Hi, I realize you ve been diagnosed with GIGGLE SYNDROME, however, you should know that the diagnosis could be one of SEVERAL things....there is Giggle Incontinence, Gelastic Seizures (spells of uncontrollable laughter which are actually triggered by brief SEIZURES in the brain without loss of consciousness), and then, PSEUDOBULBAR AFFECT which can be the sudden display of INAPPROPRIATE laughing. The use of ADD medications is likely to be most useful in the first diagnosis but not the last two. All the same, you should be aware of these 3 different entities. I m not surprised that physicians are not comfortable with treating you using Ritalin. I m unaware of studies using Strattera for the condition but if I were treating you and had reservations on Ritalin I might consider its use. Write me at: www.bit.ly/drdariushsaghafi with more questions. You may wish to ask your doctor to refer you to a NEUROLOGIST with a specialty in SLEEP DISORDERS as well since some investigators have conjectured the presence of a cataleptic disorder which could be treated by a different route if properly tested for and diagnosed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist