@dr.matthew.parker: Take this, not that: Psychiatry edition. Psychiatric medications aren't one-size-fits-all. The “best” medication depends on the person, the diagnosis, symptoms, other medications, side effects, and a whole lot more. So this isn't “take X because X is better.” It's here's how I think about different options in different situations. And yes, sometimes the answer is neither! What should I compare next? #MentalHealth #psychiatry #adhd #depression #anxiety
Dr Matthew Parker, DO
Region: US
Friday 28 August 2026 14:49:11 GMT
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Echo5Kilo :
You can’t start with Vyvanse. They have to fail adderall and Ritalin first 😭
2026-08-28 23:19:25
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maddie 🦋🍒🎰🐆 :
Being on an SSRI and Wellbutrin 😍
2026-08-29 01:45:08
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natashadima20 :
Wellbutrin is way better than SSRIs in my opinion… hated SSRIs but I know they’re great for a ton of people… just made me have SI unfortunately
2026-08-29 03:02:30
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Brebre2022 :
What would you recommend if I had severe serotonin syndrome from ssris and Wellbutrin does not work at all.
2026-08-28 22:01:38
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nick 🇷🇺🇵🇱 :
Do antipsychotics vs lamictal or lithium for bipolar
2026-08-28 21:47:31
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👽👽 Tinfoil Hippiechic 👽👽 :
Seroquel for the win and Vyvanse
2026-08-28 20:34:14
1
zackbodd :
Vyvanse versus Concerta!
2026-08-29 01:56:48
2
celestialpsych :
Hmm interesting.. I personally feel like I can’t justify going with strattera before a stimulant trial since stimulants are considered first line for ADHD.
2026-08-28 21:24:16
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Lynn D :
Stop demonizing benzos
2026-08-29 01:54:17
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andres520 :
ssris are pure garbage. all the side effects and weight gain is not worth it. how depressing it would be if you cannot satisfy your partner beacuse of the medication alone is depressing 😕
2026-08-28 22:19:21
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Melissa :
Mirtazapine also increases appetite. No thanks
2026-08-29 02:03:13
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Teearrenn :
Thank you for acknowledging the benefits of psychotherapy alongside or as a precursor to medications!
2026-08-29 01:23:12
1
Josh Sullivan :
Mirtazipine has literally been a life saver for me! I kind of use it for the side effects of sleeping and increased appetite but the vivid dreams omg! Haha insane
2026-08-28 16:27:47
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GenXtra18 :
It’s the weight gain for mirtazapine that for many patients that is a no-go.
2026-08-28 20:52:52
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Megschristina :
They didn’t give me cbti in childhood sadly. ADHD childhood diagnosis- wish they’d paid more attention to my lack of sleep. My mom wasn’t sleeping either but they never listened- she meant days awake- not a few hours a night 😳Now I stay up a week straight so I take more than just remeron too - but it worked so well at first.
2026-08-28 17:01:40
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user6214761425372 :
I’d love to see med combo options for Bipolar 2 with ADHD.
2026-08-28 21:53:31
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Perioddtt :
Currently on 15 mg mirtazapine for appetite stimulant and anxiety. It was great for appetite for about 3 weeks then it tapered off and I’m back to my baseline. Are there similar meds? I really enjoy it’s lack of bad side effects.
2026-08-28 21:57:49
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Funkmarv :
You should have a million followers, at least!
2026-08-28 20:43:35
1
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