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Concerta (methylphenidate) Time released Ritalin - 10 hour long acting tablet.

View Poll Results: Did Concerta make you depressed?
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  #1  
Old 05-16-12, 04:48 PM
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Unhappy Concerta, ADD, and My Situation (Generally Depressed)

General info:

Hey everyone, this is my first post and I just wanted to get feedback on this situation im in.

I take concerta 54mg in the morning
and a 10mg Ritalin when I get home from school.


Introduction

I came home from school today frustrated and down, I was adding my life and school up and my mind was telling me to dislike all of it. Part of me thinks its the concerta, part of me thinks I've been generally depressed all my life because of my ADD. (One thing leads to another..)
Whether it be my realization that 'I HAVE ADD', and 'I NEED MEDS', or the actually medication, I feel different. I feel like I am being transformed into an addictive monster who while eventually grow out of control. Im 80% sure concerta is working with me, but 20% is saying "___, this just isn't for me".



Diagnosis/Background of my symptoms

Ever since I felt anything from this med, I keep telling myself how much society sucks and all the kids in my school suck. A year ago I took an IQ given by a psychologist who's specialty is these tests. I took the test because my parents noticed how disorganized and how faulty my memory was. Generally, I would come home, procrastinate, play computer games, look random stuff up, eat dinner, lie and tell my parents I did my homework. The next day I would try to do my homework, but couldn't remember any of the assignment and didn't pay attention in class that day, leading to more procrastination/seeking a new thrill to get my mind of homework. The only classes I really enjoy and have enjoyed in high school are some of my Art classes, and Band which was usually fun for me since I love music of most genres, and playing (and i rarely practiced of course.. I rarely practice anything involving school or something I don't like)

So, we went to this Psychologist, she gave me this test which was quite lengthy (around 6 hours long, which i took in two sittings). I scored superior intelligence with signs of mild ADD. We never acted on any meds until this month (I took the test around a year and a half ago). My parents were hesitant because at this time I was also dealing with a growth issue. I was 5 inches shorter than I am now and stood around 5' in the beginning freshman year, and have always been the small kid and that mentality stuck.




Concerta
I was prescribed Concerta about a month ago. After two visits and a phone call the psych I have reached this dosage. He told me to take 2 18mg's since I didn't feel the effects after the first week. Another week or so went by and I met with him, and I could see something working when on 36mg's, but nothing drastic. (I also experienced annoying dry mouth for a few days) Since the dry mouth went away and there were no terrible side effects, he bumped me to 54mg, and I could see the concerta was wearing off when I got home from school, so he also prescribed a 10mg Ritalin to take as a "homework booster".




Effect on my life/mood (+more background info)

ADD has led me into a slump in school and society. I always feel a bit different than friends and other students. No one understands why I could be doing this poorly in school (around a 3.0gpa, not terrible, but not proficient) when I am a smart guy and tend to show an interest in many things. (I love philosophy/space/science and all that, I would watch NOVA as a little guy religiously) Socially, I tend to laugh a bit too much at some things and have a pretty low self esteem. Even after 'getting with' around a dozen girls, and 2 (one being a bit older than me) I still think of myself lowly and 'different'. I am told I am an attractive kid by adults and some girls, but I am decently short, and tend to have a mentality where my mind will assure myself that I don't look good, not to an extreme extent, but I do spend much time in the morning fixing my hair or getting dressed.



To break it all down..

I AM indeed realizing maybe the popular kids aren't my ideal friends, and I always try 'figuring out' why or how they became or are popular.

I DO realize that I need to get organized for school if I want to hold a decent lifestyle so I can stay away from people I do not want to live or work with.

I DO feel a bit depressed sometimes, NOT suicidal and have never self harmed, but I can get frustrated when alone when I question some of my actions and future.

I WISH I could find some real friends who were just like me I have many aquantances, and a few good friends from other schools nearby, but I feel like most of them are either obsessed with "Getting it in" with girls (who are usually not very attractive, but slutty), or they spend all their money and effort into marijuana (which I do sometimes enjoy smoking but also tends to give me short episodes of anxiety if i smoke too much).

I WANT to get on track with my life and sort out my priorities, so i can be a confident and eventually successful kid who people can look up to.


.

I am aware ADD is only effective with specific parts of my brain, but the way that it effects my education,has generally made me a bit depressed and lacking a strong self esteem and I believe the concerta is not helping these feelings.



Anyone who has ever had their life be affected by finding the right friends, ADD, and or concerta/other ADD meds please respond and share your words. It will be a BIG help, I just want to know that there are people out their who know what it feels like to be a kid growing up in similar shoes to mine, and/or any advice they have to offer me.


Thanks so much
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Old 05-16-12, 09:04 PM
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Re: Concerta, ADD, and My Situation (Generally Depressed)

The issues you are working through are not necessarily ADD related issues. Your thoughts are shared by everyone in your age range. Separating what is part of normal development and what is a symptom of ADD is necessary for you. The process of becoming an adult is complicated by the fact that you have ADD, and I'm certain that you are better off being being on the medication than off. It's hard enough to think clearly for a normal hormone charged adolescent - it's impossible for an adolescent with ADD to think clearly.

At this stage continuing under the care of a psychiatrist would be of benefit to you. Having someone to talk to, to help sort out what is the ADD and what is the you part, trying to emerge into adulthood. Perhaps a "life-coach" would also be of benefit, helping you develop practical life skills, like organization and communication - skills you will need the rest of your life which are not just inherent in people, but do need to be learned.
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Old 05-16-12, 09:43 PM
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Re: Concerta, ADD, and My Situation (Generally Depressed)

Thanks so much as to your general kindness in your post, I posted about this on "hipforums" under the "Concerta" board. All of the responses I received told me "You don't have add you're under a placebo, you're a typical teen scapegoating your problems, grow up kid". So its wonderful to find a whole forum devoted to ADHD.

Regarding your comment, I am pretty aware it is working due to the fact I can write things (like the above post) without previous stress and procrastination escapes that I would normally find myself falling into. You could say I dont really have a general "feel" for the medicine as I can't really recall feeling too different or zombiefied/hyper-focused/antisocial when I am taking Concerta. Although when I look back on my day I can see that I have in most cases payed more attention/took more notes/wrote more/didn't have the urge to just tune out and look up useless crap on my phone to escape the class.

I think this is optimal, but I am not sure if will fuel me to become some 'bi-polar', depressed, anxious monster. Because on the buss ride home today and while watching some 90's documentary film on teen pregnancy in health (the last period of the day) I was feeling depressed and annoyed by ridiculous things. For example, the dated vibe of the film ****** me off and the production and depiction of school in that age just got me ticked off about how they depicted the students. Then I felt depressed because maybe that's what school is really like and I just don't notice. All these random things ran through my head and made me like hate society, and I can't really explain it but I've never felt something like this to such a saddening extent.

Did you have any incidents where you would come home depressed/anxious/hopeless or something like this?

Btw, the ritalin 10mg I was prescribed for after school helped me out of this state a bit, now I am feeling calmer ever since my parents came home and we had a little family dinner, I think the positive communication gave my brain a jumpstart.
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Old 05-17-12, 01:04 AM
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Re: Concerta, ADD, and My Situation (Generally Depressed)

On self esteem - medication can never give you this. Confidence comes as a result of having a series of successes, often won through struggle, be it small or large. It has to be earned.
What the medication will do for you is help you to understand your decision making processes better, thereby helping you to make good choices. When you have made good choices you will have successes and your self esteem will grow.
This what medication is all about. It isn't a quick fix, getting you to the end result immediately. You still have to do the work to get yourself there. The medication is there to put you on a level playing field with everyone else. At that point you have a fighting chance to succeed.
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Old 05-17-12, 04:39 AM
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Re: Concerta, ADD, and My Situation (Generally Depressed)

Have you tried therapy?
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Old 05-17-12, 06:18 AM
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Re: Concerta, ADD, and My Situation (Generally Depressed)

Right i have actually seen improvement on my tests and have been doing my homework with a push from my parents and the help of the meds. And no ive never tryed therapy, i want to see how this works first, how does therapy work? What goes on?
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Old 06-02-12, 10:50 PM
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Lightbulb Re: Concerta, ADD, and My Situation (Generally Depressed)

Found this while doing some research and damn...I had to sign up for this forum just to right this response! I'm 18 right now (just finished my first year of college) and I've never seen a post that more closely resembles my life experience so far. The whole time I felt like it was something I wrote myself, besides the medical history of course. But I'll get to my points.

I started meds for the same exact reasons except I started with vyvanse instead of concerta. I was originally buying vyvanse and adderall of other kids earlier in the semester. I am really glad that I choose to be intensely evaluated for ADD and recieve a perscrition for vyvanse legitimately (the ADD/ADHD specialist at my college is unbelievably understanding). I started vyvanse about 4 months ago and it helped tremendously for the rest of the school year. I finally had the logistical mental "confidence" (capacity) to handle learning the advanced concepts in my Engineering courses. I now feel like I have the potential to actually get the degree I want.

I never planned on staying on the meds after school ended but I agree with what SfumatoPants said. Confidence is developed over time and now that I understand a lot more about why people are how they are, along with my ability to "play on their level" from the meds, I am definitely beginning to build more confidence and less anxiety towards life in general, whether I take my medicine that day or not.

But here is what I really want you to know now that I've given adequate background information: You need to eat healthy and take care of your body by getting exercise and what not. I'm sure you've probably done your own research on neurology and how these drugs effect your brain so I'll try to keep it pretty simple. Different ADD stimulant medications theoretically work by increasing the amount of dopaminergic action in certain areas of the brain, with slight differences depending on what drug it is. Decreased appetite leading to less eating, less exercise, less exposure to sunlight, ect. will all lead to lower levels of serotonin in the brain. I feel that a lot of the negative "feel" to these meds can be the result of this and over time it can just change your perspective on the world in general to be quite negative.

I started eating healthier and more balanced meals - especially foods high in tryptophan*, taking vitamins, and spending more time outdoors being active and I have been feeling the best I have since being a kid when my mom completely provided what I was eating. I've been way less stressed and slowly becoming much more social as well which is something I've been trying to reacquire for years.

After school ended and I came back to my parents house, I had a psychiatrist appointment with someone who was recommended to my mom and went even though I was kind of nervous to see a new doctor who might change perscription. I did my best to describe my experience so far with vyvanse to him and he actually ended up being very knowledgable and it was a good conversation. I told him how although vyvanse is still helping me ton and has helped so much (especially with school) but I feel that it just slightly isn't the real me. Our conversation then diverged into the neurology behind how these drugs work. He suggested that I can try a different drug which is what I was originally afraid of, but then I realized it was a fine ideas especially now that it's summer.

I have now been on concerta 36 mg for 3 weeks and wow! From an outside perspective it would probably appear to have nearly the same effect as vyvanse on me. But, I have been meditating for a long time and understand my thought process very well, if not too well... Vyvanse always had me in a much too logical train of though but it worked wonders for studying and motivating me to get my life on track. Concerta on the other hand has brought back my creative personality that I really started to miss while on vyvanse, but I had kept taking the vyvanse it because I NEEDED it almost every day just to handle life. The way concerta makes me focus wouldn't help me too much for school just because it is making it way too fun to design and program video games haha, and I've also started skateboarding again now that I have the right type of focus that just wasn't there with the vyvanse.

I know this is long as **** but I hope something helped and if you have any questions (especially because this post was pretty unorganized) I'll definitely answer, or just feel free to spill your thoughts in return, like I did haha.

Peace out
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Old 06-17-12, 05:10 PM
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Re: Concerta, ADD, and My Situation (Generally Depressed)

haha wow i havent checked my post in so long and have really wanted to update my standing.

Well i wanted to start off with the changes from concerta to ritalin. I was prescribed the ritalin for after school when the concerta would ware off and I would crash. The 10mg helped but I was getting terrible cottonmouth from the concerta and felt it wasn't all that effective anymore and really didnt notice any change in my thought processes or focus. So I was switched to ritalin 10mg 3x a day. It didnt feel much different at all from the concert but strangely the cottonmouth was gone. This surprised me as they are both the same chemical. The ritalin was just as effective or even less than the concerta, and I really felt no change besides the relief of this terrible cottonmouth.

So the doc upped the dosage the 20mg ritalin 2x then 10mg when I get home. I felt an instant change, much more noticeable then before and I feel like I know what the medication actually feels like. I didn't feel too hyper, or focused, or twitchy at all. I felt as Vyvoncertanse said, "at everyone else's level". It is wonderful and has really helped me get on track the last quarter of my year.

Well, I am realizing how to become a more confidant person and have started to workout and lift weights again which I had given up two months or so ago. I feel like a better person and hopefully can achieve total confidence by next school year so I can crush all those wonderful ACTs and SATs (-_-). Thanks for responding and I'll keep you guys updated on any changes or whatever random thoughts I feel like putting down on here.

Thanks alot
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Last edited by BR549; 06-17-12 at 10:42 PM.. Reason: paragraph breaks
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