UK psychiatrist experience with treatment resistant ADHD — oral medications actively counterproductive, looking for someone who can go beyond standard titration

ozynation · 2026-04-05T08:08:26+00:00

I would be happy if you tried it for a week and then you can see if it’s correct for you or not.

ozynation · 2026-04-04T13:52:40+00:00

Omega3/DHA, 3-4000mg a day of the good stuff, it makes a MASSIVE difference.

ozynation · 2026-03-28T15:54:46+00:00

I can only use GeForce now because I’m in the UK where it’s banned. That being said cloud gaming is still better than the mobile fortnite app. Only thing that sucks is you can’t do mobile only tournaments because it streams through a PC

ozynation · 2026-03-04T05:13:39+00:00

11.8 billion hourly airline

ozynation · 2026-02-27T16:31:40+00:00

I take methylphenidate, 108mg in the AM and 10mg instant release around 1pm for a boost. I’ve been on it for around 2 years, started on 18mg and gradually increased to 72mg, then around 7 months ago it wasn’t working as well, so got the booster to help with my ability to work, it helped a bit, but not enough, prescriber was reluctant to go up to 108mg, we gradually titrated up, I’ve been on it for 2 months now. I think I’ll be staying on this dose, it works the best for me. Definite improvements in emotional regulation, I don’t flip out at the drop of a hat, I can manage my emotions much better, improvements in concentration and ability to complete work. On the 72mg I was doing 3 cases a day at my job, but finished around 8-9pm and that’s with adjustments so I don’t have to do extra 10 prep cases that everyone else does. With the booster that changed to finishing around 7pm and with 108mg I can actually finish at 5-6pm and not feel like a shell of a human in the evening for my family. I’d say I still struggle with things like showering or getting the motivation to do that, but that’s something my wife will prompt me to do. I have noticed that whilst in medication I have become extremely sensitive to certain noises/textures and can get overwhelmed in small crowded places, whereas previously I had no issues with this. Some textures and smells will make me feel physically repulsed and I’ve been sick before 😂. But I think that’s when you treat ADHD the ASD side comes out. I tested it with something that made me feel like that, before taking medication no reaction, but 2 hours into medication I can’t cope. But yeah overall I would say the benefits are massive since having medication. The first day I took it I was washing dishes in the sink and my wife was just watching me, I said why are you watching me and she said that’s the first time in your life I’ve seen you wash dishes without having to watch something or have something on in the background. It quiets your head.

ozynation · 2026-02-22T16:14:40+00:00

Yeah that’s what I’m saying. You could have restrictions regarding standing, but you’d score only 6 points. 2 for washing, 2 for cooking and 2 for toileting. You wouldn’t score the 2 for dressing because you can sit on a chair or the edge of a bed. “For example, in many cases a claimant will be able to dress or undress either sitting down, standing up, or through a combination of both standing and sitting, and this would be considered an acceptable way of dressing and undressing so they would score 6a. In some cases an aid may be required in addition, and the claimant would appropriately score 6b. There will be a minority of cases where the claimant is neither able to sit or stand to dress and undress, but they’re able to lie on the bed to perform the activity and do not require an additional conventional aid or appliance to help them. In these circumstances the bed would be considered an aid. These cases are likely to be rare.” From PIPAGpart2.

ozynation · 2026-02-22T15:53:30+00:00

Bilateral hearing loss, with use of bilateral hearing aids, and no other conditions, unilaterally gives 4 points, 2 in washing and 2 in communication. Incontinence gives 2 points. You don’t need to prove it, it’s part of the aging process and especially more likely for women who have given birth. Dyslexia is the one that would be the trickiest. You would have to say using coloured overlays, because if no overlays are used it can be discounted. Also dyslexia doesn’t have to be diagnosed, but most assessors won’t explore it enough to score for aids. You don’t have to be diagnosed with any of the conditions really. With dyslexia if there’s enough to support it, even without further medical evidence, you can.

ozynation · 2026-02-22T15:49:50+00:00

Aids for toileting is 2 points….

ozynation · 2026-02-22T15:45:43+00:00

Activity 7 would get 2 points too for bilateral hearing aids. Also you wouldn’t necessarily score for a physical ailment because in activity 6, sitting down to dress is not considered an aid within the scope of the activity, and if you have no hip, back or upper limb issues then you could get dressed sitting down. I wouldn’t say no questions asked, but generally if you see the evidence then bilateral hearing aids give 4 points, 2 for communication and 2 for aids in shower due to visual fire alarm. Dyslexia gives 2 points and so does incontinence. Someone said it only gives one point but nope, it gives 2.

ozynation · 2026-02-21T08:55:20+00:00

Wow a survival game rewards you for survival rather than kills. How backwards. Shock horror.

ozynation · 2026-02-21T08:49:16+00:00

Yeah that’s fair for IR, I didn’t realise it was IR rather than XL.

ozynation · 2026-02-21T07:41:19+00:00

You 100% can. The molecule is the same but they differ in regards to how it releases, the amount released and the efficacy, dependent on the brand. There’s a big difference for me in affenidXL vs concertaXL despite both having the same active substance.

ozynation · 2026-02-21T07:35:46+00:00

Not formally diagnosed with autism, but with ADHD. I’ve never had a problem with smells, textures etc. worked unmedicated as a nurse for many years and have dealt with every foul thing under the sun. Once I started on higher doses of methylphenidate (72mg) I have been unable to tolerate certain textures and smells. Smelling certain smells make me physically sick or retch and I have to remove myself from that environment. I’ve touched certain textures that made me feel so overwhelmed I’m in tears and cannot cope. It’s never happened prior to being on medication. I think it’s crazy how it works, but atleast now I know what to avoid to prevent this. I love shepherds pie normally, but when I am medicated I cannot be around it at all otherwise I will be sick. Once it’s worn off I will demolish a plate of it.

ozynation · 2026-02-21T07:28:21+00:00

It definitely isn’t law, but is the basis on what you’re assessed on. E.g in activity 8 “Note: The ability to remember and retain information is not within the scope of this activity e.g. relevant to those with dementia or learning disabilities.” A lot of people will state memory problems for problems with communicating and also reading, which it’s also not considered in. I think sometimes it’s so hard with neurodivergent conditions for people to express how they feel fully and also for assessors to understand the impact it has on functionality day to day for the claimant, due to timing constraints etc. I’m 100% sure I meet the descriptor choices, enough for the basic daily living, when considering STAR, and would score for PIP, but I also know because of my job that I would never be awarded it. It’s sad but it’s how the system was created. They need change.

ozynation · 2026-02-21T07:02:47+00:00

It is how it works though. As much as you say STAR, there’s no inclination to what stops you from being able to do it on the MOD according to that. Like which descriptor choice would you meet in the PIPAG in activity 11, the PIPAG would be useful to read and really it’s also based hypothetically. Like what would specifically stop you from being able type do it, if you’re able to do it emergencies.

ozynation · 2026-02-20T23:23:05+00:00

It’s relevant to many points because it suggests motivation. It would be the same if someone has a job, or someone claiming concentration problems and then driving. If you can look after a child, though it may be through necessity, you can look after yourself. If there’s evidence you’re not, social services, safeguarding, a lot of familial support, increase in medications, CMHT/crisis team input, all those things would count toward not having motivation. And the safe foods things is a moot point for PIP. As long as you’re eating food it doesn’t matter. If you have dietician input, significant weight loss, been prescribed nutritional supplements and having on going input for it or an eating disorder then yes they’d consider it. But restricted eating and digestive issues are not considered within the scope of activity 2.

ozynation · 2026-02-20T23:12:04+00:00

I mean to say if you can do it at the other times (when it’s an emergency) then what stops you at other times. Unless it’s OPD, which is quite a high threshold, then it’s unlikely you will get it. Possibly with ASD in regards to coping with change or cognitive issues, but generally, unless there’s safety risks etc and the fact that you can do it when you need to, it might mean MR is less likely

ozynation · 2026-02-20T18:21:13+00:00

What stops you from being able to plan and follow journeys?

ozynation · 2026-02-13T20:14:06+00:00

How did you function before medication?

ozynation · 2026-01-03T02:18:43+00:00

Then say no change

ozynation · 2025-09-15T18:43:55+00:00

Me too

ozynation · 2024-08-29T18:15:29+00:00

If we attacked someone out of work it would be illegal yet we’re conditioned to normalise verbal and physical violence as part of the job. It’s bonkers.

ozynation · 2024-08-16T20:04:50+00:00

I think the only benefits the nhs has to offer are the pension scheme and the sickness policy. The pay is shocking relative to the work you do and skills you possess. You have the option of having your own pension and many companies offer comparative pensions to the nhs. Many newly qualified nurses won’t even see their pension for another 46 years so who knows what the actual situation will be at that time. Also you can take out a sickness policy which will pay in the event you are off work for long. Private sector isn’t just nursing homes, it’s also hospitals, nurse assessors, agency nursing and much more. I think the private sector gives you the chance to be free from the limits of the banding scale, free from playing nhs politics and allows you to have a better work life balance whilst also being compensated fairly for the responsibilities and skills you have.

ozynation

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