Anons gf sees a dr

Posted by Wheybrotons@reddit | greentext | View on Reddit | 41 comments

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Wheybrotons@reddit (OP)

Anon is withdrawing and the bugs in his skin need to be fed

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ShurimanCrocodile@reddit

I'm completely drawing a blank here, someone give me a rundown

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Anon is trying to imply that "normal" looking women are more likely to be taken seriously by Doctors, while "alt" looking women are easily written off as mentally ill. Except that she's trying to get brain meds, so the point sort of defeats itself.

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mike11235813@reddit

Not written off as mentally ill is maybe the problem here. They get written off as stupid fad followers. So if she looks like she wants to be alt and has been learning how to be alt from tiktok, her gp is likely to think, what a dummy, try not being a moron. But if she makes herself look genuine she can seem like all her symptoms she has learned from tiktok are real, and then receive prescription.

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UglyInThMorning@reddit

Especially TikTok, which is a hive of people deciding they have conditions because a dipshit made a short video about it.

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HateIsEarned00@reddit

This is an enormous issue right now in medicine. If you want to go down a rabbit hole, look up PANDAS (depression + autism post strep throat infection) and the mouth breathing women who are super sure all their kids have this incredibly rare condition. Let me know how many people you know with rheumatic fever induced mitral valve stenosis if you're wondering how common this disease might be. And the mitral valve stenosis is MUCH more common than the PANDAS.

People who make these fucking "TOP 5 TRAITS THAT MEAN YOU MIGHT HAVE X" make me want to strangle someone. Open the DSM5 and you'll see that these diagnoses have a ton of overlap and take a lot of interviewing and clinical acumen to come down squarely on one thing. These people go to therapy for a month and think they're a mental health expert.

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UglyInThMorning@reddit

MCAS was a big one on COVID-obsessed Twitter for a while and they’d vastly overstate the incidence rate.

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SalvationSycamore@reddit

Anon forgot that doctors don't take any women seriously. If he wanted to help he would go with her to explain how broken her brain is.

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ShurimanCrocodile@reddit

Ah, kk ty

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DannyDevitoisalegend@reddit

Honestly won’t make a difference dr. Have been handing out C2 prescriptions like it’s an advil or some shit. There are literal kids who are like 12-13 on 54 er concerta it is insane.

Like it’s a 12 year old no shit they behave like they have adhd it is totally normal. Instead of throwing drugs at them maybe help them through talks, exercise, yoga whatever.

But that requires too much efforts on parents so they’ll get em addicted to prescriptions before they are even 18.

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GuardBreaker@reddit

As someone with ADHD who's been on both Adderall and Concerta (with a 54mg dosage lol) I can tell you confidently that no, the medication does help.

The comment of "lol they're 12 years old!! of course it's normal!!" is a harmful stereotype, and stigmatises the disorder.

Physical stimulation is important, you're not wrong about that part but it's only a small portion of helping kids through their difficulties.

The issue is finding the right medication for the kid. Not everyone responds the same to each medication. And though I've never personally abused my medications, I'd say 'addiction' is a bit of a stretch. These are medications you take once a day to help you with your day-to-day tasks, not get high off of lol.

Adderall is an amphetamine, but nobody using in good faith is using it to get high. It might make me enjoy my workouts more, but I'm not risking fucking with my dosage to have fun.

That's what weed and beer is for lol.

Speaking from personal experience; Concerta compounded my anger issues (No joke, Hunger-Anger, because concerta turned off my hunger receptors, and thus I felt repulsed to eat lunch and dinner at times) and caused me to have tick habits (picking at skin, i.e. scabs, acne, etc).

Medication is only effective when it's the right type, and dosage. It's not easy, but it definitely improves life routines and helps with daily tasks/schedule when you are prescribed the right medication by a good doctor.

I understand that this is a 4chan subreddit, and I did a "lol rant xd!!" but I really wanted to share my personal experience to maybe shed some light on this topic that someone might find useful, and hopefully shed some ignorance on the topic of ADHD.

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Kotoy77@reddit

Idk man, hopping on medication at 12 for being hyper does not seem right. Everyone i knew at 12 years old acted like a chimp, its quite common.

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SoupaMayo@reddit

Pretty sure a doctor with 9+ years of medicine can tell the difference between a lil chimp and an ADHD kid, unlike you.

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kerm1tthefrog@reddit

if his eyes are not covered with big fat check. People in America are too eager to take drugs.

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HateIsEarned00@reddit

This is more on the patient side than the doctor side. Trust me, it's a pain in the doctor's ass to manage these meds and deal with all the side effects. If they don't have to give a pill, they don't want to. The issue is that the vast majority of Americans will not make any lifestyle modifications. Spend an afternoon in a PCP office. They are on their knees begging their patients to change their diet, exercise more, drink less, smoke less, etc. They won't do it. We can either do nothing and let their brain explode from hypertension or we can give them lisinopril.

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kerm1tthefrog@reddit

But you are numbing the very thing that is there to help them get out of that lifestyle. Discomfort is good, pain is good, that how you know you are doing something wrong.

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HateIsEarned00@reddit

Lisinopril is a blood pressure medication.

If you're talking about mental health pharm, not my area of expertise so I won't comment on how to best manage these patients.

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Rusino@reddit

I really appreciate the vote of confidence, actually. I try.

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Rusino@reddit

See my comment above, but we AT MINIMUM use the Vanderbilt questionnaire to get a more objective assessment of a child's behavior in 2 different settings. I would never prescribe "for being hyper." I'm glad you don't think it's appropriate. I'm sure the DEA would agree and take away my license.

Laypeople do NOT understand the details of what goes into medical decisions. And I don't say this to be rude, I get it. But please try to keep in mind that doctors follow strict guidelines and rules.

Now, the online prescription services that will mail you medicines after a quick questionnaire are another thing altogether, but that's run by scummy PAs, NPs, and sadly some doctors. But these are not the rule, but the exception. I encourage you to advocate to get online pill services shut down.

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3DollarMeat@reddit

I have ADHD and I think you're a cuck if you need to reach out to weed and alcohol.

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DannyDevitoisalegend@reddit

If those medications didn’t help/work they wouldn’t exist. The issue isn’t the medication but the immediate jump to it.

12 year olds being hyper is normal even if you feel that they could benefit from a medication or anecdotally it worked for you.

You do realize 54 is pretty fucking high? Especially for an ER. And that’s on 12 year old. Methyphenidate is a bad substrate for pgp so it literally goes through your brain to increase your norep and dopam levels.

So as time goes on you’ll be bumped up and up. A 12 year old has barely lived a 7th of their life yet and they are already maxxed out. So they’ll go BID than TID etc.

And this is a bad example but as you said it helps in my “day to day life” or “exercise” you don’t need to feel pumped or excited for you daily activities at 12.

You aren’t doung surgeries or driving a car or reviewing a law journal or coding for 8 hours a day at 12. At worst start em on starterra or guanfacine (guanfacine is better Imo). And it should be prn not everyday.

I am just upset being in a pharmacy world and seeing people just go down the path of just throwing drugs at every minor and major issue.

Especially for children.

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Rusino@reddit

I don't typically start ADHD meds in my residency program, usually have the patient see child psych first. I do diagnose ADHD though and refill meds.

We use the Vanderbilt questionnaire. You can look it up. It's still a bit subjective, but it has very strict scoring guidelines and requires BOTH a parent and teacher/coach/other supervising adult to fill out the same form twice. Unless BOTH forms score high enough, patient doesn't have ADHD. besides the form, I also conduct my own assessment.

Also, the idea that "so many" kids are on these meds now is ridiculous. I see tons of kids and I've barely seen any on ADHD meds so far. You may be listening to too many popular science/news sources. Also, consider that "being in a pharmacy world" you literally ONLY see the people getting the meds. Not the ones who are not. There are a whole lot of kids brought to me by parents asking for ADHD meds... and I don't give them anything. I feel like you are spreading some of those fairly harmful notions that doctors are out here medicating all the kids. My job is hard enough trying to get parents to get their kids vaccinated and I don't really appreciate that.

As for the starting meds, sure you have some fair points. I would honestly just go with the UpToDate recs if I had to start the meds for some reason.

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GuardBreaker@reddit

Kids are stuck at school, reading a shit load of literature from many different subjects and topics. They might not be writing professional documents, but having the concentration to learn and understand a topic that is dry (but necessary) is really helpful with the aid of medication.

Information can only be taught and presented in so many ways, so maybe having a better/more involved curriculum may be a good start, but then you have things like homework where 12 years olds should be responsible enough to complete on their own, but may struggle because (for people like me) it's like wrestling a giant worm mentally, and causes you to be very frustrated because there's not enough stimulation.

Medication can help curb these difficulties, and while I'm not a pharmacist or doctor, I can say my quality of life had improved when I was on medication and I was a more "collaborative" member of society, maybe your takes and opinions on medicines on a professional level may prove beneficial, and you should consider discussing or motivating a doctor to publish papers on studies on the subject, that or helping youth on mental health forums to find a better alternative than concerta or Adderall, since I agree these are very "aggressive" approaches.

Life coaching is also a very useful component, but if there's a lack of resources available then it's very difficult to compensate for them without the medication.

It's really a catch-22, and I hope there's a better solution in the near future.

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Lonely-Connection-41@reddit

As a kid who didn’t have ADHD meds and then did, that was how I focused on school. My grades went up drastically after I got meds, and I got less depressed. It’s also stereotyping to say that all 12 year olds act like they have ADHD, because it’s very far from the truth. I can also with all honesty say that I’ve never gotten high off my meds, and they’re so addictive that I frequently forget to take them

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Hongkongjai@reddit

We hand out SSRI like candies anyways. Who care if we just put the entire population on drugs

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DannyDevitoisalegend@reddit

I am more neutral about SSRI's than a CNS Stimulant, And yeah the mechanism is pretty much identical but NDRI's have more of a reward and pleasure pathway making them not only more addictive but also very easy to slip into the habit of taking even when you can recognize you no longer need it.

Also NDRI's rate of action is much faster like you would notice them kick in very quickly while I literally have to counsel patients that even though you are taking your zoloft everyday it'd be 2 weeks or even close to a month before you even notice a difference.

I would like to mention I am just a intern in pharmacy school and not a full pharmacist yet so take my frustration with a grain of salt. While I am very comfortable in explaining how these drugs work and pointing out their issues the actual decision on when and how to take them is something an actual pharmacist/doctor or whatever medical professional would be a lot better at doing and I am sure some might even disagree with my stance. It is a topic we discuss in our classes and there's no clear answer.

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Hongkongjai@reddit

SSRI would be more so 4-6 weeks rather than 2 weeks, and cannot be ceased abruptly unless you want a withdrawal. People stay on it often lifelong without considering de prescribing.

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SoupaMayo@reddit

You clearly don't know what ADHD is and it shows

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DegranTheWyvern@reddit

i was given ritalin when i was 4, about 16 years ago, and stayed on it until a couple years ago. shit mightve fucked me up but im not exactly sure how, so ill be fine

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DannyDevitoisalegend@reddit

That's just crazy to me and not unheard of. We get parents picking up these drugs from my work all the time and I just go why tf are you filling up kids with these stimulants while their brains are still developing. especially when these drugs can cause loss of apatite or sleep.

In all honesty you should be fine I'll watch out for any sleep issues or maybe mood but if you have been off it for years you are good. Although if you are unsure it's always good to check with a doctor. Just remember to say no when they try to justify their $500 charge with prescribing non sense drugs.

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ilikebarbiedolls32@reddit

Like it’s a 12 year old no shit they behave like they have ADHD

Have you met literally anybody with ADHD? I say this as somebody with ADHD, and who has both neurotypical and neurodivergent friends

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tukatu0@reddit

Kekw the bot broke.

And they wonder why reddit is seen as ____ bla bla

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