If I need meds because I have focus problems, how can I focus on ... what, um, hmm, where was I going with that?
March 26, 2010 12:36 PM Subscribe
HeadMedFilter: How to keep track of effectiveness of ADHD/anti-anxiety/anti-depression meds. Working with a therapist and a dr to find the right meds, but I can't seem to quantify how anything effects me. I want to help them help me.
posted by sio42 to Health & Fitness (11 answers total) 11 users marked this as a favorite
I can try keeping a little journal or something but I can't seem to do it with any consistency. It's not like I have had a broken arm and each day I can measure how much more or less I can move the arm from the day it came out of the cast.
Everything seems so subjective with the ADHD (inattentive type) and the anxiety/depression that is either in addition to or caused by the ADHD being undiagnosed until last year.
When I had been seeing a psychiatrist before I had an insurance lapse, he had tried me on everything from Lexapro to Trileptal and all kinds of Ambien, Lunesta, etc. All of those things made me feel like crap. (before the ADHD diagnosis, this came when the therapist and pdoc at that time thought i was just depressed and had GAD)
The only time I have ever felt "normal" (e.g., the chatter in my head from my 8 million different stations stopped or dulled), was the several weeks that Adderall seemed to work. I had a few days of the euphoria feeling, but then there were about 3-4 weeks of just awesome "oh, i see, here is how i can plan and do things, in a timely manner. la la la!" it was great. then it stopped working so great and i started getting anxious a lot. Zoloft was added to the mix and that was awful (massive side effects and couldn't sleep, had absolutely no appetite, was a zombie). But I gave it a good try, I would wait out the 4-6 weeks to see if I felt less anxious.
I did, but it completely canceled out any good from the Adderall. So now I'm on Vyvanase. And just tapered off the Zoloft (all under dr supervision). The Vyvanase does nothing as far as I can tell except make me sleepy, which is how I feel in general when I was not medicated.
I don't know how to explain to my dr and my therapist what I am feeling or how the drugs seems to be effective or not. And the head meds seem to be so hit or miss for everyone that it's hard to do anything than just keep trying different meds and hope this one works.
tl;dr: How can I keep track of (seemingly) subjective responses to medication when I don't even feel the same way or do the same things every day? I need to be able to present this succinctly and clearly to a doctor.
bonus question: why, oh why, does it seem like this is just dart-throwing? the psychiatrist just seemed to follow a flow chart of meds ,much like my dr is doing now. Or I say that I read about something (Vyvanase) and that it seems to help people who have anxiety and ADHD, and the dr says "sure, let's see what happens." this is so incredibly frustrating for me and BF, not to mention that my work suffers when I'm having 3 weeks of productivity followed by 6 weeks of "oh sorry i'm a spaz" (which I don't say of course, but YKWIM).