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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Priority Treatment Is Required For Add Or Ocpd

Dear Dr, I am 43 years, 162cm tall, and 57kg. I have been diagnosed with OCPD. I would like to know if I can be suffering from ADD at the same time since I have the following symptoms: -constantly late and disorganized -overly distracted and forgetful -overwhelmed by responsibilities -“zoning out” in the middle of a conversation. -extreme distractibility -difficulty focusing when reading or listening to others. -struggling to complete tasks -hard time remembering conversations -poor organizational skills -tendency to procrastinate -trouble starting and finishing projects -frequently forgetting appointments, commitments, and deadlines -constantly losing or misplacing things (keys, wallet, phone, documents, bills) -underestimating the time it will take you to complete tasks -blurt out thoughts that are rude or inappropriate without thinking -have trouble behaving in socially appropriate ways -have poor self-control -sense of underachievement -easily flustered and stressed out -irritability or mood swings -trouble staying motivated -hypersensitivity to criticism -short, often explosive, temper -low self-esteem and sense of insecurity -feelings of inner restlessness, agitation -doing a million things at once If it is possible to be ADD and OCPD together, how do I treat them If alot of the behavioral theraphies and treatments contradict each other? Do I start by treating ADD first or OCPD?
Mon, 18 Aug 2014
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Psychiatrist,  's  Response
hi.. i have understood your complaints and symptoms, your symptoms looks like of dementia, but to mention here is that, the same can be because of the long lasting depression that u may have because of your OCPD, commonly associated with depression. your symptoms then can be given a name of PSEUDODEMENTIA.

dear, i will suggest u to consult a geriatric psychiatrist or a psychologist and shud go for neuropsychological evaluation for your memory: like mini mental status examination, bender gestaut battery, luria nebraska neuropsychological evaluation, PGI memory scale and there are so many others.. by these all tests your memory can be evaluated and if u have any problems in your memory, at the same time u shud also go for blood investigations like vitamin B12 , vitamin D3, foloc acid and thyroid function test [t3, t4, TSH] then u shud go for imaging of your brain [MRI BRAIN] and finally u can confirm ypur diagnosis with CSF markers of ALZHEIMERS DEMENTIA, like amyloid beta 42, tau protein levels in your CSF. i ve suggested the steps, u shud go for testing first then imaging and then CSF examination..

if testing comes normal then u shud go for treatment of your depression only and with the antidepressant medication u ll improve surely..

and if u r having ADD then u have to o for complete evaluation...
ADD usually occurs after the age of 65 years but some variants can occur at early age...

so.. i hope this advice will be helpful to you..best luck
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Suggest Priority Treatment Is Required For Add Or Ocpd

hi.. i have understood your complaints and symptoms, your symptoms looks like of dementia, but to mention here is that, the same can be because of the long lasting depression that u may have because of your OCPD, commonly associated with depression. your symptoms then can be given a name of PSEUDODEMENTIA. dear, i will suggest u to consult a geriatric psychiatrist or a psychologist and shud go for neuropsychological evaluation for your memory: like mini mental status examination, bender gestaut battery, luria nebraska neuropsychological evaluation, PGI memory scale and there are so many others.. by these all tests your memory can be evaluated and if u have any problems in your memory, at the same time u shud also go for blood investigations like vitamin B12 , vitamin D3, foloc acid and thyroid function test [t3, t4, TSH] then u shud go for imaging of your brain [MRI BRAIN] and finally u can confirm ypur diagnosis with CSF markers of ALZHEIMERS DEMENTIA, like amyloid beta 42, tau protein levels in your CSF. i ve suggested the steps, u shud go for testing first then imaging and then CSF examination.. if testing comes normal then u shud go for treatment of your depression only and with the antidepressant medication u ll improve surely.. and if u r having ADD then u have to o for complete evaluation... ADD usually occurs after the age of 65 years but some variants can occur at early age... so.. i hope this advice will be helpful to you..best luck