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Additional info for Antidepressant Comparison Chart
I heard him grunt in recognition. “I know I could have done much better. I know I could be doing better now. ” “It is never too late. ” he asked. I laughed. He was eager and impatient, like most of us who have ADD. “I wish I could diagnose you here on the telephone. But just from your e-mail and this conversation, I can’t do that. ” he asked eagerly. I could almost see him drumming his pencil or tapping his ﬁngers as we talked. ” he asked. “You go see a doctor, preferably one who has special training in INTRODUCTION | xxix learning differences and ADD.
As always, any person taking this medication should be closely monitored. All stimulant medications can cause a variety of side effects. The most common is appetite suppression. Occurring much less frequently are headache, elevated blood pressure, elevated heart rate, nausea, vomiting, insomnia, the development of tics or twitching, feelings of jitteriness or anxiety, feelings of agitation or even mania, and feelings of depersonalization or paranoia. All these side effects can be reversed by lowering the dose of the medication, changing the medication, or stopping it altogether.
As I took Paul’s history, it became clear that he did have ADD. His mind was always on the go, and ever since childhood, distractibility had been a problem for him. He had spent years in school being reprimanded, and when he wasn’t being reprimanded in school he was being ridiculed by his father, a man he both worshipped and feared. Gradually, due to the mistreatment at school and the put-downs at home, Paul began to give up on himself. He didn’t drop out; he was too tenacious for that. But he started to sell himself short.