talkADHD ADHD Medication in detail.
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Nov 22, 2023 Andrew Jay, a Senior Nurse Practitioner and ADHD specialist at the Divergence Clinic, dives deep into ADHD medication complexities. He discusses why medication often evokes confusion and fear, emphasizing the importance of setting realistic expectations. Listeners will learn about the difference between stimulants and non-stimulants, the significance of dosing, and the potential for ‘crashes’ as medications wear off. Jay also explores the ethical aspects of prescribing choices and the long-term risks of untreated ADHD, making clear that medication isn't a one-size-fits-all solution.
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Why Medication Dominates ADHD Care
- ADHD medications are among the most effective treatments in medicine, so expectations are high.
- Services focus on prescribing because medication delivery is cheaper and easier than long-term support.
The Honeymoon And Placebo Effects
- A strong placebo and a true biological 'first-dose' effect both shape early medication experiences.
- Titration and setting expectations prevent people mistaking the honeymoon for final effectiveness.
Use First-Day Effects As A Benchmark
- Use the first-day effects as a benchmark and work with your prescriber to reproduce that peak.
- Titrate to find the dose that matches that peak, then adjust duration separately.