RE: Anxiety issue
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Originally Posted by Simcha
Have you made your T aware of the extent to which you get these anxiety reactions after difficult sessions?
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Yes and No. Yes I have told her about the anxiety I experience during and after sessions. I've even mentioned once that my doctor gave me something to take if I want to. However, I have never disclosed to her when I've medicate for a session.
I also don't tell her when I feel my throat tightening or my heart start racing. I think I avoid disclosing this because I'm afraid. I know it is irrational to be afraid ..but I am.
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Every time you experience one, it reinforces the tendency to get one (physiologically and mentally). Better to get to the source and kill it altogether...
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I'm not sure if my session anxiety has gotten worse... but it certainly hasn't gotten much better. The feeling that I should probably tell my T when I am feeling anxious enough about the upcoming session that I am considering medicating has gotten a bit more intense though.
Simcha your point about getting to the source is well taken though.
I don't think I have a Panic disorder.... I think I have mental disorder that then causes me to panic. 
RE: Adderall XR:
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How long does the beneficial effects of the Adderall XR last for you?
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For me I do not notice a sudden change when it wears off. I take it around 7AM, it seems to be at maximum efficiency in the afternoon, and for the most part can settle down and sleep by 11 PM.
I will say though that if I skip a dose...I usually can function fairly well for most of the next morning. By the afternoon though is when I start floating off, struggling to stay motivated or focused on one thing, or notice that my tolerance for things is diminished.
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Do you have negative side effects that are notable?
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The only side effect that I've noticed...and I am to completely sure if it is the Adderall. It could be just an unrelated hormone issue...but in the afternoon my face gets really flushed, especially my nose, cheeks, and ears. It isn't really a hot flash because I don't feel hot. Like I said..I am not sure it is even related to the Adderall use but it does usually happen when I am off it. It is not a raise rash or anything, just looks like mild wind or sun burn.
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