View Full Version : Diagnosed with ADHD, but had an episode?


Stepp5150
05-29-13, 10:02 PM
I'm 17 and I was recently diagnosed with ADHD. And I'm on concerta 36 mg. Ive been on it for like about 3 weeks now. I used to be on 27 til it made me irritable and the benefits went away suddenly after 3 weeks of medication.

It's going pretty good on it. I feel relaxed, and just more organized. But the concerta is a 9-12 he medicine and I only feel it for about 3-5 hours. Then I feel my self come down off if it. I don't feel 100 percent fixed, like some of the things go away like jittery legs, and fast talking.

But my thoughts are still racing and cluttered, just not as severe.

Picture 1000 chickens let loose in a small area ( my thoughts) and they have super speed at 50MPH and then you take a good portion away out of the enclosed area. But there's still alot of chickens. Then you take the remaining and damage their legs until they're slowing down, but still running a little bit.

That's what my thoughts are like after meds kicks in. But I still hyperfocus when it kicks in and I can't focus on reading that well. But later on its not that bad.

Well today, around 7:30pm I just got done playing guitar, when I was like
"Man I wanna go outside and do something!"
I was bouncing and felt so Much adrenaline and I had an energy high.

Well, my step sister told me are you having another random burst of energy?

I said, ya lol I'll be right back.

I went outside and I did absolutely not thinking whatsoever. I just jumped off the stairs onto my backyard deck and landed on the deck. Then kept running.
I felt like I was high and I had a fight or flight feeling where I didn't put thinking into my actions, I just felt so amazing that I didn't care.

Well that landing on the deck was loud and shook the deck (I'm 6'2" and 210lbs)
My feet didnt hurt or anything, but after the adrenaline, boy did my feet feel weird.

Then my dad, being the ***** that he is, yelled at me and said, "Don't ever do that again!" You'll break it!

I was running, then I turned around, laughed and said, sorry dad I'll make sure it doesn't happen again.

I jumped higher than normal. Then grabbed a tree branch swung back and forth.
Propped my feet on a branch
Hung there
Used swinging to do a 360 degree spin around the branch
Then I landed my butt on the branch.

I jumped off and felt so relaxedddddddddd. And tired. I was panting to hard and breathing hard. I felt like it was more of adrenaline than energy. Cause I was able to do more than normal. I felt normally I could not do that physically. Like usually I would not have those capabilities or such quickness in me.

It was about a 5-10 minute burst of extreme excitement. Nonstop.

I rarely get these, usually months spread apart.
And on a lower scale I usually get it. Like its very small and not severe.

Then my dad said dont let it happen again.

I said "you have no idea what I'm goin through at all!"
He told me "suck it up and don't let it out. That's how a man does it"
He's very against ADHD Bipolar, medicine and what not. And says medicine is just a placebo for ignorance.

I shrugged my shoulders and my stepsisters inside the house asked if I was ok.

I said, hahahahahahahahaha, ya I'm good. I just had a bunch of energy needing to let loose. I was breathing hard and couldn't believe what energy I just endured it was extremely weird. I loved the adrenaline though.

I ended up getting very angry at my dad though and I felt veerrrry irritated and I usually get my feelings hurt easy and can't handle criticism well, but this time it's was 10X worse.

I ended up twitching and muttering swear words about my dad
"Fu**ing d!ck wad"
"He's an @$$"

And they asked if I was ok again.

Then a my anger erupted like a HUGE volcano. Usually when it's building up, I simmer it a little. But that doesn't always happen, this time walking downstairs to my room,

I SCREAMED at the top of my lungs. And had so much anger in me I can't even express at all in this text box. The anger was so intense I felt like I was gonna loose power in my legs and I was gonna drop down to my knees I was trembling bad.

I went to my room and decided to google this. And Someone mentioned bipolar in a chat forum I found.
When I saw that, I immediately started bawling and crying and I had no idea where it came from. I started thinking about my behavior and all.
I felt so much sadness in me that just popped outta nowhere.

And after five minutes of crying, I wiped tears and said ok my mom knows what to say. (Her psychologist diagnosed her with ADHD)

My moms mom also had bipolar and had to take meds for it. I guess it runs in the family and my old psychiatrist told me and my mom that I could have it when I was about 8 or 9.

Now I feel completely exhausted and just no energy left and ready to relax. But not sleep yet.

Can anyone help explain this? Sorry this is lengthy. :/

dvdnvwls
05-29-13, 10:16 PM
You need to explain this incident (and the ones like it that you used to have) to your psychologist or psychiatrist. NOW. That's all.

Oh, and welcome to the forum. I hope it helps you to be here.

Stepp5150
05-29-13, 10:23 PM
Well when I first went and seen my therapist, I told her about an incident similar to the one I just had with the whole tree and energy thing.

But the incident wasnt due to extreme energy. It was due to me using an inappropriate word by accident around my mom which led to me and her having a small disagreement, nothing serious. Then outta nowhere the extreme bout of anger came in followed by intense crying, followed by a feeling of relief and content. I haven't had that since about 3 months ago.

But she said its could be just I need support and help coping with my emotions. Then she started noticing ADHD like qualities( rapid feet tapping, moving in different chair positions every 30-45 secs, eyes moving quickly around the room, stuttering and having to pause before I finish sentences)

I'm not really sure what she can do for being only a therapist though, I did score a -1.77 on the TOVA though I'm not really sure what that means as far as severity of ADHD.

dvdnvwls
05-29-13, 10:49 PM
Well, extreme anger followed by intense crying followed by relief is nothing like what just happened here.
(Taking a running jump off the stairs onto the deck, doing 360-degree spins on a tree, fight-or-flight feeling combined with feeling amazing and high and like you can do more than normal.) THAT'S what you need to tell the psych, not the anger part.

And you do not tell this to a regular therapist, you tell it to a psychologist or psychiatrist, or if those are not available then a medical doctor. This is not something where you need counselling, this is a potentially dangerous situation with your medication where you need to get in touch with whoever prescribed your Concerta IMMEDIATELY and tell them what's going on. What you need to tell them is the episode of super energy and feeling amazing and high; the anger is not as big a deal.

keliza
05-30-13, 02:15 AM
I agree that you should talk to a mental health professional about what's going on. It's hard to say based on the description if this is bipolar disorder or not, especially for those of us who are not mental health professionals. But I think you should write it all down (you already did, so just copy/paste it into a Word document and print it out) and talk about it with the doctor who prescribes your medication, or a therapist. Somebody who is in a position to evaluate your experience and decide if, fitted into the context of the rest of your life, family history, etc., that perhaps it is a bipolar type illness, or a reaction to the medication, or related to ADHD, or something else entirely.

And welcome to the forum!

SquarePeg
05-30-13, 03:54 AM
Like the other answers I think you should go to the doc. Could be the that 36 is too high or maybe this will pass in a few weeks.

When I take my meds I get rushing thoughts that do slow down enough for me to choose only one of them and follow it.

Also consider that what you drink can affect meds. Until I got used to my meds I would be affected by coffee and coke (which I canīt drink).

When my sonīs meds wear off in the evening (he is 14) he goes a little hyper and almost seems worse than off meds, but we have gotten used to it.

Also you are only 17 and still have loads of hormonal changes going on which can make you tearful, moody etc. Even though your post shows a lot of maturity, your body and hormones are still changing.

Stepp5150
05-30-13, 10:53 AM
Thanks for the advice everyone! I've have a pre-planned appt later today with my therapist and she's awesome!

My medical doctor originally prescribed me with the concerta 27mg about 2 months ago. But it was only about 5hrs. It started wearing off after a couple weeks and it didnt last as long and I started seeing nothing as far as results.

He's awesome! His son is ADHD and even though he's a medical doctor, he's very knowledgeable in that field. But he got sick and has been out for a couple months now. :(

So when I got titrated up to 36mg I had to see another random doctor (he's rude, and automatically asked my mom if she had Medicaid just cause she had work clothes on, and he called ADHD a personality disorder)

So I'm stuck for right now because the area we live in doesnt have psychiatrists, only psychologists :/

I will say I've been behaving pretty good on the meds so far, but I was surprised when this happened. I've been feeling emotionally stable.

And it concerns me that concerta only lasts me 3-5hrs and that it only does half the work, it solves the hyperness and fast talking, but not the attention and hypetfocuing and cluttered mind. (But it feels better after a couple hours)

My whole life, even before the meds and currently on the meds, I've had extreme trouble getting to sleep. Every night this week, I've laid down at 9pm and I don't fall to sleep until after midnight. I roll left to right dozens of times. I have racing thoughts, and talk to myself, nothing works! And when I partially fall asleep, I can kinda feel the sleep kick in.

Then when I feel it, my conscience kicks me awake, and I'm up again. Right as I was about to get to sleep!

It usually helps really well with diphenhydramine an hour before bed. (Aka ZZZ quil, and OTC allergy medication)

Sorry I wrote much more, it's just those things im addressing more concerns me and I was wondering if anyone else knows or experienced this? I'm just looking for support before my mom and I start searching around for a psychiatrist.

keliza
05-30-13, 11:35 AM
So when I got titrated up to 36mg I had to see another random doctor (he's rude, and automatically asked my mom if she had Medicaid just cause she had work clothes on, and he called ADHD a personality disorder)

Well he sounds like a judgmental prick. Do you know when your regular doctor will be coming back?

My whole life, even before the meds and currently on the meds, I've had extreme trouble getting to sleep. Every night this week, I've laid down at 9pm and I don't fall to sleep until after midnight. I roll left to right dozens of times. I have racing thoughts, and talk to myself, nothing works! And when I partially fall asleep, I can kinda feel the sleep kick in.

Then when I feel it, my conscience kicks me awake, and I'm up again. Right as I was about to get to sleep!

It usually helps really well with diphenhydramine an hour before bed. (Aka ZZZ quil, and OTC allergy medication)

There is SO much advice out there about how to get to sleep when you have trouble sleeping... I know because I've tried just about all of it. When I was seeing the sleep specialist (my sleep is patchy at best) the main things she emphasized about falling asleep at night were the following:

1. Turn off your electronics 2 hours before you need to go to bed. The light from the computer or TV screen can screw with the melatonin receptors in your eyes and make your brain think it's earlier in the day, messing up your circadian rhythms.

2. Get into a nighttime routine. Shower, wash your face, have a cup of non-caffeinated tea, brush your teeth, whatever your before bed routine is. Do it every night in the exact same order, and your body will begin to associate the routine with sleep, and it will actually start to make you sleepy.

3. Do not exercise less than 6 hours before you want to go to bed. Vigorous exercise pushes your sleep back 4-6 hours on average (meaning you won't be falling asleep for at least another 4-6 hours after working out). But vigorous exercise earlier in the day may help you fall asleep better at night.

4. No stimulants in the late afternoon or evening. Make sure your medication is taken early enough that it's not keeping you up at night.

5. Do NOT lay in bed for more than 30 minutes. If you haven't fallen asleep in 30 minutes, get up. Go do a quiet, calm activity like reading a book, knitting, etc. Something that doesn't involve bright screens (no getting on the computer) but isn't laying in bed. Which leads to...

6. You should never be in bed unless you're sleeping. Do not sit in your bed to eat, watch TV, read a book, play video games, etc. You will begin to associate your bed with all kinds of activities that aren't sleeping. You should ONLY be in bed for sleep (or responsible, safe sex - but sleep and sex, that's it). Then your brain will begin to associate your bed with sleep, and you'll have an easier time falling asleep.

Those are the big things that the sleep specialist emphasized to me. You can Google all kinds of suggestions about how to improve your sleep hygiene (doesn't have to do with bathing, sleep hygiene just refers to your practices/habits regarding sleep) and get a better night's sleep. With ADHD and/or bipolar disorder, sleep is hard to come by and a very precious commodity. Are you going to college? Be aware that in college, people will encourage you to pull all-nighters, stay up all night partying, etc. Parties are fun, but sparingly. All-nighters are generally a poor idea. Make sleep a big deal, because for your mental functioning, it is.

Stepp5150
05-30-13, 12:05 PM
I'm not 100% sure how to quote and do other things here yet, but, ya he is a prick. He's an Indian doctor and he's really young, so he acts like he knows it all.

But Im not 100 percent sure when hell be back either. He is supposed to have surgery. All I know is the only time he's been coming in was to write refills for those who need it. But he's still not able to see patients yet.

But thanks for the advice! Usually I set down my ipad for the night around 8-8:30 and lay down in bed relax for the night and usually a half hour before that'd I'd relax in another rom on the couch doing non energetic activities, like listening to music quietly and just laying back.

Idiota
06-10-13, 05:39 PM
take some taurine/theanine and see if it does anything

dvdnvwls
06-10-13, 06:28 PM
Studying all-nighters are not very useful - when you study and then get no sleep, memory retention is much worse. Something happens during sleep, that "locks in" the things you've learned; when you skip that step, you lose a lot of the knowledge.

fracturedstory
06-11-13, 05:45 AM
I've spend the last 3 years on Ritalin with these symptoms. It eventually turned into my ADHD becoming more 'impulsive' and 'hyperactive.'

Are you male or female? I ask because around pms I get extreme symptoms like your anger/crying/feeling fine outburst (could be rapid cycling).

Now I don't need meds to get the symptoms except for mania but I become the same way after a few drinks anyway.

I usually fall asleep at 1am (on a good night). If I'm not asleep by 4am it's just not going to happen. And because I'm so freaked out about bed bugs all I ever do is sleep in my bed, yet I still take ages to fall asleep. The only thing that works is to start having repetitive visual thoughts, like the same video clip over and over again.
My thoughts have actually kept me awake all night. I think because my mind was racing so much it could have been hypomania.

Anyway, 3 weeks doesn't seem that long to have any permanent side effects. If your mother has bipolar than that makes you more likely to be 'switched on' after taking something like Concerta. But like I said it's been 3 years for me and it's only been a couple of months since I noticed the symptoms had become permanent.

Fuzzy12
06-14-13, 08:02 AM
So when I got titrated up to 36mg I had to see another random doctor (he's rude, and automatically asked my mom if she had Medicaid just cause she had work clothes on, and he called ADHD a personality disorder)

.

I'm not 100% sure how to quote and do other things here yet, but, ya he is a prick. He's an Indian doctor and he's really young, so he acts like he knows it all.

.

Off topic:

Yes, he sounds like an ignorant prick but it's possible that he asks everyone if they have medicaid irrespective of their appearance. And also, if he is a prick it's not because he is Indian, but just because he is a prick.

fracturedstory
06-14-13, 09:00 AM
Thanks Fuzzy. I was going to ignore that point mainly because it made me start ranting. But I am half Indian and I don't go for that generalizing crap. I hear it enough from my mother.