Tag Archives: Roller Coaster

Question?: Asperger Syndrome Quiz

Steven asks…

I supposedly have a lack of empathy and is it a big deal?

did a empathy quotient and got 5
0 – 32 = low (most people with Asperger Syndrome or high-functioning autism score about 20)
33 – 52 = average (most women score about 47 and most men score about 42)
53 – 63 is above average
64 – 80 is very high
80 is maximum

http://glennrowe.net/BaronCohen/EmpathyQuotient/EmpathyQuotient.aspx

admin answers:

Even though this quiz is called the empathy quotient, most of the questions don’t have anything to do with empathy. I got a 17, even though I do feel empathy, sometimes very strongly (and I do have Asperger’s, incidentally). Many of the questions actually involved social abilities and social intuition, which is related to empathy but not the same thing. And some of the questions seemed to have very little connection with empathy whatsoever. Like, what does being nervous about riding on a roller coaster have to do with empathy? As is the case with most online tests, you shouldn’t take your results too seriously.

Even if you do, in fact, have below average empathy, it’s not that big a deal so long as you treat people with respect and decency.

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Question?: Adhd Medications

Linda asks…

What is the best adult ADHD medication?

I have been taking Vyvance 40mg twice a day and it only works 3 hours at the most per 40mg. I know everybody reacts differently to different types of medication but what seems to be, in general, the most effective ADHD medication?

admin answers:

First, some corrections to this statement:

“If you’re not sensitive to amphetimes (Adderol, Ritalin) then those are the most effective. However, Straterra and Concerta are non-amphetimes.”

1. There is no “most effective” medication for ADHD. Individual neurochemistry is the biggest factor, and no one can predict which medication will work best for an individual.

2. Ritalin is not an amphetamine. It is methylphenidate, which is milder than an amphetamine class medication.

The methlphenidate class medications for ADHD are Ritalin, Concerta, Focalin, and the Daytrana patch. These are all, essentially, the same medication but in very different delivery systems. The choice of delivery system can make a huge difference.

Adderall is a mixed-amphetamine salt and is in the amphetamine class that includes Dexedrine and Vyvanse.

The general rule is that for about 40 percent of the population, one class works better than the other.

In general, the newer formulations are designed to produce a smoother delivery, eliminating the problematic “roller coaster” effect of the quick-release medications that can start abruptly and end abruptly (Ritalin, Adderall, Dexedrine, etc.)

3. Strattera is a norepinephrine-reuptake inhibitor. Anecdotally, many people with ADHD and their physicians find it less effective for ADHD symptoms than the methylphenidate or amphetamine class medications (considered the first-line treatment), though it does help some people with mood.

As to the original question, you need to define the term “works.” If you are going solely by how “buzzy” you feel, that’s not a good indicator. You need to be using objective measures and rating scales. If your physician is not using rating scales to measure progress, ask him/her to start doing so. Your treatment should have been initiated on the basis of targeted behavior, such as challenges with reading, driving, temper, listening, etc. In other words, proper medication treatment does not consist of the doc asking, “How are you doing?”

If you are doing all that and still find Vyvanse works for only 3 hours, you might be a fast metabolizer. This is typically related to a genetic mutation. But there can be other factors.

Good luck,
Gina Pera, author
Is It You, Me, or Adult A.D.D.?

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