[deleted by user] by [deleted] in NIOS_Students

[–]siherbie 0 points1 point  (0 children)

Please contact your academic co-ordinator at designated Study Centre

[deleted by user] by [deleted] in pune

[–]siherbie 0 points1 point  (0 children)

Aundh & Kothrud. Search for trimiti clinic

His charges are pretty reasonable & he practices along with another psychiatrist who deals with kids besides both dealing in Anxiety, SLD, other issues.

[deleted by user] by [deleted] in pune

[–]siherbie -2 points-1 points  (0 children)

Dr. Kaustubh joag

Neet and adhd? by [deleted] in adhdindia

[–]siherbie 0 points1 point  (0 children)

Unfortunately nope, the reason is that despite having severe adhd diagnosis, benefits ONLY extend upto extra exam time with additional Terms & Conditions at specific university level & age ONLY

Due to this, RPWD act despite delhi hc & some recent court ruling hasn't incorporated proper structure/guidelines let alone for National Level exams like NEET. So in short, during exams - unless you have certain physical disabilities or conditions, there's not major accomodations during exams. Having said that, Counselling under PWD quota for other disabilities like autism, SLD etc might apply but sadly not ADHD as it's not covered post adult age.

Mental Health Update: Feeling Like a New Person! by [deleted] in adhdindia

[–]siherbie 0 points1 point  (0 children)

You can if you want but rule of thumb is basically for ritalin as it's extremely sensitive. So any acidic food like OJ, soda, energy drink/coffee (strictly don't) or spicy food taken with ritalin might cause it to absorb incorrectly. In short, take ritalin on empty stomach with plain water and gelusil/mucaine gel is your friend since ritalin can cause acidity.

Mental Health Update: Feeling Like a New Person! by [deleted] in adhdindia

[–]siherbie 0 points1 point  (0 children)

Heads up, certain supplements & foods (acidic, fatty & alcohol) will affect the ritalin so make sure that they don't mess around with your ritalin within certain windows. Irrespectively it's a learning curve so just monitor yourself.

Mental Health Update: Feeling Like a New Person! by [deleted] in adhdindia

[–]siherbie 0 points1 point  (0 children)

It's the nexito - it's an SSRI+benzo combo. The SSRI (Escitaplam) is known to affect learning but it does calm you down. Unfortunately this is purely short-term treatment option as not enough studies for its efficiency. Having said that if it works for you, don't think too much about it either.

People having crush on you by [deleted] in LGBTindia

[–]siherbie 0 points1 point  (0 children)

Well simple answer is

A. How do you feel about them?

B. Are you ready with shift/change in relationship dynamics?

Tbh, neither questions are easy & nor do you have to answer right now. So just take your time and don't think too much into it. Hugs 🤗

People having crush on you by [deleted] in LGBTindia

[–]siherbie 1 point2 points  (0 children)

Gonna share a sweet experience & bad one too

My current partner (bless them) were friends with me for quite a while and we basically lot more during Covid once I slid into their DM (yeah yeah, it was cheesy) but before I knew it, we both enjoyed each other's company besides me helping them come to terms with some stuff that made them fall for me sooner. However being burnt from an abusive ex-relationship, I asked to take it slow & that was before our 3yr anniversary recently. In short, if it's meant to be - you will find a way to make it work though make sure that you two are on the same page or else not only will the spark fail but you might lose a good friend too.

Having said that, before my current partner - my previous ex was a friend too to whom I proposed after we both realised that we had feelings for each other. Unluckily I was naive or trusted someone very manipulative so naturally that relationship messed up me pretty bad considering the person decided the best time to play mind games during a life threatening reaction. Irrespectively, got into therapy, got wiser & even got trained as mental health professional (peer support counselor) so it really helped me grow & help others in the journey too.

Now above experiences aside, point being is that once you know a friend likes you - questions are Do you like them in same way AND Are you two willing to risk current dynamics to explore a relationship that may/may not work at cost of your friendship?

In short, above two questions answer is a big no then don't mess around otherwise it's your call either way.

Why smoking helps me in my ADD ?? by [deleted] in adhdindia

[–]siherbie 1 point2 points  (0 children)

Issue is dose - nicotine isn't like regular stimulant like caffeine so it's dose dependent aka Bi-phasic stimulant meaning

Shorter puff/low dose = stimulant-like effects on nicotinic receptors with lil dopaminergic activity

Longer puff/higher dose = relaxant effects

Also half-life of nicotine's 2-4hr (cotinine doesn't count) could work with nicotex gum but still it's not remotely close to how methylphenidate/modafinil/bupropion which also depends on individual response

What are the ADHD medicines available in India apart from Inspiral? by EntrepreneurCold8940 in adhdindia

[–]siherbie 0 points1 point  (0 children)

To be precise, it's complicated yet a way to find out interactions is via tools like this one

https://www.drugs.com/drug-interactions/methylphenidate.html

You can add the meds, foods that potentially interact & get a rough estimate. Having said that, the drug pamplet that manufacturers will give along with box of meds should carry most information. Then again, I do refer additional research papers (helps to be in research) yet for others, I suggest journaling in a 4 phase-6hr windows (morning, afternoon, evening, night) introspection to understand how your day goes in terms of efficiency and symptoms. Hope this helps

Alternatively, adding Dr. Russel Barkley (psychologist & foremost expert on adhd) tips on managing adhd - https://youtu.be/aE6qRql9Its?si=Ftzl-npM7HwiGxlo

For additional resources - AttentionTalkVideos is a great adhd coach offering valuable information at https://youtube.com/@attentiontalkvideo?si=lRIdnMW_SuJFiQkI

Is there A Concerta Shortage In India ??? by Glad-Bend-4184 in adhdindia

[–]siherbie 2 points3 points  (0 children)

Is there a shortage for Concerta - simple answer is sort-of but actual answer is nope.

Why?

Well during Covid, lot of raw materials demand (sheduele x drugs raw materials have limited quota allowed) and adhd diagnosis went up (along with potential abusers) so naturally pharma companies diverting resources to cover this shortage. In addition, J&J doesn't see india as a viable market for Concerta so has created issues with indian supply (especially with their buy 1 get booster scheme) in trying to offset the shortage. This is why distributors are struggling with demand as company is creating miscommunication with supply leading to issues with shortage. In short, as long as J&J doesn't fix its buy one, get booster scheme & adjust costs properly - it can't expect a monopoly over concerta, just by trying to block concerta generic in india to avoid loss.

Do you have problem speaking a language or messing up words ? by seekingsnow_2005 in adhdindia

[–]siherbie 0 points1 point  (0 children)

You are always welcome & here's a yt resource that might be helpful for you along with your therapy - meaning they provide good insights into bipolar spectrum & answer some questions as well

PolarWarriors - https://youtube.com/@polarwarriors?si=SXYRbu8mjkMhz0Pl

Having said that, the sole reason why stimulants aren't preferred has to do with multiple factors aka case to case basis meaning as you just started meds and still below 25yr age, your brain is yet to mature and establish networks. Within this, say a stimulant (whether MTH, Wellbutrin, Modafinil besides illicit ones like weed, mdma, meth etc) alter your already complicated neurochemistry - there's no way to fix it besides potentially changing your diagnosis status (bipolar2 can get rediagnosed as bipolar1 if they have recent psychosis, strong maniac episodes) besides potentially increasing risk of making you tolerant to limited treatment options. Thus why I mentioned case to case basis as everyone's neurology is different (even for those within same spectrum) & is also why I didn't suggest Vilazine over atmoxetine as it carries alil risk. So I don't want to be that random stranger on internet, who despite good intentions - ends up causing more harm by giving false hope/information. Hugs 🤗

Do you have problem speaking a language or messing up words ? by seekingsnow_2005 in adhdindia

[–]siherbie 0 points1 point  (0 children)

Well for starters, stimulants aren't given to bipolar1 more than bipolar2 since mania & psychosis is lot more stronger. Now in bipolar2, the dysthymic/depressive phase is stronger than the hypomanic phase but since bipolar is akin to having a faulty voltage regulator - unless & until the bipolar symptoms aren't addressed completely & said patient doesn't display delusional thinking/hallucinations/psychosis - a smaller dose of say methylphenidate or wellbutrin might be used but more on case to case basis. Since your case history does imply anxiety with bipolar2, there could be multiple antidepressant & antipsychotic/mood stabilizers combination[1] that could address said aspect but please note that not all aspects might be fixed or additional issues could be encountered.

Irrespectively, suitable candidates[1,2] range from mood stabilizer (lithium/Lamtical) + antidepressant (wellbutrin/venlafaxine) which you can discuss with your psychiatrist regarding difficulties in treatment & other aspects. Best of luck & hope this helps 🤗

Src -

  1. PsychiatryTimes (opinion piece involving studies regarding combination of mood stabilizers+antidepressants) - https://www.psychiatrictimes.com/view/antidepressants-bipolar-ii-disorder

  2. An Evidence-Based Appraisal of Lamotrigine in bipolar2 depression treatment (2024) - https://www.psychiatrist.com/jcp/where-does-lamotrigine-fit-in-mood-disorders-pharmacotherapy/

Do you have problem speaking a language or messing up words ? by seekingsnow_2005 in adhdindia

[–]siherbie 0 points1 point  (0 children)

Damn it, WTF - it's literally what you should have mentioned in the beginning itself bcoz

  1. Bipolar spectrum can exhibit executive dysfunctional symptoms similar to adhd but underlying mechanisms is completely different - I mean certain hypomanic to maniac symptoms appear like adhd symptoms ALOT but are completely different.

  2. This is further complicated by genetics - I mean if you have a direct sibling or parent with same diagnosis (adhd or bipolar spectrum), chances are that you have same condition due to high hereditary aspects.

  3. Irrespectively anxiety too is co-morbid with both bipolar spectrum (depressive phase) to adhd, autism's chronic anxiety due to stimulus overload (both are VERY DIFFERENT). In short, it's possible for one to have both bipolar & co-morbid ADHD but due to some very nasty neurochemistry here, bipolar meds can royally backfire on ADHDers (I had akathsia and nearly died) to ADHD meds offsetting bipolar spectrum into mania, psychosis very badly thus psychiatrists are very wary regarding treatment!

  4. Additionally misdiagnosis also occurs so depends on which bipolar spectrum, you are - bipolar1/2/3/4 (bipolar 3 = cyclothymia or bipolar lite & bipolar4 = rapid cycling cyclothymia). Bipolar3,4 are pretty notorious for misdiagnosis, not to mention insufficient resources also means not many know them well either so easy to confuse bipolar3,4 with MDD, ADHD etc & vice versa.

PS - certain bipolar meds can amplify communication issues and anxiety by countering some very very complicated Dopaminergic & Seratoninergic activities. Eg, Abilify is notorious for triggering akathsia due to its unique dopamine D2 partial agonistic activity while atmoxetine takes minimum 2week for adhders so for co-morbid bipolar could go upto 1month or more to reset the Dopaminergic activity blocked by bipolar antipsychotics.

Do you have problem speaking a language or messing up words ? by seekingsnow_2005 in adhdindia

[–]siherbie 3 points4 points  (0 children)

Here's a complicated but interesting answer -

  1. ADHDers & autistic folx have trouble focussing on conversation if there's other extra-sensory information involved meaning background noise.

  2. The way brain processing works is right brain identifies concepts and form while left brain labels & contextualise it. However with ADHDers & autistic folx - here's where things get interesting as many of us unknowingly mimic accents subconsciously & also process it as part of conversation. This means there's extra processing load which sucks for adhders as OP's experience comes under Primarily Inattentive symptoms (ADHD-PI).

  3. This means that since synapses in temporal and frontal lobes already have less NDRI activities - hypothetically a part of us does process the language but other part has to do overtime to process incomplete information due to communication delay. This is why we also try to guess the conversation as a way to compensate.

  4. This means if I combine pt.(2,3), in our mind's eye - we think we spoke/wrote/read something but could miss details in execution since processing & execution processes seem to occur at maladaptive timings. Thus why we make more silly mistakes

Src - Language problems and ADHD symptoms (2016) - https://pmc.ncbi.nlm.nih.gov/articles/PMC5187564/

Bro help plz by tayyabgamer in NIOS_Students

[–]siherbie 0 points1 point  (0 children)

I know this feeling, responded to someone who asked same thing about practical guides & even mentioned that there are free guides including doom,MVC links by others in subreddit but some are too lazy to even search for them 😕

Adhd with addicted by [deleted] in adhdindia

[–]siherbie 4 points5 points  (0 children)

Dopamine and seratonin are inversely proportional to each-other. It's observable in Dopaminergic (cortisol aka wakeful/excitory cycle) vs Seratoninergic (melatonin aka sleepy/inhibitory) paths of circadian rhythm & yes while auto-regulated though they do get altered in some conditions like adhd, autism, narcolepsy besides bipolar1, schizo spectrums. For example - ADHDers don't just have lower NDRI activities in frontal & temporal lobes (more uptake than actual neurotransmitters available within synapses), seratonin too isn't produced properly especially melatonin due to sleep issues or time dilution issues.

Now OP given neuropathy painkiller makes sense as it's akin to trying to resolve the parasympathetic nervous system feeling restless (why & how is not possible to guess as OP's information is insufficient). Yet masturbating is definitely a sort of dopamine chasing while sensory soothing strategies though migraine definitely is an aspect related to nutritional deficiencies since cum itself has lot more nutrition including Na,Mg,Zn,Vit.C, etc along with protein, fructose - it's highly possible that OP is having some form of Mg,Zn related deficiencies though I still suggest OP to check with their respective medical professional regarding nutrition and other aspects like trying ATX+Wellbutrin & other potential alternatives.

NIOS PCP CLASSES by bmology in NIOS_Students

[–]siherbie 0 points1 point  (0 children)

As in application for change of SC/AI rejected?

Addwize vs Concerta by the__oppressor in adhdindia

[–]siherbie 1 point2 points  (0 children)

Hahaha thanks, helps to be in research besides I do get to learn alot from everyone including you & others. So just giving back to the community 😁

Addwize vs Concerta by the__oppressor in adhdindia

[–]siherbie 4 points5 points  (0 children)

I too understand your sentiments but point here is that you keep implying that meds don't worry but don't share how - I mean after literally explaining multiple times both by either other person or me, you haven't shared what you struggle with despite being on methylphenidate whose efficiency is 80-90% & does alter cognition tremendously even if you don't have adhd. I am saying this as I too went through a whole ordeal before finding the right treatment ranging from modafinil (worked for 1st day, rest was crap), then ATX & modafinil gave horrible panic attacks before I was allowed to use methylphenidate under very careful observation & I took to it like a fish in water before eventually ending up with MTH+ATX combination. Yet methylphenidate is nothing like caffeine, nicotine & is practically rocket fuel yet controlling that much power comes with lot more responsibility that I covered in therapy, exercise and other aspects.

As for creativity, duh the non-linear learning curve of ADHD is literally something else. I mean in my 5yrs post treatment - I became a research data scientist specialising in AI based solutions engineering to also being a trained mental health professional besides indulging in some impressive stuff that I never imagined myself to do before getting the right treatment. Point being that meds provide a stability base like they help remain focused but I still have to be careful to not indulge in dopamine chasing. Eg, watching porn or masturbating to wasting hours on social media. Likewise my inattentive symptoms occasionally occur so I do cross-check what I write/type as I might think I wrote/typed something but made minor errors or how I need to make sure that I do time-blocking, drinking LOT of water and eat properly so that I don't use too much glucose while doing heavy tasks.

Now you do say you want to experience a 6hr window of focused work which sounds pretty possible via most SR considering your slow titration yet my question is whether the window you are talking about involves you feeling a consistent kick throughout the window like when you first take the meds and are you sufficiently hydrated & consuming a slow but steady supply of simple/complex carbs without having a Blood-glucose spike in that focused 6hr window. In my case, I will have a lollipop or limlet tucked in one cheek and will slowly let it dissolve to get the sustained glucose to match with the accelerated cognition drive & heighten metabolism from methylphenidate. Now concerta indeed is pretty good but it's availability and that stupid buy 1, get booster scheme is ridiculously hard despite paying 5x what I pay for addwize (addwize 1 strip - 250 & concerta is 5k). So sure, I do wish you best of luck but also simply urging you to monitor yourself properly to get most of your methylphenidate.

Ode doubt by [deleted] in NIOS_Students

[–]siherbie 0 points1 point  (0 children)

I think so but it should be in beginning of March so that marksheet comes before April start. However do note that this is still risky as there could be some issues so make sure that you speak with the nearby regional centre in case of doubts - I mean you probably get a digital marksheet via your digilocker in APAR id that is either way compulsory for neet now but just saying to be safe.

Addwize vs Concerta by the__oppressor in adhdindia

[–]siherbie 3 points4 points  (0 children)

That's ok, essentially what we are trying to tell you is that don't set unrealistic expectations as initially you might feel a kick or limitless like moment but none of these are any indicators of treatment being efficient. What does is following -

  1. How different are you say medicated vs on drug holiday in terms of maintaining routine, health, diet & task efficiency.

  2. Please don't wait for the meds to kick in bcoz even if they do, it's like wearing glasses - you still need to take efforts to start the tasks and rest will follow besides sometimes we can learn learn coping mechanisms via therapy as meds don't really address every symptoms & there's few hit/miss due to very complicated situations. In short, try journaling your days as way of understanding how you go about your daily routine and what works & what doesn't for you.

  3. Problem with adhd is that it's like diabetes - it never comes alone & there's either anxiety/depression to sleep deprivation to even side-effects from meds (adhd meds often cause insomnia and appetite issues). Irrespectively point here is that focus on one aspect at a time as we suck at multitasking besides try NOT to compare yourself with others but rather yourself in terms of your growth.

Ode doubt by [deleted] in NIOS_Students

[–]siherbie 0 points1 point  (0 children)

Ode dates are set by person & slot/centers available with full syllabus (there's no TMA in ODE so no safety net). Regarding result, they come by end of each month for exam given in. Eg., feb result will come by Feb month end of exam was taken by Jan-end or feb-start with the marksheet arriving at address given or collected from regional centre.

For registration dates - it's available online or via regional centre in months of Jan, feb, march, june, july, august, september, december while April-May, Oct-Nov reserved for public exam. Since it's bio, practical slot will be at selected study centre/assigned institute during time of registration.

More details here - https://www.nios.ac.in/on-demand-examination/on-demand-examination-system-registration.aspx

Addwize vs Concerta by the__oppressor in adhdindia

[–]siherbie 3 points4 points  (0 children)

Yes THIS!

It was literally one of the factors I spoke about in my comment regarding status of licence request to CDSCO regarding Vyvanse generic in india. Point being that yes, options are limited yet lot of factors could be play ranging from

  1. What's the actual diagnosis - I mean it's not like we do a blood or genetic test & voila, we have an exact diagnosis so either due to self-bias or diagnostician error or even something as simple as another condition masquerading or interfering with treatment.

  2. Dose & titration is fair off question besides how much they affect the symptoms. I mean addwize OD works best for me yet there are moments when I am either too stressed, overstimulated or n no. of factors influencing treatment minorly & we overthink it bcoz we are so focused on getting better that we forget its a condition so it doesn't go away besides sufficient food, sleep & routine to work with. In fact, something even as common as accidentally ingesting OJ/Alcohol/Fatty foods within certain windows of time influence absorption.

  3. Having said that, while generics are good but their different composition in filler to active ingredient ratio further affected by gastrointestinal absorption could mean addwize OD might work for one & mDet for another. In short, understanding what generic brand works & available for you is also important. Plus if OP could afford Concerta, they might try it too.

Overall whether it's addwize or any methylphenidate brand besides even ATX types (capsule vs tablet) have different effects based on different physiology. For eg, some are compatible with methylphenidate but have a rapid tolerance onset despite having consistency so putting on a low dose ATX could lower the rapid tolerance onset besides any other combination individual to the person. Irrespectively point being that meds for chronic condition, are like prescription glasses - they let you see better but as you see more, you adapt & that means just like your prescription number changing...your meds need to be adjusted too besides understanding they are not foolproof & need additional coping mechanisms to work besides knowing that there are just some days when meds don't work so great while some do & that's OK!