So, in anticipation of my new job starting next week I’m trying to figure out what the right balance of medications should be for my various neurological issues, and I’m not sure where the balance point should be. I’m mostly thinking out loud here, but I am going to try to walk through it and maybe folks with more experience can comment, or something.
fluffy rambles (ADHD)
Rambles that are fluffy, by fluffy
So, on the plus side, Adderall XR has been helping me quite a lot with my focus and executive functioning.
On the minus side, I’m having several of the unpleasant side effects: greatly increased blood pressure, numb toes, migraines/nausea (starting yesterday or so), and constipation.
I was really hoping I finally found something that works for me. Maybe I should stop taking it for a couple days and see how I feel. Because right now I just feel bad.
Back in 2015, I was a complete mess, and I did everything I could to hide it. I was still having panic attacks regularly, and they would be brought on by the slightest provocation. But I felt, working in tech, that I had to be quiet about it, and just let things pass and things would get better if I ignored them.
One day a coworker did a thing that triggered a pretty big panic attack. It wasn’t anything malicious on his part, just a cavalier, morbid joke in gestural form that happened to tread upon one of my biggest triggers.
I felt awful, and I wanted to keep from feeling that way again.
So I messaged him on our work chat, and told him that the gesture he made happens to be a huge trigger for me and I was having a pretty major panic attack as a result. And his response was incredibly helpful: he didn’t realize, he understood, and he wouldn’t do it again. And he stuck to that.
I’ve been on Adderall XR for a bit over a week now. It’s going pretty okay, except for the stuff that isn’t.
So after Concerta turned out to be not a great fit for me I stopped taking it, and decided to wait until my next psychiatrist appointment to try something new.
That appointment was on Wednesday, and the psychiatrist decided that Adderall XR (10mg/day) would be the next logical thing to try. The prescription arrived yesterday (Kaiser’s mail-order pharmacy works fast!) and so I took my first dose this morning.
So I was taking 18mg of Concerta for about a month and found that I tolerated it well, although it wasn’t helping my focus any (and if anything it made me drowsy). So I asked to go up to the next dosage.
So, yesterday I took 27mg for the first time (at 8:30 AM as usual), and it didn’t help me with my focus, but it sure as hell made me feel irritable all day, and my heart rate just progressively went higher and higher throughout the day. At 9 PM it suddenly went up to 130BPM while I was sitting down, and I could feel it pounding too. I finally fell asleep at around 2 AM, and my bed said my heart rate pretty quickly went back down to normal.
Today I opted not to take it at all and I emailed my psychiatrist saying I was going to discontinue it, and I’ll just try self-medicating with caffeine until my next psych appointment in a few weeks, unless she has a specific recommendation for a different thing to try.
Sure would be nice if brains came with user manuals.
I have an official ADHD diagnosis, and a psychiatrist I also think is pretty darn good.
(Her actual statement: “I think it’s pretty clear you have ADHD.” Go figure.)
Anyway. My HMO has a very specific medication schedule and the only non-stimulant medication they allow needs a very good reason, so we’re going to try Concerta (which is a time-release form of Ritalin) and see if that hecks me up too much. Also being basically legal meth, one of its side effects is weight loss, and I certainly wouldn’t mind that one.
I’ve been spending the last few weeks slowly ramping up my caffeine consumption and while my tolerance isn’t nearly where it was before the garbage fire that was late 2011, so maybe this won’t be too much of a shock to the system.
On that note I’ve been enjoying my return to coffee snobbery. I ended up buying a Fellow Prismo (obligatory James Hoffmann review) and some of their fancy tasting glasses. They should arrive on Friday. It’ll be interesting to have “espresso-style coffee” out of my Aeropress. Also I seem to be accumulating quite the collection of coffee brewing paraphernalia.
I am also very tempted to get a Rok now. Maybe I should, like, get a decently-paying job first.
I already have quite a few thoughts about how things went and how they could have gone better for me, and my thoughts about my future as a potential convention vendor. Which is to say, I probably won’t be doing this again – but not because of anything wrong with GeekGirlCon. (Just to get that out of the way.)
Note that this isn’t my first time tabling at GGC, as I had previously done so with the Seattle Indies in 2017. But that was a completely different setup for a completely different intention – promoting games and the Indies organization.
Oh I guess I haven’t blogged in a while. Like, a whole week. This can’t stand.
So, what am I up to?
Today was a travel day to Portland, for Retro Game Expo. So of course just as the train was ready to take off was when my HMO decided to call me to do the ADHD diagnostic intake. I asked if I could just call back later when I wasn’t likely to lose coverage in 3 minutes, and eventually I got the phone number to call.
So, when I got to Portland I called the number, where they immediately put me on hold for 30 minutes. After which they asked me what I was calling about, and when I said I was calling about getting my ADHD screening, they put me on hold for another 15 minutes. Not a great start.
So, this post about signs of undiagnosed ADHD showed up on one of my fibro communities and so much of it seemed PRETTY FAMILIAR, and I also found out that fibromyalgia and ADHD are highly comorbid, and then I was realizing that I stopped being able to focus on work and Getting Stuff Done when I had to go cold turkey on caffeine when my panic disorder started in 2011, and, wellp.