@Rinel said in The ADD/ADHD Thread (cont'd from Peeves):
Well, I've been given some options going forward.
Good news: my psychiatrist is really smart and up to date on all the latest neuropsychiatry and pharmaceutical studies.
Bad news: anxiety and ADHD medicines do not play well together.
By "do not play well together," I mean that benzodiazapenes make ADHD worse by depressing all neural function, including the mesocorticolimbic projection, which is what makes dopamine, well, work as a positive motivator. And ADHD medicines hyperactivate the HPA axis, which regulates stress.
So I get to choose between extreme lack of productivity, which is starting to affect my job performance even if I've managed to keep it hidden from others, and extreme, unrelenting terror that makes life literally unmanageable.
Meanwhile my bosses have literally no idea of what's required for the imminently due deadline, keep telling me to take time off because they're worried about my mental health, and don't have the ability to help me do what needs to be done because they never reviewed any of the materials I sent them weeks ago in order to learn it.
I want to quit everything and cry for a week. The only good news is that I'm so terrified of driving that if I ever actually become suicidal I can just get in the car and go to New Orleans because I'm convinced the constant panic attacks will kill me. Boom. Instant exposure therapy.
Or, you know, death.
It's fine. This is fine. Everything is fine. Same as it ever was. Same as it ever was. Same as it ever was.
This is not my beautiful house!
Hey- my psych (who is also wonderful) put me on viibryd for anxiety. It's an off-label use of a fairly new drug, but as she explained, they did testing for both depression and anxiety and found that it helped both equally...but only paid the money to get it FDA approved for depression, as that's a much bigger market and much more in need of innovation.
It's not a fast acting benzo like ativan or xanax or whatever, but after a few weeks on it, after we stepped it up to 40mg? I have ABSOLUTELY noticed an improvement in my anxiety. Even during the pandemic. Talk to your psych about it. I am lucky my insurance is good with scrips and knocks the price down but drs are usually given discount cards to bring it down to $15 a month if your insurance is not so tolerant. And - no real side effects, which is the most amazing part. I took 2 antidepressants for a couple weeks each and just could not deal with the exhaustion and other issues. None of that with viibryd, at all. The one time I missed a couple doses I got 'brain zaps' (which was terrible, ngl) but that's almost any AD medication.