering with possible add because i have almost all symptoms, completed questionnaires which indicated i have severe add, and affected loved ones (i was called insensitive and lazy). I will have myslef checked nxt week. This is a great video btw
[..YouTube..] Hardest part about all this is accepting. I recently realized that i have been suffering with possible add because i have almost all symptoms, completed questionnaires which indicated i have severe add, and affected loved ones (i was called insensitive and lazy). I will have myslef checked nxt week. This is a great video btw
[..YouTube..] Hardest part about all this is accepting. I recently realized that i have been suffering with possible add because i have almost all symptoms, completed questionnaires which indicated i have severe add, and affected loved ones (i was called insensitive and lazy). I will have myslef checked nxt week. This is a great video btw
[..YouTube..] Hardest part about all this is accepting. I recently realized that i have been suffering with possible add because i have almost all symptoms, completed questionnaires which indicated i have severe add, and affected loved ones (i was called insensitive and lazy). I will have myslef checked nxt week. This is a great video btw
[..YouTube..] Hardest part about all this is accepting. I recently realized that i have been suffering with possible add because i have almost all symptoms, completed questionnaires which indicated i have severe add, and affected loved ones (i was called insensitive and lazy). I will have myslef checked nxt week. This is a great video btw
Many thanks K – hope it helps! Context and thinking are so relevant and so completely ignored at thousands of med checks everyday – thus the confusion about ADHD meds. Poor targets = poor outcomes.
[..YouTube..] Many thanks K – hope it helps! Context and thinking are so relevant and so completely ignored at thousands of med checks everyday – thus the confusion about ADHD meds. Poor targets = poor outcomes.
[..YouTube..] @kbeautylicious Many thanks K – hope it helps! Context and thinking are so relevant and so completely ignored at thousands of med checks everyday – thus the confusion about ADHD meds. Poor targets = poor outcomes.
[..YouTube..] @kbeautylicious Many thanks K – hope it helps! Context and thinking are so relevant and so completely ignored at thousands of med checks everyday – thus the confusion about ADHD meds. Poor targets = poor outcomes.
[..YouTube..] @kbeautylicious Many thanks K – hope it helps! Context and thinking are so relevant and so completely ignored at thousands of med checks everyday - thus the confusion about ADHD meds. Poor targets = poor outcomes.
[..YouTube..] @kbeautylicious Many thanks K – hope it helps! Context and thinking are so relevant and so completely ignored at thousands of med checks everyday – thus the confusion about ADHD meds. Poor targets = poor outcomes.
[..YouTube..] @kbeautylicious Many thanks K – hope it helps! Context and thinking are so relevant and so completely ignored at thousands of med checks everyday – thus the confusion about ADHD meds. Poor targets = poor outcomes.
let me think about this…lol. DR CHARLES PARKER has described me to a tee.
[..YouTube..] let me think about this…lol. DR CHARLES PARKER has described me to a tee.
[..YouTube..] let me think about this…lol. DR CHARLES PARKER has described me to a tee.
[..YouTube..] let me think about this…lol. DR CHARLES PARKER has described me to a tee.
Well said – these comments typify many of the passionate remarks made by many frustrated with the current misidentification of mind-arrest states… Instead of looking at function and context – the dynamics of thinking many are stuck on what it looks like from the outside.
cp
[..YouTube..] Well said – these comments typify many of the passionate remarks made by many frustrated with the current misidentification of mind-arrest states… Instead of looking at function and context – the dynamics of thinking many are stuck on what it looks like from the outside.
cp
[..YouTube..] @cmgalaxy Well said – these comments typify many of the passionate remarks made by many frustrated with the current misidentification of mind-arrest states… Instead of looking at function and context – the dynamics of thinking many are stuck on what it looks like from the outside.
cp
[..YouTube..] @cmgalaxy Well said – these comments typify many of the passionate remarks made by many frustrated with the current misidentification of mind-arrest states… Instead of looking at function and context – the dynamics of thinking many are stuck on what it looks like from the outside.
cp
[..YouTube..] @cmgalaxy Well said – these comments typify many of the passionate remarks made by many frustrated with the current misidentification of mind-arrest states… Instead of looking at function and context – the dynamics of thinking many are stuck on what it looks like from the outside.
cp
[..YouTube..] @cmgalaxy Well said – these comments typify many of the passionate remarks made by many frustrated with the current misidentification of mind-arrest states… Instead of looking at function and context – the dynamics of thinking many are stuck on what it looks like from the outside.
cp
[..YouTube..] @cmgalaxy Well said – these comments typify many of the passionate remarks made by many frustrated with the current misidentification of mind-arrest states… Instead of looking at function and context – the dynamics of thinking many are stuck on what it looks like from the outside.
cp
The person below is obviously a ‘typical’ thinker, to believe that everything fits so nice & neat into these ‘labels’.
This guy, Dr. Parker, makes the most sense out of anyone in my entire life. I’ve been dealing with ADD since minimum 4 years old. Thought can seriously paralyze me, but does NOT define me, such as with autism. Maybe we shouldn’t be defining those individuals so much either…
[..YouTube..] The person below is obviously a ‘typical’ thinker, to believe that everything fits so nice & neat into these ‘labels’.
This guy, Dr. Parker, makes the most sense out of anyone in my entire life. I’ve been dealing with ADD since minimum 4 years old. Thought can seriously paralyze me, but does NOT define me, such as with autism. Maybe we shouldn’t be defining those individuals so much either…
[..YouTube..] The person below is obviously a ‘typical’ thinker, to believe that everything fits so nice & neat into these ‘labels’.
This guy, Dr. Parker, makes the most sense out of anyone in my entire life. I’ve been dealing with ADD since minimum 4 years old. Thought can seriously paralyze me, but does NOT define me, such as with autism. Maybe we shouldn’t be defining those individuals so much either…
[..YouTube..] The person below is obviously a ‘typical’ thinker, to believe that everything fits so nice & neat into these ‘labels’.
This guy, Dr. Parker, makes the most sense out of anyone in my entire life. I’ve been dealing with ADD since minimum 4 years old. Thought can seriously paralyze me, but does NOT define me, such as with autism. Maybe we shouldn’t be defining those individuals so much either…
[..YouTube..] The person below is obviously a ‘typical’ thinker, to believe that everything fits so nice & neat into these ‘labels’.
This guy, Dr. Parker, makes the most sense out of anyone in my entire life. I’ve been dealing with ADD since minimum 4 years old. Thought can seriously paralyze me, but does NOT define me, such as with autism. Maybe we shouldn’t be defining those individuals so much either…
[..YouTube..] The person below is obviously a ‘typical’ thinker, to believe that everything fits so nice & neat into these ‘labels’.
This guy, Dr. Parker, makes the most sense out of anyone in my entire life. I’ve been dealing with ADD since minimum 4 years old. Thought can seriously paralyze me, but does NOT define me, such as with autism. Maybe we shouldn’t be defining those individuals so much either…
02:45 Typical story, which has nothing to do with ADHD at all and in fact goes with autism.
[..YouTube..] 02:45 Typical story, which has nothing to do with ADHD at all and in fact goes with autism.
[..YouTube..] 02:45 Typical story, which has nothing to do with ADHD at all and in fact goes with autism.
[..YouTube..] 02:45 Typical story, which has nothing to do with ADHD at all and in fact goes with autism.
[..YouTube..] 02:45 Typical story, which has nothing to do with ADHD at all and in fact goes with autism.
[..YouTube..] 02:45 Typical story, which has nothing to do with ADHD at all and in fact goes with autism.
Dr. Parker,
My friend Elizabeth G. suggested I write to you. I have type 1 diabetes, am recovering from anorexia, have gastroparesis and terrible constipation probably from all of the above. I am being treated for GAD, OCD, and depression with therapy, seeing a dietician, and meds. Recently I was constipated for about 18 days and when i finally got relief, about two weeks worth of my anitdepressant, effexor (generic) also came out, whole and undigested. There were other pill fragments but I couldn’t tell what they were. The doc I saw yesterday told me it was highly unlikely it had happened and asked if in my mental health “condition” I ever saw hallucinations or heard voices telling me what to do or say (this made me FURIOUS!). Then he said “IF” that had happened it would mean I wasn’t digesting things very well. He said that having gastroparesis was not generally associated with chronic constipation. Another doc said the opposite. Either way, it is very uncomfortable and comes with a high level of gas build up as well which causes a lot of pain in my abdomen. I’m not sure what to ask… I just want to feel better. Can certain foods cause my gastroparesis to get worse? I’ve been staying away from fresh fruits and veggies. I drink 8 oz of ensure plus everyday to supplement my diet. I also have chronic sinusitis, have had 3 surgeries to correct this and am in the middle of one of my worst infections ever after 4 months of sinus problems that started again when I began taking my insulin regularly again and eating according to my meal plan. I thought I should feel better not worse. In general, I am always tired, energy-less, can only half concentrate on things, and need some help dealing with this. What should I ask my doc to try? any particular things to test for? She is already giving me digestive enzymes and acidophillus to take. I was taking an herbal supplement for my gut but got much worse and after 3 months gave up on that. Every time I ask for help I worry that someone is going to say, get rid of your cats you’re just allergic, because of my sinus problems. But when my sinuses aren’t acting up, I have no problems with my cats. I keep everything dusted and vaccuumed to make sure. And there are only two of them… not thirty! 😉 Anyway, it can’t all come down to me making this stuff up or to my cats, so do you have any suggestions?
Dana
Dana,
You definitely need an IgG workup – we use several labs most especially NeuroScience as often insurance will cover that inquiry. All of the digestion problems are clearly directly effecting your neurotransmitter levels and obviously your antidepressant levels – and thus your response to meds. If your doc wants to use LabCorp make sure beforehand that your insurance will cover the bill… LabCorp charges an over-the-top 2000$ if your insurance balks. NeuroScience charges 229$ for the same testing.
cp
It breaks my heart to here of your suffering. I have had horrible issues with my stomach and digestive system since a bout with H pylori a year ago. If you cannot get the help that the dr. recommends because of insurance you might be able to try this diet. I’m not trying to sell you anything, this just really helped me. You can go on the website and she will send you a free trial. Look up greattastenopain she claims that some digestive issues are from mixing certain foods and eating foods that are high in preservatives.
Either way I hope you get what you need and I wish you the best of luck.
Wendy
WJG,
Thanks for the link! Preservatives can significantly create problems, no doubt-
cp
[…] ADHD Rules: Always Target Context | CorePsych Blog […]
I am frustrated with my meds. I take adderall XR in the am (40 mg) and IR in the evening (20 mg). It has made a definite difference, but there are so many times when I just don’t know. I also am not sure about the timing of it — I can’t figure it out!! The first I take at 6:15-6:20 or so in the AM and the IR I had been waiting until 6 or so in the evening. The problem is mid-afternoon….when I transition from work to home and there’s little coverage.
I want to just give it all up so often! Not that I want to go back to the way it was before, because it is better now. But I just cannot handle all these changes and variables and uncertainties and my constant questioning whether or not it’s actually helping me at all. Then I sometimes get discouraged; I work out of it, try again, and it just repeats. It’s like there are just too many variables – if I don’t get to sleep early enough or if I’m in my menstrual cycle or if I don’t exercise as much for whatever reason. I just want to be steady!! Not only in what I am able to accomplish, but in knowing that this medicine thing is actually working, that this is the right diagnosis….it’s too much for me right now.
m82,
My quick take is that you are waiting to long in the PM before you take the IR. Rather than burn out and go back to Thinking ADHD in the PM talk to your doc and consider taking the IR earlier, like 3 PM. Most who take it at 6 have sleep challenges.
One other point: If you can see when it is working the most likely reason is that the dose is simply too low, – so discuss with your doc the possibility of an increase in the XR as well and evaluate that response.
cp
Right – I was waiting until later rather than earlier. I haven’t had any problems with sleep though taking it at 6. One night I took it late (between 6:30-7) and that night I had trouble sleeping. Otherwise though, I’ve been good as long as I get to bed on time, which it helps me to do.
Today, for some reason, I felt more tired about a half hour after taking the am dose. That hadn’t happened before…and I still am. I feel like I did when one of the IR doses was too much a while back.
But the reason I wanted to repost is that I wasn’t sure by what you meant in the second part of your message. If I’m taking it the XR at 6:30 or so in the AM, 10 hrs DOE would be 4:30 or so PM. I’ve figured out that that last half hour on both the IR and the XR is not that great; there, but not great.
Anyways, I’m really tired right now.
m82,
Again, not knowing the details I can only speak in generalities – these matters should be discussed with your doc… but,, having said that, in my experience in this office with the DOE at about 4-4.30 I would:
1. Either increase the XR as on careful observation it sounds like you are a bit short of 10 hr, or
2. Start the IR earlier, before the crash, and increase that one.
See what your doc thinks about those suggestions.
cp
beautifully explained! I always find that smart people seem to be ADHD.
[…] This post was mentioned on Twitter by susangiurleo, michael allison and Laurel Milan, Ph.D., Dr Javier Anselmo MD. Dr Javier Anselmo MD said: RT @drcharlesparker: New post: ADHD Rules: Always Target Context http://goo.gl/fb/4gIGL […]
Dear Dr. Parker, Sarah, and team,
I recently came in to see Dr. Parker for my follow-up on my Neuroscience Nervous System Urine test results, purchased the supplements Dr. Parker and Neuroscience recommended, started taking them (CalmPRT, Kavinace, TravaCor, and Taurine), and you need to know that the last four days have been the healthiest I have been emotionally since before my adolescence.
I’m sure you’ve heard this before from other patients about their experiences, but I have spent about eighteen years trying to figure out and fix the problems causing my Major Depression and Social Anxiety. I was in individual and group therapy with another therapist for about 10 years after first being diagnosed in my early twenties, took Prozac for a couple of years ,then Paxil for about 15 years. A friend recommended Dr. Parker a few years ago, and we switched me over to Pristiq and Vyvanse for the M.D. and a little ADHD.
After Dr. Parker and I saw the Neuroscience test results, we agreed that I could stop taking the Vyvanse for now, even though there clearly has been some therapeutic benefit at the small doses I was on.
Thank you, Dr. Parker, for your tireless efforts to research, learn, apply your knowledge from both pharmacology and functional medicine, and psychiatry. I have been “getting by” with my bad brain chemistry for so long I had lost hope of ever really consistently feeling good and ever having any amount of self-confidence. It always seemed like my brain would let me down no matter how hard I worked and how much I tried to do the right things to feel better. I have hesitated to extend a hand to others, in friendship, as colleagues at work, or really in any capacity, because I have so often experienced my health letting me down at some point, leaving most others, save those most intuitive or who knew me intimately enough to know what was really going on with me, to wonder what they had done to cause me to withdraw. I have always engaged in lots of physical exercise, and I was diagnosed with Seasonal Affective Disorder years ago and have been diligent in keeping up with bright light therapy. However, these supplements, I now realize, are nearly exactly what I have always needed, and I hesitate to ask how long you and Neuroscience have been working with this science. I so wish I had taken this test and had these supplements available 20 years ago.
Thank you. I am already such a better husband, father, and student (at ODU – finally finishing the Bachelor’s Degree I started over 20 years ago at VA Tech, now in Mechanical Engineering). I am so grateful to you.
Talk with you soon. I hope all is well.
Jaime