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Post by VICKY on Sept 30, 2009 20:19:15 GMT
Help please Newly diagnosed adhd month ago, saw psychatrist today who is gonna keep me on low dose 15mg concerta slow release and put me on quetiapine 50mg twice a day to, to control thoights and moods. Ive repeated several times to this pychatrist i suffer with low self esteem, hate self and look at negatives rather than positives., I also live in constant fear of things going wrong and find it hard to cope with simple problems, I also start several things and dont finish them, and i can always see loads i should be doing in house. I speak and write very fast, interput people when talking (c ant help it) stutter sometimes. Try to keep tidy but then am also messy which makes it harder I SUPPOSE ID LIKE TO KNOW, ARE THESE ADHD SYMPTOMS? WHY DOESN'T PYSCHIATRIST START CBT NOW? IS IT GONNA BE A LONG SLOW PROCESS TO GET THERPHY? PLEASE HELP tHANX XXX
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Post by bigboyted on Sept 30, 2009 23:07:06 GMT
Hi Vicky , Who diagnosed you with ADHD . I assume not the shrink who is prescribing you . Quetiapine is an anti pyschototic often used in bipolar which isn't necessarily just associated with mania as commonly precieved but can include agitation and anxiety although I am not sure how often people here in the UK would be diagnosed as bipolar with such symptoms . en.wikipedia.org/wiki/QuetiapineQuetiapine fumarate (pronounced /kwɨˈtaɪ.əpi¢°n/ kwi-TYE-ə-peen), marketed by AstraZeneca as Seroquel or SeroquelXR and by Orion Pharma as Ketipinor, is an atypical antipsychotic used in the management of schizophrenia, bipolar I mania, bipolar II depression, bipolar I depression, and used off-label for a variety of other purposes, including insomnia and anxiety disordersIt maybe that the pychiatrist that you're currently seeing is sceptical about the ADHD diagnosis and is effectively only treating you for bipolar. However assuming thats not the case I assume you have a previous history of depression ( and certainly sound distressed now ) but the meds you've tried havn't helped much and your pychiatrist is focusing now on dealing with suspected bipolar first before dealing with the adhd , which is usually the accepted procedure . Its not uncommon in the US for people with with bipolar to be diagnosed with ADHD as well and often benefit from the meds in addition to biploar meds . Here in the UK polypharmacy is usually frowned upoon largly for I suspect financial reasons. So if it turns out that a bipolar diagnosis seems an appropriate comorbid diagnosis to ADHD you may well be in a better position to many others with bipolar here in the UK . If your up to it check out the link below regarding the various bipolar subtypes that represent the up to date thinking of leading academics on the subject. If bipolar dosn't look like a comorbid diagnosis and especially if your pyschiatrist seems intent on ignoring ADHD don't forget you have the option of complaining to your MP that your not being appropriately treated for a diagnosed condition . Don't worry if that seems daunting there's a lot of information on this board to help you how to make the best approach . Finally you do sound quite low so its not best to get your hopes about CBT ,unfotunately therapy specifically for ADHD in Adults is quite scarce so the best you can probably hope for is therapy geared towards anxiety and depression. Take Care , Cheers Eddy www.psycheducation.org/start/BPIntro.htmwww.psycheducation.org/bipolar/frameset.html
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Post by Deleted on Oct 1, 2009 15:32:01 GMT
hi im v stressed now, my psychiatrist has diagnosed me with adhd formost and never mentioned bi-polar. He prescribed quietipine to calm me down and slow me down cause i get stressed easily i just thought this was part of adhd. Im totally confussed. xx
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Post by Deleted on Oct 1, 2009 18:02:15 GMT
Stress, anxiety and depression are common 'co-morbid' (ie at the same time) conditions seen with people with ADHD.
The meds for ADHD can make some of your other symptoms worse (eg blood pressure, insomnia) but so many meds react badly with ADHD meds that finding something to combat non ADHD problems can be difficult.
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Post by bigboyted on Oct 1, 2009 18:42:38 GMT
Arghhh !!!! I just wrote a long and I'd like to think a rather brilliantly reply ;D but like a typical ADDer I managed to delete it before posting . But Dave's right . Its complicated . It takes time . There is one thing I 'd like to mention before going to get something to eat . Your pyschiatrist is maybe concerned that your agitation is placing you at greater risk of self harming and that concerta might increase this risk rather than calming you down . Quetiapine might just be his favorite med in circumstances like this but ask him about it , indicate that you're aware that its used in bipolar.Does its use indicate that he thinks you might have a form of bipolar and that stimulants might cause you to self harm . Addressing his concerns could win you brownie points, make him pay more attention to what you say and stop him from being overcautious . Good luck Cheers Eddy
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