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Asperger... with ADD-like symptoms


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Hi,

I'm dx'ed Asperger's about 6 months ago (I'm 18 now).

I also have clear signs of concentration problems at school and homework, reading books, etc. When there are lots of people, and I feel comfortable, I also get hyperactive, can't really stop it. Laughing, talking, joking, moving a lot. "Anyone a cup of tea?" and running (literally running...) to the kitchen before I get any answers. But this is only in an environment with many people. Otherwise I'm quiet, introvert.

My psych thought about ADD Inattentive type, I recognised a lot of it, he also prescribed Ritalin which works great (needed some time to adjust to it and find the right dosage and schedule though). Yet I have no form of ADD/ADHD diagnosed at all.

I don't think I meet the DSM criteria for it.

The concentration problems have always been, but it got much worse after drug abuse (big mistake!!!).

My question... is this (concentration problems, sensitive for environment 'input') common with Asperger's Syndrome, or really another dx that I should consider to study further with my doc?

I really want my Ritalin to be continued, he proposed switching to an antidepressant as a possibility, I think he lets me decide anyway, but you can't really be scripted Ritalin without a 'real' ADHD dx right? (I have no depression btw, some moodswings now and then though. So I don't feel much for an AD, I'm also afraid I get too happy from them.)

Greetings

it's a restless world

;)

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I have ADD, inattentive type.  When I am nervous I am jumpy or shut down completely.  It's a crapshoot.  You never know.

Ritalin didn't work for me, but Adderall does.  Everyone has their own unique body chem that works best for them.

AS and ADD/ADHD  do seem to occur frequently together.

Since Mood Swings is of concern and stimulants may aggravate that,

Strattera may be a safer choice for ADD control perhaps instead of Ritalin to talk to your

Pdoc about?  Especially if you're concerned about mood swings.

You really should have a clear line of communication with your Pdoc about all of this.

It may help to write down some of your concerns to take in with you for the next time

that you go in.  I know that helps me, cause I totally forget stuff ALL the time.  It just

disappears out of my head until I'm half way home.

Sorry my thoughts aren't together much today. 

Maddy.

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Hi thank you,

Yeah I do write all the stuff down. Actually I put it into schemes and flowcharts sometimes lol

He gave me Prozac for the moodswings ("we usually use valproate or lithium for moodswings, but they're kinda heavy, you're not bipolar so you don't really need them, I can give you fluoxetine or sertraline, and if you get too happy from them we'll find something else") and he stopped my Ritalin to evaluate Prozac, I can only take it for 2 more weeks and then it stops! This is gonna be crazy. I already saved some in the past but that's only 15 tablets (150 mg). Pff

Greets

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Mood swings are also common in ADD/ADHD.  Well it's more like ADD moods are impulsive, IMHO.  I'll find myself nearly sobbing over the fact that there is no cheese in the fridge when DAMN IT THERE IS SUPPOSED TO BE CHEESE IN THE FRIDGE AND SOMEONE ATE IT ALL. And then I get distracted and am all happy because there is a mini Farscape marathon on the sci-fi channel.

ADD is much more common in people with autistic spectrum disorders than in NTs.  You might want to look for an ADD specialist as they often see a lot of people with both whereas some other pdocs might be left scratching their heads.  A pediatric pdoc might also be a good bet since they treat a lot more ADD anyway.  At 18 they migt be more understanding of what life is like at your age.

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Hi

I recognize what you posted, like no cheese in the fridge -> panic/chaos, a minor catastrophe lo

My psychiatrist (is that a pdoc? I'm not English) is pediatric, well he treats people up to age 21 only. I thought it was called a youth psychiatrist

I asked him about the diagnoses yesterday, he said the list was prob complete now (Asperger's + sedative dependence + some stress factors), but when I pointed out I wanted my moodswings to have a DSM code he said we'll work on that. Forgot to ask about the hyperactivity, impulsivity.

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pdoc=psychiatrist

If you find any other terminology confusing, feel free to consult the glossary.  It covers most (though not all) of the specialized terms of crazyboards and other psych forums. 

Why must all mood swings have a DSM code?

Maybe mine fall under my ADD.... 

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Hi restless,

I just left you a reply to your benzo thread.

Hmmm...what you describe sounds a bit familiar, except I don't have Asperger's. I've had so many diagnoses in the past (now you'll need the glossary): PTSD (totally wrong), MDD recurrent, OCD, BDD, CSP (like-trichotillomania), and GAD.  ADD hasn't come up yet and part of me thinks this is because I haven't brought it up!

I have found that the diagnosis isn't that important as long as the meds are appropriate for the symptoms and work. I'm no physician, but it seems to me there's some circular logic in psychiatry. A drug is found that has an antidepressant effect in rats, monkeys, etc. So, if a person with unknown diagnoses is prescribed an AD and it has a good effect, then they are diagnosed MDD? It seems as if this happens a bunch.

So, I'd suggest trying to resist the need to categorize yourself (an Aspie thing, perhaps?) as the categories are fairly broad (and meaningless?) anyway. Just tell your pdoc about your symptoms and issues and try a bunch of treatments until  you find one that makes you feel better.

Good luck,

--Weasel

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Why must all mood swings have a DSM code?

Sorry I didn't mean to say it like that. I meant:

If the moodswings are heavy, or any other symptom, it could be useful to research the cause of it/why the moodswings are apparent.

Thanks for clarifying.  You do have a point, in that severe mood swings (or severe anything) should likely be controlled, and knowing the cause of the symptom in question can go a long way towards determining the most effective treatment.  At the same time, the cause isn't always some not-yet-understood psychiatric pathology.  Sometimes the cause of the mood swings has more to do with allergies, or some other sort of extreme reaction to an emotional or physical agent, or fluctuating blood sugar levels.  This doesn't mean the mood swings are any less important or damaging, but it does mean that they don't merit a DSM code.  I'd hate for anyone to think they need to have their problems officially sanctioned by the DSM in order to heal. 

In any case, I'm glad you're trying to see the whole picture, rather than myopically considering the DSM alone. 

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