*Duration of Effectiveness-DOEShould Become The New Standard
Language and Precision: Maps & Changing Territories – Korzybski: M
– *DOEmarks the specific metabolic patterns for each individual, and each stimulant medication, and will announce them to both the patient and practitioner for accurate precise, individualized treatment. To not measure DOE at every med check is to passively ignore the built-in marker for effective treatment and should be the *essential evaluation toolin every med check with stimulant medications.
*Previewthese CoreBrain Academy ADHD Coursework details:
– ADHD101 – 55 lessons + coaching: How to measure, target , & treat brain/biomedical realities e
– The PM Drop – ADHD Minicourse: Learn how to use the most common problems to correct Treatment Failure results & comorbid conditions not initially recognized.
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Mind Science Details From Experts: l
Dr. Parker’s book “New ADHD Medication Rules: Brain Science & Common Sense” is available on Amazon anywhere in the world – your currency – by clicking on this link: d
#ADHD Medications: How To Start Instructions
1: 04
– Listen up: Parker Hosts as experts weigh in on Mind Science: t
– Details on Mindset: t
Details Matter:
The Meds Don’t Work Long Enough: The Duration of Effectiveness [DOE] is not adequate: Each stimulant drug, each family of stimulant drugs has its own expected DOE. This DOE is not discussed in the literature as a measuring tool, but it’s common knowledge with any who watches carefully for drug action and duration throughout the day.
All stimulant medications have an expected, less than 24 hr duration. Duration is an obvious point but is overlooked so often as an essential tool. If meds last less than 24 hr, then how long should each last? Dialing in the particular duration is necessary to get the best action out of each specific med. [AMP=Amphetamine Family, MPH=Methylphenidate Family]
Vyvanse [AMP] and Daytrana [MPH patch] both win the DOE race with 12-14 hr expected as optimum.
Adderall XR [AMP] is next with 8 hr DOE — sometimes can get 10, but often more DOE is too much – out the top of the Therapeutic Window: w
Concerta [MPH] and Focalin [MPH] both run 8 hr if dialed in effectively – some studies show longer, my experience: more than 10 hr with either of these is too much — see other articles on the ‘Top of the Window.’
Metadate CR [MPH] and Ritalin LA [MPH] are both right at 8 hr, rarely longer, with side effects, if pushing the dose higher
The Immediate Release Stimulants, the tablets with no extended time
expected, last only a portion of the day with Adderall IR [AMP]
[Immediate Release Tabs] lasting about max 5 hr, Ritalin IR [MPH] is 4-hour max duration.
Details on expected DOE for each stimulant: /
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https://medbusiness.net/adhd-medication-make-duration-of-effectiveness-doe-the-standard/
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There was a time in my life when I was completely debilitated by anxiety. Fortunately, I have put in a lot of work over the years and studied to understand neurochemically what was happening to me when anxiety would step in to ruin the day. In this Q & A, I am answering 6 common questions about anxiety and laying out the exact process I use and the logic you’ll need to start mastering your own anxiety with time and effort. I remember how hopeless I felt and I now know how simple and effective some of these tips are to put into practice. Action cures all and the sooner you implement these tips the sooner you can start to feel superhuman and reach your true potential.
SHOW NOTES:
Rehearsing Failure | Tom on why rehearsing failure of what hasn’t happened is [3: 07]
Breaking Cycle | 2 steps to beat anxiety with a pattern interrupt and & empower thought [7: 32]
Physical Adrenaline | Tom’s experience changing his neuro chemistry with meditation [10: 11]
Breathing | Returning to total calm in 45 minutes or less with diaphragmatic breathing [16: 42]
Social Anxiety | Pattern interrupt & focus on your goal, what others think can’t stop you [21: 01]
Generalized Anxiety | Having many triggers for anxiety and anxiety outside of the norm [25: 14]
Anxiety Benefit | Tom explains how mild anxiety can be useful but still gets checked [30: 46]
Physical Tension | When your body gets wired to mental negativity and holds tension [32: 39]
QUOTES:
“We want to use the empowering thoughts as mental jujitsu.” [24: 00]
“You will become whatever you repeat.” [24: 42]
“because I'm not a born entrepreneur, getting into business was this incredibly anxiety provoking endeavor, the stakes were so high, I felt like I was constantly on stage” [26: 12]
“I started saying to myself, ‘let failure surprise you’. So when I succeed, I'm never surprised because I've rehearsed the shit out of success.” [28: 45]
“I started rehearsing success, and I just said, I'm going to let failure take me totally by surprise if it ever happens” [29: 44]
“failure is the most information rich data stream in the world.” [33: 32]
