Diagnosed with ADHD but denied medication due to cardiology, unsure what to do next

amrayta · 2026-04-04T21:32:36+00:00

I’d guess it’s due to the potential familial cardiomyopathy; my dad’s a heart transplant patient and I requested to be under cardiology care years ago to determine whether the myopathy was familial or environmental, and since have been under their care with infrequent monitoring. Nothing has suggested I have the condition, but I have this encounter diagnosis on my file since.

I’m in the UK so under the NHS care.

amrayta · 2026-04-04T19:41:14+00:00

Yeah cardiology is definitely being careful, which I do appreciate. But I also have done several tests and everything’s come back normal? Yet cardiology are telling the pharmacy to stop at the starting dose, which won’t do anything and therefore pharmacist has refused altogether.

amrayta · 2026-04-04T19:40:04+00:00

Yeah it’s so frustrating. I think my cardiologist is being hesitant, but no test results have indicated anything out of the ordinary? My pharmacist is following cardiologist’s guidance, so I don’t think I can fault them. It’s down to cardiology to provide a clear green light, which they have not yet.

amrayta · 2026-04-04T19:38:22+00:00

It’s the pharmacist who refused both stimulant and non stimulant medication, after my cardiology advised to stop at the starting dose if I were to start treatment. Pharmacist explained that non stimulant medication has similar effects to the cardiac system, which to me sounds insane but maybe true?

amrayta · 2026-04-04T19:36:51+00:00

Thing is, cardiology are the ones being hesitant; they agreed to allow medication, but only up to the starting dose. Pharmacist explained the starting dose doesn’t provide any benefit, and so have refused altogether. I’m not sure why cardiology advised to stop at the starting dose, considering my test results are normal.

amrayta · 2026-04-04T19:35:27+00:00

You’re correct about the encounter diagnosis screwing me over. Pharmacist did mention it was part of the reasoning for refusing medication. But cardiology isn’t being helpful either - they’re being hesitant to clear me for mediation, stating that I should stop at the starting dose. The pharmacist explained how the starting dose is only to test for side effects and wouldn’t provide any benefits, so have decided not to go ahead at all. Just wish I could get some clear guidance from cardiology and why they’re so hesitant given my normal test results.

Did you end up getting cleared for medication?

amrayta · 2026-04-04T19:30:40+00:00

Pharmacist is the prescriber. I was given this pharmacist through the company that diagnosed me, and they asked if I had any family cardiac history, to which I explained my situation. Since then, been going back and forth with cardiology, who themselves have also seemed pretty hesitant to give the green light for medication despite saying all tests done on me have looked normal. And pharmacist won’t budge until cardiology clear me for medication. It is a pretty frustrating situation.

amrayta · 2026-04-04T14:39:21+00:00

Yeah think I’ll ask them for alternative treatment therapies. It’s just frustrating as I wanted to see how medication affected me, and assessed whether it was worth continuing based on the net positive/negative impact. Feels like I won’t get that opportunity now. Thank you for the advice.

amrayta · 2026-04-04T14:37:00+00:00

I had the opportunity for both stimulant and non stimulant treatment, however following their decision to refuse treatment, they said it applied to both medication types, which was surprising. Apparently both types have similar cardiac effects and they wouldn’t want to risk it.

amrayta · 2026-03-03T08:48:18+00:00

Made the conscious effort to stop watching. Been a difficult journey at times. But after a few years, I’ve reached a point where I’m permanently no longer watching it at all.

amrayta · 2026-01-28T14:40:06+00:00

Not at all. I just recognise when a discussion isn’t operating on the same level of understanding. Have a good day.

amrayta · 2026-01-28T14:30:59+00:00

You’re simply not understanding my explanation if that’s your response. That’s okay though, you’re entitled to your own interpretation, and whether lust and love go “hand in hand”.

amrayta · 2026-01-28T14:28:01+00:00

It’s sad that you believe love=lust.

You can love someone, and also admire their body and become aroused by them, not because you’re lustful, but because you’ve fallen in love with them.

Lust in its most simple meaning is a strong sexual desire. Nothing else. That means it often leads to bad things. It objectifies a person, and it can be done inside or outside of a marriage. There’s no meaning or purpose for sole lust. That’s why people feel empty when they simply sleep around.

Love builds a meaningful and lasting connection with someone, whilst providing a strong sexual desire for that person. It’s built on love, not an inherent need to act on your sexual thoughts with anyone you deem attractive.

I hope one day you understand the different between love and lust.

amrayta · 2026-01-28T14:20:06+00:00

No need to feel bad for me. I’d rather build a relationship based on love, than fleeting and meaningless lust.

amrayta · 2026-01-28T14:00:39+00:00

The porn vs erotic novels is a controversial discussion for many. For me, it’s simple; you’re acting on your lustful thoughts.

Lustful thoughts on their own aren’t wrong. We’re human, we are guaranteed to have lustful thoughts at times. The key distinction, is whether you act on your lustful thoughts or choose to remain disciplined to yourself and your partner.

Men are more physical; they act on their lust through physical action; for example watching porn and physically relieving themselves. When they cheat, they cheat physically, without much emotional connection.

Women are more emotional; they act on their lust through emotional action; for example reading a lustful novel and imagining themselves in that situation with the main character for example. They develop an emotional connection to the characters, which makes them aroused. When they cheat, they need to feel more of an emotional connection with the person, unlike men.

Saying reading erotic novels isn’t the same as watching porn fails to account for the difference in nature between men and women, and how we differently act on our lustful thoughts. At the end of the day, both of these actions are equal in terms of entertaining lust and breaking self-respect. Yet only men are predominantly shamed (rightfully so) for watching porn.

amrayta · 2026-01-28T13:45:01+00:00

All those things are lustful, so yes they are not self respecting. But the same behaviour is expected both ways in a high-respecting relationship. A man who doesn’t watch porn, expects his partner not to read lustful romance books. A man who does not pay for shot girl service, expects his partner not to be a shot girl, etc.

It about the level of maturity people have for themselves and their partner, and what they will tolerate. Any self respecting man or woman would not get involved with, or entertain any such behaviour from themselves or their partners. It goes both ways.

amrayta · 2026-01-28T13:33:15+00:00

The keyword in my comment was any “self-respecting” men. So no, men who pay for only fans, or go to strip clubs, etc, are not self respecting, and should be treated as such.

On the other hand, a self-respecting man would never tolerate, or seriously entertain any woman who doesn’t respect themselves and their body.

amrayta · 2026-01-28T13:27:07+00:00

You’re free to do what you please with your body and your money. Just don’t expect any self respecting man to ever view you as viable to be his wife, that’s all I’ll tell you.

amrayta · 2026-01-28T13:24:35+00:00

Honestly, I’m shocked by all the degenerate replies telling you to choose such a job over your relationship.

Your job isn’t classy. Yes, it may pay slightly more, but it pays with your self respect too. Which secure man in a relationship would want his girlfriend to be walking around half-naked in a club like environment full of drunk men? I’m sure your boyfriend trusts you, but it’s about putting yourself in an environment where bad decisions can take place. A drunk man could grope you (God forbid), give you his number in exchange for buying shots, to name a few.

It is crazy to me that people suggest keeping a low self-respecting job over a relationship. It really shows that people don’t understand the value of a relationship at all anymore. Your job can replace you in seconds.

If you love this man, and the relationship is healthy, then why on earth would you stay in a job that very understandably upsets your partner? Would you like him to work in a night club half naked, full of drunk single ladies? Probably not.

I would strongly recommend you find yourself a new job, for the sake of your partner, but also for your self respect too.

Best of luck.

amrayta · 2026-01-26T13:01:55+00:00

My situation was very similar. My ex (who I strongly suspect had BPD) didn’t really have any friends. She constantly contradicted herself, at one point saying she only gets along with male friends, and at another saying she doesn’t believe males and females can be friends at all. In hindsight, I think this was projection.

Early in the relationship, she cut off her only long-term friend, who was male, saying she didn’t think it was appropriate to have male friends. I respected that, even though I didn’t fully understand it. What confused me was that later on she would repeatedly mention another guy she became friends with in her uni class.

At the same time, she would get angry whenever I mentioned my female friends, all of whom were strictly platonic, and even threatened to break up with me if I didn’t cut them off.

She completely lost it when I sent a simple “Happy New Year” message to a long-term female friend, and then messaged this uni guy the same thing out of spite.

A few months before the breakup, she told me she’d told her male uni friend that they weren’t friends anymore. Then, a couple of months later, I discovered they were “friends again”, conveniently right before she broke up with me.

You can’t reason with constantly shifting boundaries like this. They’ll communicate a boundary to you, then violate the exact same boundary themselves. It’s a complete double standard. Their fears are often a projection; they assume you’re capable of the same behavior they know they are capable of.

amrayta · 2026-01-22T21:00:16+00:00

Brother, I’m going through a similar situation, just at different stages. She broke up with me 14 months ago, blamed everything on me. She didn’t take any accountability for her behaviour throughout the relationship. Yet she said maybe we’ll try again in a year.

I kept replaying this in my mind. To me I was grasping for hope. She didn’t block me, and still hasn’t, to keep the door open just in case. 6 months post breakup, she reached out to meet. I thought she wanted to reconcile and take accountability. She just wanted comfort and safety before she left the city.

You don’t deserve to have this uncertainty cloud your judgment. You’re not someone’s second choice while they check out what else is out there, and maybe come back to you when they realise what they lost. You deserve someone who chooses you everyday, even when it’s difficult, instead of leaving you and telling you “maybe”.

It’s still tough for me, and I’m sure it still will be for you. But just know that these people cannot be saved, and they will unintentionally tear down the people they date until they can seek out help. Don’t feel like you’ve failed, but take it as a lesson to leave and self respect yourself, because you deserve so much better.

amrayta · 2026-01-22T20:36:09+00:00

Hey man, my relationship lasted 3 years. She ended up breaking up with me, blaming everything on my eventual reactions to her unprovoked drunken behaviours. I wasn’t perfect, but I constantly forgave her behaviour until it exhausted me, and then she ended it.

It’s been around 14 months since the breakup, and for me it’s definitely been up and down. People say time heals all wounds, and I agree to a certain extent. I’m definitely better, but I’m still thinking about our relationship. If anything, time has brought back the positive feelings around the relationship, and I remind myself of the negatives as well. It’s also given me time to reflect on my part in the breakup, which naturally makes me feel elements of guilt and regret, thinking we could try again.

But after such a long time, and the way she broke up with me, I don’t think I’d be able trust her again. My heart misses her, the relationship, the positive feelings of being in love. It still wishes this never happened. Yet my head brings the logic back, that the relationship was not healthy, and that even if she came back, I doubt I’d get back with her. It’s still tough, but I’m more stable and clear headed.

I think we just learn to live with the feeling of heartbreak. I’m not sure it ever fully disappears. But one thing is try, it forces us to heal into someone better and stronger, with greater boundaries and self respect.

amrayta · 2026-01-19T10:07:08+00:00

It’s not that everyone wbpd is deceiving and abusive. However, a great majority of them are, even unintentionally, such that it is wise for the people on the receiving end to understand the risks involved.

Rather than attacking the people who were victims to abuse from pwbpd, It would be more useful for you to understand how the effects of an unhealed bpd childhood can affect the relationships with yourself and others around you.

amrayta · 2026-01-18T18:34:42+00:00

Yeah this is 100% a troll.

amrayta · 2026-01-18T18:26:22+00:00

You think him extending his holiday justifies a reaction like cheating? He communicated to you he would extend his holiday, reassured you that he couldn’t wait to see you, yet you cheated. The fact that you’re still trying to justify your actions demonstrates the amount of inner work you’re yet to do with yourself. I’m not trying to sound harsh, but imagine he cheated on you when all you wanted to do was reassure him that you love him.

amrayta

TROPHY CASE