Question: What exactly is an ADHD specialist? Answer: Unfortunately there is no formal training or certification to reflect a certain minimal level of competence in the diagnosis and treatment of ADHD. The most important factor in determining a clinician’s expertise in treating ADHD is experience. What percentage of their current […]
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Question: Can my physician diagnose and treat ADHD in adults or is a specialist required? Answer: In a recent survey the majority of primary care doctors felt comfortable diagnosing and treating anxiety disorders (85%) and depression (95%) in adults. Only 15% were comfortable diagnosing and treating ADHD. The main reason […]
Question: How is Desoxyn different from Adderall and Dexedrine? Answer: There is a lot of literature to support the fact that abuse liability is related to reuptake blockade and/or increased release of dopamine in the nucleus accumbens. The best resource is ADD Treatment with Stimulants, by Solanto, et al, 2001. […]
Question: I have trouble falling asleep when I take Adderall or Concerta. What can I do about it? Answer: In evaluating any presumed side effect of medication it is important to ask how the side effect (e.g. insomnia) relates to the last dose of medication. Adderall tablets reach peak blood […]
Question: Can sleep disturbances be caused by the “rebound effect” of stimulants? Answer: Rebound means worse than if you hadn’t taken the medication. What’s worse? Symptoms that are helped by the medication may be worse right after it wears off. This is especially true of tablets, less with XR form […]
I finally realized that I’m inspired to do a blog when I’m stirred up, aroused, upset. Yesterday morning while watching CNN news and the Today Show, I said to my wife, "Where in the hell is Bush?" Then I saw his picture on page 2 of the Dallas Morning News […]
Harvard psychiatrist Tim Wilens uses the tornado metaphor to describe the problem of diagnosing ADD in an adult. When you look back over the life of an ADD person you see the evidence that a tornado went through. There is underachievement and attempts at compensation. The ADD adult may have […]
Let’s rub her nose in it! That will teach her a lesson. We’ll all feel better. The world seems like a safer place. Pictures of the "runaway bride" (Jennifer Wilbanks) are in the papers this week – mowing the grass at a probation center. She is to spend 120 hours […]
Two attractive young school teachers have come to national attention this year because they had sexual relationships with 13 and 14 year old boys in their classes. What is even crazier is that both of these women were married and neither would have any trouble finding sexual partners if they […]
Chromium is a mineral present in our diet and in trace amounts in our body. Diets lacking in adequate fruits and vegetables may result in low levels of chromium in our system. Controlled studies done in multiple major medical centers found that chromium supplements aid in fat loss and weight […]