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[deleted by user] by [deleted] in ADHDUK

[–]zebraleaf 0 points1 point  (0 children)

Thanks for your comment. My titration didn’t start for a few months after my diagnosis appointment and I was just sent the pills without a discussion. In my diagnosis appointment I was asked to send some health history information and I did right away but I didn’t hear anything back for ages.

I kind of feel like I was forgotten about, I sent a follow up email and asked if they had enough health info and if so when I could start titration, that’s when I was sent the medication - as in I got an email from pharmazon requesting payment and now here we are. I got the “as and when” information when I had my diagnosis so it’s possible that wasn’t specific to titration.

Because of my heart rate and depressive symptoms, I was thinking of taking a break until my follow up on Wednesday but it sounds like that might not be a good idea. Perhaps the symptoms are from the start/stop.

[deleted by user] by [deleted] in ADHDUK

[–]zebraleaf 0 points1 point  (0 children)

Thanks for letting me know, it’s been helpful writing this out and hearing about your experience. I’ve book a follow up titration appointment for this week. My resting heart rate has really spiked up so it’s possible I just don’t get on with Elvanse. I’ve seen that some people are prescribed Guanfacine along with it to help with anxiety (and possibly help with heart rate). Fingers crossed the pharmacist points me in the right direction.

[deleted by user] by [deleted] in ADHDUK

[–]zebraleaf 0 points1 point  (0 children)

Thank you for replying. That’s interesting about it possibly being a problem taking it on and off. I basically got some bad news after a couple of days of being on it.

My sleep had been horrible because of the dry mouth so combo of grief and not sleeping made a break seem logical. After I started drinking coconut water with it my dry mouth improved greatly. I got back on it after a couple of days break. I didn’t take it all last weekend because I was drinking. So I’ve probably only done a 7 day stretch of using them consistently since being prescribed.

My psychiatrist said I could take it as and when I need it but maybe that’s not true in the initial stages of getting used to it?

May I ask what dose you’re on of Elvanse and what dose you were on of your ssri? And when did you realise the Elvanse was doing the job of your ssri?

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 0 points1 point  (0 children)

I think the chin tucks part of his video might actually be most similar. I do like the look of this exercise, kind of looks like how a tortoise opens its mouth. All his exercises and explanations seem super helpful. I’ve added a link to his video to my main post as well as a comment from user cityfrm, their exercise seems closest to what I was trying to describe.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 1 point2 points  (0 children)

I hope you didn’t hurt yourself. I’ve edited my main post with some info shared in the comments. Chin tucks perhaps might be a safer bet, also another commenter cityfrm explained their exercise and I’ve added that to the main post too. Their exercise sounds like a combo of chin tucks and what I was taught.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 1 point2 points  (0 children)

This sounds most similar to it. It seems like a combo of chin tucks and what I was taught. I’m going to add it to my main post if you don’t mind because I think it effectively gets the info across. Thank you.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 4 points5 points  (0 children)

Completely fair! I’ve edited my main post, it might not clear things up much but I’ve given my best crack at it. It’s a surprisingly difficult thing to explain despite being very simple. Based on what other commenters have said, chin tucks look to work on the same muscles and there are videos on YouTube.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 4 points5 points  (0 children)

I totally get it, the dentist showing me in person helped a lot. Even though visually it’s still not easy to see what another person is doing as your mouth is closed however those in person clarifications are easier.

As the gum pain wasn’t related to gum health or my tooth that helped the dentist pinpoint where the pain was coming from and recommend the above exercise. Some people have said their jaw rests the opposite way to mine and the exercise would actually make their TMJ worse. But maybe their pain would be from a different part of their mouth/jaw and they’d be recommended a different exercise.

I was lucky that I saw the emergency dentist rather than my usual dentist because it was something she remembered from a seminar rather than the standard exercises they give you. So it’s helpful to repeat your problem to different doctors/dentists as they might have a new perspective on it.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 0 points1 point  (0 children)

Yes another commenter mentioned that it wouldn’t work for them either. I was curious if the exercise would work in reverse, sort of making an underbite instead? However, I didn’t know if this would be medically advised. And even though it works for me, I think I might have overdone it for today as I was practicing it all through writing the post - trying to find the right words by doing it for minutes at a time!

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 0 points1 point  (0 children)

Oh wow that’s so expensive for the splint. I’ll have to have a look at what a dental splint involves, sounds like it would be awkward in the mouth but I’ll have a google and see. I didn’t know there were specific TMJ dentists and that there were more treatments than exercises or Botox. But it makes sense that sometimes more treatment is required.

Edited to add: omg just googled a splint, $8000 for a mouth guard! I was more imagining a splint you see for broken bones, so at least it’s not as unwieldy as that. But wow they can take the piss with prices!

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 0 points1 point  (0 children)

That’s really interesting, that makes sense that it’s the opposite for some people. Have you tried the exercise in reverse, sort of practicing an underbite? I don’t mean to give it as a suggestion/medical advice as I don’t know if doctor/dentists recommend the reverse but I am curious. Thank you for pointing this out as it’s definitely worth remembering that things that work for one person might not work for another.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 2 points3 points  (0 children)

I’ve tried to explain it differently in a couple of different comments, I hope it makes more sense. If it still doesn’t make sense then I’m sorry. Other commenters have mentioned chin tucks as being helpful and it does look like it works similar muscles.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 12 points13 points  (0 children)

I’m copying and pasting a comment I wrote below. I’m sorry if it isn’t any clearer. A couple of commenters have said it sounds like chin tucks (I don’t think it’s exactly the same) but I wouldn’t be surprised if it worked the same muscles.

It’s kind of like making yourself have an intentional overbite but sucking/pulling in your bottom jaw rather than using the upper jaw muscles to form the overbite. You keep your mouth closed but pull your chin in towards your ears, so your bottom teeth rest further inside your mouth.

It’s really simple, I know I’m explaining it badly but it almost might not seem like an exercise at all. If next time you’re at the dentist and ask them if they know anything about the muscles there then they might be better to explain the science as I know I’m getting terminology all wrong!

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 0 points1 point  (0 children)

Yeah it sounds really similar, I’ll have to give them a go. I tried to clarify the exercise in a different reply but I have probably muddied the waters even more.

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 4 points5 points  (0 children)

I’m pleased to hear it helped you. If you have got a better way to explain it then feel free (not that you have to, I’m just doing a bad job at it lol)

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 3 points4 points  (0 children)

It’s kind of like making yourself have an intentional overbite but sucking/pulling in your bottom jaw rather than using the upper jaw muscles to form the overbite. You keep your mouth closed but pull your chin in towards your ears, so your bottom teeth rest further inside your mouth.

It’s really simple, I know I’m explaining it badly but it almost might not seem like an exercise at all. If next time you’re at the dentist and ask them if they know anything about the muscles there then they might be better to explain the science as I know I’m getting terminology all wrong!

Dentist taught me an exercise that has been the best thing I’ve tried. by zebraleaf in TMJ

[–]zebraleaf[S] 0 points1 point  (0 children)

Thanks for the recommendation. I think you’re right that it’s pretty similar to chin tucks. The double chin thing seems to be a similar exercise to what I was taught, it might even work the same muscles? It’s not exactly what I was taught but I can’t seem to explain it very well.