Darkeyes - You didn't come across as *****y, at all. I doubt that you ever have typed in a "*****y" manner or style [lol]. I really think that your doc was trained in between 1975 and 1990. Not is only more likely from a statisical point of view, but I find this group of psychiatrists were being taught that you had to be suspicious of ulterior motives. They (and I) were taught "every means something". I worked with a lot of these guys, and they all have this undercurrent of suspiciousness. I think that you should collect as much information as to why you think you need a stimulant added to your med regime. (eg. need more energy, never feel like doing anything, etc.).
There is a newer drug called modafinil (Alertec™ - CDN; Provigil™ - U.S.). It is a CNS stimulant used for narcolepsy by increasing "sub-normal levels of alertness." The manufacturer does say that there is no evidence that the drug does not heighten normal levels of alertness. They also say it should not be used in "normal fatigue states" until more testing is done in that area. This drug is new and I have heard mixed reviews about it. When used in people with anergic (low energy) depression, it did help many subjects, but a lot of those patients said that the drug caused, "modafinil increased self-estimate of performance which is not commensurate with actual changes in performance", or basically, "modafinil caused over-confidence leading to an increase mistakes". I have also heard that it has a lower potential to cause addiction than dexedrine or ritialin. Your doc may be open to this suggestion.
Good luck - Cam
<font color=orange>"Sometimes you may be shown the light in the strangest of places, if you look at it right"
- Robert Hunter</font color=orange>