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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by BackOfClass on January 23, 2004, at 21:15:54
I am wondering what drugs and at what doses the people here with co morbid Social Anxiety Disorder and Attention Deficit Disorder take to feel "normal."
The questions:
1) Do you label your Social Anxiety as severe, moderate or mild? Is it general or specific?
2) In a sentence, how does your ADD/ADHD affect you? Example - I am inattentive, lazy, unmotivated, etc.
3) What do you consider to be the most debilitating? What do you have the most difficult time controlling? Example - ADD/ADHD/SP
4) What medicines do you (should you) take? What doses and at what times? In theory, how does each medicine help?
Posted by zeugma on January 23, 2004, at 23:03:23
In reply to Survey - Those with comorbid SP/ADD?, posted by BackOfClass on January 23, 2004, at 21:15:54
> I am wondering what drugs and at what doses the people here with co morbid Social Anxiety Disorder and Attention Deficit Disorder take to feel "normal."
>
> The questions:
>
> 1) Do you label your Social Anxiety as severe, moderate or mild? Is it general or specific?Severe, generalized social anxiety. Panic attacks in childhood when at parties or at friends' houses, becoming avoidant behavior during adolescence, continuing throughout adulthood as fear of others and need for a lot of time in solitude. When i don't get it I start to break down (this is becoming a problem again as i have a demanding job that calls for long hours in close contact with others)
>
> 2) In a sentence, how does your ADD/ADHD affect you? Example - I am inattentive, lazy, unmotivated, etc.
> I am inattentive, have difficulty with projects requiring work on my own, when unmedicated I feel like I'm living inside a kaleidoscope- easily overstimulated and lacking in control.> 3) What do you consider to be the most debilitating? What do you have the most difficult time controlling? Example - ADD/ADHD/SP
At one time the ADD was so severe that i didn't notice the social phobia. Combined with depression it kept me in a fog for decades. Recently, SP has been harder to manage for a simple reason: My doctor has been reluctant to prescribe anything that works for this condition. I've only gotten a handle on it a few months ago, and it's still precarious.
> 4) What medicines do you (should you) take? What doses and at what times? In theory, how does each medicine help?Strattera, 80 mg, am, for ADD and depression.
Klonopin, .25 mg, am, for anxiety.
Buspar, 15 mg,am, for depression.
Nortriptyline, 75 mg, pm, for depression, ADD, insomnia.
Buspar, 15 mg, pm, for depression.
Comments: I find Strattera to be just as much an antidepressant as nortriptyline, a classical TCA. In fact, its effect is broadly similar, the major difference being that Strattera is not sedating and nortriptyline is.
Buspar is a weak antidepressant, has no side effects at current doses, no discernible anxiolytic effect.
I would take a stimulant for my ADD, but have suffered severe weight loss each time I have tried them.
A higher dose of Klonopin would probably help me more, but even at this low dose it aggravates my sleep-related symptoms.But my narcolepsy is another story...
>
Posted by Dreaman on January 26, 2004, at 0:58:32
In reply to Survey - Those with comorbid SP/ADD?, posted by BackOfClass on January 23, 2004, at 21:15:54
The questions:
1) Do you label your Social Anxiety as severe, moderate or mild? Is it general or specific?
I would say severe. I pretty much avoid all social situations. The only way I go out with my friends is if they come knocking at my door and basically drag me out. Also I tend to have to medicate to relax. Lots of beer, wine, and weed. All of which make my attention worse but make it easier to hang around with friends.
2) In a sentence, how does your ADD/ADHD affect you? Example - I am inattentive, lazy, unmotivated, etc.
inattentive, lazy, unmotivated, sleep 12-14 hours a day, fatigued yawn all day, mental sluggishness, extreme procrastination, bored, bad short term memory.
3) What do you consider to be the most debilitating? What do you have the most difficult time controlling? Example - ADD/ADHD/SP
I'd say they are both equally as hard to deal with.
4) What medicines do you (should you) take? What doses and at what times? In theory, how does each medicine help?
Have taken
ritalin-best of the stimulants in all areas. Causes some generalized anxiety but this doesnt impact my SP. This med was amazing in the begging. It helped both my SP+ADD untill it pooped out after about 10 months. Made me more motivated, talkative, attentive, and outgoing during that time. Now all it does is give me a slight mental boost for about an hour and make me depressed and anxious for the rest of the day. It boosts dopamine and neuroepinephrine.
I took both short release and concerta up to 27 mg.Adderal- same as ritalin but less effective. Though there were less ups and downs. 10mg
strattera- Didnt help SP or ADD. Did lesson general anxiety somewhat, helped sleep wake cycle somewhat, and in the begging made me feel more awake during the day. took 20mg in the morning for a few weeks. This medicine is an SNRI(Selective Neuroepinephrine reuptake inhibitor)
Liquid deprynl- tried only briefly. (5mg) nice effects. I will be trying this again since I'm pretty sure my problem is low dopamine. This is a selective MOAI B at doses under 12mg.
Also will be trying memantine to see if it will eliminate stimulant poop out.
Other meds I will be thinking about for the my combo of ADD(inattentive), SP , and what I think is atypical depression are
Parnate
Amisulpride
Sulpride
Nardil
Wellbutrin
Provigil \ Adrafinil
Posted by BackOfClass on January 26, 2004, at 17:30:47
In reply to Re: Survey - Those with comorbid SP/ADD?, posted by Dreaman on January 26, 2004, at 0:58:32
Thanks for the input!
This is the end of the thread.
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