Age: 20 Sex: F Height: 5'10 Weight: 125 Race: White Duration of Complaint: anxiety and ADHD for years Location: mental health existing issues: ADHD, panic disorder, GAD, Current medications: Vyvanse 40mg daily (will explain new prescriptions)
I will try to make this as brief as possible. I have been on Vyvanse 40mg for almost two years now with great success to manage my ADHD and some anxiety, but have had to switch doctors due to an insurance problem. Today, I had a visit with a new psychiatrist, and was planning on mentioning the worsening of my anxiety recently. My anxiety is usually tolerable with just Vyvanse, however, about once a week I have a really bad day with it. I specifically told this guy that my anxiety is usually a 2 or 3 on a scale of 10 everyday, and when its bad, it gets up to a 6 or 7. I also explained that my Vyvanse only works for about 3/4 hours for me which is usually fine, but it does wear off rather quickly. Here are the symptoms I explained to him:
-trouble focusing in school, work, social settings
-horrible short term memory
-can't remain organized
-incapable of making fairly easy decisions
-zoning off when making a conscious effort to focus
-easily frustrated
-flinchy/cannot sit still
-constant fear of the worst (in regards to my health typically)
-spending hours online searching for what is wrong with me
-dizziness (when panicking)-guilt
-impending doom (when panicking)
After about 30 minutes of explaining my symptoms and small conversation, without asking for my input, I walked out of this guys office with 4 scripts. The new medications are as follows.
- 40mg Vyvanse daily
- 5mg Ritalin 1/2 tablets at 3pm
- 100mg Gabapentin 3 times daily for first week, then 2 pills 3 times daily afterward
- 1mg xanax 1-2 times daily
This seems like a ton of medication, up to 8 pills a day. Plus, clearly some of them have a high potential for abuse. Was I overprescribed? Should I actually take all of these as directed? Or should i just pick and choose what I take? I don't have the time or money to go find a new psychiatrist that is covered by my insurance, and it took 2 months to get into this guy. Any advice would be greatly appreciated.
I will try to make this as brief as possible. I have been on Vyvanse 40mg for almost two years now with great success to manage my ADHD and some anxiety, but have had to switch doctors due to an insurance problem. Today, I had a visit with a new psychiatrist, and was planning on mentioning the worsening of my anxiety recently. My anxiety is usually tolerable with just Vyvanse, however, about once a week I have a really bad day with it. I specifically told this guy that my anxiety is usually a 2 or 3 on a scale of 10 everyday, and when its bad, it gets up to a 6 or 7. I also explained that my Vyvanse only works for about 3/4 hours for me which is usually fine, but it does wear off rather quickly. Here are the symptoms I explained to him:
-trouble focusing in school, work, social settings
-horrible short term memory
-can't remain organized
-incapable of making fairly easy decisions
-zoning off when making a conscious effort to focus
-easily frustrated
-flinchy/cannot sit still
-constant fear of the worst (in regards to my health typically)
-spending hours online searching for what is wrong with me
-dizziness (when panicking)-guilt
-impending doom (when panicking)
After about 30 minutes of explaining my symptoms and small conversation, without asking for my input, I walked out of this guys office with 4 scripts. The new medications are as follows.
- 40mg Vyvanse daily
- 5mg Ritalin 1/2 tablets at 3pm
- 100mg Gabapentin 3 times daily for first week, then 2 pills 3 times daily afterward
- 1mg xanax 1-2 times daily
This seems like a ton of medication, up to 8 pills a day. Plus, clearly some of them have a high potential for abuse. Was I overprescribed? Should I actually take all of these as directed? Or should i just pick and choose what I take? I don't have the time or money to go find a new psychiatrist that is covered by my insurance, and it took 2 months to get into this guy. Any advice would be greatly appreciated.