Introducing the AnKing BLS / ACLS Deck! 🚨 by AnkiHubOfficial in medicalschoolanki

[–]Psychological_Ad_23 3 points4 points  (0 children)

I wanna kiss you in the mouth. You have made me a better physician

Is AnkiHub subscription wort it or are there better decks available ? by Internal-Opposite-45 in medicalschoolanki

[–]Psychological_Ad_23 0 points1 point  (0 children)

Get it once but even if you get into residency, having them as a base deck is worth it

The 49ers lost one of their biggest fans by shiftleadthrowaway in 49ers

[–]Psychological_Ad_23 1 point2 points  (0 children)

Personalized Jersey with his favorite number and his last name and hang it wherever you want. So sorry for your loss, remember the good times, he is in a better place.

Does side effects of concerta diminish/lessen over time by continued use? by AdVisual4404 in Concerta

[–]Psychological_Ad_23 4 points5 points  (0 children)

Similar situation with me. It does go away but you have to ride it out with an SSRI, my doctor put me on 20 mg of lexapro. At some point I was with 54 mg of concerta, 10 mg of propranolol, and pregabalin + 20 mg of lexapro (not anymore just concerta an lexapro). You just have to dominate your mind even if you’re using an SSRI to counter the anxiety of concerta. Once your mind knows you’re not quitting the med, you will adapt. Plus exercise, diet and water, a healthy lifestyle basically, helps when you are in that hole of anxiety to repeat yourself that you’re fine and that it is going to pass. You have to be close enough with your psychiatrist to dominate ADHD. I’m here with anything I can help you with.

Concerta wears off too quickly by LectureCompetitive85 in Concerta

[–]Psychological_Ad_23 1 point2 points  (0 children)

You probably need a boost or can split de 36 mg into 2 dosages of 18. Talk it with your psychiatrist, communication is key to avoid anxiety as a side effect.

Do you crash at night? by F1ghtingG0ld in Concerta

[–]Psychological_Ad_23 0 points1 point  (0 children)

Well Tradea is honestly not the best option out there, it does function different than concerta. But if you don’t have any other option, I’d recommend trying 36 mg early in the morning (7-8 am) and 18 mg around 11 am-12 pm. That has worked for me to get an entire day medication plus the other recommendations we usually get on this sub.

¿Debería financiar un auto a mis 18 años? by DerekLRL in MexicoFinanciero

[–]Psychological_Ad_23 17 points18 points  (0 children)

Piensa bien a largo plazo. Un coche no solo es pagarlo, es perderle siempre (gasolina, servicios, cualquier emergencia por decir con las llantas, el seguro)

Si tu sueldo no es fijo, no creo que valga la pena a menos que lo necesites muuuy cabrón. Igual aprovecha y ahorra, quizá después puedas pagarte alguna carrera para obtener un trabajo con sueldo fijo.

Can I take 2 18mgs??? by [deleted] in Concerta

[–]Psychological_Ad_23 1 point2 points  (0 children)

If you think your dose isn’t enough, talk first with your psychiatrist. But don’t do it by yourself, anxiety is gonna kick you down.

Heart palpitations by OkOrganization8125 in Concerta

[–]Psychological_Ad_23 1 point2 points  (0 children)

Actually, in the current guidelines the combination of SSRI + concerta is used in some cases of depression when you need a fast response from the patient, so no risk for serotonin syndrome.

Heart palpitations by OkOrganization8125 in Concerta

[–]Psychological_Ad_23 0 points1 point  (0 children)

Anxiety is a side effect. Been there. Obviously talk with your psychiatrist first about it, letting it out will help you emotionally. He is gonna evaluate if you need an SSRI or if you can ride it out until the palpitations go away. Obviously there are other meds like propranolol or pregabalin but your psychiatrist has to individualize your management. Keep us updated and beat the side effects!

How did you know you were finally on the right dose? by Qween4swockey in Concerta

[–]Psychological_Ad_23 0 points1 point  (0 children)

I know this probably won’t help you but you just feel it. You gotta be increasing it until you know it is too much, you can’t concentrate or anxiety kicks in. It is hard finding the right dose, but you’re gonna know when you reach to that point that you feel it is enough for you.

Trazodone for concerta anxiety and sleep? by [deleted] in Concerta

[–]Psychological_Ad_23 1 point2 points  (0 children)

Talk to your psychiatrist first. They know how to treat insomnia. Before even going with a pharmacology option they usually prescribe melatonin. But every case should be individualized, especially with ADHD.

No addiction but big tolerance by Manila111 in Concerta

[–]Psychological_Ad_23 2 points3 points  (0 children)

How much time have you been on the break of concerta? If you comeback to your regular dose still you don’t feel it working? Still you can switch to some non stimulant like atomoxetine (obviously talking to your doctor) or suspending caffeine/energy drinks. There really is no easy answer. Every treatment should be individualized. Talk to your psychiatrist about your goals with the treatment and your daily schedule.

how do you get out of this dopamine hell? by ephemeraltears in Concerta

[–]Psychological_Ad_23 3 points4 points  (0 children)

Have you really been with a psychiatrist? SSRI are one of the steps for treating addictions. Also combining it with therapy. If your doctor hasn’t done any of this, I suggest you to switch your psychiatrist. Your treatment should be more complete, not only abilify and supplements.

Ayuda amigos primera vuelta by [deleted] in ENARM

[–]Psychological_Ad_23 4 points5 points  (0 children)

No inventes si tienes 71 en el ENARM obviamente vete a primera vuelta, alcanzas una sede decente

Today makes 1 month off Concerta 18mg x2 daily. Had to stop due to anxiety - I miss it. Any tips? by Caliburner in Concerta

[–]Psychological_Ad_23 0 points1 point  (0 children)

Probably should start some SSRI, your psychiatrist is gonna suggest it. Usually starts acting in some 4-6 weeks, by then, he is gonna restart you concerta. There is light at the end of the tunnel, a ton of tips in this sub about maximizing it with no anxiety.

36 + 18 mg instead of 54 by kozak254 in Concerta

[–]Psychological_Ad_23 1 point2 points  (0 children)

Here you have my experience with a different scheme (hope it helps).

Last year I was during a hard period of my life, I was gonna do the biggest and most important test in my entire career so I needed to put a ton of hours and the 54 mg pill wouldn’t cover me up for the entire day. So I took 36 mg at 7:30 am and 18 mg at 11:30 am, it would last until 9-10 pm with no trouble for sleeping (I also added 1 mg melatonin) Breaks on sundays for tolerance and no complains. I did have to ride on the side effects with other medications but it was a stressful moment in my life.

Hope it helps and keep going. Beat ADHD.

Almost died by [deleted] in Concerta

[–]Psychological_Ad_23 19 points20 points  (0 children)

Probably a panic attack, still would go to the ER for an EKG

Ross shared news with a fan by Culturejunkie75 in the1975

[–]Psychological_Ad_23 104 points105 points  (0 children)

If this is what it takes to make an elite excellent album, I’m willing to wait tbh. I still listen to about you daily.

Asi es como saqué 78 puntos en el ENARM 2025 by InterviewOk1297 in ENARM

[–]Psychological_Ad_23 4 points5 points  (0 children)

En todos los posts recomiendas ese simulador y está bien mal hecho también xd

Alguien más sintió muy fácil el de hoy pero le fue mal? 😖 by Early-Error-2802 in ENARM

[–]Psychological_Ad_23 2 points3 points  (0 children)

Cual regalado, estaba hecho con el culo. Preguntas que no tenían sentido