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Any way for the non-ADD to take stimulants?


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I do not have ADD, but rather severe treatment-resistant depression and am quickly running out of options. I've read about on CB using a stimulant with an AD as a last resort. But my problem is this - I don't have the typical lethargic type depression. I usually have anxious, agitated depression which comes with severe insomnia. I'm worried about the stims making it worse. Anybody have this sort of problem and not go batshit on stimulants?

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I honestly think it depends on where you live. I know for a fact that unless you have some really,really out of the box doctor in the UK you're not going to get a stimulant. The only stimulant you'd get in the UK to my knowledge is Modafinil which is like for narcolepsy and if you have trouble staying awake in the day. In the UK mind.

From what I see in the US some doctors don't mind trying stims to see if it helps with depression.

My UK psychiatrist said is her condescending voice " Stimulants are a very specialist medication which can only be prescribed with a diagnosis of ADHD and in no other circumstances". And I went to my GP to try and get Modafinil because my meds were making me awfully tired she basically ran me out of the office because the idea was criminal.

Sadly it seems the US is where drugs get their boundaries pushed and people find hope in a drug that wasn't previously considered advantageous for that illness. In the UK doctors wouldn't dream of prescribing off-label.

Anyway I'm bitching now,

Oh oh before I forget, if you're worried about anxiety and insomnia with stimulants I really think you should get every other treatment out of the way before you consider stims. I've just heard bad stories about the insomnia and anxiety caused by the stimulants.

Goodluck anyway.

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Giving stimulants to someone with anxiety and sleep problems is not very smart. It's like pouring gasoline on their fires. Anxiety and sleeplessness is likely to get significatnly worse. When a stimulant is used in depression it generally is intended to give a lift of energy to someone who is so depressed they are unable tot get about. I think you understand that. Seems like you are not a good candidate for stimes.

a.m.

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I agree with AirMarshal. A stim is more apt to exacerbate you anxiety and insomnia than to help with depression.

Lamictal can aggrevate anxiety in some people. I'm not sure that's common, but it does happen. Have you talked to your doc about adding a little Seroquel to your cocktail? It is an awesome sleep med at low doses and is known to help some with anxiety. A different AAP could be worth trying, too.

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Stacia - I have been on Lamictal quite a while, so I know that's not it. I'm not overly anxious most of the time, just a sort of low level background noise - if I had this level of anxiety and no depression, I would be going to a yoga class instead of a pdoc. I tend to get more agitated (fidgeting, pacing) the more depressed I get. I really want to avoid Seroquel as a sleeping pill just because of the expense - I'm trying to up the trazodone first.

AM - I am currently on Lamictal and have tried lithium. Lamictal only helps a little, but is better than nothing. My pdoc does not believe TCAs would be helpful in my case.

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