Posted by 49er on February 8, 2011, at 11:17:34
In reply to new pdoc won't treat ADD -- need research help, posted by utopizen on February 6, 2011, at 17:52:20
> can anyone help me research on Medline or something to help me find some abstract of a study that explains a patient or group of patients happen to have AD/HD w/ comborbid paranoia or a similar state?
>
> I believe what I had was reactive paranoia; the prognosis is even just as good without being treated with an antipsychotic, although I'm on Risperdal anyhow and don't mind that...
>
> anyhow, because I'm on Risperdal, I'm looking for a study that happens to discuss a treatment regimen after someone got or has paranoia-- one that --doesn't-- include taking the person off an antipsychotic.
>
> He's a new doc, and isn't even entertaining lowering the dose and keeping in mind I'm on an antipsychotic, it's not unreasonable to receive stimulant therapy.
>
> He hasn't even slapped me with assurances he might try Straterra (not to say I want it or it's likely to help) -- but if that gives a hint at how he just cares about me not getting psychotic again. He is convinced all his peers would never think to keep me on an amphetamine.
>
> I've heard kids with cardiac arrest from Adderall get their dose lowered a tad and get a beta blocker added-- and that's a life or death situation. I was a peaceful paranoid, in the episode I had. I don't think it's even something I'd call a risk. More of a potential annoyance... not heart-stopping.
>
> Basically, he's paranoid I might get paranoid again if I were given a stimulant, and doesn't understand the ramifications of not getting ADD therapy is having on my life. I lost my job recently for not doing some simple task in a reasonable time, and I don't want to add failed out of school to my list.
>
> He doesn't care I'm in classes... and trying to put my life together. please help if you read anything where I could bring to him... thanks!
> can anyone help me research on Medline or something to help me find some abstract of a study that explains a patient or group of patients happen to have AD/HD w/ comborbid paranoia or a similar state?
>
> I believe what I had was reactive paranoia; the prognosis is even just as good without being treated with an antipsychotic, although I'm on Risperdal anyhow and don't mind that...
>
> anyhow, because I'm on Risperdal, I'm looking for a study that happens to discuss a treatment regimen after someone got or has paranoia-- one that --doesn't-- include taking the person off an antipsychotic.
>
> He's a new doc, and isn't even entertaining lowering the dose and keeping in mind I'm on an antipsychotic, it's not unreasonable to receive stimulant therapy.
>
> He hasn't even slapped me with assurances he might try Straterra (not to say I want it or it's likely to help) -- but if that gives a hint at how he just cares about me not getting psychotic again. He is convinced all his peers would never think to keep me on an amphetamine.
>
> I've heard kids with cardiac arrest from Adderall get their dose lowered a tad and get a beta blocker added-- and that's a life or death situation. I was a peaceful paranoid, in the episode I had. I don't think it's even something I'd call a risk. More of a potential annoyance... not heart-stopping.
>
> Basically, he's paranoid I might get paranoid again if I were given a stimulant, and doesn't understand the ramifications of not getting ADD therapy is having on my life. I lost my job recently for not doing some simple task in a reasonable time, and I don't want to add failed out of school to my list.
>
> He doesn't care I'm in classes... and trying to put my life together. please help if you read anything where I could bring to him... thanks!I agree that you need to see a new doctor.
By the way, I find it quite interesting that many psychiatrists who are so cautious about prescribing stimulants don't seem to use the same caution with other meds.
Not that I think stimulants should be prescribed like candy but that is something I am noticing.
49er
poster:49er
thread:978779
URL: http://www.dr-bob.org/babble/20110130/msgs/978913.html