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Simcha · Oct 25, 2008, 06:13 PM

((((((((((chaotic-feral child))))))))))))

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Originally Posted by chaotic13

RE: Anxiety issue
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 wonder if the medication affects the quality of your sessions? I'm not saying it does, just something I was wondering.

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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.

I COMPLETELY understand the fear in discussing it. It's relatively common that discussing panic attack symptoms can sometimes trigger a panic attack, but that DOES go away. If you ignore the subject, it can make it worse as time goes on (it's pretty self-reinforcing). In my world view, "worse" can also mean the time the disorder goes on existing---I hated how panic attacks even started making me avoidant of stuff (I even stopped running and exercising). Anxiety bites, but even if you have setbacks they are always temporary.

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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.

I have faith that you can be direct with him. Your T seems to be really decent from what you've described of him---I'm sure he can make it safe to talk about so that you don't go into a full blown panic attack (and even if you do, that's okay). I had a panic attack once or twice in T's office. It's no big deal (having been through it before). It's lost a lot of it's power over me now that I recognize it for what it is.

I'm sure you've noticed by now how the anxiety symptoms makes the ADHD exponentially worse.

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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.

LOL--

Well said. Panic attacks come in all shapes and sizes. In my case, Generalized Anxiety Disorder compounds with the ADHD and environmental stressors, which lead to having panic attacks that fit the criteria for full blown Panic Disorder (without Agoraphobia). Panic attacks don't discriminate amongst us though.

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RE: Adderall XR: 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 dream of this scenario!!!!!!!! Of course, I think the anxiety has interfered with the effectiveness of my prescription to some degree. It's something I'm going to talk about on Monday with my T. Dexedrine is rather expensive to justify not getting a complete response, and I don't want to up the dosage.

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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.

Hmm, if it's hormonal---is it normal hormonal flutuations, or related to "the change"? I don't think it's the Adderall---Anxiety disorders can cause that to happen for no obvious reason whatsoever, and I've noticed it time to time with me. It's strange. I don't have it happen very often anymore.