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New ADHD Medication Rules: Brain Science & Common Sense Paperback – January 1, 2013
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From the Author
I organized New ADHD Medication Rules after years of picking up the pieces during difficult second opinions in my office - both from my own treatment failures and my colleagues who missed aspects of the medication treatment process. To this day far too many simply write for ADHD meds without remotely thinking about the complexity, the details or the long term implications of medication management.
New Rules translates available Brain Science into Common Sense applications.
New ADHD Medication Rules reports understandable, data driven standards that arise directly from the extensive literature on medications, and from the newest information on brain imaging, immune system challenges, metabolic problems and simple genetic issues that often go overlooked when using ADHD meds. Symptom targets need improvement, and dosage strategies need far more precise attention.
I've taught other medical professionals to use New Rules medication protocols for ADHD medications since 1996 all across the USA - from LA and Seattle, to NYC, Boston San Francisco and Chicago, and know that they work because I've updated and self-corrected these New Rules regularly as fresh brain science discoveries emerged. From functional SPECT brain imaging to neurotransmitter measurements, to understanding immunity challenges such as gluten and casein, neuroscience discoveries create more predictable outcomes - but only if used in the office.
ADHD is the most frequently misunderstood, misdiagnosed and mistreated psychiatric condition on the planet--and fresh neuroscience spells out the underlying details for improved, more predictable recovery. With New Rules the reader can participate in these next essential changed changes for ADHD medical care.
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I wish that all the practiotioners would take adhd more seriously therefore avoiding unnecessary mistakes.
This book is a good tool to help you asses your treatment.
Dr Parker's website has the same info on it and, believe it or not, it is actually edited better. Unless you absolutely have to have a physical copy, read his stuff online.
Dr. Parker's book outlines the pitfalls of treating ADHD without first establishing the targeted expectations of symptom improvement and explains that treating ADHD, without the symptom change goals in mind, is like playing basketball without hoops; there's a lot of running around with no goal.
Brain science has yielded much new information regarding functional brain activity, nutrition, and the huge variety of treatment options available for the ADHD spectrum of problems. Dr. Parker explains, in lay person language, what this brain science has taught the psychiatric community about properly treating ADHD symptoms. Dr. Parker's focus is on properly seeing and defining all the many symptoms that make up an individual's ADHD diagnosis. He explains that the different medical treatments for ADHD target vastly different brain processes which improve vastly different symptoms.
In New Medication Rules we learn that ADHD can present in ways that currently do not fall neatly into the hyperactivity, inattention and combined type subsets and that these currently used DSM V subsets are too vague, limited and imprecise. More information is needed and other specific symptoms (such as depression, degree of impulsive behavior, degree if avoidance behavior, degree of "over thinking", etc.) need to be assessed in order to adequately prescribe ADHD medication. Dr. Parkers reminds us that ADHD and mood disorders often go hand in hand and that you cannot properly treat the ADHD symptoms until the mood disorder is properly treated.
On my blog, Primarily Inattentive ADD. I am constantly asked why one person has done beautifully on an ADHD drug while it made another person's symptoms worse not better. This book is the best that I have read that explains why treatment outcomes will vary based on a variety of variables. New Medication Rules does an especially good job of outlining the multiple variables that can affect the rate of medication metabolism and the overall effectiveness of certain drugs in any given individual.
Additional chapters in this book discuss traumatic brain injury (TBI) and how the symptoms of this condition can look just like the symptoms of ADHD. Dr. Parker explains that TBI is "the great mind-mystery diagnosis with many disguises." He reports that TBI is remarkably unresponsive to traditional medications and explains that even the best health care providers often miss the diagnosis of TBI because they fail to take a complete medical history and specifically inquiry about brain trauma.
Dr. Parker advises patients on how to take more responsibility for their own treatment. He proposes that patients enter treatment with a goal and some objectives in mind. These include:
1. Find a medical team that will include you in decision making and work with you, as a team, on your treatment
2. Set a goal of what symptoms are to be improved.
3. Know the duration of action of the medication you are taking. In other words, no how long you are to get benefits from this medicine.
4. Find the correct therapeutic window. In other words, find the dose where the medicine treats the targeted symptoms with few side effects.
5. Take care of your body and understand that both diet and sleep are integral to your treatment success.
Dr. Parker believes that improper sleep hygiene and habits such as not eating breakfast or enough protein can sabotage a perfectly good treatment program. He feels so strongly about the importance of eating breakfast that he includes a protein rich breakfast recipe in his book. This recipe can be prepared in 90 seconds. He calls it the Parker Power Protein Breakfast and, quite frankly, it sounds disgusting.
I have to admit that I have absolutely no intention of ever eating this dish, but reading the recipe and imagining this mush did hammer home the point that protein in the morning and a healthy and filling breakfast is essential for a successful response to ADHD medication.
Parker Power Protein Breakfast
Stir two eggs in a bowl.
Add old-fashioned steel grain oats.
Add a bit of Extra virgin olive oil (keeps it from sticking too much).
Place the bowl in the microwave for 90 seconds.
There are not many books on ADHD that explain the various variables that play a role in the success or failure of an ADHD drug treatment plan. This book does just that in a way that is fun and informative. Highly Recommended!
I then found a clinic that prescribed on a mg / kg basis (higher doses for adults than for children based on body weight), which led to a disastrous rise in my dosage to the point where I lost my mind and nearly my life.
What makes this so charged and challenging is that stimulant medication can be addictive and dangerous (even deadly in some cases). But knee-jerk claims of habituation are often false according to Dr. Parker. He lays out a very compelling case which, at its core, states that medication is metabolized like everything else we ingest. And if there are problems with digestion (food allergies being among the more prevalent factors), there will be problems efficiently metabolizing one's stimulant medication. One of the signs that this is so is...wait for it...finding that the medication becomes less effective over time.
There are many, many other factors involved in the failure to adequately metabolize one's medication, and these must be addressed on an individual basis, through observation and a wide variety of diagnostic tests and methods. There is no magic bullet here: Just science, attention to one's individual experience and great communication between helper and "helpee".
If you are a person with ADHD who has found that stimulant medication has been effective for you but has now become increasingly problematic, I urge you to not only buy this book, but see Dr. Parker in Virginia Beach, Va. I live in Massachusetts and found that the distance was a small impediment compared to the reward of what I would characterize as nothing short of regaining my life.
If that's not possible, then buy his book, read it, and begin the process of finding an open-minded prescriber who wants to learn more about how to better serve the people they spent all that money on education to be able to serve.
And it goes without saying that if you are a professional in the field, we who have found stimulant medication to be beneficial but problematic, NEED you to read it, share it and join in the conversation Dr. Parker has initiated.
If you want to correspond with me directly I can be reached at email@example.com. Hope to hear from you.
Most recent customer reviews
Except the very first time, it lasts somewhere between 5-20 minutes.