Hi,

I am new here, so I am sorry if I missed you already posting an answer to this... In your opinion, for the adults with ADHD diagnoses that do not respond to medication, do you think that means the diagnoses is wrong, or just that we just have not found the right treatment yet?

Thats a great question
I think its a little of both
When they study adults with ADHD they find many missed (undiagnosed) mood disorders/psychiatric conditions (bipolar, anxiety d/o, depression) AS WELL as medical conditions (hyperthyroidism, etc)that cause distraction and concentration difficulties....thats why one of the MAIN criteria for adults is that SYMPTOMS WERE PRESENT EARLY ON IN CHILDHOOD.
I also think the meds just dont work very well even in the best designed studies...having said that..i do have some patients who have done well on strattera and provigil..i really dislike the stimulants in adults and have had some bad outcomes with those.Thanks for the thoughtful question.
Dr O.

My husband takes Strattera and Trileptal.I understand the Strattera, but not why he is on the Trileptal. He doesn\'t have epilipsy. I worry about him being on the wrong medication. What is the Trileptal for?

My DX was party based on my childhood school reports. And AD/HD was not the only DX they tossed in stuff like Socail Anextiy Disorder, and etc. I have had lots and lots of labels through out my life and personaly I think Asperbergers Syndrom sounds closer even though it is not one of the labels various docs have given me over the years.

I have only tried Concerta and Ritalin, but nither worked at all, not even any sideffects.

Hey Heather
You are right to be curious about the Trileptal..so am I
It is an antiepileptic drug and also has Off label indications for Bipolar disorder and Neuropathy (chronic pain)
Im not sure why your husband is on it unless whomever is treating him thinks he might be bipolar.
Dr O.

My husband isn\'t bipolar. That I know for sure. The p-doc that he first went to put him on this medication and he hasn\'t had it change. We were both seeing the same doc at that time. This doc had me over medicated so bad that I couldn\'t function. I ended up changing docs. The next p-doc I went to was very upset at what this other doc had me on. My husband isn\'t seeing this doc anymore but our primary care doc. He is going to have to see the primary care doc soon and I want to see if there could be some changes made. I know that you don\'t know his case history but is there some questions we should ask the doc that might be helpful. Also he was told that he had three types of ADHD. Is there such a thing?

Hey Heather!
First...if he has had NO response on trileptal...there is no reason to take it.
then you can ask
1) what is the indication for trileptal?
2) is it approved for this use?
3) is there any evidence to suggest it works?
4) what other meds can we try since this doesnt seem to be doing anything for him?
ive never heard of 3 types of AD/HD...
Dr O.

I have heard of the multuple types of ADHD, they are realy subtypes. I do not have my refercen books handy, gosh... its been a few years since I ran the support group lets see what I can dig up in google real fast....



**Classic ADHD:**
Inattentive.
Hyperactive.
Easily distracted.
Disorganized.
Restless.
Impulsive.



**Inattentive**
Easily distracted.
Disorganized.
Low energy level.
Easily bored.
Short attention spans for tasks that are not interesting or that are difficult.
Daydreams often.
\"Head in the clouds.\"


***Overfocused***
_ Worries excessively, even over unimportant matters.
_ Oppositional..
_ Arguementive.
_ Compulsive.
_ Has difficulty shifting from one activity to another.
_ Always wants his way.
_ Is rigid and uncompromising.


***Temporal Lobe****
_ Easily irritated or frustrated.
_ Aggressive.
_ Dark moods.
_ Significant mood swings.
_ Impulsivity.
_ Prone to fights and acts of violence.
_ Defiant toward authority figures.
_ Can display anti-social behavior.
_ Learning problems and bad handwriting common with this type.

***Limbic***
_ Inattentive.
_ Chronic sadness.
_ Often negative or apathetic.
_ Low energy levels.
_ Feelings of helplessness, hopelessness or low self-worth.

****Ring of Fire****
_ Oppositional behavior.
_ Irritability.
_ Excessive talking.
_ Temper problems.
_ Extreme moodiness.
_ Distractibility.
_ People with this type tend to be sensitive to sounds.



This comes out of the work of Dr Amen and his clinic. I had to copy/paste that list form another site cause I took my site down and all the links are gone. That sounds like what I remember though. You would of course want to check with Dr. Amen for more vaild and updated information.

Hope that helps some. :)

I know this doesn\'t really apply to treatment, unless maybe you consider self-treatment by education.
I had a Personality Theory class a while back, instructed by a clinical psychiatrist. He recommended a book to me. Some parts of it have been really helpful.
Driven to Distraction: Recognizing and Coping with ADD. It\'s by Edward M. Hallowell, MD, and John J. Ratey, MD>
I have to go back and read some of it once in a while, to see what I\'ve missed (duh!).

That is an excellent book! Should be required reading for all that deal with potential adult ADHD/ADD.

And Education is a HUGE part of treatment, IMO.

Heather I have to say that yes there are different degrees of ADHD but i cant understand the breakdowns you listed. Ive adhd all my life Im now 29 and have son with it as well. I have to say that I can relate to all those symptoms. Im very innatentive,daydream, cannot focus, lose interest quickly, get bord easily, cannot sit still, impulsive, and as for the defiant disorder,Im sorry but if youve been dealing with this as long as I have yes, your going to start getting pissed. Everyone I come in contact with either doesnt beleive in adhd or thinks Im unintelligent. I think differently than others, I think alot faster than others, thats all. In this world, Its easy to start getting angry at people for treating you like some kind of moron. If you ask me, doctors dont even know that half of it. You wont know unless you have it. You\'ll never know how much this defines you and impacts your life unless you deal with it everyday.

mlr3475080,

First off, I have been DX\'D with Adult AD/HD so I understand what your saying. :)

Those types are subtypes of ADHD. The way I understand it is that you take your worst symptoms and that subset should fit one of the subtypes. I am not sure the subtypes are presently useful for anything, but I think the original idea was that you could fine tune treatment based on subtype.

I am taking Focalin on top of Straterra for my ADD. It does help quite a bit.

Uther

Hi,

I\'m new here. I was diagnosed with Adult ADD at age 35 (last year) My current physician has tried two different meds. Neither have worked, and he is unwilling to try anything else. I\'m thinking of switching physicians. I live in PA. Does anyone have any suggestions? Know of a good doctor? I would really aprreciate any help I could get. My neice and nephew both have ADD. Ritalin works for my nephew while only adderall works for my neice. It took trial and error for both of them before they found the meds that worked for them, but they both see pediatricians (their ages are 13 and 16).
Thank you in advance for any suggestions. If you would like to email me my email address is gibgirl70@aol.com.

Thank you!

Tara

I certainly had no ADHD symptoms as a child, but my ADHD came from a head injury at the age of 18. Because of that, anybody can look at my CAT-scan and MRI and clearly see what\'s wrong with my brain!! I went through a full outpatient head injury program and nobody ever even mentioned the possibility of ADHD once. It took 18 years to be diagnosed, all the while having *every* ADHD symptom. On the one hand, it makes it easy to tell when a medication is working-- it just reminds me of the time when my brain used to work correctly! On the other hand, few people even know that ADHD from a head injury is possible. The issue of this type of adult ADHD needs *much* more attention than it is getting. It will be a tremendous public health issue in the near future with the huge number of soldiers coming back from Iraq who survived head injuries (a larger number than in any previous military action of any kind.) The time has come to treat it seriously.