Back to the Shrink

I visited my ‘temp’ psychiatrist today.

As a reminder, my usual shrink is on maternity leave, and it appears that she has not yet returned, though I thought she’d be back by now.  I hope she is well.

I first visited this temp doctor more than six months ago. I had a second visit scheduled which completely forgot about– though I don’t understand how.  At our last visit, I’d asked her about being transferred to an altogether new psychiatrist, because I think it’s time I saw someone who specializes in ADHD.  At that time, she gave me some instruction about how to go about it– calling one office or another to set up the referral,  but my well intentioned efforts did not pan out.  Nobody in the department answers phones. Nobody returns phone calls. When I finally do manage to catch a real, live person, they give me yet another number to call.  It’s extremely frustrating, especially when you have a neurological problem with remembering to make phone calls and follow up on them.  In this case, I must have aced the test because I finally managed to come full circle, back to Temp Shrink’s office where I told her this story pretty much as I just told it to you, but without all the back-links.

She completely agreed with me and apologized. But isn’t my regular doc back from her maternity leave yet, she asked.

“Not according to her voice mail,” I replied.

The System. Sigh.

I also told her that the reason I finally felt motivated to push my way back to the system and find her is that I realized that maybe, because I am terrible at remembering to take my meds in the morning, I need a shorter acting medication that I can take later in the day. The later I take a stimulant, the longer into the day it lasts.  The effect already carries over into the evening, sometimes past 10pm. I don’t want to risk having it mess with my sleep, so I won’t take it after around 10:30 am. Many days, I won’t remember to pop the pill until that time or later, and so I don’t take one at all. If I had a short acting pill, I could probably take it as late as 3pm if I needed to.

Temp doc found this predicament amusing.  How ironic that the very pill you need to remember to take your pills wears off before the time you need to take it. I like this woman.

She did give me the scrip I asked for, as a stop-gap measure. I went on and on about how setting an alarm to help me remember to take the meds won’t really work for me because it means I will drop whatever else I am doing and just forget about the medication before I even get to the room where I keep it.  Then I’ll find some other purpose that needs fulfilling and, basically, it’s all a landslide from there and my kids are half an hour late for school again.

She eventually uncovered the fact that I have never actually tried the phone alarm system, and asked me to try it, even if it meant just snoozing the buzzer until me, my phone, and the meds are all harmoniously in the same room together.  If that happens after the hour when it’s practical for me to take the slow-release formula, I’ll just take the short acting one.  I agreed.

She also spoke about starting me on strattera (sp?), but I don’t think I’m ready to start a new medication yet. I’ve been taking this one on a slightly more regular basis lately– I still have never managed to take it regularly enough to establish a baseline, though I do have an idea that I will write up in a future post if I ever get around to it.  Anyway, I’m pretty familiar with it’s effects on me, though I still can’t say for certain that it’s working. I HAVE had quite a productive couple of weeks, though.  Maybe that says something.

I’m a wee bit nervous about taking this short acting drug. The dosing might take some getting used to or adjusting, but I guess that’s just part of the game now.

And that’s my drupdate for now.

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C(K)eeping Up With The Concertas

I saw my new shrink last week.  She was nice, friendly, positive, and generally affirmative (affirmational? She affirmed what I said) but, as she pointed out before we even sat down, it was a bit of a mismatch.  She deals with palliative care patients, and not at all with ADD.  She was only handed my file* because they needed people to take over for my regular shrink, who is now on maternity leave.

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Not My Shrink.                         …ok now tear your eyes away and go back to the blog post…

I was a bit disappointed because I had been imagining this new doctor-patient relationship as the one that would complete me, mental health-wise.  Alas.  I need a Tinder for psychiatrists.

She asked me, at one point, probably because I was rambling at high speed and holding a Grande Pike Place, whether I was self-medicating with coffee. I am not, and I told her as much. I usually have one coffee in the morning and one, if I am desperate to stay awake, around the kid’s bedtime.

She also told me, as my last shrink told me, and probably everyone in the medical profession will tell me, that I need to get on the meds and just stay on them if I want to have a good idea of whether or not they’re having any effect. As you may recall, this is one of the great questions that surround my decision to medicate.

Since taking them intermittently, as I have been doing (sometimes intentionally and sometimes unintentionally)  for more than a year, is not a viable option for me at this point, I have a problem.  Even if I ‘set an alarm on my phone’  (which everyone thinks is the answer to everything ADD), taking them on a regular basis has proven to be much more difficult  than it would seem.  It’s not that I don’t remember to take them. It’s that if I remember, and I am not seated at my desk (where I keep the bottle) or in a position to get the ‘travel pack’ out of my purse immediately, then the task will get put on an indefinite ‘snooze.’

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The Elusive Travel Pack              Writing About it made me remember to refill it!

At the behest of Dr. Affirmational, I decided to try once again. She asked if I could commit to two weeks straight and I told her, without much confidence, that I would surely try.  My appointment was on a Thursday, and I decided that the following Monday would be my first day. I took a pill on Monday. I took one on Tuesday. I took one on Wednesday. I forgot them on Thursday and Friday and then didn’t bother over the weekend.

Correction: I did not forget them on Thursday and Friday, Rather, I remembered on Thursday but I was in the car, driving. And I remembered on Friday but I was in the supermarket, and I  was in a rush to get out.

Today is Monday, the start of a fresh new week.  I took one this morning. It made me jittery after an hour. I calmed down. I am finishing my blog post that I’ve been meaning to write for 11 days.  Thanks to the shakes, I know it’s having an effect on me, but I don’t know if it’s actually fulfilling the intended purpose.  Hopefully, if I can keep up with the Concertas,  I’ll be able to tell you in two weeks. Wish me luck.

 

*Interestingly, she was actually NOT handed my file.  So most of my visit consisted of me recounting all the things I do and the things I don’t get around to doing and how I feel about it all. What else would we have talked about, really?