Our expert says:
I know we have discussed these concerns of y ours many times, and i really distresses me to hear how terribly distressed you still are. Only a competent and thorough in-person assessment by a good psychiatrist might help to sort things out. I doubt that you still need Ritalin, but this should be properly considered only after such an assessment. Only a thorough re-assessment can decide whether the symptoms you believe need Ritalin to treat them, are indeed caused by ADD ( a condition which often improves and fades as one grows older ) and whether different treatment could help much more, without such unpleasant side-effects as you describe.
I doubt that there is physical damage being caused, thopugh I understand that it probably feels just like that. And of course anxiety about the situation can cause or worsen such symptoms, as anxiety readily causes painful and unpleasant muscle tensions, sometimes localized.
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