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- Fri May 30, 2008 5:01 pm
Ok, I'm 19 years old, female.
Diagnosed with innattentive ADD/ADHD many years ago.
Have been on stimulant medications ever since I was fifteen.
I am naturally a slim/slender/athletic person, petiteness runs in the family.
Anyways, I have been "depressed" and had unwanted anxiety for a long long time.
I have used exercise to help it.
But, no matter how much physical activity I seem to do..
the depression and anxiety doesn't go away.
This is getting to be very annoying.
I've tried everything from talking, walking, running, areobics, music, listening to people.
I've tried so much.
It's still a drag to get out of the house.
I currently don't have a job.
I just started back into college, though I have missed some school days due to the anxiety/depression.
I have seen psychiatrists.
But it's like when I go see them, I don't have a chance to tell them everything and they just write me a script and send me on my way.
I'm really trying hard, but I would like some more advice.
And since I am naturally thin, I feel like exercise is pointless.
The reason I exercise is not to lose weight or anything, it's to regulate my mood/anxiety.
But the exercise hasn't been helping much, if at all.
I'm really at a loss.
| Dr. E. Seigle
- Mon Jun 09, 2008 10:46 pm
Are you sure that you have ADD/ADHD; if not, you may not need a stimulant, especially as they can cause anxiety and depression. If so, you may want to use a different ADHD medication, which can treat anxiety and depression as well. Here are some options:
1. Find a psychologist or psychitrist who will give you a couple of sessions to simply listen to you and ask questions, so that you feel listened to. Defer any prrescriptions until a good asessment is done. See what diagnoses you are felt to definitely qualify for. Decide which are most important to treat first. Then, decide if they need medication, or if your doctor feels that they can be treated with psychotherapy.
2. If you do have ADD, along wiht anxiety and depression, consider stopping the stimulant to see if this is causing negative emotions as a side effect.
3. If it is not, and not helping the ADD, switch to a medication good for ADD and depression such as Wellbutrin or Strattera. Wellbutrin may worsen anxiety.
4. If the stimulant helps the ADD and does not cause depression and anxiet as side effects, you can add an anti-anxiety/antidepressant medication such as Lexapro, Celexa, Cymalta, Zoloft, Paxil, or others.
5. You could try other stimulant medications if warranted, such as Provigil or methyphenidate.
6.. Consider getting cognitive-behavioral psychotherapy or interpersonal psyhotherapy in lieu of medications, as these are helpful, and provide us with inner tools for understanding anxiety;depresson and what to do about them.
Goodluck! E. Seigle MD