Dr. Mark Stein

speaker

305 appearances 1 recordings 1 series first heard Jun 2026 last heard 27 Jun

Dr. Mark Stein’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jun 2026 with 1.

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ADHD, Autism, And Anxiety: Breaking Out of The Box · Episode 31: Dr. Mark Stein: What You Need to Know About ADHD Treatment Across the Lifespan · 27 Jun 2026 podcast

Um, well I I think um what matters is what's available, what the person is willing to take, um, and uh what their response is.

Uh and it's really a process in terms of determining that.

And you know, kind of what we've learned is that well, we have all lots of medicines that the research tells us they work um in terms of reducing CORADHD symptoms.

But um they really differ in terms of many ways, but um kind of the duration, uh how quickly they work, how long they last, um, the side effect profile may differ.

And some of the differences are related to dose, but some are like individual differences.

And so, you know, I I think there's always a uh um an exploration for each patient what works best for them.

Now, one of the good things about uh especially the stimulant medications is that uh because of their short half-life, it's very easy to stop and start.

Um and um so you if someone doesn't respond or has a modest response to one medication, I often encourage them to try another one.

Um but on the other hand, there's a danger.

of just changing medicines.

I mean see I see many people have come in that have said I've tried, you know, uh and they'll name three or four different medicines.

And um what I find, at least with the stimulants, is that probably the the most important determinant of response is dose, finding the right dose that helps you without causing significant side effects.

And so what we always encourage is when we recommend medication, we recommend a medication trial.

And what that means is trying several doses for a short period of time to find the optimum dose.

someone that uh is just a little bit better, um, you're not doing them a service having to go through everything that's involved in taking a medication to just get a little bit of improvement.

Um so we really want to get the most that we can.

Um and so, you know, being on this journey to to evaluate kind of dose response effects, I think is an important uh important step.

And not abandoning one medication quickly because of uh a side effect one day, for example, or lack of efficacy.

So yeah.

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