Welcome to the group george...
You're right that ADHD and bi-polar do have a lot of the same symptoms, yet they both have some very different symptoms, as well. I don't believe in "across the board" treatments for either as treatment must tailored to fit the patient...
I'm not sure if you're aware, but each original post must be accompanied by a link from a news source regarding the content of your post... it's supposed to be a current news article, but I couldn't find one, so I supplied the following for you:
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You've made some interesting points.
I'm a huge advocate for meds. and therapy when it comes to treating folks with behavioral and psychiatric disorders. I once had a therapist tell me, that the depression and anxiety will often resolve itself once the ADHD is properly addressed and managed; she was right for the most part in my opinion. Environment can also play an enormous part in the management of a disorder..
ADHD coupled with depression and/or anxiety can become a vicious cycle if it goes untreated. It's not uncommon, from what I've learned, for some patients to go through a variety of stimulants, non-stim's, and antidepressants before they find one that actually works for them. It can be so frustrating to go through the trial and error phase of finding the right meds. Of course there is no magic pill that will make life 100% better for the patient.
Not everyone does well with just the meds; therapy can really make a big difference for someone who has no outlet for their pain. Therapy can also be a great source for coping with and managing their disorder(s). What would really be terrific is if all mental health care was completely covered by some type of a state run entity other than health and human services...
Mental health run by the state, typically, tends to be "one size fits all", when it needs to be tailored to the individual. I know someone whose mental health care, along with hypothyroidism (which also causes depression and other mental health type issues), is handled by the state and the person does not do well at all...
Maybe this was posted in the wrong forum?
I agree w/ you about state maintained health care; where I'm at (Ca.) it isn't quite up to par ~ in fact, often it stinks. That's why I think that it needs to be overhauled and taken out of the H&H services hands altogether.
Regarding the 'one size fits all', there are steps and guidelines that every Dr. has to follow in order to get a patient into treatment/therapy. Yes, it does sometimes seem like it's made to fit the masses, but I suppose that's because of the sheer volume of patients they have to deal with and resources ($$$). I've gone through at least 2 different therapist in the last 3 years, because I felt like it just wasn't the right fit. The recent one has really made all the difference; she's willing to work w/ us and she's open to alternative therapy re. meds.
I think what you've mentioned brings up a good point and is probably the reason why so many lose faith in receiving any type of treatment that is worthwhile...
I thought that a possibility, too (and could be), but this is the only group/forum, george belongs to, at this point.
It's a good topic... we don't have to be all about politics and we really need to look at mental health, in relation to a lot of different things, such as gun control, mass killings, etc.
Not every state provides the option of changing therapists, at will. In some states (the one I mentioned above, being only one), the patient is assigned a therapist and a primary care doctor and no matter how they like (fit) or agree with the treatment, that's what they get, because that's the "standard of care" in that state, which is only the minimum of the care. This is a state run (Medicaid) program, not H&H services... Because of the way care is managed and testing is done, the patient receives sub par thyroid treatment, which exacerbates the mental health issue; hence antidepressants (and other anti-psychotics) are more prevalent than the necessary thyroid treatment...
I do think the quality of mental health services is dependent on what each state does and funding. In general, mental health is underfunded nationally. Our state does a pretty good job, to be honest. We have clinics and outreach services that the doctors involved are excellent. My professional life involved working with mental health professionals and organizations/associations/services and would put forward that care in my state/city did what it was supposed to do.
Thyroid and mental health is associated and a good psychiatrist knows this. However, you will see differences in how they treat. Theories of treating which one first come into play. I personally recovered from an underactive thyroid with no medication or intervention with my thyroid by treating my low level depression or dysthymia. (most who have thyroid issues seem to have a more low level depression which is called dysthymia for those who aren't familiar with that term). Because of my professional background and understanding the association, I went the route of knocking out the dysthymia with medication that I took for about 6 months. Thyroid righted itself. It has been almost 25 years since this experience and my thyroid has tested within normal after taking the route I did. Total side note on this post but since Barb mentioned thyroid and depression, thought I'd share my experience.
To the poster, for treating clinical depression, it is widely known that the best course of treatment involves a combination approach of medication and talk therapy. You sound to have a very complex medical history though. ADHD, mood disorders and depression requires a good psychiatrist to manage. Good communication with your doctor is essential as you try different medications to improve the situation. Add each one slowly monitoring if you improve in any way.
However, you are talking about bipolar and adhd. These two disorders are often linked but are separate diagnoses.
crud, hit submit. They are often linked. You are right. Medication for each diagnosis is then often given. But, talk therapy does still help. Is that what you mean by environmental issues?
Again, for this type of mental health situation, talk therapy PLUS medication has the best results in terms of treatment. But, medication is really an essential piece.
You find these days that many psychiatrists provide medication guidance for patients but do less and less of talk therapy. They manage meds rather than this traditional role of psychotherapy they once provided. They then rely on psychotherapists/psychologists to provide this. I personally think a psych who provides both ends of the treatment is the best option or one that has a therapist in the office with them that they work with.
Anyway, food for thought. I hope that if you are writing about yourself that you are getting the best treatment to help you function on a daily basis and feel good. peace
Just in case you are new to the site and hoping to get some help for these disorders, here is a listing of the med help communities. If you hit the link, you'll be taken to a page of what is available. On the left hand side there are many options in alphabetical order. good luck!
You got lucky... unfortunately, in the case I mentioned above, as well as most of what we see in the thyroid community, far too many people are given only antidepressants, anti-anxiety meds, etc with too little thought given to the thyroid end of the situation. Once patients can get the care they need for the thyroid condition i.e get actual thyroid levels tested and adjusted to where they need them, not just the TSH within a normal range, symptoms of depression, often go away or are much reduced. Many can get off their anti-depressants, but few avoid or get off thyroid medication. Depression that goes with thyroid conditions (can go with either hyper or hypo) is not necessarily low level depression, though many doctors will try to convince us of that.
In my opinion, certain antidepressant and/or anti-anxiety medications should only be prescribed by a psychiatrist and should always be accompanied by talk therapy, because too often primary care physicians are left in charge of those medications and they often over prescribe them. The patient is, then, left to take them, whether they're a "fit" or not. I was put in this situation and I had no choice but to stop the med on my own, because it wasn't right for me and the doctor wouldn't listen. It took going to a different doctor to get the right diagnosis.
Depression/bi-polar disorder and ADHD should always be treated on an individual basis because there is never a one size fits all.
Georgeglass and R glass is just a coincidence.