>>15063689ADHD is incredibly over diagnosed, and only a fraction of cases are what was traditionally considered ADHD, for the sake of this post I'll be referring to actual proper traditional cases by the condition's former name, Hyperkinetic syndrome (Hyperkinesis).
Hyperkinesis is basically the actual very severe cases that are comparable to Autism, where there is severe inattention, hyperactivity, lack of independence, inability to complete work independently, etc. It is the cases that actually end up in special education pretty early on, utilizing an IEP in the US w/ SpED provisions to provide services to help the student as otherwise they are pretty much screwed.
Hyperkinetic patients usually require quite high doses of stimulants to be effective, usually requiring the FDA maximum recommended dosage or above. They will most likely see success from the stronger stimulants, dextroamphetamine sulfate (Dexedrine) and methamphetamine hydrochloride (Desoxyn), and in some cases they may utilize a methylphenidate class stimulant, it all depends on which stimulant class is more successful, but either way they usually require a very high dose of the most potent forms of that class, in instant release formulation. They may also utilize other psychiatric medication in combination with stimulants, such as bupropion (Wellbutrin), which acts as an NDRI like methylphenidates but is considered """non-stimulating""", and doesn't build tolerance or addiction, and as such you will only ever need one or two up doses while on it, and those are usually early on if you need them.
Even with a very high dosage of very potent stimulants, even in combination with another supporting additional medication, they will most likely still require special education services if they are still in school, and may need supports as an adult, most likely working in a field well suited for them, and in some cases collecting SSI.
Hyperkinetic syndrome stark contrasts nu-ADHD.
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