Monday, March 19, 2012

The Positive & Negative Aspects of Medication

My journey with ADHD so far has been a real eye-opener.  From the relief of  finally being diagnosed to
figuring out which medication would best help me to manage my symptoms.

Medication for AAD/ADHD come in two main classes: the stimulants and the antidepressants.  Because
I've been diagnosed with the inattentive type of ADHD my psychiatrist started me off with a stimulant called Ritalin, 10 mg three times a day.  I tried this doasge for a week and during this time my mood swings were out of whack, loss of appetite, had trouble sleeping.  Work schedule at the time and remembering to take the medication when required didn't really work for me because I would forget sometimes.  The worst reaction of all was the drastic drop in body weight.  Feelings of being focused, ready to tackle daily life was more like "being high as a kite", similar to someone "being high" on illegal drugs.  Something I've never tried.  The next drug that I tried was Dexedrine but the weight loss continued and it caused me to be on edge, paranoid all the time.  Feelings of always having to be looking over my shoulder.  Dexedrine wasn't very helpful in helping me to manage my symptoms. 

After being on Dexedrine for a week back to the doctor I go to let him know that I need to try something else.  My son was diagnosed with ADHD months before me and his pediatrician started him on the slow release form of Ritalin right from the start.  I knew it was working for him so why wouldn't it work for me also.  I shared this information with my doctor and asked if I can finally start on the same medication as my son.  The slow release form of Ritalin known as Biphentin. 

At first it was a matter of determining the right dosage amount to help me manage the symptoms.  Currently, I'm taking 50 mg every morning followed by 10 mg immediate release Ritalin at 4 pm to give me an extra boost to stay focused in the evening.  This dosage works for me, my biggest struggle has been to re-gain the weight previously lost when first starting on medication.  I've re-gained my appetite, any time of day when I feel hungry I'll eat.  As for my weight, despite not gaining as fast as I would like too, I've been able to maintain it.

Currently, I'm waiting for an appointment to speak with a registered dietician to see what suggestions he/she can offer with regards to diet in order to gain weight in a healthy way.  Perhaps my metabolism could be the reason why I struggle with weight gain? Who knows?  My only regret is not asking to seek advice from a dietician a lot sooner.  I feel this meeting will be beneficial in helping to better manage ADHD.  I will try whatever the dietician suggests with an open mind.

Sunday, March 11, 2012

Handling a crisis without feeling overwhelmed

From personal experience along with information obtained by reading regularly on the internet, I've come to the realization that there are more people in the world besides myself who are ADHD and don't like to be in situations of constantly feeling overwhelmed.

A health crisis occurred in my family in recent weeks and I had no choice but to step up my game knowing the extra responsibilities placed on me, there was no time for me to feel overwhelmed for anything.

It was a Thursday morning, my family and I were up going about our morning routine like we always do.  Everyone was feeling normal no cause for concern right?  Well it wasn't until my mother was getting her coat from the closet to leave for work that the day quickly changed from normal to "oh my god"!

Just as my mom got her coat from the closet, she had to immediately sit down on the coach.  She had one hand on her chest, tears streaming down her face.  So right away I asked "Mom are you okay?".  She said "No, my chest feels tight, can hardly catch my breath".  "I feel pain shooting out through my back and up my right arm".  "I have no feeling in my right arm". 

As soon as she explained to me what was going on I knew it was the signs of a heart attack.  Dad was outside shovelling snow so I told Mom to stay put.  I went to the door called out to Dad and explained Mom's situation, that he should take her to the hospital right away.  He did just that. 

At the hospital after a day of numerous tests.  It turned out to be a mild heart attack which meant my mom had to spend a few days in hospital to be monitored and more testing.  Going to St. John's for a dye test (cardiac catheterization) to determine how much damage had been to done to her heart and check for blockages. She's extremely lucky not to have any blockages.

During Mom's hospital stay I had full responsibility of keeping the house functioning, working, managing my own ADHD, keeping my son on track with his ADHD, his schoolwork, visiting mom at the hospital, and dealing with my dad who is unwilling to deal with reality.

I'm proud to say that there were tiny brief moments at night where feelings of being overwhelmed became feelings of being over tired.  I was able to maintain focus on the important things. Proving to my mom that she can rely on me to come through for her in a crisis, like she has done for me.  My mom's heart attack caused me to 'wake up' and see things in a different perspective.

ADHD & Relationships

Relationships between two adults can be difficult at its best. Now throw ADHD into the mix whereby one partner has it and the other partner don't and it's a completely different complexity altogether.

I'm in such a relationship being the one with ADHD and my partner doesn't. He's one very special man, for not only does he have me as his ADHD partner but my son who is ADHD as well. My son is from a previous relationship before my current partner and I met.

It hasn't been easy for my non-ADHD partner to watch me flip-flop all over the place. It frustrates him to no end, seeing me not being consistent for more than 3 days, not backing up promises made.  The biggest frustration of all is my lack of communicating, espeically about the important things related to our relationship.  When I communicate it tends to be of a selfish and self-centered nature, never acknowledging his feelings or concerns.  Often times I'm very quick to accuse him of not listening to me, when it's usually me not listening to him.

Throughout it all, from diagnosis to being on medication, learning to accept ADHD, still  learning to control it, the relationship has many positive moments as well as negative ones.  I choose to think of the positive instead of negative.  It's all the wonderful things my partner does for me and my son.  The little and big things he does to show how much we mean to him, despite us (my son & I) having ADHD is why he is such a speical wonderful man.  Words cannot describe how much he means to us.