I have a case of ADD that didn’t phase me much in high school or college, but hit me like a hammer when I entered the work force. I was completely scatterbrained, couldn’t remember phone conversations I’d had ten minutes before, and could not force myself to get anything productive done. At one point in time I was in serious danger of losing my job, and I was performing very poorly in my graduate studies.
As soon as I started taking Ritalin, my world changed. I was able to sit down and read in two hours a book that I’d been unable to make any headway in for over two weeks. I discovered what it was like to concentrate, to focus, to be freed from the near-constant impulses that had been plaguing me mercilessly. What’s more, the cost is low (I pay $10/month), it’s non-addictive, and I only take it when I need it.
Naturally, there were some negative aspects involved. Ritalin is a controlled substance, and (on my insurance, at least) one may only purchase a month’s supply at a time, with a new prescription required each time (no refills). The prescription cannot be called in to the pharmacy by the doctor, either, so getting the medication each month can be a real hassle. Secondly, I can only take Ritalin in the morning or early afternoon, because taking it after 3:00 or so will prevent me from getting any sleep. Thirdly, it raises my blood pressure and can make me tense and irritable. Fourthly, and most importantly, it is only a treatment for the symptoms of ADD, and not a cure. Since I haven’t pursued any kind of therapy, I still (after 10 years) have to take doses each morning and at lunchtime if I am to be at all productive.
Under my doctor’s supervision, I have tried other ADD medications, but have always ended up coming back to Ritalin. Concerta is nothing more that Ritalin in a time-release form, but didn’t work well enough for me to justify paying the exorbitant cost. Strattera, though, is an inhibitor rather than a stimulant – it works to block certain chemical reactions in the brain that cause the scatterbrained and impulsive behavior of ADD. For two glorious weeks it worked perfectly for me, but I quickly became immune to it and had to switch back to Ritalin once again.
I have discovered a really good analogy that puts into some perspective the daily ordeal of living with ADD and how Ritalin and Strattera help people cope. Imaging that for the “normal” person, the daily routine is like swimming laps in a pool. Those with ADD, however, have to swim against a strong current. Which means that it takes just that much more energy to reach the same goal as everyone else. Taking Ritalin makes you a stronger swimmer. Strattera, however, slows the current.