ashleyspencer, (edited )
@ashleyspencer@autistics.life avatar

Google said Strattera goes up to 100mg but it was wrong. Psych said it goes up to 200mg.

Apparently I can also take a low dose stimulant together with Strattera.

I've been diagnosed 2x with ADHD, but he has to do an assessment and legally can't take my word for it, so totally understandable.

Raising Strattera to 100mg a day from 80mg and in 1.5 months if it isn't helping, we will do an ADHD assessment and he will prescribe me low dose stimulants + strattera.

Solutions! Yay!

Kencf618033,
@Kencf618033@disabled.social avatar

@ashleyspencer You’re fortunate. Not only does your psychiatrist sound like he knows what he’s doing, you might not have to jump through that many more new hoops! 🦘

ashleyspencer,
@ashleyspencer@autistics.life avatar

@Kencf618033 He’s very careful and has helped a lot. I thought it was good of him to say, let’s wait until I feel better because it sounds like I’m in a burnout, and I may not need stimulants when it passes. So for now just raising the one I’m already on just a small 20mg.

jacquiharper,
@jacquiharper@mastodon.world avatar

@ashleyspencer My suggestion — if you get to the stimulant phase, there is a real difference between the ritalin-type drugs (Concerta, for example) and the adderall types (Vyvanse being one of those).

If one compound doesn’t work well for you (too much / not enough), possibly consider the other type (after considering dosage adjustments etc w yr HCP)

ashleyspencer,
@ashleyspencer@autistics.life avatar

@jacquiharper they gave me adderall at 17 and it did not go well. My hand tremors got really bad too. But your brain is still growing and developing at that age, so different than now.

The psych who diagnosed me in 2018 wanted to give me a low dose of concerta. Not sure which this psych would choose. Hopefully Strattera being raised works. Last time he raised it was a year ago and it took this long to wear off.

pathfinder,
@pathfinder@beige.party avatar

@ashleyspencer
Certainly sounds positive 👍 😀

ashleyspencer,
@ashleyspencer@autistics.life avatar

@pathfinder his orders were to rest and let the burnout pass before we go adding any new ADHD meds. But he’s upping the non-stimulant 20mg to help for now.

ashleyspencer,
@ashleyspencer@autistics.life avatar

He also said I sound like I’m in a burnout, so non-stimulant alone first.

ToddPM,
@ToddPM@hachyderm.io avatar

@ashleyspencer My first read omitted the word "in", and I was thinking, "Wow, he's DIRECT. And maybe tactless."

ashleyspencer,
@ashleyspencer@autistics.life avatar

@ToddPM 😂

Cassandra,
@Cassandra@autistics.life avatar

@ashleyspencer Proof of previous diagnosis is insufficient?

ashleyspencer,
@ashleyspencer@autistics.life avatar

@Cassandra I don’t have that because the assessment was done when I was 17, and then a psychiatrist diagnosed me again in 2018. It was so long ago he has to do one himself.

JeremyMallin,
@JeremyMallin@autistics.life avatar

@ashleyspencer @Cassandra So weird that they think the diagnosis expires.

ashleyspencer,
@ashleyspencer@autistics.life avatar

@JeremyMallin @Cassandra I don’t think it’s that. It’s just that there are strict rules because stimulants are controlled substances.

JeremyMallin,
@JeremyMallin@autistics.life avatar

@ashleyspencer @Cassandra Oh. That makes a bit more sense I guess. Still seems odd.

Cassandra,
@Cassandra@autistics.life avatar

@ashleyspencer @JeremyMallin Makes sense in this context. But I’ve definitely heard of people having to regularly prove that they’re permanently disabled to get benefits.

ashleyspencer,
@ashleyspencer@autistics.life avatar

@Cassandra @JeremyMallin It works like that here in the US with SSDI. They do evaluations every few years to see if you can work or not.

It’s unfortunate that disability keeps people in poverty. I probably could have gotten on it in the past, but I didn’t want my income to be capped at poverty.

ashleyspencer,
@ashleyspencer@autistics.life avatar

@Cassandra @JeremyMallin The shitty thing is once you turn 65 you can’t collect SSDI anymore because you’re social security age, but since they didn’t work and didn’t pay into social security, it’s either next to nothing or no SS at all.

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