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Joined: Jun 10 2008
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User offline. Last seen 44 weeks 5 days ago.

Well today my husband and I visited a shrink (lack of a better word) and he prescribed both of us Adderall. Given our symptoms (short term memory loss, hard time concentrating, distracted, procrastination, etc..) and our hectic life he decided we both needed to try it. I have never researched this drug (have not taken one yet) as I was reading up on it, it seems like it would help, yet there are lots of warnings, should I even try? This was our first visit and we went to manage our relationship, its been hard having a 2 1/2 yr old and 10 month old not to mention we both work full time and have all the normal daily stuff to contend with. Does this seem adequate? He told us we are fighting so much cuz were over our stress limit, is that what this is for? Any help would be greatly appreciated.

Joined: Apr 12 2007
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User offline. Last seen 1 week 5 days ago.
One of the problems with

One of the problems with mental health care is that psychiatrists are paid to prescribe drugs and rarely provide any type of psychotherapy themselves any more.  You may get more from seeing a clinical psychologist or a social worker.  They will have a master's degree or a doctorate, and at least one year of supervised clincial experienced, and will be state licensed.   They cannot prescribe drugs, but will refer you to a psychiatrist if they think you need medication.

Joined: Jun 10 2008
Posts: 110
User offline. Last seen 44 weeks 5 days ago.
Are you saying that this is

Are you saying that this is not a good idea? We were only looking for help with our relationship and when asking us about some of our problems he suggested this may help us. Again, I have only started to read about this drug and I am unsure as to if we actually need it.

Joined: Apr 12 2007
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User offline. Last seen 1 week 5 days ago.
I can't say if Adderall

I can't say if Adderall would be a good idea or not.  That comes too close to medical advice.  It is an amphetamine approved only for the treatment of attention deficiet disorder, ADHD, and narcolepsy.  It is used off lable for depression, daytime sleepiness, and sometimes for weight loss. 

Generally if you are having issues with your relationship some form of counciling which might involve learning better methods of communicating with one another, getting rid of unproductive thoughts and behaviors, identifying triggers that lead to conflict, etc.

If you are suffering from depression, or personality disorder, or post-traumatic stress syndrome, or obsessive-compulsive disorder, or generalized anxiety disorder attention deficiet disorder some form of medication along with individual therapy may be helpful to you as an individual, and may make it easier to work on the issues you have as a couple.

Joined: Sep 3 2008
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User offline. Last seen 1 year 27 weeks ago.
hello

I can tell you that this drug does each person differently.  I can also tell you that I have taken it and it keeps you up for days.  I would take 1 at a time and was up for 2 days straight.  Then I would see things that were not really there.  Like bugs (little red ants) crawling on the carpet everywhere, to big spiders on the ceiling, and I would see a person on the side of me that wasnt there.  I liked the feeling it gave me before I started seeing things that were not there.  It makes you hyper and you dont want to eat or sleep and you will talk and talk and talk.  I wouldnt suggest taking it when you have children because when you finally do go to sleep you will be for a long time.

Joined: Sep 3 2008
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User offline. Last seen 1 year 27 weeks ago.
1 more thing it can be very

1 more thing it can be very addicting too.  not saying i was really but i wanted it like once or twice a week because it would help me better at my job and to stay focused at school too.  be careful if you do take it and i wouldnt suggest it really because the shrinks dont know what they are doing anyways because my moms always prescribes her whatever depression pills she wants and not looking at the side effects now she has to take medication everyday for seizures and she has a liver problem and they still give them to her.  i wouldnt go back to see a shrink maybe a marriage counselor or someone higher educated

Joined: Jun 10 2008
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User offline. Last seen 44 weeks 5 days ago.
The reason I choose a shrink

The reason I choose a shrink was because he was the only one willing to see us both at the same time. My insurance dosn't cover marriage counseling, yet this Dr. billed as if he saw us each alone. I thought a psychiatrist was more educated than a psychologist? I assume I am wrong?

Joined: May 3 2007
Posts: 421
User offline. Last seen 1 year 7 weeks ago.
I knew one guy that also was

I knew one guy that also was prescribed Adderall for what reason I don't know. As said already it will take off weight quickly and he did not keep his body hydrated. I imagine a doctor would point out all these important side effects.

Joined: Jun 10 2008
Posts: 110
User offline. Last seen 44 weeks 5 days ago.
The more I research this

The more I research this drug, the more worried I am. I seem to fall into the symptoms - ie. forgetful, unorganized, cannot finish a task, very distracted... My  question is this - was I prescribed this for a legit reason, or are these Dr.'s just quick to prescribe? Does this have to build in your system? Or can I take it occasionally? Many questions, thanks to all for helping me yet again. I hit my 30's and fall apart

Joined: Apr 12 2007
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User offline. Last seen 1 week 5 days ago.
A psychiatrist usually has a

A psychiatrist usually has a four year bachelor's degree, then completes a four year degree in medicine, then completes a three year residency in psychiatry.  A psychiatrist may then elect to undertake additional training in geriatric psychiatry or addiction medicine or forensic psychiatry, etc.  A clinical psychologist usually has a four year bachelor's degree, then completes a 2 year master's program or a 4 year PhD program, then completes one year of supervised clinical training under a licensed clinical psychologist.  Both specialists have a lot of education, but the emphasis in their training and what services the insurance companies expect of them is different.  A psychologist cannot prescribe medication.  Under most insurance systems a licensed clinical psychologist or a licensed clinical social worker does psychotherapy, meets with you once or twice a week for 30-60 minutes, talks about your issues untill you are better or your benefits run out.  The psychiatrist will see you for an initial evaluation, determines if you need psychotherapy and/or medication, sees you once a month for 10-15 minutes to see how your meds are working.  The psychiatrist may see you more often if you are just starting on meds, less often if your medication is working fine.  There are some psychiatrists who love doing psychotherapy and are excellent at it, and primarily do psychotherapy with or without medication management depending on the patient's need.  They often do not accept any insurances. They cost about $200+ an hour. 

Many people who are looking for marriage counciling benefit from seeing a therapist individually.  The idea is that you can't have a psychologicly healthy marriage unless you are healthy first.   

 

Joined: Sep 3 2008
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User offline. Last seen 1 year 27 weeks ago.
Adderall helps alot if you

Adderall helps alot if you are tierd and under alot of stress, just when you first start taking it only take half a pill for the first 2 days then go to a whole pill otherwise you will be "Tweaked Out" you will be jittery and talking 1,00000 miles an hour. I have had anxioety problems after taking to much adderall but thats just me it affects everyone diffrently. I don't take it every day just when I haven't had alot of sleep or I really need to get alot done during the day never take this stuff after say about 2pm otherwise you won't be able to sleep at night but as you take it more you will build up a tollerance to it.Surprised

Joined: Apr 12 2006
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User offline. Last seen 47 weeks 6 days ago.
If you are not focused and

If you are not focused and cant finish a task then this will definitely help you. It doesnt build up in your system so you can take it occaisionally. actually the more you take it the less it will work as you build up a tolerance. Also saying that taking a whole pill will make you "tweaked out" makes no sense as there is all different doseages and if you are prescribed the extended release they are capsules so you cant split it anyway. In my opinion even if your taking the strongest dose you will be fine although in my experience i wouldnt take it later than 7 or 8 o clock as it is a stimulant and it will make sleep troublesom. 

Joined: Jun 10 2008
Posts: 110
User offline. Last seen 44 weeks 5 days ago.
I wish I would have asked

I wish I would have asked questions b4 making the appt. Thank you so much Dr. Lois. You have helped greatly. Like I said, I wish I would have known that a psychiatrist was all about meds only. My husband and I have a very good relationship, we are just hitting a wall right now and I thought a third party could help us sort things out. Now we have to get into a therapist. This is not what we were looking for, maybe meds may help some, but what we need is conversation. Im sure all of you understand, working full time, in pain every day, having a 2 1/2 year old and a 10 month old, not to mention being newly diagnosed as type one diabetic. Our lives have just hit a major road bump, were just looking for guidance. Thank you all for responding, I feel as if I have a second family here.

Joined: Jul 23 2006
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User offline. Last seen 6 days 23 hours ago.
Questions and Concerns

I am concerned that this physician just gave you both a very strong substance on what seemingly is a whim.  I know that I went through many sessions and hours of testing before they even thought of giving me anything like Adderall®  Did he prescribe you the XR version or the IR.  I believe there is much more therapeutic value in the XR version as I have had both and everyone else I know that is on XR vs IR agrees.  I could go on a long diatribe about the pharmacology of a sympathomimetic stimulant drug like Adderall® however that is what they make sites like http://www.drugs.com for.  Do some research...not saying that your doctor does not know what they are doing, but that just seems too easy to just hand out a very potent C2 substance like that.  Wouldnt you agree Dr. Lois?

Joined: Jun 10 2008
Posts: 110
User offline. Last seen 44 weeks 5 days ago.
Well, thanks to each of you

Well, thanks to each of you we have decided not to take the Adderall. I think that this Dr. is a "giver" of sorts. We went to our primary care last night with concerns over the med and he told us that this guy was crazy to give us something so strong up front. He then asked if it was something we asked for, no it wasn't, he told us we needed it. Our primary Care listened for a few and gave my hubby zoloft 50mg, and me- he upped my celexa from 20mg to 40mg and threw-in wellbutrin 150mg once a day. We now have an appt with a therapist next week. What do y'all think about this combo? My hubby has a quick temper (as most men do) and I worry to the point of stomach pains. Does this treatment sound appropriate?

Joined: Jul 23 2006
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User offline. Last seen 6 days 23 hours ago.
Medical Ethics

This is an ethical question.  I do concur with your primary care physician that the diagnostic testing and history research necessary to make a positive diagnosis of Adult ADD that results in a prescription for a strong psycho stimulant drug with a very high abuse potential such as Adderall®  I don't agree with his tactics that criticize the other physician. Did he advise you to discontinue the Adderall® before beginning the anti-depressants.  The only reason I ask is that there is a severe drug-drug contraindication associated with taking an SSRI while on a sympathomimetic stimulant drug.  It has been shown to cause serotonin syndrome in some cases.  I think that you should get the two physicians together and on the same page.  Did you fill the anti-depressant medication at the same pharmacy as your Adderall®?  Most RPhs would have picked up on that very common yet severe interaction between those two drugs.   

Joined: Jun 10 2008
Posts: 110
User offline. Last seen 44 weeks 5 days ago.
I told my PC what we were

I told my PC what we were prescribed and he talked to us for about 30 mins and decided this combo. Same pharmacy filled the rx's and said nothing. Although my Dr. informed us not to take it. He referred us to a counsellor  and we have an appt. this week. The psychiatrists we saw was a bit shady. Hes in a nice neighbor hood and therefor I thought that it was a good choice, but when we walked in and felt the "vibe" I kinda had the feeling this was the type of place you came to get whatever you wanted. Thank you for your concern, BTW - I cannot take the wellbutrin, it makes me so tired and it seems to make me agitated, anyone?

Joined: Sep 13 2008
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User offline. Last seen 1 year 20 weeks ago.
pils

also in my opinion the only people who REALLY know anything, about drugs and their effects are the people who have abused them. 

Joined: Jul 23 2006
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User offline. Last seen 6 days 23 hours ago.
Not very smart

Jimbo Morrison....in some ways I see where you are coming from, however, thats not true.  I know many RPh's that know much, much more about drugs and their pharmaology than any street user.

Joined: Dec 20 2007
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User offline. Last seen 6 weeks 4 days ago.
I was just prescribed

I was just prescribed adderall today for the first time.   I can't focus, I hate dealing with things so I procrastinate like the best of em. I can't focus to study.. I cant control my thoughts. Its like someone has a VCR in my head and the FF button is stuck. I cant get anything accomplished because I get so distracted. Im stressed,  I have serious anxiety and panic attacks and nothing has ever worked. THIS WORKED WONDERS FOR ME. I felt like a new person. Nothing bothered me because I felt like I could deal with anything because I could actually think CLEARLY and THOROUGHLY about it. It motivated me and just made me feel normal and happy. Like I was actually accomplishing something. I can't recomend it.. but I have had no side effects or anything. I also got prescribed klonopin to help me calm down at night ( the whole mind racing thing...)  Hope this helps..  let me know if it worked out for ya!!