Our expert says:
Gosh, what a long and complex message !
The internet is marvellous in giving us access to stuff all over the world, but the problem is that some of it is rubbish, and its no always easy to tell which is which.
In many varieties of psych illness, chemical imbalances, or relative shortages of individual neurochemicals are believed to be relevant, and there is much good evidence for this, though maybe not of the direct sort some of the naive or biased folk you have come across, insist on.
If drugs with one sort of chemical effect on brain chemicals, such as increasing the availability of X, improve a condition, its reasonable to assume that a relative shortage of X might be part of the original problem. And so on. There is INDIRECT evidence that supports these theories and beliefs, and it is not practical to get direct evidence, as the brain is sealed within a living person. But with more modern techniques, including special varieties of brain scan which show actual chemical activities in different parts of the brain while one is aive and functioning well, support the theories, too.
As Ritalin IS a stimulant drug in terms of its effectson the brain, it is nonsense for anyone to say it could not possibly cause anxiety - it would be very strange if it couldn't. But this is where my comment on changing brain reactions applies - many years back it was found that kids respond to some stimulants like Ritalin by being sedated, and to sedatives like barbiturates, bu becoming aroused. This paradoxical esponse does not usually persist into adult life.
Of course Ritalin does not PREVENT anxiety disorder or similar problems, which can arise for other reasons in someone taking the drug.
One would not at all use Ritalin to treat TOurettes, or GAS Anxiety Duisorder, or OCD -it is absolutely no effective in treating those.
Multiple diagnoses can of course occur - you could have ingrown toenails, appendicitis and a heart attack - none of the conditions prevents the other from occurring, and just as your car could develop more than one fault at roughly the same time, so it is with us humans.
The essense of good treatment is basically the same - firstlly a thorough and complete assessment by a competent and properly trained expert ; then a proper diagnosis made according to criteria or guidelines accepted by the profession as a whole, rather than peculiar ones devised by one odd doc. Then a selection of a treatment generally recognized as likely to benefit whatever condition is diagnosed, and adequate monitoring of the effects of this, to see if it is working satisfactorily, if it has unpleasant side-effects, or is perhaps not working usefully at all, in which case alternative treatments need to be tried.
I hear your alarm and concern, and can't help feeling that some or all of these stages might have been missed out in your case, which is where a fresh second opinion from someone separate from whoever has been diagnosing and treating you, is usually a very good idea.
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