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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can ADHD Along With Dermatillomania And Aggressive Behaviour Be Treated?

my daughter, her brother and my xhusband have ADHD or ADD. I am now 69 and I feel that I fit the description but I had myself tested and she said I did not have it...neurologist. My daughter is always agitated by me and sending me unkind misrepresentations of why I do things that she does not like. I doubt she is on meds now but Adderal helped she and her brother and X so much that my son graduated from Harvard business and my daughter owns her own house, has a wonderful husband and the most incredible calm daughter. She is in daycare all day across from their workplace. I have been diagnosed GAD and my meds are fine but I have ataxia. I tried Ritalin years ago and wrote a paper that was 20 pages long and got an A on it which was unusual for this professor and she said it was the most confusing paper she has ever read. As you can see, I just go on and on and share to many details by voice. I just want to be less anxious so I do mindfulness medication and DBT which I feel really saved me from depression and isolation I was feeling. Now I see everything in a good lite, even my daughter. I m just trying to help her share her feelings instead of texting me with BIG LETTERS in a text and saying things about my emails and texts that are total misrepresentations. She has a good sense of humor and I do too but we are just triggered all the time. I don t want to tell her she needs meds but I have told her that I do not want large letters and drama like this. She is really smart and usually has clear thinking. I think she is overwhelmed and just needs meds. She is an amazing mother but she treats her husband like me, at least when I visit with them....they are long distance. Usually see her once a year. I have taken the course of not responding to her anger and just reinforce kind communication and by trying to listen to her better. Okay..that s it. My question? How do I let her know lovingly that she might want to consider Adderal again. Oh, she has a picking disorder. She picks her face and said she likes the pain. Sounds like BPD. In college (she s 34) she used to pick her leg till it bled and told me she wanted me to tell her to stop. My x abused me once physically which she saw and I took her to a friend s. I also called 911 twice for verbal and violent behavior to a lamp. Last summer she said her father had a terrific temper but I didn t ask why she said it...I just asked her if she could imagine living 26 years with that. I want to listen better. I think she still needs me and I want her in my life, but I m always anxious in person...better by email and text...How do I help her calm down. She said once that she would be 30% more productive and that was before a child.
Mon, 16 Jul 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Atomoxetine and Risperidone low dose, should be given.
We should try to find out any stressing factor or reason of aggressive behavior.

Hope I have answered your query.
Let me know if I can assist you further.
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How Can ADHD Along With Dermatillomania And Aggressive Behaviour Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Atomoxetine and Risperidone low dose, should be given. We should try to find out any stressing factor or reason of aggressive behavior. Hope I have answered your query. Let me know if I can assist you further.