psychiatric nurse practitioer
NAC (N-acetylcysteine) has shown efficacy in clinical trials as a treatment for Skin Picking and Hair Pulling Disorder. NAC is readily available over the counter. While results are very preliminary, case reports have demonstrated mostly positive results and a lack of significant side effects.
Braun TL, Patel V, DeBord LC, Rosen T. A review of N-acetylcysteine in the treatment of grooming disorders. Int J Dermatol. 2019;58(4):502-510. doi:10.1111/ijd.14371
Attention Deficit Disorder is a real thing, many adults have it to some degree. The old thinking was that this was a disorder in childhood and teenage years that they would grow out of. We know better now. Many times Adults are diagnosed at a time that they take their children to a provider to be diagnosed. We know that there is a strong genetic component for ADD/ADHD.
Treatment varies with each individual, approximately 20% of individuals will respond to non stimulant medication: Straterra, Wellbutrin and Guanfacine. Most other patients respond to stimulants: adderall, ritalin, vyvanse, concerta or others.
Attention is not the only problem, we know that this disorder is pervasive and causes problems in every area of an individual's life. Emotional dysregulation is an often overlooked phenomena with ADD. ED is characterised by problems with temper control ( feelings of irritability and frequesnt outburst of short duration), emotional over reactivity (diminished ability to handle typical life stresses, resulting in frequent feeligns of being hassled and overwhelmed) and mood swings (short and unpredictable shifts from normal mood to depression or mild excitement) A complete diagnostic exam can help distinguish this from other disorders that share some of the same characteristics.
Adults with ADHD are more likely to be less educated, poorer work performance and increased likelihood of dismissal from work or frequent job changes, as well as difficulties in maintaining long-term social relationships, and higher divorce rates, serious transport accidents and criminality
Often experienced and under diagnosed, Premenstrual syndrome (PMS) has a wide variety of signs and symptoms, including mood swings, tender breasts, food cravings, fatigue, irritability and depression. It's estimated that as many as 3 of every 4 menstruating women have experienced some form of premenstrual syndrome.
Recent research has shown that Serotoinin levels appear to vary during the menstrual cycle under the influence of estrogen and progesterone. SSRIs such as zoloft, lexapro, prozac and others may increase the amount of serotonin available for neurotransmissions.
Some health care providers have been increasing by a small dose, the SSRI that a woman takes the week before their menstral period and a week after their menstral period with significant improvement in PMS symptoms. I have used this in my practice for several months and women have reported significant improvement in their symptoms. Of course, every patient is different and this should only be done under the direction of your provider. If you are suffering with symptoms of PMS, talk to your provider.