Dr. Russell Barkley

I had no idea at the level of complexity.

So it's beyond dopey.

So at this point, besides clinical trial and error, as well as clinician preference, let's understand some clinicians prefer, they're more comfortable with working with certain drugs than other drugs.

We know in research that we can create literally a checklist of different issues that one might want to contemplate in choosing a medication.

You know, one would be urgency.

How fast do I gotta get control over your problem because you are experiencing a lot of suffering?

Well, the stimulants would be the choice because they work much, much faster than the non-stimulants do.

Okay, but on the other hand, you have an anxiety disorder.

Well, hold on a second.

We know that in a subset of people, stimulants can make anxiety worse.

That's arguable.

It doesn't happen in everybody.

But it happens enough that clinicians get a little concerned about that.

And that's where we might want to go with a non-stimulant like a Stratira or a Calvary because that actually treats anxiety in the context of ADHD as well.

Well, then we might also have somebody who's showing very high levels of hyperactive, aggressive and just sort of over aroused behavior.

Well, you know, I might prefer to use an antihypertensive drug or would recommend to my colleague because I don't prescribe being a psychologist.

But that's where we would look and say, well, that drug actually does very well.

at managing hyperactive impulsive aggressive behavior, maybe we'll go there.

I could go through all 15.

I won't.