ADHD Stimulant Medication Secrets: The 10 secrets to how Dexamphetamine, Ritalin and Adderall work

[@litawi7869]

I’m also diagnosed primarily inattentive type. I started Dex..and it has helped so much. Everyday I point out things I find myself doing that I never would/could have done without the meds! I was a cynic, I also concerns about addiction, and I’m a naturalista. It has allowed me to turn a corner in my life and alleviated a lot of depression and anxiety. It’s a strange stillness it gives you, but I think it’s worth trying because looking back at decades of chaos can really hurt. No more of that!

[@daledillard4326]

Just take it easy

[@NathanCroucher]

What your experiencing wont last, make the most of it before the meds settle in. As he said 10:59

[@daledillard4326]

@@NathanCroucher you're absolutely right.

[@scib.769]

I take Dexamphetamine for my ADHD and personally, I have to disagree that it stifles creativity, in fact I’d say for me, I does the opposite and heightens my creativity. I’m a songwriter, and have found it much easier to work on what I do when I’m on the drug. The words just flow from the pen. However, this is just my experience and it’s probably not the e same for everyone else.

[@thePSYCHcollective]

It’s very variable. Great news that it doesn’t affect your creativity.

[@-ix3mo]

Same here for making music. Much easier to work through ideas consistently and much more likely to problem solve when I’m not flowing. Instead of giving up or wasting my time on eh ideas without the medication. Much easier with than without. *usually*

[@Michelle-lo2mv]

Same here I started a business and KZbin channel when I started

[@QueefRichards382]

Exactly the same for me. I've recently started dexamphetamine and I'm now finally finishing all of my half done paintings that I could never find the concentration and enthusiasm to get through before

[@CaleAnderson]

Thank you for sharing Scrib

[@jennismith2]

I’m a woman who has ADHD, and I find that the effectiveness of my medication takes a nosedive the week before my menstrual cycle…which makes complete sense, since the hormonal “drop off” is known to impact Dopamine (even in people who don’t have ADHD I’d encourage women to track their ADHD symptoms over the course of a month or two, and then plan any “med vacations” accordingly….whether that’s “I’m not going to take any “days off my medication this week because I know I won’t be functioning as well as usual so I’ll need my meds even more than I normally do” or “I know my meds aren’t going to work as well as usual, so I might as well skip my meds most days that week (as adjust my life accordingly)” kind of depends on you and what is going on in your life. But it’s something to consider.

[@SwayTree]

I have ADHD and I've been on meds for 2 weeks now. And this is the best thing ever! It feels like my brain FINALLY does what I want it to do and I don't have to negotiate doing laundry or cooking some food. I haven't noticed any of the "bad" things mentioned here. I haven't noticed any problems with my creativity or zombie like feeling. Maybe my first crash is still ahead of me.

[@sameena713]

What are you taking?

[@SwayTree]

@@sameena713 Medikinet 10mg

[@cascadingcatalyst2816]

I really appreciate you addressing taking the two days off and also taking a lower dose at the beginning of the week when it’s stronger after the tolerance has improved and a larger dose at the end of the week. I tend to take 2 days off a week bc of tolerance and then day one my dose is sometimes strong but then by the end of the week tolerance has increased

[@M.Shepardbee]

Dr. Russell Barkley. Adhd is closer to diabetes then it is anything else. If you find yourself becoming addicted you probably don't have adhd

[@thePSYCHcollective]

The only similarity between adhd and diabetes is that the are both conditions which respond to treatments. In every other manner that are as different two conditions could be. Diabetes is the inability to dispose of glucose which causes its blood concentration to rise and thereby chronically will cause micro vascular injury (or acutely DKA). Not addressing diabetes with lifestyle (or meds) will damage the health of the diabetic. ADHD is a deficit in frontal lobe inhibitory capacity. Not treating it will mean one is distractable and can’t concentrate on uninteresting things. That has social, occupational and esteem consequences. As to addiction. If one has no other sources of positive emotion and chronically lots of negative emotion, one can become addicted even if one has adhd. Not everyone that is prescribed ADHD meds uses them as prescribed. And there’s plenty of overpresciption, tolerance and dose creep

[@M.Shepardbee]

@@thePSYCHcollective @the PSYCH collective The core of ADHD is an emotional regulation deficit. The symptoms of ADHD are external regulation. Not addressing ADHD with medication and lifestyle reduces life Expectancy by 13 years if it persists into adulthood. Without medication the symptoms are self regulation. With medication less self regulation is needed. When medication is taken self regulation is less needed. Hyper active behaviors lessen, distractabilty lessens; the body does not need to work overtime to regulate the brain. The cognitive issues come into play because the medication is a powerful regulation tool. The ability to regulate internally was never there and will never be there. When you take to much medication you have a regulation issue in the opposite direction. You are not becoming resistant to medication, your are becoming accustomed not seeking external regulation. The slow increase is so you can replace one with the other. If you are tired and stressed, you will habitually try to self regulate. Your "symptoms" get worse and you feel better. You over extend yourself habitually, as you always have as a regulation tool. The cognitive issue is the lifestyle change, now that you have some free space you apply it to schedules... or not, because you never have. So some sugges 2 days off meds. Which feels good. Then back to the grind. Except you never allow your body to handle other things as it cannot trust that tomorrow the stimulus will be there. Are you addicted to insulin ? No you can regulate without. But what about the worst diabetes that you can't regulate. Well you die. Are you addicted to adhd medication? Well no you can regulate without. What about the worst adhd That you can't regulate. Well you die. The "addiction" implies that it replaces and stops the body from doing a natural thing with diminishing returns. What it does is allows the mind to be less distracted in a overstimulated society. Not being on meds is bad enough, putting someone into a on/off state is guranteed to cause accidents. Your life becomes habitually different, when on meds i trust i didn't forget to do certain things that I wouldn't trust without.

[@HelloWorld5985]

Cheap production values but easily the best and most down to earth psych content on youtube. Thank you for the videos!

[@leaf2309]

started ritalin about 3 months ago and have needed a very small dose to get affects and as I started I had a day off every 3 days> when I would go longer the side effects of anxiety, hyperfixation, headaches and eye twitching got worse> and the effectiveness of the medication went down. So grateful to hear someone validate this experience as i haven't heard the sides of the coin explained so well. Also definitely experienced less open and flexible and connective thinking. Have been able to do more tasks that require a lot more steps to follow through though > like finding and restoring a bike, starting going to the gym. Less spontaneous urges to try new recipes, new places/different approaches

[@benmcreynolds8581]

Once finally getting professional diagnosis for ADHD at 31 yrs old, I got Dexedrine prescribed and it's calmed me more then anything I've ever medically tried, helps with anxiety, depression, ocd like behavior. It's been the most therapeutic treatment I've ever had. And I tried ever other option before this stage. Nothing else helped. Dexedrine helped, I don't get any increased energy, nothing, just quite calm mind.

[@nireeburr]

Would ‘Ritalin SR ‘ be the same? I tried this . 3 hours numbed out then fell asleep after work. Couldn’t drive home. Zapped me. I thought these were the same medications.?

[@richardmoores]

Wow, I want to try it

[@johnnyvidal3154]

Ritalin sr is trash. Anxiety overload. Dexedrine is king. Unfortunately not pushed by docs as patent expired hence less money etc etc.

[@doesnotFempute]

@@nireeburr Ritalin made me feel like shxt and I stunk to high heaven. Gave me the "fear sweats." and it made me DROWSY!! Doc switched me to Adderall. I haven't had some great Aha moment yet, but the side effects are way lower for me. Don't know what country you are in, as it's not available in many.

[@Xaichotic]

I really want to try Dextroamphetamine but my doctor insists they're not comfortable because they're not informed on the medicine, kind of frustrating.

[@ishtarbabylon4869]

Oh and I have been more impulsive with spending! I spent 1000 on stuff I need but without thinking about it in the way of what I need the most! 😮

[@EdmundSampson-pd7vi]

Wow I so identify with that..

[@bryanmchugh1307]

I am very glad I found this video. Been taking ADHD meds for 27 years now. I am going to take the 2 days off a week advice and apply it.

[@Nas___Nas]

Oh wow that’s such a long time. What are u taking if you don’t mind me asking and has it made a change in your life? Anxiety creeps up so bad for me

[@bryanmchugh1307]

@@Nas___Nas 2 legit klonopins per day.

[@Purpleskyshorizon]

I’ve been diagnosed with ADHD since I was a kid. I’m an adult, in my 40s, and still haven’t been treated for it. I’ve been treated for depression, anxiety, bipolar 2, and nothing has worked for me. I can honestly say that after I tried adderall a couple of times, I felt that it was the only med that ever worked on me. I had no euphoric feeling whatsoever. The only thing that happened was I straightened out my messy desk. (Lol) I may be able to go on it sometime next year, but I have to get off this one other medication that doesn’t mix with adderall or other stimulants. The really depressing thing for me is, I’ve wasted away 40+ years because of these doctors being too afraid to put me on a stimulant med because of my past problems with addiction; I self medicated on alcohol and other drugs BECAUSE of my ADHD symptoms. Anyway, thank you for this video. It really helped me understand more about these meds.

[@fixyourautomobile]

This sounds very much like my experience. Jumped around from Bipolar to ADHD diagnosis and really only accepted the conclusion that I simply didn't like school or as others put it, "too smart for school" A cute way of saying 'easily distracted' No mood swings, I'm pretty well balanced morally and behaviorally, but I find myself in a writers-block state of mind sometimes. As a mechanic with literally ENDLESS amounts of work, I find that small doses of Adderall provide that minimal change in brain chemistry I need to go throughout my day without slowing down. Not necessarily moving too fast, but I find I have better mental clarity. Even when subjecting myself to doses of THC which should modify the effects somewhat of these kinds of stimulants, I still feel "right" after a day of Dextroamphetamine use. Which is interesting considering I am 32 years of age and have been unmedicated since my early teens after a nasty experience with Ritalin and overzealous prescriptions for my minimal issues.

[@matthewatwood8641]

They're right. If you have an addiction problem, of course you'll get addicted to ADHD stimulants too. I've seen it so many times in the rooms. They sell these drugs on the street. People get hooked.

[@VictorAndresCaceresCastillo]

As an architect, i can report that both my creativity and productivity have significantly improved while I'm on the medication. However, I strongly agree with the importance of maintaining an adequate dosage balance to avoid developing tolerance and addition. Thank you for the fantastic educational video.

[@officialWWM]

I was diagnosed with ADHD at the age of 56! I received my diagnosis almost a year ago and have been struggling to get access to these medications since then! The restrictions placed on these drugs in Australia is ridiculous! The hoops I have had to jump through to get treatment has caused so much stress. I have finally received permission to be subscribed Vyvanse and I’m hoping to start it in the next few days. Now hearing you say it could kill my creativity has me very concerned. I’m a music teacher and song writer, I NEED my creative edge!

[@thePSYCHcollective]

Many people find the improved concentration benefit to be huge and the reduced creativity effect to be negligible. It’s a matter of seeing how it goes.

[@officialWWM]

@@thePSYCHcollective thanks, I’m still waiting for my script to come through (any day now, according to my doc) so I’m really hoping it helps me :/

[@katfarmgirl]

I was diagnosed today. So much to process and work through. I had had so many diagnosis' since I was 16 but this ADHD truly makes sense. I've struggled at uni these last 5 years and I have 3 subjects left and I'm 53. They say better late then never. I'm on dex but my son was on Vyvanse and he was super focused but he hated it as it affected his sport and weight.

[@officialWWM]

@@katfarmgirl I’m glad that you finally have a diagnosis that makes sense to you! I have been on Vyvanse for almost 2 months now and honestly, it’s been life changing for me. It’s been so good that it’s made me question almost every decision I’ve ever made in my life. I have become a better father and a more productive member of society. I’m losing weight but that’s a good thing for me. I no longer look to food to get a dopamine hit. There are a lot of options when it comes to medication, you just need to find the one that works for you :)

[@matthewatwood8641]

You should be concerned. These side effects do occur, and a lot more often than the doctors who profit from these drugs want people to believe. They lie - routinely. Psychiatry and the mental healthcare industry in general very artfully suppress the real damage that these drugs do to people. Not saying you should believe me, just be careful and use your common sense, please. I have seen many lives ruined.

[@mammaroma8116]

This is an EXCELLENT description of what goes on with stimulants and ADHD. Thank you so much. I’ve used this with my clients and it’s just so clear. And explained without the neuropsychological jargon that often turns people off. Thank you so very much for posting this!

[@thePSYCHcollective]

You’re welcome!

[@zacflemo1994]

Dexamphetamine changed my life, no one can tell me otherwise

[@711CokeSlurpies]

I remembered what I learned in this video. I took my short acting meds after 2-3 weeks of only taking long acting versions of it in the morning. First day was yesterday and I felt AMAZING. literally happy, hopeful, motivated, and with the ability to have CONTROLLED FOCUS! Today it isn't as amazing at all tbh. So I feel like I personally need to be taking 3 days breaks from the medications (fri-Sun) and 2-3 weeks off the meds as well.

[@naomi.shenton4768]

Thank you for sharing this info! I personally found it very helpful. I’m newly diagnosed (as an Adult woman) and feel more confident about the medication and utilising it for maximum results/minimum negative affects. Very grateful :)

[@thePSYCHcollective]

@naomi.shenton Thanks for the feedback!

[@MultiStar84]

It’s sad because I’ve struggled since middle school to pass my grades. High school was so bad for me, it took me forever to graduate college and my mother just said “you need to study harder”. I’d sit my ass down and would study but could never focus, as much as I tried. My 2 older brothers had minor struggle in passing classes, hence why they have great careers and graduated from the university (not that that means everything in life) but I would question why I couldn’t do the same. After all these years I made an appointment with a psychiatrist but she can’t see me till January. I hate that it took me so long to find a solution that I hope helps.

[@kyleschaffrick3845]

Very similar story to mine. Just started meds today. Most productive day in years.

[@MultiStar84]

I will say, been less than a year and it has been going well, the medication does help but you may find yourself relying on it too much which is what I don’t want to do, but I keep telling myself “that’s what it’s there for”. I try and do some days with less of it and will recharge again, just to keep things afloat. But it does help when using it for all the correct things, and I can focus more - but it doesn’t do everything for you. You still have to keep track, organize, ect. Make sure you get enough rest, diet is good and Exercise. DO NOT look past those 3 things and you’ll do even better.

[@K123-yg2sn]

Hang in there, and fight until you get the support that works for you. Thinking of you!

[@aarronattwell3222]

Thanks for this video. Dealing with dose creep and a somewhat negative cycle right now (lots to do - up dose - can’t sleep - start working again - up dose) and this video gave some perspective on the situation.

[@SecondLifeDesigner]

I was diagnosed with ADHD Inattentive type 12 years ago but have never taken stimulant medication out of fear of addiction seeing as addiction runs in my family. Well, 12 years later and my life is still a mess. I have developed a few coping mechanisms but the hard part is doing them constantly or even at all. So here I am again considering taking medication. Thanks to your video you are giving me hope I can take them without becoming addicted and ruining my life worse then it is right now.

[@matthewatwood8641]

Think very carefully. Look at the list of "secrets." Stimulants are very addictive. They can have a very positive effect in the short term, which gains these doctors all the glowing reviews that they use to sell people on their safety and efficacy, but nothing is for free and you pay for it on the back end with depression, anxiety, psychosis, and suicide. Going on and off these drugs is traumatic at best. A lot of people end up developing symptoms that lead to more severe diagnosis of mental health disorders that they never had in the first place. I'm just saying don't just take this doctor - who will profit from you believing him - at his word. Find out as much as you can and talk to as many people as you can. Once you go down the medication path, it's very difficult to get off of it.

[@guccioreo356]

I was in your same boat. My mom in and out of rehab my entire childhood with alcohol and drug problems. I have always been fearful of developing addictions to substances, and I treat this fear by affirming frequently that I am indeed not addicted by taking days or weeks off at a time. I recently started taking Adderall and, for me, it is nothing to worry about. It does not even come close to the feelings of dependency that I experienced with my heavy cannabis use.

[@NeptuneMyst]

I take vyvanse and i have noticed my tolerance to it shifting. I skip weekend doses. It’s made a world of a difference.

[@Jakey4000]

Ritalin has stifled my creativity, I miss it immensely but how it regulates the rest of my emotions is just incredible, so I'm not sure what that means for moving forward. I don't feel overly more productive, but I think my depression needs to be addressed maybe that would help. I just hate that if I want to get my creativity going my anger can be so awful when I'm off the meds. I don't think many people are addicted to their medication, so many I know forget to take it.

[@Jakey4000]

I also feel chronically tired, maybe that's the depression. I also have to disagree on stimulants keeping people with adhd awake, my first dose of ritalin LA after 3 hours I felt so tired, I went to bed and slept for 8 hours. It was the best sleep ever but I am worried about tolerance.

[@thorabast8817]

Have you considered telling your doctor about the undesirable side effects you're having? Maybe it'd be a good idea to add or try another medicine. I know a lot of people with Adhd & they did much better on other meds. Good luck finding what works best for you. 💙

[@Jakey4000]

@@thorabast8817 my country only has ritalin. Hopefully a generic of Vyvanse will be available when the patent expires in June next year

[@drkatiesmith]

Thank you. So good! I'm a doctor, and never found it explained like this in any textbooks, or by other doctors.

[@thePSYCHcollective]

Glad you found it helpful. This might also interest you: SSRI versus SNRI. Why SNRIs like Effexor might worsen anxiety and distress. kzbin.info/www/bejne/q5CafaqCaqqgd9U

[@drkatiesmith]

Thanks. What studies did you look at for the stimulant tolerance effect?

[@thePSYCHcollective]

It’s self evident when the dose needs to go up over time

[@drkatiesmith]

@@thePSYCHcollective I wonder what percentage of people develop tolerance, and how quickly it develops. Very interesting. There may be other reasons people ask for a dose increase - increased fatigue due to sleep issues, or they realise the dose they were on initially wasn't high enough to begin with, or theres depression developing and they actually need that managed. In terms of recommendations of taking 2-3 days off completely per week, and 1 week off every 3 months, are there any studies to show this reduces tolerance effects? Id be recommending patients experiment, perhaps reducing the dose at times, rather than stopping all together. This would enable them to function looking after kids/socialise and do household chores/life administrative tasks. Anecdotal medicine is a tricky area to make recommendations from.

[@thePSYCHcollective]

Yes. I don’t know the proportion, but it’s not trivial. Those who become tolerant end up with the predicament of being on maximal dose without efficacy. Then they face a dilemma because they cannot easily stop because of withdrawal. I prefer not to have my patients endure futile iatrogenic harms. But that’s just me.

[@mdiallo8955]

Thank you so much Dr Al and Jess for these priceless videos.

[@123NopeNotMe]

As a newly diagnosed 35 yr old African American woman in the US. I just started Adderall and was trying to find answers about why I become sleepy after 3 hrs or so after taking my doses. 10mg 2x daily and that 3 hr mark is hell when you have things to do. It's been a little over a week and the headaches are better but not nonexistent. Not sure if I should reach out to my doc or "give it time". I definitely can notice a difference but it's not huge like others describe when they first start meds. Also, I loved this presentation! As someone who loves to learn new things, this was the perfect formatting for a visual learner like myself. Thank you for the clear and consise info. 😊

[@thePSYCHcollective]

Thanks for the feedback!

[@johnnyvidal3154]

Ask for Dexedrine not Adderall. Google it. I spent hours and hours and the reason docs push adderall is because patent is still active (just) which equates to more money etc. When adderall patent is out it will be Vyvanse, hence why that is being advertised so much. The patients well being is not a priority unfortunately.

[@hanh6842]

@@johnnyvidal3154 Is this true? can you send me more info? I'm currently taking Methylphenidate Teva (Prolonged Release)

[@AussieK1ngYT]

Life changing medication & I'm a recovered 'Everything'. I could never abuse this med, it doesn't make sense. And I'm a 3 time addict. Three 12 step programs to boot. It's annoying that nobody is interested in treating adults as much as children in Australia. Long process here in Oz but I got there. Thanks for the video Cob.

[@123NopeNotMe]

Congrats man! 3x?🤯 Soo proud of you and overcoming.. Best of luck to you and your journey 💯🤞🏾.

[@johnnyvidal3154]

Out of curiosity, how hard is it to get in Aus? Im in America and would love to know the differences.

[@AussieK1ngYT]

@@johnnyvidal3154 Hi JV. It's become much more accepted. 10 years ago I had no chance of being diagnosed with my personal doctors, it wasnt considered. Now all I had to do was an evaluation, which was a Diva 2/5 test with a pyschiatrist (He signs me off for 2 years, which is the law, so only 1 appointment every 2 years). A doctor is authorised to prescribe the pills & he sends 6 repeats of 100 pills (4 a day but allowed up to 8 if I require) every time I need a repeat. Which is done over the telephone & sent as an E-Script to my phone. And the beauty of Australia, I don't need any insurance, my doctor is free, the pills cost about $10US per 100. The pyschiatrist is the most expensive part, I think it was roughly $330US dollars for the Zoom appointment.

[@steelyburt]

Ritalin is like Adderall Lite. Not as intense, doesn’t last too long. I get no real crash from it either. I don’t like the idea of consistently taking any medication, but it is a nifty tool to have at ones disposal.

[@Brandon_GameDev]

Forgot to mention each person is sensitive to different things so a different adhd medication could work better than another in regards to tolerance, another thing in regards to creativity I would not say it reduces it the medication seems to go through stages. Here is what I named the stages based off how I felt Stage 1 Massive Energy ( Had 50 Coffee's Feeling ) Stage 2 Alert ( Feeling Awake ) The feeling to get when you have been up for hours and your body is finally awake and ready Stage 3 Super Focus ( Not talktive ) You have to be doing something and you focus on it till complete Stage 4 Melo ( Feeling Normal ) You chill out and think things out better often get the feeling Im finally normal Stage 5 Come Down ( Fustrated or Tired ) You come down like 50 redbulls have ran out and you can get grumpy or super tired. As it kicks in I find that if you want to do something make sure you wait around 15 minutes or when you feel it is kicking in you then start doing the thing you want to do because that hyper focus seems to zone in on what ever your doing when it kicks in, I noticed that if im chatting away I actually end up wasting hours talking because I was doing that as it kicked in. Lastly if you dont care about focus because maybe you manage it fine and want the energy hit, this is the ( motivation issues ) I take less than my normal amount say 3 tablets is normal Ill drop it down to 2 as an example and this gives me that Im fully awake effect. I find normal doctors are crap with this you really need to speak to someone that understands these medications I have worked with a number of Teens that were told nothing about different adhd meds and what treats what better. I see the medication does not work a lot and they end up not trying, I am quite tired of watching normal people and parents not bother looking at proper medication and how to manage people with focus issues its not hard at all.

[@sharonaumani8827]

Helpful, thank you! I remember this, when I utilized Adderall to help with shift work/sleep and attention issues. I would take days off of the short acting and I am familiar with a rebound effect that always fell below my baseline. Vyvanse has been most effective, though sometimes it was helpful to have another boost for the hours outside of work that you still need to function and [like you mentioned] I would sleep better when it wore off!

[@randystone4903]

If you truly have ADHD stimulants won't act like an amphetamine. If I'm tired when I take my prescription I can take a nap with no problem. I recently found out how endorphins and other mood boosting hormones are inhibited in those with ADHD which really helps explain many issues in my life. As long as I don't drink anything with caffeine my blood pressure won't go up. Occasionally I don't take my adderall with no cravings and appreciate your advice about taking a break. I've never had a Dr. recommend taking a break from my meds, but I also live in the US where the pharmaceutical companies dictate usage.

[@stefangordik7511]

With implementing some of these concepts with my doctor, I've been able to benefit from adderall on the dose of 5mg a day, 5times a week. Thanks

[@pleunyenderly9593]

Fun fact , stimulants do not always make you calm no matter if you have add or adhd . A stimulant can have any kind of effect on any kind of brain. I am diagnosed with add and i can't stand stims at all , i actually get adhd like symptoms if the dose is to high . My older brother on the other hand does not have add or adhd and gets completely calm from it. This is something that needs to be broken down because its a myth that most docs and proffesionals believe.

[@AV-kr6gc]

Then your brother most likely has adhd. It’s hereditary anyways

[@pleunyenderly9593]

@@AV-kr6gc no he has not ..

[@matthewatwood8641]

Totally unpredictable. Everybody's different. It's like rolling the dice.

[@GabrielleAmadeusMozart]

really well spoken makes learning easy. well done team.

[@jimjam1719]

did anyone else get severe joint and nerve pain while on it? i did. also got weird itching spots, they would show up anywhere, it was like they had a mind of their with adhd, i think i will itch him here, then i will move to another spot, and so on and so on. also got weird eye twitching, a few mild headaches, and hardly any sleep at all, and all these symptoms just from 1-5mgs, had to quit, back to square one and feeling hopelessly miserable.

[@AquariusExtract]

I had those exact same symptoms, it’s very weird

[@geh_n]

Thank you for posting something that has helped someone (me)!

[@ActivateAcknowledgeAlign]

Do these medications stifle your ascension / spiritual awakening ?

[@NathanCroucher]

10:59 lol not what i was hoping to hear but thats how it is. Ive been taking mine as prescribed daily with no time off and there is that reduction in effectiveness now. I didnt up the dose as thats pointless, but it seems to be ok for me to take it daily, i prefer consistent over up and down.

[@MikaelMikaelMikael]

One thing that no one ever seems to talk about is the effect of caffeine combined with these drugs. My first six months on Concerta were pretty good, but the dose started creeping up, and at some point I just started upping my caffeine intake. This wasn't a conscious decision, it just kinda happened. Caffeine has always been a dismal stimulant for me, but this time, combined with daily Concerta, it really started to wreck me. It basically ruined my sleep, which in turn ruined everything else. I quit cold turkey and am now 10 days off caffeine. My sleep has improved, but I feel really depressed, unmotivated, tired and sluggish all the time. I have still been taking my daily concerta, but it doesn't seem to help much. I can't get anything productive done at the moment, so I was thinking about taking a longer break from Concerta as well. And no, I am not going to consult my doctor, because he doesn't know jack shit. If I wanted to up my dose, I should probably consult him, but I don't feel like it. I am torn, because the first 6 months on this medicine objectively improved my quality of life a lot. But now I feel like I wanna curse all stimulants to hell.

[@thePSYCHcollective]

Some prescribers might suggest weaning then taking a break from them to rest the tolerance. Subsequently they could be used 4-5 days a week to reduce the accumulation of tolerance. (Not medical advise)

[@MrPlastkort]

After taking dexamphetamine, I still catch whats going on and what people are talking about or explaining even tho im not paying attention at all. it is quite fascinating...

[@ozzmos90]

I wish I would have known all these things 3 years ago. Those are exactly the side effects I felt in all of my cells. At the end I had to quit cold-turkey. I slept almost 14 hours a day to recover for a month. I was awake at the night and sleeping during the day coz the day light was annoying me like I was a vampire. After 2 years of quitting i tried to take one Ritalin for my surgery exam. Yes it boosted me but then immediately gave me paranoia and then I never touched it and I hope I will never touch it again.

[@KuntChitface]

Fuck ritalin. Gives me angry headaches

[@johnnyvidal3154]

You need an amphetamine not ritalin. There is a huge difference. And yes, anxiety is the main one.

[@jen_counihan]

Thank you! Very helpful video for us with ADHD. 🧠

[@goodluckduck8615]

Much helpful. Very easy to watch. Thank you I needed it explained to me like this, it can be a bit confusing and strange sometimes.

[@cameronluke928]

Yeah!! Yeah!! Mmm!! Your giving me anxiety lady!!!

[@cowboymouth6429]

Adderall is a wonder drug for me .B at the same time if I take 2 to 3 days off I dont get that feeling of my meds not working and those down and depressed feelings.

[@nukezat]

When I started I figured the weekend break would be a good thing to do, my doc said that it wouldn't be necessary with vyvanse given how it's released in the system. But the ups and downs were terrible. I feel much better and perform better with just one day. My main problem is how fast my body metabolizes it, so at best i get a solid six hours needed a boost of IR in the afternoon

[@thePSYCHcollective]

I might have misunderstood but it sounds like your doc suggested more of the drug to deal with the tolerance to the drug (whereas a break from the drug would reduce tolerance). If tolerance to the high dose is causing withdrawal come-down effects in the afternoon, the “solution” is even more of the drug. There’s possibly some dose creep going on which can add up to a lot of milligrams!

[@Gangstashap336]

Yeah yeah. Yeah. Yeaaaahhh. Yep. Yeah yeah yeah. Because yeah. Yeah!

[@mastigt]

Good video! ✌️

[@noelelanderniiva1859]

I am addicted to amfetamines, and now they say that I have adhd and I will br starting on Ritalin, I am kinda worried because I cant stop taking I weigh 48 kilo atm and is 169 high

[@laubowiebass]

Great video .

[@TLKK2020]

Why does the crash get worse overtime? Is this due to no breaks? If breaks are taken can you reduce the worsening crash and possibly have a stable crash consistently?

[@thePSYCHcollective]

When we use a stimulant there is a rebound when it wears off. The higher the dose the more evident that it. For some people regular use leads to tolerance and increased dose. Worse rebound. A break can start to resolve the tolerance. But this is not medical advise, discuss this with your doctor.

[@ohhhnooooo446]

That would be me on the right at the start and not have taken in any information lol

[@jewhisperer]

Incredible

[@92foxcarguy21]

Are the NRI's better since they don't have the crash, and potentially avoid the dosage creep? It seems they would very logically? Thank You

[@thePSYCHcollective]

They can be helpful for some people. But also can have the crash (eg reboxetine half life about 12h). And dose creep a potential issue.

[@cameronluke928]

Yep!! YEAH! I can't watch this 😅

[@mdiallo8955]

Thanks

[@messymommasgrace584]

I cannot find the answer to this anywhere, I'm on Ritalin IR, 20mg morning, 10 midday and 5mg before bed... But I'm so incredibly tired ALL the time, like I'm not crashing, i can take my Ritalin and have a nap 30 min later, hence the 5mg at night. The higher the dose the less need for sleep, but still this fatigue persists. I've tried researching this, I've spoken to my dr's about it and just cannot find the answer... Can you possibly explain this to me? Do i need to change meds? I do take medication breaks every 2 weeks, but it doesn't seem to make any difference. I'm less anxious which is great, but I'd love to not feel like i need to sleep 20 hrs of a day. Great video, so incredibly informative!

[@thePSYCHcollective]

I can’t answer this as it would need to be worked through systematically and addressed empirically. Here are some comments: Odd to be taking it before bed, it’s mostly dosed morning and midday only. I’m curious as to the rationale for dosing before bed. Chronic fatigue/tiredness may relate to other matters such as CFS, Long COVID, etc. A long break might be informative. One needs to weigh up benefits/costs of any treatment.

[@emilycarroll92]

I recommend watching this KZbin video. kzbin.info/www/bejne/ppPFk6hrfLGqiJY

[@ishtarbabylon4869]

I’m trying to lose weight but dex makes me crave sweets and I end up eating a whole pie or a packet of TIMTAMS! I’m on it for inattentive ADHD and unfortunately I’m taking more than prescribed and it feels like I’m stuck! Thanks for this .. I didn’t sleep for three nights and crashed .. took more in the morning and I’m falling asleep getting the nods .. tricky meds.. I am changing to Vvyvanse .. better as it’s longer acting

[@ryanjoseph9988]

Woofda you’re going to have some garbage weekends with that acute withdrawal. Just reduce the dosage on weekends and when you don’t need the focus as bad. At least if you’re on the short release this is much easier

[@amarjari]

Is der a relation between anti anxiety meds and stimulants? Does stimulants work less efficiently when combined with an anti anxiety meds?

[@thePSYCHcollective]

Your question as posed is not really answerable because “Anti anxiety meds” is a massive category including almost all the antidepressants, all other medicines with sedating qualities and drugs which affect adrenal/epinephrine signalling (beta blockers, clonidine) and others. So it depends what exactly is being combined. Some combos are okay, some are not so great, some are not a good idea.

[@Macleod1545]

Do extended release stimulants have the same issues with tolerance as instant release?

[@thePSYCHcollective]

They can. I’ve stopped initiating long acting as the MANY of my patients would find that tolerance and dose creep would have them maximum dose after 9-12 months (even with skip days). But SOME people don’t seem to get tolerant to neither long nor short acting. [just observations, not medical advise]

[@NathanCroucher]

@@thePSYCHcollective Then whats Dr Mander on about kzbin.info/www/bejne/gYTUgKqpZdmNgdU Seems bit harsh to not have them as an option now there on the PBS. Im on Vyvance and happy with it, saves on having to pop dex all day.

[@nireeburr]

Thank you so very much for posting this. I’m in Adelaide Australia and can’t find a psychiatrist who can help Adults with ADHD.. also it’s great to hear info that’s currently in date!! Most info is 12 yrs old . If you know of anyone who can help that is taking new patients, we would love to hear from you. 👍🏼👏🏼👏🏼

[@MA-og8cv]

Check out online support from psychologists who offer their services via Zoom/Teams.

[@iamstormy]

I went to an online psych in Tasmania. I'm in Adelaide and finally have help.

[@nireeburr]

@@iamstormy can you tell more ?? Sorry I just saw this . Thank you 🙏🏼

[@iamstormy]

@@nireeburr Psych2u is an online psychiatrist. Call them and they will help.

[@nireeburr]

@@iamstormy just wondering does Medicare cover costs, under the new mental health Allowances . By using MHCP? Otherwise I just can’t afford $500 for one appointment sadly. It’s always the case when no one in Adelaide can address such strong needs. ESP for adults.. How do you go with working and maintaining a life of normalcy 🥴🧚🏼‍♀️

[@Darkfyre755]

I hate taking my Adderall because it gives me super bad anxiety. Is there a good way to get around this? I almost never use it but it would be nice to be able to use it sometimes without being miserable

[@thePSYCHcollective]

@Mady Ask your doc about whether you could take a dose of a beta blocker an hour before you take the Adderall. The beta blocker can prevent the physical symptoms which lead to that anxiety. Often helps. If it works for you, let us know.

[@Darkfyre755]

@@thePSYCHcollective thank you very much! I'll definitely look into this, and if it works out I will be sure to let you know!

[@ToanTheNomad]

Does anyone know of any supporting literature with strong evidence for this dose creep theory?

[@thePSYCHcollective]

Tolerance to amphetamines was established in WW2 by the nazis who used it on their soldiers. They noticed that the dose had to go up for a large proportion of users. Tolerance is not a controversial notion for stimulant drugs such as amphetamines.

[@evanmc6530]

serious question, i have ALWAYS had ADHD symptoms recently have been treated for ptsd and depression over the last several years due to massive changes in my life, i feel i am finally coming out the other side now and want to get on with my life but i can never concentrate massively procrastinate and just cant focus but being 41 years old no one wants to listen or help. how do i see someone that treats this serious...

[@thePSYCHcollective]

PTSD makes ADHD worse. PTSD is mentally fatiguing, it reduces “RAM” In ADHD “RAM” is already low. This talk helps unpack the effect of PTSD on “RAM”. kzbin.info/www/bejne/d5fTYZKract_gZo

[@evanmc6530]

@@thePSYCHcollective Thanks for the reply, I definitely agree with that especially after the last 3 years and my decline my mental well being has improved but that is also due to the fact i have been a patient of SCP for m&a first and the ptsd, i qualified for ptsd2 and learnt and implemented many tools form your videos etc Al hits the nail on the head when he covers moral injury in the link above... how does one ask to be evaluated or trialed for adhd and not come across as just trying to get "stimulants" all i want to do is move on with my life and try to live a productive life

[@thePSYCHcollective]

@Evan Mc The difficulty is that one usually needs some evidence of ADHD prior to PTSD. The general wisdom is that ADHD is a developmental issue and persist from childhood. So doctors will usually need some supportive collateral information to justify the diagnosis (school reports, interview with parents etc). Not all psychiatrists prescribe stimulants. There are clinics that specialise in ADHD. They tend to be expensive and doesn’t guarantee it will be prescribed.

[@evanmc6530]

@@thePSYCHcollective i guess eventually getting thrown out of school at the start of year 10 fits the criteria!

[@polymerasiecondens6857]

I started taking ritalin when I was 16 years old, 10, 15 and than 20mg 3times a day, plus a 10mg at the end of the day. This makes total 70mg dose of methylfenidate. The crashes when it worns of were terrible and that's why I tried xr. Now 17 on xr and hated it, I could sense the little effects comming up and comming down. This was for 2 weeks and just terrible. Still 17 year old and now on dexamfetamine 10mg 3times a day. Total 30mg of dex. The crashes are way less potent and almost even unnoticeable. Took it for 4 months and than 3 weeks I did not consume any stimulants. It helped a little but not much, btw not that I notice a difference in performance now in comparison to the first few weeks of taking dex. It was just to not get a tolerance faster. So after how many months from the start of taking dex will this "tolerance" be noticed?

[@BenDover-ek1zp]

I'm not sure if he or anyone can answer that unfortunately. He said some people can find a stable dose and be fine without taking any breaks for years. But others can't and need to take breaks. PS: i'm also on dex and wish i knew the answer to your question.

[@nicocortez102]

I take 2 immediate release (IR) 15mg tabs, 1 at 7am and 1 at noon, gets me through the day job. Then slam the stimulant breaks in the evening with a magnesium supplement which is a champ for nervous system rest/repair/growth and SLEEP.

[@thePSYCHcollective]

Some people notice tolerance after the first dose. Others notice tolerance after a week or a month or not at all. It’s very variable.

[@polymerasiecondens6857]

@@nicocortez102 yes I noticed that too for my sleep using magnesiumbisglycinate

[@victoria9535]

Does everyone take adhd medication everyday?

[@Polecat-qz5om]

I do. I take 5-15 mg. I do take breaks but I work in health and am a student so I got to be on my A game to provide perfect patient care and results. I work in pathology.

[@AussieK1ngYT]

Yep! My doctor & pysch didn't say anything about taking time off.

[@victoria9535]

@@Polecat-qz5om wow. Is it bad taking it everyday? And so how many year have you been taking it?

[@fishfingers1985]

Been on dex for years done a week on a signifigant lower dose going through hell!! sleeping all day, lethargic, dont want to leave my room. Anger and irriratability through the roof, only upside is i am not sweating a fountain (chem sweats)

[@thePSYCHcollective]

Common problem with daily dosing. Long term/high dose, I wonder.

[@fishfingers1985]

@@thePSYCHcollective I do what my psychiatrist tells me. Have been on meds for mental illness for going on 20 years.

[@steelyburt]

The 11th Secret is my crush on this sheila..

[@hayleypaul5005]

How does she hold eye contact like that lmao

[@Youruturnwholisticcoach]

I do this anyway 😂

[@karrayfares130]

Is she fkn stoned ?

[@TanyaDee]

"No free lunches"... Seriously, we're NOT trying to get something for "free" or cheat anything! We're trying to function.

[@thePSYCHcollective]

Seriously seriously. It was not intended to be derogatory and there was no mention of cheating anything. The “no free lunch” comment was intended to highlight that there’s a potential cost to using them that’s not obvious and often not mentioned to users.

[@chainlink6355]

I’m KNOT BUYING WHAT YOUR SELLING, Never take drugs and less it’s an emergency

[@PUNKJUNKIE]

Tontito...

[@williamfoley5687]

I can't understand you with your accent,sorry.Jesus loves you.

[@johnnyjacuzzi7498]

These aren’t secrets, they’re just effects. What a clickbait title.

[@thePSYCHcollective]

Thanks for your feedback. But very few patients or even doctors realise these effects

[@polymerasiecondens6857]

It is still very helpful and interesting. This because there are no other videos on KZbin which explain it with this much detail.

[@johnnyvidal3154]

A numpty that can't comprehend the gold info that is in this vid. Smh.

[@JohnSims-pn9ow]

Toffee nose!

[@That-Kevin]

I’m on the maximum dosage of vyvance and it’s not working anymore. I think I’m gonna have my doctor put me on methamphetamine for real. It’s a prescription drug for ADHD called Desoxyn.

[@thePSYCHcollective]

Thanks for raising this important matter. Tolerance to dex necessitates gradual withdrawal and a period of cessation to resensitise one to the effect of the medication. Then after resuming, people who are prone to tolerance may benefit from time away from the medication (eg weekends off it and a week or so every few months) to limit accumulation of tolerance. Taking meth can have serious consequences and tolerance to it is likely if one has tolerance to dex. So one ends up back in the same predicament but with more difficulty stopping meth and more troubling health effects.

[@sonshine9526]

I have ADHD, autism, and a frontal lobe injury. I have so far tried over like 20 medications from all types and backgrounds. I have tried dextroamphetamine and lisdexamphetamine and they work for about 4 days and then boom dont work. its the same with all meds... dextroamphetamine required 30mg twice a day to work plus taking it with antacids and bicarb of soda. Theres a secret he didnt mention. Vyvanse took 2 x 60mg capsules in the morning and lasted for about 14 hours so not bad... Kinda shit... the best ADHD medication ive tried so far is Lyrica. Yet again. A dark rabbit hole of a drug.... Modafinil is probably the best ADHD medication ive tried, 400mg in the morning it takes and its way too expensive, heck knows why its not on label for ADHD coz it should be. Also I cant see how dexies etc are S8 drugs. Phentermine 45mg SR pisses all over dexies... I need to take 90mg in the morning another 45mg at 4ish and it will last till about 9ish.... BTW the only 'drug abuse' i ever did was smoke weed for a few years, took like 5 eccy pills my whole life... so nothing.... there has to be a better alternative. I am literally looking into the science of crystals and gemstones now... absoloutely baffles the 10+ doctors ive seen. No one can help so i have to do it myself... oh also heres a cool secret, umm if your ever feeling depressed, try 70%+ dark chocolate. that wowed me big time.. couldnt believe it. umm hair thinning? dont pay IHLS $3243254324 for a 250ml bottle of scalp stimulator, just dilute pepperming oil in a carrier oil .... hmmm i wonder if i can do a doctor consult with someone in the US or something? I know that the US are working on a nicotine based ADHD medication which is planned to replace the current 1st line ADHD meds. Oh theres another secret... Im baffled when i meet someone who has ADHD but doesnt smoke...

[@eiriksamuelsen]

Sauna users and lisdeksamfetamine / dexamfetamine???

[@eiriksamuelsen]

Please check it out ❤❤❤❤

[@tiptop9354]

Hello I am from Poland and I have a diagnosis of ADHD. I have taken ritalin and concerta before but they did not work for me. Is it possible to register online with an American / English doctor and buy a drug Dextroamphetamine (Zenzedi) in a foreign pharmacy? We do not have these drugs in pharmacies on Dextroamphetamine .. please contact me ;)