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	<title>Comments on: Adult ADD, Comorbid Depression and Anxiety</title>
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	<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/</link>
	<description>A blog about Attention Deficit Disorder, and Attention Deficit Hyperactivity Disorder</description>
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		<title>By: flowerdot</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-867082</link>
		<dc:creator>flowerdot</dc:creator>
		<pubDate>Sun, 05 Feb 2012 21:14:28 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-867082</guid>
		<description>Jon,
I found this site and have read your questions and comments with special interest...maybe because of our similar ages and histories. If you still participate in this blog, please respond. I just want to pick your brain. I promise not to take up too much of your time. Thanks</description>
		<content:encoded><![CDATA[<p>Jon,<br />
I found this site and have read your questions and comments with special interest&#8230;maybe because of our similar ages and histories. If you still participate in this blog, please respond. I just want to pick your brain. I promise not to take up too much of your time. Thanks</p>
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	<item>
		<title>By: Dr. Kenny Handelman</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-436397</link>
		<dc:creator>Dr. Kenny Handelman</dc:creator>
		<pubDate>Thu, 02 Jun 2011 22:55:20 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-436397</guid>
		<description>Teach,
Thanks very much for taking the time to share your experience. I believe it will be very helpful for others.
One quick comment - Cymbalta is a newer medication in the same group as effexor. If the finances work better, maybe that could help you.</description>
		<content:encoded><![CDATA[<p>Teach,<br />
Thanks very much for taking the time to share your experience. I believe it will be very helpful for others.<br />
One quick comment &#8211; Cymbalta is a newer medication in the same group as effexor. If the finances work better, maybe that could help you.</p>
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		<title>By: Teach</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-435195</link>
		<dc:creator>Teach</dc:creator>
		<pubDate>Wed, 01 Jun 2011 23:53:06 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-435195</guid>
		<description>Dr. Handelman for your work on this subject.

I was diagnosed with ADD just over a year ago as a 35 woman.  After just barely graduating college, I began waiting tables.  I stayed &#039;stuck&#039; for about 10 years.  I spiraled through life drinking daily and using cocaine often, every couple of years I would attempt to apply for a teaching position.  However, in typical ADD form, never followed through. 

Eventually I gave in and put myself in rehab.  This was my first visit with a psychiatrist.  He diagnosed me with depression and GAD, in addition to the &#039;alcoholic&#039; label.  I attended AA and remained sober for over 3 years, I learned a lot while in AA, mainly how to forgive myself.  During this time I was prescribed a few anti-depressants, finally finding that Effexor worked the best, and Trazadone for sleep.  Fast forward another couple years and a move to a new city.  I had to wean myself off of Effexor, WAY too expensive for me at the time.  Effexor is HELL to come off BTW.

I finally got into teaching, and went back to school for my masters.  Stable enough and insured, I went to a new psychiatrist, as I was struggling with keeping up in school and at work.  I had begun drinking again a couple years before but no longer &#039;alcoholically.&#039;  I chose not to tell my new doctor about the alcohol/rehab issues.  I told him I was diagnosed with depression and GAD, and was currently taking prozac, prescribed by my gyno.  I tended to have extreme anxiety during menstrual times, about 4 anxiety attacks a year, My new dr asked me to describe my &#039;depressed&#039; thoughts.  I told him I am constantly beating myself up, for being lazy, disorganized, messy, feeling like I was never living up to my potential.  He asked me to fill out a questionaire.  Turned out I scored &#039;highly likely&#039; ADD.  Suddenly everything started to make more sense! He asked if I had ever used any drugs, and I said yes, admitting that I miss cocaine the most.  He explained that is common for ADDers,  

He then went on to explain that the prozac is probably making my ADD worse, as the prozac can give me a more laid back, &#039;oh, well...whatever,&#039; way of thinking.  This encouraged the ADD in not getting things done.  He also explained that I probably have lower than normal dopamine levels, which is why I liked cocaine, and why Effexor worked well for me.  He got me to go back to Effexor (now have a generic) but after 2 months, sadly the generic wasn&#039;t much cheaper so I went back off of it,  Adderall has been the ADD med that works best.  Luckily, he is willing to give me 3 20mg short release per day.  I never end up needing that much, and I also enjoy the flexibility of managing it on an as needed basis.  He also prescribes me 2 .5 xanax to aid in the anxiety, and back to trazadone for sleep.  

I have a whole new outlook on life.  Just learning that ADD was my problem all along has also helped me manage the symptoms better,  The anxiety is still tough at times, but I no longer really have depression.  In my &#039;perfect world&#039; Effexor would be best but I just can&#039;t afford it.  I had the least anxiety when on that.  Looking back on my childhood I can see signs of anxiety, ALWAYS had problems falling asleep, but I always kept my emotions bottled up and a smile on my face.  I was always in the &#039;smarter&#039; classes but was always frustrated, and struggled.  I knew I was smart, but just couldn&#039;t study well, finish papers on time etc.  I also had a lot of &#039;stomach aches&#039; for unknown reasons.  Now that I have been teaching, I feel that was all due to anxiety, just couldn&#039;t identify that feeling at such a young age.

Another term I have discovered being a symptom of ADD is hyperfocusing.  I was/am very prone to that, unfortunately the focusing was usually on stuff that was not on my &#039;need to do&#039; list.  But give me something I am interested in or enjoy doing and I would immerse myself for HOURS, conveniently procrastinating/avoiding other responsibilities.

Anyway, that&#039;s my story.  Hope it can help someone out there.  It has DEFINITELY helped me to see that I am not alone, and not crazy, or a lazy slob, etc.  I have always been my hardest critic, but am learning to cope and manage life more like those crazy &#039;normal&#039; people out there in the world do, lol.</description>
		<content:encoded><![CDATA[<p>Dr. Handelman for your work on this subject.</p>
<p>I was diagnosed with ADD just over a year ago as a 35 woman.  After just barely graduating college, I began waiting tables.  I stayed &#8216;stuck&#8217; for about 10 years.  I spiraled through life drinking daily and using cocaine often, every couple of years I would attempt to apply for a teaching position.  However, in typical ADD form, never followed through. </p>
<p>Eventually I gave in and put myself in rehab.  This was my first visit with a psychiatrist.  He diagnosed me with depression and GAD, in addition to the &#8216;alcoholic&#8217; label.  I attended AA and remained sober for over 3 years, I learned a lot while in AA, mainly how to forgive myself.  During this time I was prescribed a few anti-depressants, finally finding that Effexor worked the best, and Trazadone for sleep.  Fast forward another couple years and a move to a new city.  I had to wean myself off of Effexor, WAY too expensive for me at the time.  Effexor is HELL to come off BTW.</p>
<p>I finally got into teaching, and went back to school for my masters.  Stable enough and insured, I went to a new psychiatrist, as I was struggling with keeping up in school and at work.  I had begun drinking again a couple years before but no longer &#8216;alcoholically.&#8217;  I chose not to tell my new doctor about the alcohol/rehab issues.  I told him I was diagnosed with depression and GAD, and was currently taking prozac, prescribed by my gyno.  I tended to have extreme anxiety during menstrual times, about 4 anxiety attacks a year, My new dr asked me to describe my &#8216;depressed&#8217; thoughts.  I told him I am constantly beating myself up, for being lazy, disorganized, messy, feeling like I was never living up to my potential.  He asked me to fill out a questionaire.  Turned out I scored &#8216;highly likely&#8217; ADD.  Suddenly everything started to make more sense! He asked if I had ever used any drugs, and I said yes, admitting that I miss cocaine the most.  He explained that is common for ADDers,  </p>
<p>He then went on to explain that the prozac is probably making my ADD worse, as the prozac can give me a more laid back, &#8216;oh, well&#8230;whatever,&#8217; way of thinking.  This encouraged the ADD in not getting things done.  He also explained that I probably have lower than normal dopamine levels, which is why I liked cocaine, and why Effexor worked well for me.  He got me to go back to Effexor (now have a generic) but after 2 months, sadly the generic wasn&#8217;t much cheaper so I went back off of it,  Adderall has been the ADD med that works best.  Luckily, he is willing to give me 3 20mg short release per day.  I never end up needing that much, and I also enjoy the flexibility of managing it on an as needed basis.  He also prescribes me 2 .5 xanax to aid in the anxiety, and back to trazadone for sleep.  </p>
<p>I have a whole new outlook on life.  Just learning that ADD was my problem all along has also helped me manage the symptoms better,  The anxiety is still tough at times, but I no longer really have depression.  In my &#8216;perfect world&#8217; Effexor would be best but I just can&#8217;t afford it.  I had the least anxiety when on that.  Looking back on my childhood I can see signs of anxiety, ALWAYS had problems falling asleep, but I always kept my emotions bottled up and a smile on my face.  I was always in the &#8216;smarter&#8217; classes but was always frustrated, and struggled.  I knew I was smart, but just couldn&#8217;t study well, finish papers on time etc.  I also had a lot of &#8216;stomach aches&#8217; for unknown reasons.  Now that I have been teaching, I feel that was all due to anxiety, just couldn&#8217;t identify that feeling at such a young age.</p>
<p>Another term I have discovered being a symptom of ADD is hyperfocusing.  I was/am very prone to that, unfortunately the focusing was usually on stuff that was not on my &#8216;need to do&#8217; list.  But give me something I am interested in or enjoy doing and I would immerse myself for HOURS, conveniently procrastinating/avoiding other responsibilities.</p>
<p>Anyway, that&#8217;s my story.  Hope it can help someone out there.  It has DEFINITELY helped me to see that I am not alone, and not crazy, or a lazy slob, etc.  I have always been my hardest critic, but am learning to cope and manage life more like those crazy &#8216;normal&#8217; people out there in the world do, lol.</p>
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		<title>By: Dr. Kenny Handelman</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-416375</link>
		<dc:creator>Dr. Kenny Handelman</dc:creator>
		<pubDate>Sat, 14 May 2011 01:50:06 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-416375</guid>
		<description>Hi Dawn, 
Sorry for the delay - I am not able to respond to all posts - and I don&#039;t know any doctors in Missouri. I recommend that you go to the CHADD site - www.CHADD.org - and find their section where they have a listing of doctors who treat ADHD.</description>
		<content:encoded><![CDATA[<p>Hi Dawn,<br />
Sorry for the delay &#8211; I am not able to respond to all posts &#8211; and I don&#8217;t know any doctors in Missouri. I recommend that you go to the CHADD site &#8211; <a href="http://www.CHADD.org" rel="nofollow">http://www.CHADD.org</a> &#8211; and find their section where they have a listing of doctors who treat ADHD.</p>
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		<title>By: Dawn</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-412879</link>
		<dc:creator>Dawn</dc:creator>
		<pubDate>Tue, 10 May 2011 01:53:27 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-412879</guid>
		<description>Dr. Handelman, 
I posted earlier in your blog, April 15 and you haven&#039;t responded to date.. Could you provide a name or two in south central Missouri of ADHD/ADD specialists for adults because my family physician refuses to treat me..</description>
		<content:encoded><![CDATA[<p>Dr. Handelman,<br />
I posted earlier in your blog, April 15 and you haven&#8217;t responded to date.. Could you provide a name or two in south central Missouri of ADHD/ADD specialists for adults because my family physician refuses to treat me..</p>
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		<title>By: Dr. Kenny Handelman</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-412828</link>
		<dc:creator>Dr. Kenny Handelman</dc:creator>
		<pubDate>Mon, 09 May 2011 23:13:18 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-412828</guid>
		<description>Jon, 
Thank you so much for sharing your story. 
I agree with you so much. It is really important to be an advocate for yourself when it comes to your ADD/ADHD treatment. In Canada, people are able to take their insurance card (from the province) and go to other doctors for an assessment. The main issue - in the USA and Canada is the relative lack of doctors who assess and treat adult ADD/ADHD. So - there are often people like you who know that they need a particular treatment who just can&#039;t find another doctor to help them.
The main takeaways in my opinion?
1) You need to be educated about ADD and its treatment- because often your doctor doesn&#039;t know enough - and you have to educate your doctor!
2) You need to be an advocate for your own health. In the same way that you wouldn&#039;t keep going to a restaurant that didn&#039;t treat you well, you need to find better medical care if your doctor doesn&#039;t treat you well!
Thank you for the compliment - and remember - there are many caring and capable doctors out there who know how to treat ADD effectively. You&#039;ve just got to find them!</description>
		<content:encoded><![CDATA[<p>Jon,<br />
Thank you so much for sharing your story.<br />
I agree with you so much. It is really important to be an advocate for yourself when it comes to your ADD/ADHD treatment. In Canada, people are able to take their insurance card (from the province) and go to other doctors for an assessment. The main issue &#8211; in the USA and Canada is the relative lack of doctors who assess and treat adult ADD/ADHD. So &#8211; there are often people like you who know that they need a particular treatment who just can&#8217;t find another doctor to help them.<br />
The main takeaways in my opinion?<br />
1) You need to be educated about ADD and its treatment- because often your doctor doesn&#8217;t know enough &#8211; and you have to educate your doctor!<br />
2) You need to be an advocate for your own health. In the same way that you wouldn&#8217;t keep going to a restaurant that didn&#8217;t treat you well, you need to find better medical care if your doctor doesn&#8217;t treat you well!<br />
Thank you for the compliment &#8211; and remember &#8211; there are many caring and capable doctors out there who know how to treat ADD effectively. You&#8217;ve just got to find them!</p>
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		<title>By: Jon</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-411356</link>
		<dc:creator>Jon</dc:creator>
		<pubDate>Sun, 08 May 2011 11:28:57 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-411356</guid>
		<description>Good morning all and good morning Dr. Handelman,
I last posted on October 14, 2010 and my question concerned the use of the &quot;NEUROTRAX&quot;, (neurotrax.com) to diagnose ADD/ADHD. My idiot neurologist, after a year and a half of prescribing Adderall XR 30 mg, all of a sudden decided I needed to be tested.  This neurologist had refused to give me my next prescription until I had taken this test.  Unfortunately, due to logistics and other concerns, I was unable to get to his office to take the test until well after I had run out of the previous month&#039;s Adderall supply.  I go in, &quot;unmedicated&quot; as it were, and I couldn&#039;t concentrate on most of the test questions on the computer screen.  Every sound, every look out the window, every itch in my body was more appealing to &quot;concentrate&quot; and focus on, as opposed to the tasks in the Neurotrax test.  I got very frustrated, and did the &quot;best&quot; I could.
The next day, I go back in for my results and the doctor was quite &quot;perturbed&quot; at my results.  He said he never saw such bad results and then proceeded to (subliminally) accuse me of faking the test.  I told him that I was without the medication for a week now, and I just couldn&#039;t concentrate.
He wrote out my new Adderall prescription and said I should retest in about 6 months.  I walked out of his office shaking, literally.  As I was sitting with the receptionist to make the next month&#039;s appointment, even SHE saw I was upset.
Combine all this with the fact that this doctor REFUSES to give me the 10 mg Adderall 3 times per day (because he thinks it more addictive [BALONEY!!!]), and I said to myself, &quot;It&#039;s really time to find better help&quot;.  I was too frustrated with my treatment from him for way too long now.
I had my regular checkup with my family practitioner and I asked her if she would prescribe my Adderall for me and she said yes.  I have now been on the Adderall 10mg 3x per day and am in much more control.  It has been a life changing experience to be on my ADD meds that I have been on, virtually all my adult life.  Because that moron neurologist, who incidentally had the personality of a moldy sponge, refused to prescribe the dosing I needed - convinced me to do something about it.  In America at least, and I know Dr H, that you&#039;re in Canada, we here need to be proactive in a medical sense and realize that in the USA, medical help is no different than going into the corner deli and ordering a pastrami sandwich.  If you don&#039;t like the service or the pastrami, GO SOMEWHERE ELSE.  
My anxiety state without the correct ADD treatment is bad enough (and so much better with the Adderall) that at least with me, at the tender age of 57, and as a paying customer, I have the right to find better than adequate treatment.

Attention all ADD sufferers:
Whether in the USA, Canada or wherever, you have right to proper treatment.
If you can&#039;t find relief in one place, do the best you can to find better care with someone else!!!  It&#039;s probably out there.
It is a shame that there are not more doctors with the insight and depth of experience that Dr Handelman has.  A big shame.
There is no reason to suffer with the combined anxiety and ADD like I did for so long.  We all have the right to get good care, be it with insurance or as a cash paying customer.

Take charge of your medical life and much else will fall into place.

Thank you Dr Handelman!!!

Best wishes,
Jon</description>
		<content:encoded><![CDATA[<p>Good morning all and good morning Dr. Handelman,<br />
I last posted on October 14, 2010 and my question concerned the use of the &#8220;NEUROTRAX&#8221;, (neurotrax.com) to diagnose ADD/ADHD. My idiot neurologist, after a year and a half of prescribing Adderall XR 30 mg, all of a sudden decided I needed to be tested.  This neurologist had refused to give me my next prescription until I had taken this test.  Unfortunately, due to logistics and other concerns, I was unable to get to his office to take the test until well after I had run out of the previous month&#8217;s Adderall supply.  I go in, &#8220;unmedicated&#8221; as it were, and I couldn&#8217;t concentrate on most of the test questions on the computer screen.  Every sound, every look out the window, every itch in my body was more appealing to &#8220;concentrate&#8221; and focus on, as opposed to the tasks in the Neurotrax test.  I got very frustrated, and did the &#8220;best&#8221; I could.<br />
The next day, I go back in for my results and the doctor was quite &#8220;perturbed&#8221; at my results.  He said he never saw such bad results and then proceeded to (subliminally) accuse me of faking the test.  I told him that I was without the medication for a week now, and I just couldn&#8217;t concentrate.<br />
He wrote out my new Adderall prescription and said I should retest in about 6 months.  I walked out of his office shaking, literally.  As I was sitting with the receptionist to make the next month&#8217;s appointment, even SHE saw I was upset.<br />
Combine all this with the fact that this doctor REFUSES to give me the 10 mg Adderall 3 times per day (because he thinks it more addictive [BALONEY!!!]), and I said to myself, &#8220;It&#8217;s really time to find better help&#8221;.  I was too frustrated with my treatment from him for way too long now.<br />
I had my regular checkup with my family practitioner and I asked her if she would prescribe my Adderall for me and she said yes.  I have now been on the Adderall 10mg 3x per day and am in much more control.  It has been a life changing experience to be on my ADD meds that I have been on, virtually all my adult life.  Because that moron neurologist, who incidentally had the personality of a moldy sponge, refused to prescribe the dosing I needed &#8211; convinced me to do something about it.  In America at least, and I know Dr H, that you&#8217;re in Canada, we here need to be proactive in a medical sense and realize that in the USA, medical help is no different than going into the corner deli and ordering a pastrami sandwich.  If you don&#8217;t like the service or the pastrami, GO SOMEWHERE ELSE.<br />
My anxiety state without the correct ADD treatment is bad enough (and so much better with the Adderall) that at least with me, at the tender age of 57, and as a paying customer, I have the right to find better than adequate treatment.</p>
<p>Attention all ADD sufferers:<br />
Whether in the USA, Canada or wherever, you have right to proper treatment.<br />
If you can&#8217;t find relief in one place, do the best you can to find better care with someone else!!!  It&#8217;s probably out there.<br />
It is a shame that there are not more doctors with the insight and depth of experience that Dr Handelman has.  A big shame.<br />
There is no reason to suffer with the combined anxiety and ADD like I did for so long.  We all have the right to get good care, be it with insurance or as a cash paying customer.</p>
<p>Take charge of your medical life and much else will fall into place.</p>
<p>Thank you Dr Handelman!!!</p>
<p>Best wishes,<br />
Jon</p>
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		<title>By: Dr. Kenny Handelman</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-409020</link>
		<dc:creator>Dr. Kenny Handelman</dc:creator>
		<pubDate>Thu, 05 May 2011 16:57:05 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-409020</guid>
		<description>Bast - buproprion is an antidepressant that may help the depression and ADD, but it doesn&#039;t help the anxiety. 
The short answer is not really. 
Just like in heart disease, people have to take multiple pills to deal with the multiple symptoms.</description>
		<content:encoded><![CDATA[<p>Bast &#8211; buproprion is an antidepressant that may help the depression and ADD, but it doesn&#8217;t help the anxiety.<br />
The short answer is not really.<br />
Just like in heart disease, people have to take multiple pills to deal with the multiple symptoms.</p>
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		<title>By: Bast</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-399508</link>
		<dc:creator>Bast</dc:creator>
		<pubDate>Wed, 27 Apr 2011 16:16:10 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-399508</guid>
		<description>As a child I was diagnosed with ADD. Later in my teens I was diagnosed with acute depression and anxiety disorder. On and off through my life I  have been on and off medication for ADD, depression and anxiety. As an adult I was also diagnosed with migraines which I take birth control pills to keep from getting the migraine headaches.

The last two years I have found myself very distracted and moody. Where my art has taken off, my ability to stay focused on detailed oriented tasks like keeping track of other peoples schedules.

Is there a medication that would address all those issues, instead of taking multiple drugs?</description>
		<content:encoded><![CDATA[<p>As a child I was diagnosed with ADD. Later in my teens I was diagnosed with acute depression and anxiety disorder. On and off through my life I  have been on and off medication for ADD, depression and anxiety. As an adult I was also diagnosed with migraines which I take birth control pills to keep from getting the migraine headaches.</p>
<p>The last two years I have found myself very distracted and moody. Where my art has taken off, my ability to stay focused on detailed oriented tasks like keeping track of other peoples schedules.</p>
<p>Is there a medication that would address all those issues, instead of taking multiple drugs?</p>
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		<title>By: Dawn</title>
		<link>http://www.addadhdblog.com/adult-add-comorbid-depression-and-anxiety/comment-page-1/#comment-388758</link>
		<dc:creator>Dawn</dc:creator>
		<pubDate>Fri, 15 Apr 2011 16:54:47 +0000</pubDate>
		<guid isPermaLink="false">http://addadhdblog.com/adult-add-comorbid-depression-and-anxiety/#comment-388758</guid>
		<description>It was strattera I was on...Sorry about the above post, I did ramble...I can hold complete thoughts but the above is how my brain works sometimes and its driving me insane.</description>
		<content:encoded><![CDATA[<p>It was strattera I was on&#8230;Sorry about the above post, I did ramble&#8230;I can hold complete thoughts but the above is how my brain works sometimes and its driving me insane.</p>
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