- **Overall Match**: Combined score considering efficacy, side effects, and your specific symptom pattern - **Task-Specific Focus**: Ability to improve focus on non-preferred tasks while not over-amplifying hyperfocus - **Interest Modulation**: Ability to shift between tasks regardless of interest level - **Overwhelm Recovery**: Speed and effectiveness of recovering from overload/disruption - **Anxiety Impact**: Effect on background anxiety (-5 worst, +5 best) - **Sleep Compatibility**: Likelihood of maintaining your current stable sleep - **Reset Ability**: Capacity to switch tasks or recover after interruption | Medication | Overall Match | Task-Specific Focus | Interest Modulation | Overwhelm Recovery | Anxiety Impact | Sleep Compatibility | Reset Ability | Key Considerations | | --------------------------- | ------------- | ------------------- | ------------------- | ------------------ | -------------- | ------------------- | ------------- | --------------------------------------------------------------------------------------- | | **Vyvanse** | 4 | 5 | 4 | 4 | -2 | 2 | 4 | ⚠️ Best overall for interest-based symptoms, smooth transitions, but watch sleep timing | | **Methylphenidate (Short)** | 4 | 4 | 4 | 3 | -2 | 4 | 3 | ⚠️ Most flexible for timing, good for targeted task focus | | **Methylphenidate (Long)** | 3 | 4 | 4 | 3 | -3 | 2 | 3 | ⚠️ Less flexible timing, might affect sleep | | **Adderall (Short)** | 3 | 5 | 5 | 4 | -3 | 3 | 4 | ⚠️ Strong effects but might over-amplify focus/anxiety | | **Strattera** | 3 | 3 | 2 | 3 | +2 | 5 | 3 | ⚠️ Best for anxiety but weaker task focus effects | | **Cannabis (Your Brand)** | 3* | 2 | 3 | 4 | +3 | 4 | 4 | ⚠️ Good reset tool, but timing crucial with other meds | | **Cannabis (General)** | 2* | 1 | 2 | 3 | +2 | 4 | 3 | ⚠️ Less predictable effects | * Adjusted for standardization/legal considerations | Category | Common Names | Duration | Key Characteristics | Common Considerations | | ---------------------------------- | -------------------------------------- | --------------------------------- | ---------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------- | | **Stimulant Medications** | | | | | | Methylphenidate-based | • Ritalin<br>• Concerta<br>• Focalin | Short: 4-6 hrs<br>Long: 8-12 hrs | • Fast-acting<br>• Well-studied<br>• Multiple release formats | • May affect appetite<br>• Sleep timing important<br>• Blood pressure monitoring | | Amphetamine-based | • Adderall<br>• Vyvanse<br>• Dexedrine | Short: 4-6 hrs<br>Long: 10-14 hrs | • Strong effect<br>• Some extended release<br>• Different metabolic pathway | • Appetite suppression<br>• Careful with heart conditions<br>• May increase anxiety<br>- intense focus | | **Non-Stimulant Medications** | | | | | | Norepinephrine Reuptake Inhibitors | • Strattera<br>• Atomoxetine | 24 hours | • Non-controlled substance<br>• Takes weeks to show full effect<br>• Continuous coverage | • 40-50% of patients see GAD reduction<br>- attention regulation<br>• Less appetite impact<br>• Liver monitoring needed | | Alpha-2 Agonists | • Intuniv<br>• Kapvay | 24 hours | • Also treats hypertension<br>• Can help with sleep<br>• Less common first choice | • May cause drowsiness<br>• Blood pressure changes<br>• Gradual dosing changes | | Antidepressants (Off-label) | • Wellbutrin<br>• Bupropion | 12-24 hours | • Helps with mood<br>• Non-controlled<br>• Different mechanism | • May increase anxiety<br>• Seizure risk<br>• Takes weeks to work | | Aspect | Methylphenidate(ritalin) | Amphetamine(adderall) | Atomoxetine(Strattera) | | ---------------------- | ------------------------ | --------------------- | ---------------------- | | Immediate Focus | 4 | 5 | 2 | | Sustained Attention | 4 | 4 | 3 | | Task Initiation | 4 | 5 | 2 | | Task Completion | 4 | 4 | 3 | | Working Memory | 4 | 4 | 3 | | Consistent Performance | 3 | 3 | 4 | | Sensory Gating | 4 | 5 | 3 | ### Claude General Anxiety Vs. ADHD Anxiety Analysis Let me analyze your responses and break them down into categories to help understand the nature of your anxiety patterns. Task-Related Anxiety (ADHD-linked): 1. Complex tasks anxiety: 1 (Sometimes) 2. Anxiety decrease when starting: 0 (No) 3. Forgetting tasks anxiety: 2 (Moderately) 4. Organization tools help: 3 (Very Often) Subtotal: 6/12 = 50% task anxiety level Social/General Anxiety: 5. Social situation anxiety: 0 (No) 6. Non-task anxiety: 2 (Yes, focused on relationships/parenting) 7. Persistent despite organization: 2 (Often) 8. Physical symptoms without triggers: 0 (No) Subtotal: 4/12 = 33% general anxiety level ADHD-Anxiety Interaction: 9. Distraction-related anxiety: 3 (Often) 10. Focus-related anxiety: 0 (No) 11. Schedule completion impact: 3 (Often) 12. Interruption anxiety: 0 (No) Subtotal: 6/12 = 50% ADHD interaction level Analysis: Your anxiety pattern suggests: - Strongest anxiety triggers are related to: * Task completion and organization * Consequences of distraction * Parenting/interpersonal responsibilities - Notably low anxiety about: * Social situations * Physical anxiety symptoms * Focus during events * Behavioral inhibition Score Interpretation: - ADHD-Related Anxiety Score: 75% (combining task-related and ADHD interaction patterns that scored high) - Primary Anxiety Score: 25% (based on general anxiety patterns unrelated to ADHD symptoms) This suggests your `anxiety is predominantly ADHD-related`, with a particular focus on task management and consequences of ADHD symptoms in important life areas (particularly parenting/relationships). The fact that organizational tools significantly help reduce your anxiety (score of 3) further supports this interpretation. Recommendation for GP Discussion: This pattern suggests you might benefit from: 1. Prioritizing ADHD treatment as it may significantly reduce your anxiety 2. Keeping SSRI support during initial ADHD treatment to help with transition 3. Potentially evaluating SSRI necessity after ADHD symptoms are well-managed