Psycho-Babble Medication Thread 95770

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OCD induced by ADHD?

Posted by Frankie on February 28, 2002, at 0:53:37

Hello,

Anyone ever seen a person that has ADHD with OCD? I seem to exhibit both, but it is difficult to treat one without making the other worse. The SSRI's help the OCD, but make the ADHD worse. The stimulants help the ADHD, but worsen the OCD. A combination of the two is an idea, but I can't get the two meds balanced right, because I don't know which is the primary problem. I think maybe the ADHD. I seem to not be able to reason and judge things well, so I obsess over them again and again, because my judgement and self-esteem are poor. I am mainly referring to appearance type things. Anyone have any response on this. Could I be being treated for a primary OCD, but ADHD be the primary problem? Or, are the two often seen together? I would appreciate any response.

Frankie.

 

Re: OCD induced by ADHD? » Frankie

Posted by Ritch on February 28, 2002, at 9:58:09

In reply to OCD induced by ADHD?, posted by Frankie on February 28, 2002, at 0:53:37

> Hello,
>
> Anyone ever seen a person that has ADHD with OCD? I seem to exhibit both, but it is difficult to treat one without making the other worse. The SSRI's help the OCD, but make the ADHD worse. The stimulants help the ADHD, but worsen the OCD. A combination of the two is an idea, but I can't get the two meds balanced right, because I don't know which is the primary problem. I think maybe the ADHD. I seem to not be able to reason and judge things well, so I obsess over them again and again, because my judgement and self-esteem are poor. I am mainly referring to appearance type things. Anyone have any response on this. Could I be being treated for a primary OCD, but ADHD be the primary problem? Or, are the two often seen together? I would appreciate any response.
>
> Frankie.

Hi Frankie,

I have got a couple of suggestions you might consider that have worked so-so for me in the past. I found that Celexa and Prozac were the only two SSRI's that improved my ability to listen (at low doses). I have no idea why. Paxil, Zoloft, and Luvox all made me foggy-headed.

I also found that if I combined a low-dose of Celexa with a *very* low dose of a dopamine-agonist (in my case pergolide), it enhanced that "ability to listen" even further. The DA-agonist by itself didn't do diddly-squat interestingly (just made me nauesous and drowsy).

I also found that if I combined a low-dose of Celexa with a *little* Buspar it helped, too. Watch out for hostility-though. You have to keep the dose of Celexa high enough relative to the Buspar or you will lose the anti-obsessional qualities of the SSRI.

Just some thoughts to tinker with.

Mitch

 

Re: OCD induced by ADHD?

Posted by Frankie on March 2, 2002, at 4:15:49

In reply to Re: OCD induced by ADHD? » Frankie, posted by Ritch on February 28, 2002, at 9:58:09

> > Hello,
> >
> > Anyone ever seen a person that has ADHD with OCD? I seem to exhibit both, but it is difficult to treat one without making the other worse. The SSRI's help the OCD, but make the ADHD worse. The stimulants help the ADHD, but worsen the OCD. A combination of the two is an idea, but I can't get the two meds balanced right, because I don't know which is the primary problem. I think maybe the ADHD. I seem to not be able to reason and judge things well, so I obsess over them again and again, because my judgement and self-esteem are poor. I am mainly referring to appearance type things. Anyone have any response on this. Could I be being treated for a primary OCD, but ADHD be the primary problem? Or, are the two often seen together? I would appreciate any response.
> >
> > Frankie.
>
> Hi Frankie,
>
> I have got a couple of suggestions you might consider that have worked so-so for me in the past. I found that Celexa and Prozac were the only two SSRI's that improved my ability to listen (at low doses). I have no idea why. Paxil, Zoloft, and Luvox all made me foggy-headed.
>

Thanks Mitch,

100%, I see where you are coming from too. I am on Celexa 20 mg. right now, with 15 mg. Buspar daily. I know the exact reason why a high dose of Celexa will decrease the attention span. The SSRI's are antiobsessional, but also they make the frontal lobes work less. That means the higher the Celexa, the worse the ADHD symptoms, but the better the OCD symptoms. And also, I have seen that Buspar will take away the OCD benefits of the SSRI's. I rasied it to 30 mg., and as you said, I was more obsesive and compulsive, and felt very aggerssive and irritable. Do you know why? The dopamine effects of Buspar? Also Mitch, why do you think the benzo's help out my OCD dramatically in combo with the Celexa? I feel the best and least obsessive when I take a Celexa and Xanax together.

Frankie.
> I also found that if I combined a low-dose of Celexa with a *very* low dose of a dopamine-agonist (in my case pergolide), it enhanced that "ability to listen" even further. The DA-agonist by itself didn't do diddly-squat interestingly (just made me nauesous and drowsy).
>
> I also found that if I combined a low-dose of Celexa with a *little* Buspar it helped, too. Watch out for hostility-though. You have to keep the dose of Celexa high enough relative to the Buspar or you will lose the anti-obsessional qualities of the SSRI.
>
> Just some thoughts to tinker with.
>
> Mitch

 

Re: OCD induced by ADHD? » Frankie

Posted by Ritch on March 2, 2002, at 9:49:00

In reply to Re: OCD induced by ADHD?, posted by Frankie on March 2, 2002, at 4:15:49

> Thanks Mitch,
>
> 100%, I see where you are coming from too. I am on Celexa 20 mg. right now, with 15 mg. Buspar daily. I know the exact reason why a high dose of Celexa will decrease the attention span. The SSRI's are antiobsessional, but also they make the frontal lobes work less. That means the higher the Celexa, the worse the ADHD symptoms, but the better the OCD symptoms. And also, I have seen that Buspar will take away the OCD benefits of the SSRI's. I rasied it to 30 mg., and as you said, I was more obsesive and compulsive, and felt very aggerssive and irritable. Do you know why? The dopamine effects of Buspar? Also Mitch, why do you think the benzo's help out my OCD dramatically in combo with the Celexa? I feel the best and least obsessive when I take a Celexa and Xanax together.
>
> Frankie.

Hi Frankie,

I think the irritability on the Buspar is the alpha2 adrenoreceptor antagonism of its primary metabolite. Also, it has an "anti-serotonin" effect that will remove some of the compulsivity control the SSRI accomplishes. It might be possible to lower *both* the Celexa and Buspar and just keep the Xanax as part of your regimen.
That way the Xanax helps out the Celexa (so you can take less of it) and you take less Buspar so you are less irritable. Just some suggestions,

Mitch

 

Re: OCD induced by ADHD?

Posted by owen30us on March 4, 2002, at 11:54:37

In reply to Re: OCD induced by ADHD?, posted by Frankie on March 2, 2002, at 4:15:49

Definitely makes it worse in my exper

 

Re: OCD induced by ADHD?

Posted by Frankie on March 5, 2002, at 2:29:55

In reply to Re: OCD induced by ADHD? » Frankie, posted by Ritch on March 2, 2002, at 9:49:00

> > Thanks Mitch,
> >
> > 100%, I see where you are coming from too. I am on Celexa 20 mg. right now, with 15 mg. Buspar daily. I know the exact reason why a high dose of Celexa will decrease the attention span. The SSRI's are antiobsessional, but also they make the frontal lobes work less. That means the higher the Celexa, the worse the ADHD symptoms, but the better the OCD symptoms. And also, I have seen that Buspar will take away the OCD benefits of the SSRI's. I rasied it to 30 mg., and as you said, I was more obsesive and compulsive, and felt very aggerssive and irritable. Do you know why? The dopamine effects of Buspar? Also Mitch, why do you think the benzo's help out my OCD dramatically in combo with the Celexa? I feel the best and least obsessive when I take a Celexa and Xanax together.
> >
> > Frankie.
>
> Hi Frankie,
>
> I think the irritability on the Buspar is the alpha2 adrenoreceptor antagonism of its primary metabolite. Also, it has an "anti-serotonin" effect that will remove some of the compulsivity control the SSRI accomplishes. It might be possible to lower *both* the Celexa and Buspar and just keep the Xanax as part of your regimen.
> That way the Xanax helps out the Celexa (so you can take less of it) and you take less Buspar so you are less irritable. Just some suggestions,
>
> Mitch


Mitch,

Thanks for the advice. I am not touching the Buspar, but I was thinking of raising the Celexa to 30 mg. I think, as you said, the Buspar is combatting the anti-compulsion activity of the Celexa. I have found that the Xaxax makes me feel wonderful, because primarily, I don't have the flashes of obsessions that come and go at all. If I do have an odd compulsion, or obsession, from time to time, the anxiety caused by it is eliminated. In other words, the feeling of "Why do I continue to do this?" is not there. I'll have to watch when I raise the Celexa, because it will likely worsen my ADHD a bit also. Thanks again.

Frankie.


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