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Substance Abuse
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<blockquote data-quote="GoingNorth" data-source="post: 681401" data-attributes="member: 1963"><p>Not to mention that amphetamines or other stimulant medications are a real no-go unless the patient has a history of LONG-TERM stability on medications for bipolar first.</p><p></p><p>I was additionally diagnosed as depression/ADHD and trialed on Ritalin. I only took one dose. </p><p></p><p>I got so badly "spun" on it that the only thing that kept me sane was knowing it would wear off in a few hours.</p><p></p><p>It did, but crashing off the Ritalin threw me into a nasty depression that lasted several weeks.</p><p></p><p>I DO have ADHD, but 2 psychiatrists since do not recommend that I take medication for it. It was hard enough to get me stable enough to tolerate a SSRI in small doses.</p><p></p><p>I cope bymaking notes, using an online organizer, etc, and the medications I take for bipolar help some with the ADHD sx.</p><p></p><p>Other than that, I'm just very spacey, have lousy executive function (why I write/type everything down), and am prone to a lot of fidgeting.</p><p></p><p>Anyway, you HAVE to get her away from the amphetamines if you can. They can be deadly combined with anorexia or any illness that impairs nutrition and CNS function.</p><p></p><p>It also makes a difference as to what amphetamines she is taking. I am going to take a leap and say that, especially at her age, she is using Adderall, which is a time release amphetamine sold widely on the street as well as in schools. In addition to legit Adderall, there is a lot of "street" Adderal made in China and India.</p><p></p><p>Hopefully it is Adderal as it is easier to get off of that than methamphetamine.</p><p></p><p>Also, ALL amphetamines are cardio and neuro toxic, the toxicity increasing with frequency and strength of dosing.</p><p></p><p>Amphetamines also stunt growth and development. I think there is even a warning on RX packages to this effect.</p><p></p><p>At the very least, get her into a doctor and get an EKG run, TELL the doctor what is going on, and take it from there.</p><p></p><p>The drug use, anorexia, and bipolar, all have to treated as a "whole", and the underlying cause(s) treated.</p><p></p><p>That's going to be very difficult, and i don't know how to advise you to go about finding treatment. </p><p></p><p>You do have dual-diagnoses centers that treat mental illness combined with addiction, but I don't know if they would accept a pt who also is anorectic.</p></blockquote><p></p>
[QUOTE="GoingNorth, post: 681401, member: 1963"] Not to mention that amphetamines or other stimulant medications are a real no-go unless the patient has a history of LONG-TERM stability on medications for bipolar first. I was additionally diagnosed as depression/ADHD and trialed on Ritalin. I only took one dose. I got so badly "spun" on it that the only thing that kept me sane was knowing it would wear off in a few hours. It did, but crashing off the Ritalin threw me into a nasty depression that lasted several weeks. I DO have ADHD, but 2 psychiatrists since do not recommend that I take medication for it. It was hard enough to get me stable enough to tolerate a SSRI in small doses. I cope bymaking notes, using an online organizer, etc, and the medications I take for bipolar help some with the ADHD sx. Other than that, I'm just very spacey, have lousy executive function (why I write/type everything down), and am prone to a lot of fidgeting. Anyway, you HAVE to get her away from the amphetamines if you can. They can be deadly combined with anorexia or any illness that impairs nutrition and CNS function. It also makes a difference as to what amphetamines she is taking. I am going to take a leap and say that, especially at her age, she is using Adderall, which is a time release amphetamine sold widely on the street as well as in schools. In addition to legit Adderall, there is a lot of "street" Adderal made in China and India. Hopefully it is Adderal as it is easier to get off of that than methamphetamine. Also, ALL amphetamines are cardio and neuro toxic, the toxicity increasing with frequency and strength of dosing. Amphetamines also stunt growth and development. I think there is even a warning on RX packages to this effect. At the very least, get her into a doctor and get an EKG run, TELL the doctor what is going on, and take it from there. The drug use, anorexia, and bipolar, all have to treated as a "whole", and the underlying cause(s) treated. That's going to be very difficult, and i don't know how to advise you to go about finding treatment. You do have dual-diagnoses centers that treat mental illness combined with addiction, but I don't know if they would accept a pt who also is anorectic. [/QUOTE]
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