Seahorse, what those doctors are doing is completely unethical. Is there a chance you can keep looking for a dr who will listen to you? Alternatively, if you know somebody who can go with you to an appointment to be your advocate, that can really help as well.

As for the paradoxical effect, amphetamines making someone tired is a paradox. What they are talking about (feeling calmer and more focused) is not quite the same thing we are talking about here.

When an ADHD person takes Ritallin and they are now able to do cognitive tasks better, it may seem to have a paradoxical effect as they can focus better, their mind is not all over the place, and they feel calmer (perhaps because their mind is more focused?). But when someone actually gets sleepy? To the point of not functioning? And for me, it also made my thoughts more muddled, not clearer, with some of the meds. That is paradoxical. A different scenario than what they are talking about specifically.

I would like to give the benefit of the doubt that a Dr would dx ADHD based solely off of a drug interaction, but you never know. But another thing to keep in mind is that sometimes these doctors have been in practice for many years and have noticed trends that perhaps haven't specifically been studdied.

I've also been looking up some things and I'd like to do a bit more looking up because I think it might add some clarity to one possibility of this, but more importantly, I think it may help you out, seahorse. I've struggled with TRD as well. I've been having depression since I was 12 or so, 5 years after I was dx'd with inattentive ADD. There seems to be some commonalities, so when I get the time to later, I'll post more. I also want to confirm this with my pdoc I'm seeing on Wed, so I'll also post what I find out then. Hoping I remember to ><

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