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Concerta is a perfectly reasonable treatment for ADD and narcolepsy. I've been diagnosed by a physician (both) and psychiatrist (ADD for my new insurance company in Ohio). My NP has a PhD in mental health. She's in no danger of losing anything. And as I said, my performance has greatly improved and the psychiatrist said I was likely undiagnosed for years.
I am not stating it happens to everyone. In fact, I am sure 9 out of 10 are able to handle it just fine. Yet if you don't think people taking regular amphetamines are not getting hooked on them, then turning to other drugs to offset the effects of amphetamines, and then turning to street drugs when the expense of the legal drugs get too high then you are naive. It's a slippery slope for many people that simply is not necessary, plain and simple.
Plus, how do you not know ER's are not filled with supposed ADHD patients that turned to harder drugs? ER's are filled with overdoses on all kinds of drugs, and you can damn well bet many of those people got their start on legal drugs (trust me, I now have the pleasure of meeting a lot of drug addicts and abuse of these types of drugs is common among them all). I am not one to state all drugs are a gateway drug, but amphetamines are a dangerous drug to be playing with just to do better in school.
Sorry to hear about your sister. I am in mostly agreement with you on the drug topic in what I have read. I try to avoid taking meds where possible since I really don't want a lot affecting my system. I have ADHD, I only started looking into any kind of medical solutions after I was trying my best to concentrate in classes in college and for the first time I could not do so. ( looking back it had a lot to do with stress going on at the time) Anyway, I really have noticed a dramatic increase in my thinking, speaking, and overall concentration since I started taking it. It does have some negative side effects like appetite suppression and I tend to get upset when I am disturbed while concentrating but I do have to be careful that I do not abuse it. It's pretty tempting and i can see why it is abused. Anyway, again I am sorry to hear about your sister and I hope she gets better. I know a couple former addicts and its a very difficult thing to deal with even when you want to change.
This post was edited by MindlessChaos 14 months ago
I'm glad your hard work has helped you accomplish your goals. I'm sorry your sister is suffering from addiction and hope she gets the treatment and support she needs to become healthy.
As I said, I have a great relationship with my NP. My medicine is a drug of abuse, but it can also be therapeutic. My NP and I went over several different options about the medicines I could take, including no medicine at all. You're entitled to your opinion, but to project your sister's addiction on to me and my healthcare provider I feel is unfair. I think it was the line where I said "should I tell my patients to freaking concentrate" that was misunderstood. I can assure you I won't be risking a patient's health by prescribing unnecessary medication. What I meant was, if someone needs a medicine to help and I feel like it is the proper treatment, I will prescribe
Again, I'm sorry to hear about your sister.
Yes, the drugs work. They work not only for people with ADHD, but for normal people. Just like steroids help normal people get stronger, and Viagra will make a normal person's dick harder. I am not debating the fact they don't work. What I am debating is the need for most people to take them. School is freaking boring for most people. The majority of people have trouble concentrating in class. I also understand that there are severe cases of ADHD where they actually have trouble functioning in normal society. For them, yeah, drugs like this would be a good option. Heck, I would bet I could be diagnosed with ADHD in a heartbeat. I am awful at concentrating. Most of the time I have to read things twice because my mind constantly wanders. I spent most of my time in class screwing around. I have a ton of classic ADHD symptoms. Yet instead of turning to drugs I learned techniques in order to improve my ability to learn.
My feeling is most people with ADHD don't need the drugs. There are some who do, but the drugs are an easy answer for both the doctor and patient. I wouldn't have a problem with it if the drugs were like an aspirin a day. Yet they are not. They are an addictive substance, and some people simply cannot handle them. There is no need to keep prescribing these things to the detriment of the few in order to help a few more people do a little better in school.
For the record, don't let me sister completely disarm you. I was kind of a dick.
Yet these drugs bother me not only because of her, but her oldest kid on on this stuff too (which my sister will steal her drugs from time to time). I know the kid. Not the sharpest tool in the shed, and yeah, she is a goof off, but she is no different than lots of kids. Yet I see more and more and more kids getting put on these drugs like it's nothing and it bugs me to no end because I have seen the severe end of these things.
On the flip side, I have known some kids that were out of control. With them, I agree medication is the answer. It's the only way they can function in a normal fashion. Yet I see way too many kids taking this stuff just because they are not able to concentrate like the freaking genius in class. Yet that just means they are normal, not in the need of drugs.
If you want to keep taking them, well, I can't stop you. Yet I fully believe this whole thing is out of control (along with benzos and sleeping pills and pain pills). I have gotten to see the danger with these things, and I fully believe drugs should only be used to prevent death (long or short term) or help someone to be able to function normal in society. I hate the use of drugs because someone isn't perfect, and in my eyes most doctors are prescribing these types of pills because someone is not getting a 4.0, or they get a little nervous, or they occasionally have trouble sleeping, or they have pains that are not debilitating. Things that can all be treated with either harmless medications or simple therapy (mental or physical). Sorry, it just bugs me.
Yeah I definitely agree that it is overly diagnosed and in many cases just the easy solution. I totally disagree with some of the idiots that will give a 9 year old meds. Having to deal with it through HS was actually very beneficial as I learned ways to control some of the issues. I never really thought about having it in a serious sense, just tried to get by in every day life. Upon actually looking into it in college I was actually surprised to see how many of the things I struggled with tied into having ADHD, I think just knowing for sure I had it and realizing my weaknesses I needed to work on helped tremendously as well. Also, I should note I had an extremely easy route through High School. I would have had a lot more difficulty in a traditional setting. ( primarily from the level of homework) I really enjoy learning new things, I found that the "easy" route I took that had minimal homework was very beneficial to my actual learning experience since it allowed me just to soak it all up like a sponge and not have to stress about a lot of extra assignments. I actually am pretty glad I took the CC route first as well before I am going to transfer to a University. The classes are easy, but like in HS I find that the lack of all the extra homework really allows me to be closer to reaching my full potential in learning. Also, where assignments are an issue the meds really help me in areas which I had a huge amount of difficulty before. A lot of issues I had with accessing information in my brain really were taken care of as well.
I used to have real issues when in more thinking intensive conversations or just thinking and talking in general. Not that I have a lack of intelligence but that I had a real issue just not being able to grab what I needed when it came to bridging the talking/thinking. ( I would have a concentration lapse in between if that makes sense) Anyway, I just am sincerely happy that I am a lot better than I used to be in a lot of areas while being medicated.
That may seem to doublespeak because I don't like the over medicating of society in general, but I would say that having to deal with my weaknesses for the length of time of time I did really has made being medicated a lot more helpful. I notice that my peers with ADD and ADHD have difficulty doing the harder boring tasks even while being medicated but because I had to deal with it so long before I rarely have that issue now myself.
I do think there should be better guidelines for diagnosing children. I was diagnosed when I was 24. We were able to talk about my educational career, study habits, diet, lifestyle, goals, etc before diagnosis. Parents that bring children in because they aren't meeting expectations usually blame the teachers first then take the kid in. The parents don't sit down and do homework with their children and teach proper study habits. They just want meds to keep the kids quiet. That's a huge issue in pediatrics right now. Clinicians treat the parents far too often.
I'm glad you have strong beliefs about drugs. Every clinician should give all the options and consequences. It's required informed consent. There are some lazy ones out there though that just prescribe so they don't have to deal with annoying patients.
I think we're on the same page on many issues and I really wish you and your family the best.
Says Phil silk
Don't post poop!
NP prescribing ADD meds? Chances of getting flagged are high.
Is NP is in the same practice as the MD/DO who is writing the prescription? Otherwise they are breaking drug laws if Concerta is on the Schedule 1 list.
This post was edited by GRR Spartan 14 months ago
Pics of strung-out sister?
Some guy at Walgreens wouldnt fill my Adderall script because "the doctor didnt handwrite what the prescription was for". I was pretty baffled by that, so I asked for the script back and said I'd go to CVS instead. He said that it was some new crackdown and that CVS would tell me the same thing. However, CVS didnt even wince and filled the script with no problems...
I think it all depends on who is behind the counter when you drop off your script.
Thank you Scott for that. Great post. Hope your sister survives and kicks her habits.
This post was edited by Bender 14 months ago
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