Dr. John Kruse

I had one guy, bright computer programmer, late 20s, calling me from inside the psychiatric hospital to try to get me to prescribe more Adderall to him. And not only that, he had convinced his inpatient psychiatrist that this was a good idea, that this was important to treating his ADHD and helping him retain his job. Wow.

I had one guy, bright computer programmer, late 20s, calling me from inside the psychiatric hospital to try to get me to prescribe more Adderall to him. And not only that, he had convinced his inpatient psychiatrist that this was a good idea, that this was important to treating his ADHD and helping him retain his job. Wow.

I had one guy, bright computer programmer, late 20s, calling me from inside the psychiatric hospital to try to get me to prescribe more Adderall to him. And not only that, he had convinced his inpatient psychiatrist that this was a good idea, that this was important to treating his ADHD and helping him retain his job. Wow.

Yeah. And you put the word mania in there, manic, and lots of people define this as amphetamine induced mania rather than psychosis.

Yeah. And you put the word mania in there, manic, and lots of people define this as amphetamine induced mania rather than psychosis.

Yeah. And you put the word mania in there, manic, and lots of people define this as amphetamine induced mania rather than psychosis.

I don't because one is uniformly and maybe other people are seeing more that these people were paranoid, they were worried, they were anxious, they were delusional, but they weren't overtly enjoying it, they weren't having a great time, they weren't saying I'm gonna party with all you friends and I'm only worried about the people there.

I don't because one is uniformly and maybe other people are seeing more that these people were paranoid, they were worried, they were anxious, they were delusional, but they weren't overtly enjoying it, they weren't having a great time, they weren't saying I'm gonna party with all you friends and I'm only worried about the people there.

I don't because one is uniformly and maybe other people are seeing more that these people were paranoid, they were worried, they were anxious, they were delusional, but they weren't overtly enjoying it, they weren't having a great time, they weren't saying I'm gonna party with all you friends and I'm only worried about the people there.

And yes, they were talking more loudly, they were sleeping less, which could be characteristic of mania, but there was no positive affect that I or police reports or often families give you extensive history of everything that was going on, that there was nothing euphoric they were describing about it.

And yes, they were talking more loudly, they were sleeping less, which could be characteristic of mania, but there was no positive affect that I or police reports or often families give you extensive history of everything that was going on, that there was nothing euphoric they were describing about it.

And yes, they were talking more loudly, they were sleeping less, which could be characteristic of mania, but there was no positive affect that I or police reports or often families give you extensive history of everything that was going on, that there was nothing euphoric they were describing about it.

I mean, I think the second piece is how much of they... It's unclear how much they actually remember or recall or... either through psychological suppression of it or physiologic. They're in a different enough state that didn't register properly. It's not clear. But they tend not to recall the paranoia. And by paranoia, it's persecutory delusions. I have people who,

I mean, I think the second piece is how much of they... It's unclear how much they actually remember or recall or... either through psychological suppression of it or physiologic. They're in a different enough state that didn't register properly. It's not clear. But they tend not to recall the paranoia. And by paranoia, it's persecutory delusions. I have people who,

I mean, I think the second piece is how much of they... It's unclear how much they actually remember or recall or... either through psychological suppression of it or physiologic. They're in a different enough state that didn't register properly. It's not clear. But they tend not to recall the paranoia. And by paranoia, it's persecutory delusions. I have people who,

assaulted family members thinking that they were being spied on, manipulated when they were the parents trying to take care of their kids.

assaulted family members thinking that they were being spied on, manipulated when they were the parents trying to take care of their kids.

assaulted family members thinking that they were being spied on, manipulated when they were the parents trying to take care of their kids.

I mean, some of this is just individual style rather than intellectually thinking one is better or not. And my style is usually to listen as closely as I can to what the patient wants. That doesn't mean agree with them, but to... explain in as much detail as I can what I perceive the risks and the likelihood of those are and what I perceive the benefits to be.

I mean, some of this is just individual style rather than intellectually thinking one is better or not. And my style is usually to listen as closely as I can to what the patient wants. That doesn't mean agree with them, but to... explain in as much detail as I can what I perceive the risks and the likelihood of those are and what I perceive the benefits to be.