Suggestions for ADHD Combined Severe

[billygunn1881]

I have ADHD Combined Severe. The worst of the worst. Any suggestions for focus and concentration?

The kind of focus that I can read a lengthy book and block all others and distractions out.

Right now I can't read 2-3 pages before I get, tired, bored or distracted by even a fly or the light moving through the window blinds.

When I was younger I could sit in my local public library and read a book from end to end.

I want that same feeling and cognitive health, focus and concentration back.

 

[pavlovs]

If you didn't have ADHD as a child, then you don't have it as an adult. The symptoms of severe anxiety look a lot like ADHD, if you do have anxiety you might try treating the anxiety first. Wellbutrin has a nice couple of off-label effects, one is that is can be prescribed for attention/focus issues, the other is that it can reduce symptoms of anxiety.

If you did have ADHD as a child, (doubtful, if you could read a book from end to end), have you tried med management? It would be helpful to know what you have been on, when you were diagnosed, etc. I don't think you are going to find anything here better than western medicine if you truly have ADHD.

Selank, semax, and pinealon can be helpful, but I don't think you are going to find anything that beats good old tried and true ADHD meds. I hope you update this thread with what you end up doing and how it works though, I'm a psychotherapist and very interested in the behavioral health improvements that can come from peptides.

 

[billygunn1881]

If you didn't have ADHD as a child, then you don't have it as an adult. The symptoms of severe anxiety look a lot like ADHD, if you do have anxiety you might try treating the anxiety first. Wellbutrin has a nice couple of off-label effects, one is that is can be prescribed for attention/focus issues, the other is that it can reduce symptoms of anxiety.

If you did have ADHD as a child, (doubtful, if you could read a book from end to end), have you tried med management? It would be helpful to know what you have been on, when you were diagnosed, etc. I don't think you are going to find anything here better than western medicine if you truly have ADHD.

Selank, semax, and pinealon can be helpful, but I don't think you are going to find anything that beats good old tried and true ADHD meds. I hope you update this thread with what you end up doing and how it works though, I'm a psychotherapist and very interested in the behavioral health improvements that can come from peptides.

I did notice when I was on Tirp. my anxiety levels dropped significantly. So much so, that I even X/Tweeted Eli Lilly and mentioned that they should look into a study about how Tirp. may be a medication for anxiety. It was that good. I was only on 2.5 mg. weekly shot.

 

[Iamnew2this]

That isn't necessarily true. It could've been as a child it was undiagnosed. More possibly as an adult, with the demands and added responsibilities and changes in brain chemistry, it is highly possible to be developed at an older age, other than, only in childhood.

 

[pavlovs]

That isn't necessarily true. It could've been as a child it was undiagnosed. More possibly as an adult, with the demands and added responsibilities and changes in brain chemistry, it is highly possible to be developed at an older age, other than, only in childhood.

ADHD cannot be diagnosed as an adult if the symptoms were not present in childhood. I didn't said "If you didn't have ADHD as a child, then you don't have it as an adult." This is true. If he didn't have the symptoms then, then it cannot be ADHD now. You either had it as a child, or you don't have it at all.

I never said that he doesn't have some of the same traits that are found in people with ADHD, but to be able to diagnose ADHD, a provider must be able to confidently say that the disorder was present in childhood, whether it was diagnosed during childhood or not. If the symptoms weren't present, then the patient doesn't have the disorder now.

The majority of the adults who come to me thinking that they have developed ADHD is staggering. Most of the time their symptoms are related to severe stress and anxiety, history of past drug use, age related dementia. Ever now and then I get a patient who had the symptoms of disorder when they were a child, but they may have never been assessed because their parents didn't have the money, or didn't believe in diagnoses, or it was just not severe enough that a medical provider never had to get involved.

In mental health just because it quacks like a duck and walks like a duck, it isn't necessarily a duck.

 

[AndyPanda]

It’s all pseudoscience. The DSM changes every 5-7 years. It’s difficult to take some of that stuff seriously when it’s influenced by politics as much as it is.

 

[pavlovs]

The DSM is still the best we have, as imperfect as it is. It does keep us all on the same page, at least. As far as adult ADHD, the criteria for symptoms to have been present in childhood has never changed.

 

[Iamnew2this]

ADHD cannot be diagnosed as an adult if the symptoms were not present in childhood. I didn't said "If you didn't have ADHD as a child, then you don't have it as an adult." This is true. If he didn't have the symptoms then, then it cannot be ADHD now. You either had it as a child, or you don't have it at all.

I never said that he doesn't have some of the same traits that are found in people with ADHD, but to be able to diagnose ADHD, a provider must be able to confidently say that the disorder was present in childhood, whether it was diagnosed during childhood or not. If the symptoms weren't present, then the patient doesn't have the disorder now.

The majority of the adults who come to me thinking that they have developed ADHD is staggering. Most of the time their symptoms are related to severe stress and anxiety, history of past drug use, age related dementia. Ever now and then I get a patient who had the symptoms of disorder when they were a child, but they may have never been assessed because their parents didn't have the money, or didn't believe in diagnoses, or it was just not severe enough that a medical provider never had to get involved.

In mental health just because it quacks like a duck and walks like a duck, it isn't necessarily a duck.

Could it then be aggravated as an adult with high demand pressures in life and extra responsibility? Meaning, as a child, most children do not have these concerns. They are able to get on with their daily lives, such as schooling or reading a book, socializing, etc., and never be diagnosed. However, in adulthood, because of these stressors of everyday life, memories, daily demands, and so on, can the ADHD come out then? Like, they could have had it and it never showed up UNTIL adulthood? I'm just trying to understand. I was diagnosed as an adult. I never had issues when I was younger, so I think.

 

[AKC97]

Are you looking for a pep? Trying to get off a stimulant? It's a bit of a broad request.

I'm taking Reta and KLOW (Cycling off KLOW at the moment). I have been able to cut my Adderall 20mg ER down to 10mg IR in the AM and reduce my Wellbutrin from 300 to 150.

I have a better sense of well being overall and I feel happier.

I'm working on my impulsiveness with CBT and apologies... RSD is a bit more severe with these changes but I'm really trying.

Have you tried Strattera or Journee of you're looking for a non-stimulant?

...MandyTalksTooMuch would be an excellent handle now that I think about it 🤔 😂 - my teachers would all be so proud lol

 

[Iamnew2this]

Are you looking for a pep? Trying to get off a stimulant? It's a bit of a broad request.

I'm taking Reta and KLOW (Cycling off KLOW at the moment). I have been able to cut my Adderall 20mg ER down to 10mg IR in the AM and reduce my Wellbutrin from 300 to 150.

I have a better sense of well being overall and I feel happier.

I'm working on my impulsiveness with CBT and apologies... RSD is a bit more severe with these changes but I'm really trying.

Have you tried Strattera or Journee of you're looking for a non-stimulant?

...MandyTalksTooMuch would be an excellent handle now that I think about it 🤔 😂 - my teachers would all be so proud lol

Years ago my doctor wanted to put me on a stimulant. I could not take any because of heart issues. I was on Wellbutrin at the time. My heart issues have become worse, so I can't and would rather not try. I would love to be more attentive, and feel more like I used to. It's just not in the cards for me. Tirz does help a little, I must say.

 

[Skidude]

Not a suggestion as I am not qualified to make one.

Tesofensine is being studied for ADHD treatment- but it has many things to consider and is currently not approved.

TLDR:
The potential impact of Tesofensine on the ADHD treatment landscape could be significant. If it proves to be effective and well-tolerated, it could offer a valuable new option for individuals who have not responded well to existing treatments. Its unique mechanism of action might also make it suitable for certain subgroups of ADHD patients who have specific symptom profiles or comorbidities.

Tesofensine for ADHD: A Comprehensive Review of Potential Benefits and Risks

Explore the potential benefits, risks, and current research on Tesofensine as a treatment for ADHD in this comprehensive review.

neurolaunch.com

GLP1 Sub-Forum for Teso

Tesofensine

glp1forum.com

 

[pavlovs]

Years ago my doctor wanted to put me on a stimulant. I could not take any because of heart issues. I was on Wellbutrin at the time. My heart issues have become worse, so I can't and would rather not try. I would love to be more attentive, and feel more like I used to. It's just not in the cards for me. Tirz does help a little, I must say.

Could it then be aggravated as an adult with high demand pressures in life and extra responsibility? Meaning, as a child, most children do not have these concerns. They are able to get on with their daily lives, such as schooling or reading a book, socializing, etc., and never be diagnosed. However, in adulthood, because of these stressors of everyday life, memories, daily demands, and so on, can the ADHD come out then? Like, they could have had it and it never showed up UNTIL adulthood? I'm just trying to understand. I was diagnosed as an adult. I never had issues when I was younger, so I think.

No, you would have at least had the symptoms as a child. I'm so sorry, and I can't say this with clinical certainty legally because I have never examined you, but it is likely that you were misdiagnosed.

The things that you are mentioning in your post, like high demand pressures, extra responsibility, daily demands, memories make me think that you should look at anxiety as being the culprit. You mention memories casually, but I'm wondering you are talking about memories that may be traumatic. PTSD is also often misdiagnosed as ADHD, and it is also an anxiety related disorder.

If you were diagnosed by someone who only looked at symptoms you are having but they didn't ask you about stress, trauma, depression, history of drug or alcohol abuse, age related memory concerns, current drug use, and a plethora of other issues, then they didn't do a thorough job. The days doctors don't have time to assess for all of these issues in one session and will pretty easily just go with ADHD. That might be why Wellbutrin isn't helping you much. You might try to get a full assessment, and treat anxiety, depression, and PTSD if they exist. The other thing you can do is talk to your doctor about non-stimulant ADHD meds. Vyvanse and Strattera are often prescribed to adult with ADHD, and prescribed off-label for adults who have focus and concentration issues that may be related to other issues. There are others also meds that are non-stimulant treatments that I am less familiar with.

You might google up queries like "can PTSD be misdiagnosed as ADHD", "can anxiety be misdiagnosed as ADHD" and so on, to kind of get a better picture of what I probably clumsily just laid out. Knowing what is causing your symptoms is the best way to determine the right meds (or peptides!) will work best for you🙂

By the way, you have over 400 posts, when do you get to change your name to Iamoldatthis🙂

 

[Iamnew2this]

Omg! You are so right! Yes, yes, and yes. I do have ptsd. I often wondered about that. Damn you're good. You know this much. You should also know that I stopped going to that doctor 6 years ago🤣 And thank you!

 

[lemon lady]

That isn't necessarily true. It could've been as a child it was undiagnosed. More possibly as an adult, with the demands and added responsibilities and changes in brain chemistry, it is highly possible to be developed at an older age, other than, only in childhood.

I suspect this is very common, children being diagnosed with ADHD has skyrocketed in the past 10 yrs, not because more children have ADHD (well there might be a bit of that) but because we're more informed about what it is and know what to look out for. There's a lot of ADHD adults that are finding out they have it via tictok

 

[AKC97]

Years ago my doctor wanted to put me on a stimulant. I could not take any because of heart issues. I was on Wellbutrin at the time. My heart issues have become worse, so I can't and would rather not try. I would love to be more attentive, and feel more like I used to. It's just not in the cards for me. Tirz does help a little, I must say.

Maybe Straterra is an option.

 

[Iamnew2this]

Maybe Straterra is an option.

I'll have to look into it. Thanks!

 

[chmuse]

I'll have to look into it. Thanks!

Please make sure you're under close watch with straterra. ❤️ I personally had a very bad experience with it, so I am a little triggered when it's thrown around lightly. 🙃 It caused my first psychotic episode, which eventually led to my bipolar diagnosis (which means I'm no longer allowed on stimulants.)

I am not inclined to suggest a pep for ADHD. You should see a qualified doctor (not an NP- especially if you have trauma issues. NP's are good for run of the mill, and many NP's would disagree with me, but 90% of the ones we have now are not qualified for anything more than a basic case.) A MD or DO can best help get to the bottom of the problem of it is complex.

Please do not take the inability to read when you used to be able to as evidence you do not have ADHD. ADHD burnout can result in depression and anxiety and prevent you from engaging in hobbies you love. Untreated ADHD can lead to a myriad of other problems, trauma, anxiety, depression, and even personality disorders among them. You need someone qualified to help you, and you won't find that looking for peps on the internet.

I wish you luck. Mental health struggles can be so complicated.

 

[StonePny]

No, you would have at least had the symptoms as a child. I'm so sorry, and I can't say this with clinical certainty legally because I have never examined you, but it is likely that you were misdiagnosed.

The things that you are mentioning in your post, like high demand pressures, extra responsibility, daily demands, memories make me think that you should look at anxiety as being the culprit. You mention memories casually, but I'm wondering you are talking about memories that may be traumatic. PTSD is also often misdiagnosed as ADHD, and it is also an anxiety related disorder.

If you were diagnosed by someone who only looked at symptoms you are having but they didn't ask you about stress, trauma, depression, history of drug or alcohol abuse, age related memory concerns, current drug use, and a plethora of other issues, then they didn't do a thorough job. The days doctors don't have time to assess for all of these issues in one session and will pretty easily just go with ADHD. That might be why Wellbutrin isn't helping you much. You might try to get a full assessment, and treat anxiety, depression, and PTSD if they exist. The other thing you can do is talk to your doctor about non-stimulant ADHD meds. Vyvanse and Strattera are often prescribed to adult with ADHD, and prescribed off-label for adults who have focus and concentration issues that may be related to other issues. There are others also meds that are non-stimulant treatments that I am less familiar with.

You might google up queries like "can PTSD be misdiagnosed as ADHD", "can anxiety be misdiagnosed as ADHD" and so on, to kind of get a better picture of what I probably clumsily just laid out. Knowing what is causing your symptoms is the best way to determine the right meds (or peptides!) will work best for you🙂

By the way, you have over 400 posts, when do you get to change your name to Iamoldatthis🙂

Vyvanse is 100% a stimulant. A schedule II controlled substance.
Also, Strattera is VERY expensive.

 

[Iamnew2this]

Please make sure you're under close watch with straterra. ❤️ I personally had a very bad experience with it, so I am a little triggered when it's thrown around lightly. 🙃 It caused my first psychotic episode, which eventually led to my bipolar diagnosis (which means I'm no longer allowed on stimulants.)

I am not inclined to suggest a pep for ADHD. You should see a qualified doctor (not an NP- especially if you have trauma issues. NP's are good for run of the mill, and many NP's would disagree with me, but 90% of the ones we have now are not qualified for anything more than a basic case.) A MD or DO can best help get to the bottom of the problem of it is complex.

Please do not take the inability to read when you used to be able to as evidence you do not have ADHD. ADHD burnout can result in depression and anxiety and prevent you from engaging in hobbies you love. Untreated ADHD can lead to a myriad of other problems, trauma, anxiety, depression, and even personality disorders among them. You need someone qualified to help you, and you won't find that looking for peps on the internet.

I wish you luck. Mental health struggles can be so complicated.

Thank you!❤️

 

[AndyPanda]

Vyvanse is 100% a stimulant. A schedule II controlled substance.
Also, Strattera is VERY expensive.

Strattera (atomixetine) 40mg is 30 cents per tablet, and 18mg is 14 cents from India. At least with one vendor I use. You may be able to find it cheaper.

 

[billygunn1881]

I will add that in my early teen years to my mid 20's, I was doing a lot of drugs and alcohol. I am 51 and have been clean since 31. I mainly used alcohol and marijuana but did divvy one time in a little acid hit, actually half a hit, and a few times with crank. I quit the crank very shortly afterwards because I had more bad side effects that good effects.

Any who, I believe a lot of my ADHD symptoms came from the alcohol/drug effects on my brain. And yes, possibly stresses of being an adult and father as well as a little from PTSD from a rear end accident, but that was more recently, like about 4 years ago, so I would put that as the far end of the ADHD symptoms.

I am currently doing treatments of Spravato (Esketamine) for depression, but one of the benefits of Spravato is that can promote synaptic connections, basically helping to rewire my brain. So hopefully, it will help reverse the damage I did when I was younger.

Combining Spravato with Tirzepatide may help reduce and eliminate my anxiety and thus alleviate my ADHD symptoms.

I was just hoping there were some peptides that would help in conjunction with the Spravato to help heal/repair my brain and give me back my focus and concentration again.

So, go ahead and suggest away.

 

[pavlovs]

Vyvanse is 100% a stimulant. A schedule II controlled substance.
Also, Strattera is VERY expensive.

Oops! you are right, I was thinking of viloxazine.

 

[pavlovs]

Omg! You are so right! Yes, yes, and yes. I do have ptsd. I often wondered about that. Damn you're good. You know this much. You should also know that I stopped going to that doctor 6 years ago🤣 And thank you!

Yay! Knowing what is causing your focus and concentration symptoms is the best place to start. Instead of listening to all of us rando Chinese drug addicts, here's a good site .gov site with information on PTSD meds. If you were able to tolerate Wellbutrin, then that paired with Effexor can be a godsend for people with PTSD whose symptoms include impairment of concentration and focus.

I'm a total noob in the peptide world, so can't make any recommendations at all.

VA.gov | Veterans Affairs

Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.

www.ptsd.va.gov

 

[Iamnew2this]

Yay! Knowing what is causing your focus and concentration symptoms is the best place to start. Instead of listening to all of us rando Chinese drug addicts, here's a good site .gov site with information on PTSD meds. If you were able to tolerate Wellbutrin, then that paired with Effexor can be a godsend for people with PTSD whose symptoms include impairment of concentration and focus.

I'm a total noob in the peptide world, so can't make any recommendations at all.

VA.gov | Veterans Affairs

Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.

www.ptsd.va.gov

Thank you! ❤️

 

[AndyPanda]

Yay! Knowing what is causing your focus and concentration symptoms is the best place to start. Instead of listening to all of us rando Chinese drug addicts, here's a good site .gov site with information on PTSD meds. If you were able to tolerate Wellbutrin, then that paired with Effexor can be a godsend for people with PTSD whose symptoms include impairment of concentration and focus.

I'm a total noob in the peptide world, so can't make any recommendations at all.

VA.gov | Veterans Affairs

Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more.

www.ptsd.va.gov

The VA had me try Effexor and it made me excessively aggressive.