change2020
Greenlighter
- Joined
- Jul 7, 2019
- Messages
- 4
Hello, and thank you from the bottom of my heart to anyone able to read through and chime in. Really.
At the start of 2020, I will be able to get inpatient treatment that I can afford at the facilities in this network (Cigna PPO): https://www.cigna.com/assets/docs/b...e-use/2017/designated-substance-use-flyer.pdf
Fortunately, I do think I could still afford out-of-network inpatient treatment at a facility not on that list if there were some justification for it, even though the % of the cost covered would be much less.
I am leaning toward a facility near New York (where I currently live) or California (where I am from), with a slight preference toward California simply b/c I have more family there. I would absolutely pursue a program located elsewhere if it was more tailored to my Adderall overuse background, the associated effects, and my general mental health/psychiatric issues, but I am not aware of one.
I am relieved to see some facilities on the in-network list that I have heard of and looked into before (e.g. Betty Ford in Southern California, Silver Hill Hospital in Connecticut and not far from NY) but still want to gain more familiarity before deciding on one.
If anyone has insight or can point me toward good resources for selecting an inpatient facility for starting my treatment, I would greatly appreciate that.
After inpatient rehab, I plan on continuing treatment through outpatient programs while living with family in Northern California during most of the remainder of my 6-month planned abstinence from Adderall and recovery time. And I do know of a harm reduction philosophy (which is my preferred philosophy) LGBTQ-oriented (which applies to me) outpatient program (a couple group meetings per week and a weekly one-on-one session) in San Francisco that might be a good fit for the tail-end of my 6 months plan, but I also want to research more options, especially options that might meet more often (e.g. an intensive outpatient program or partial hospitalization program).
Any tips for researching and finding outpatient treatment options (including the terminology generally used for the different levels or approaches of treatment) are greatly appreciated.
My Adderall overuse resulted in some "paradoxical" effects. I would mostly oversleep, overeat, and need to lay down frequently even if not to sleep. I ended up gaining 100 pounds and at the peak of my overuse and misuse around 2016, I was more or less bedridden, slept much of the day, would quickly get exhausted, dizzy, and excessively sweat from even minimal activity like trying to do laundry.
I will post more backstory in a separate post right after/below this one, but in 2017 I was able to come off Adderall completely and take a 2-month break of abstinence from it (just on my own since by then I did not have coverage or the money/energy to access treatment). When I ran out of money and needed to look for work again, I went back on Adderall at a lower dose (but still higher than the original 20mg/day IR I took from 2008-2012 and although the 2-month break from Adderall did reset my tolerance to a certain extent, it still was not as effective as it was at the original 20mg/day IR from 2008-2012).
Things have improved since that 2-month Adderall break in 2017. But I still have exhaustion issues and excessive sweating issues (to the point that I've even received complaints about my excessive sweating at the job I eventually got when I was able to find work again) and the other issues, though improved, still linger.
Any leads or ideas for approaches to radically improving these lingering effects/my fitness (e.g. adult sport camps or clinics since I was really involved with competitive sports when I was younger, outdoors activity programs/extended retreats) are sincerely appreciated.
Lastly, around 2015 I tried Memantine/Namenda to help with the recovery and tolerance issues, but it was hard to get approved and became too complicated and expensive at the time to continue. The Memantine/Namenda did seem to help in some ways, but it wasn't a silver bullet and I honestly couldn't even really describe how exactly it was helping beyond that I simply felt a little better with it.
I have glanced at alternative approaches (in the realm of Suboxone or Ibogaine type methods) to treat the Adderall overuse effects, the tolerance I've accumulated to Adderall over the years, and the severe anhedonia, brain fog, sluggishness, and lethargy I have without Adderall. But I honestly just ran out of mental energy to try and find some alternative approach, and at this point extended abstinence with a structured and supportive program or plan seems like the simplest and most realistic shot I have at trying to improve things.
But I am open to some different and/or outside-the-box ideas, even just to be aware of, should anyone out there have some to share.
To anybody able to read through this and offer tips, I cannot thank you enough.
At the start of 2020, I will be able to get inpatient treatment that I can afford at the facilities in this network (Cigna PPO): https://www.cigna.com/assets/docs/b...e-use/2017/designated-substance-use-flyer.pdf
Fortunately, I do think I could still afford out-of-network inpatient treatment at a facility not on that list if there were some justification for it, even though the % of the cost covered would be much less.
I am leaning toward a facility near New York (where I currently live) or California (where I am from), with a slight preference toward California simply b/c I have more family there. I would absolutely pursue a program located elsewhere if it was more tailored to my Adderall overuse background, the associated effects, and my general mental health/psychiatric issues, but I am not aware of one.
I am relieved to see some facilities on the in-network list that I have heard of and looked into before (e.g. Betty Ford in Southern California, Silver Hill Hospital in Connecticut and not far from NY) but still want to gain more familiarity before deciding on one.
If anyone has insight or can point me toward good resources for selecting an inpatient facility for starting my treatment, I would greatly appreciate that.
After inpatient rehab, I plan on continuing treatment through outpatient programs while living with family in Northern California during most of the remainder of my 6-month planned abstinence from Adderall and recovery time. And I do know of a harm reduction philosophy (which is my preferred philosophy) LGBTQ-oriented (which applies to me) outpatient program (a couple group meetings per week and a weekly one-on-one session) in San Francisco that might be a good fit for the tail-end of my 6 months plan, but I also want to research more options, especially options that might meet more often (e.g. an intensive outpatient program or partial hospitalization program).
Any tips for researching and finding outpatient treatment options (including the terminology generally used for the different levels or approaches of treatment) are greatly appreciated.
My Adderall overuse resulted in some "paradoxical" effects. I would mostly oversleep, overeat, and need to lay down frequently even if not to sleep. I ended up gaining 100 pounds and at the peak of my overuse and misuse around 2016, I was more or less bedridden, slept much of the day, would quickly get exhausted, dizzy, and excessively sweat from even minimal activity like trying to do laundry.
I will post more backstory in a separate post right after/below this one, but in 2017 I was able to come off Adderall completely and take a 2-month break of abstinence from it (just on my own since by then I did not have coverage or the money/energy to access treatment). When I ran out of money and needed to look for work again, I went back on Adderall at a lower dose (but still higher than the original 20mg/day IR I took from 2008-2012 and although the 2-month break from Adderall did reset my tolerance to a certain extent, it still was not as effective as it was at the original 20mg/day IR from 2008-2012).
Things have improved since that 2-month Adderall break in 2017. But I still have exhaustion issues and excessive sweating issues (to the point that I've even received complaints about my excessive sweating at the job I eventually got when I was able to find work again) and the other issues, though improved, still linger.
Any leads or ideas for approaches to radically improving these lingering effects/my fitness (e.g. adult sport camps or clinics since I was really involved with competitive sports when I was younger, outdoors activity programs/extended retreats) are sincerely appreciated.
Lastly, around 2015 I tried Memantine/Namenda to help with the recovery and tolerance issues, but it was hard to get approved and became too complicated and expensive at the time to continue. The Memantine/Namenda did seem to help in some ways, but it wasn't a silver bullet and I honestly couldn't even really describe how exactly it was helping beyond that I simply felt a little better with it.
I have glanced at alternative approaches (in the realm of Suboxone or Ibogaine type methods) to treat the Adderall overuse effects, the tolerance I've accumulated to Adderall over the years, and the severe anhedonia, brain fog, sluggishness, and lethargy I have without Adderall. But I honestly just ran out of mental energy to try and find some alternative approach, and at this point extended abstinence with a structured and supportive program or plan seems like the simplest and most realistic shot I have at trying to improve things.
But I am open to some different and/or outside-the-box ideas, even just to be aware of, should anyone out there have some to share.
To anybody able to read through this and offer tips, I cannot thank you enough.
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