Thanks for using Doctor Spring for posting your query.
I have gone through your question in detail and I can understand what you are going through.
The symptoms that you have mentioned suggest that you have a lot of distractibility, and as it is persisting for long, it seems to be a manifestation of ADHD. In ADHD, there is a lot of inattention and also distractibility. This is controlled with the help of medicines like Adderall or methylphenidate. These medicines improve the concentration ability and hence reduce the distractability and hence improves the overall functionality and performance. I personally prefer starting a patient on 10mg of methylphenidate and then increasing it gradually.
Interestingly these medicines start showing their beneficial effect within 3-4 days and hence can be given a try. Do meet your doctor and get these medicines prescribed.
Hope this helps,
In case if you have any further query, do let me know.
Dr. Srikanth Reddy
Patient replied :
fst of all i would like to say thanx for solving my problem, also i want to know one more thing that i forgot to mention last time, can u tell me how can i gain my self confidence, i read so many motivational books but it wont work.
i have no confidence in riding bike ( I fear that i may forget something wrong like instead applying breaks i may use acclarator etc.)
i dont see myself as an ideal husband when i'll marry in future cause m lttle shy type who dont wnt to take leadership, u may say leadership quality is missing.
i fear to speak in crowd or like to stay alone,
i know these are stupid things but i dont know y do i feel like that, sometime i hate myself.
pl help me.
Thanks for the follow-up.
Let me tell you that Depression is a common co-morbid condition with ADHD and many times it may be necessary to treat depression along with the ADHD, Depression can occur with regular stress and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.
If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Patient replied :
thank you, i heard that ADHD is not curable, is it true? so how long i should continue the medicines you advised?
thank you very very much.