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Charles Parker - New ADHD Medication Rules: Brain Science & Common Sense

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Charles Parker New ADHD Medication Rules: Brain Science & Common Sense
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ADHD

Medication Rules

Brain Science & Common Sense

Dr. Charles Parker

SPECT Brain Imaging Consultant,
Author of Deep Recovery,
Functional Systems Medicine Consultant,
Author of CorePsych Blog
Neuroscience Consultant,
Child Adolescent and Adult Psychiatrist

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NEW YORK
VIRGINIA

NEW NEW ADHD MEDICATION RULES
BY DR. CHARLES PARKER

Copyright 2010 by Dr. Charles Parker, Second Edition

ISBN 9781938467226

All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, mechanical or electronic, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Requests for permission or further information should be addressed to CorePsych, 5029 Corporate Woods Dr., Ste. 250 Va. Beach, Va., 23462. (757) 473-3770, Fax (757) 473.3768 www.CorePsych.com

Printed in the United States of America.

While all attempts have been made to verify information provided in this publication, neither the author nor the publisher assumes any responsibility for errors, omissions or contrary interpretation of the subject matter.

This publication is not intended for use as a source of legal or medical advice. All readers are advised to consult with their personal medical team for the application of any observations herein. The author does not encourage, and has no intention to encourage, medical management outside of an appropriate medical relationship.

The purchaser or reader of this publication assumes responsibility for the use of these materials and information. Adherence to all applicable laws and regulations, both federal and state and local, governing professional licensing, medical practice, and all other aspects of medical care in the United States or any other jurisdiction is the sole responsibility of the purchaser or reader.

The author and publisher assume no responsibility or liability whatsoever on the behalf of any purchaser or reader of these materials. Any perceived slights of specific people or organizations are unintentional.

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CoreBrain Books

Published by

New ADHD Medication Rules Brain Science Common Sense - image 3 kehlerbooks

an imprint of Morgan James Publishing

212-574-7939
www.koehlerbooks.com

Publisher
John Kehler

Executive Editor
Joe Coccaro

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In an effort to support local communities, raise awareness and funds, Morgan James Publishing donates a percentage of all book sales for the life of each book to Habitat for Humanity Peninsula and Greater Williamsburg.
Get involved today,visit www.MorganJamesBuilds.com

New ADHD Medication Rules Brain Science Common Sense - image 5

The real voyage of discovery consists not in seeking new landscapes, but in having new eyes.

Marcel Proust

ACKNOWLEDGEMENTS

This book could not find its way to your hands without significant support and help from a number of people, present both in my current life and from years past. To name but a few: Thomas Walker, English instructor at Culver Military Academy; Herman Belmont MD, director of child psychiatry at Hahnemann Medical College who encouraged my first medical writing experience; the many interesting reps and regional directors at Shire Pharmaceuticals who supported the many speaking and learning opportunities with medical colleagues for many years as a national speaker for Shire.

(Pharmaceutical companies have contributed considerably to the public good, and it is most disconcerting to see how they have suffered by default at the hands of so many who simply don't appreciate the importance of understanding the basic science or ongoing medical communication in that dinner meeting context.)

I also offer a special note of appreciation for the trust and patience of the many interesting patients over the years who helped me understand what the books don't teach. If you know the science, the meds work more predictably.

Specific deep gratitude goes out to an outstanding fellow writer and stand-up commentator on the challenges we all face with the evolution of ADHD treatment, Gina Pera in San Francisco, author of the award winning Is it You, Me or Adult A.D.D.?. Others who helped me to complete Rules include Marianne Sunderland, Betsy Davenport, and Tom Walker, that same remarkable teacher from high school fifty years ago who returned to help with a final review.

Most especially, thanks to my wife, Cate, for her patience with personal time for this project, as I'm admittedly often writing and editing CorePsych Blog and Rules at the expense of our time together. Without Cate working to keep the home fires burning, Rules would still be just an idea.

Table of Contents Introduction P ills have to pass through your body - photo 6

Table of Contents

Introduction P ills have to pass through your body before they reach your - photo 7

Introduction

P ills have to pass through your body before they reach your brain. The body is uniformly overlooked. What happens along that complex journey determines a drug's effectiveness and predictability.

Unfortunately, far too many significant problems exist with Attention Deficit Hyperactivity Disorder meds because those who prescribe them don't consider or grasp the ways drugs are absorbed and then processed in the bowel, liver or the brain itself. A patient's diet, medical status and allergies are given only modest consideration. The interactions of multiple medications also are given short shrift. Instead, physicians often base dosages on broad -- even vague -- medication formulas. Too many prescribe from statistical averages, not individual needs.

Succinctly: too many simply are not paying attention to the meds for paying attention.

What I hope to accomplish through this book is to enlighten my medical colleagues and embolden patients suffering with ADHD or symptoms masquerading as an attention or hyperactivity disorder. My intention is to arm patients, or those caring for them, with enough critical information to at least ask their doctors informed questions and challenge limited conventional thinking.

Much of the information presented here is highly scientific. Some of it is anecdotal, and the rest is clearly advocacy. It's my firm belief, after spending decades treating those struggling with emotional and mental illnesses, that treatments should be customized based upon available science. Most importantly, physicians and patients need to partner in treatments so that medications can be adjusted correctly.

The wrong mix of drugs or prescriptions in the wrong amounts can be deadly. They can tip someone with depression into suicide. They can exacerbate, rather than alleviate, hyperactivity. The wrong blends or amounts of drugs can harm rather than heal.

ADHD diagnosis and treatment strategies are tricky to begin with. Technology has advanced to a point where it's now possible to read the brain's reaction to drugs and to find in the body root causes for previously unpredictable problems. Yet, too few physicians are willing or capable of employing these new assessment techniques. Treatments are not on a par with current, easily available brain science, leaving a global quandary about viable ADHD practice strategies.

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