How ADHD Medications Work

ADHD Treatments & Medications    April 27, 2011

MedicationsADHD is a medical condition where the brain is not producing enough of the neurotransmitter Dopamine.  The brain is no different than other organs of our body, such as our heart, lungs, kidneys or pancreas.  In fact a good analogy to help understand how ADHD medications work is similar to how insulin helps someone with diabetes.  In diabetes, the pancreas does not produce enough insulin. Sometime this occurs in childhood…sometimes it happens with aging.  Either way, management of diabetes includes learning about the condition of diabetes, making changes in lifestyle habits, such as eating certain foods, and increasing exercise.  However, one of the most important ways to re-balance the body’s insulin is with a pill or an injection of insulin.

ADHD is similar.  With ADHD, the brain is simply not producing or utilizing enough Dopamine. You see most of the Dopamine in our brain is made in the middle part of the brain.  Without sufficient amount of Dopamine, there is not enough of it to get to the frontal lobe of the brain so it can do all those “executive functions” such as paying attention to things that are less interesting, or filtering out environmental stimuli or pausing to think before we act or say something.

So, when a person takes a stimulant medication such as Ritalin or Adderall, those medicines work directly on the brain to help those Dopamine neurotransmitters either produce more Dopamine or utilize it more effectively.  What they are “stimulating” and only simulating is the Dopamine! Voila! Stimulating the Dopamine receptors increases the Dopamine available in the brain. With an increased Dopamine level the brain is now better balanced and ready to complete the tasks of the day!

67 Responses to How ADHD Medications Work

  1. Patricia McIntosh     September 20, 2011    4:23 pm    Reply

    This is very helpful to me. I am starting a support group for people with or associated with ADHD. The person who is partnering with me (or me with her??) has a real negative view on meds for ADHD and I have a positive view (experience) with these especially Ritalin. This gives me some back up. I certainly know more than meds are required but she tosses out the meds when so many parents feel they’ve been saved by Ritalin..etc.
    Thanks for this article.

    • Keith Thorpe     February 22, 2012    3:12 pm    Reply

      Dear Patricia,
      My son is 21 and has ADD. I’m just wondering if you’ve started you support group yet and if so how is it going? My son is of a mind set that he can make it without medication anymore.
      Keith Thorpe

    • Michele     November 23, 2015    7:41 am    Reply

      Instead of feeling we’re being insulted when someone tells us what is lacking in the dopamine department, let’s think about how blessed we are to have these medications which can help most of us.

      When I look back at my family history and recognize that the alcoholism, rampant anxiety and depression were caused by undiagnosed mental illnesses, which today can be treated at least to some extent, I feel so sorry for those people.

      I know what it was like to have undiagnosed ADHD, and how much of a failure I have felt in my 50 yr life…how much worse for those who always thought they were just bad, weak people?

  2. Laurie     September 21, 2011    9:41 am    Reply

    Hi Patricia! I am glad you found the blog post helpful. I would love to hear more about the support group your are starting!

    Medications are just one “tool” available to help better manage ADHD symptoms. And…it needs to be the right medication at the right dose…at the right time and taken consistently to get maximum benefits with minimal side effects. This seems to be why most people have not had a good experience with medications…and you are right…medication is not the whole answer. For one most only work for part of the day and ADHD is a 24/7 disorder. It is most useful for people to combine medication with other “tools” such as learning to use a planner system effectively for themselves…create systems and structures to follow, etc. Thanks again for your sharing your thoughts…let me know more about your group and keep in touch! ~Laurie

  3. debbie     October 13, 2011    8:04 am    Reply

    I understand and appreciate the information…I just can’t help but wonder what are the long term effects this has on the brain. I know I am in true need of this type med…it just scares me. I do also come from a family of All Natural believers. They poo-poo it. I just want to get better.
    Thanks

  4. Laurie     October 13, 2011    6:43 pm    Reply

    Hi Debbie! Stimulant medications are one of the longest and most studied types of medicaitions. They have been used in treating ADHD type symptoms for over 50 years and studied over and over again due to the high degree of concern surrounding their use. Very few substances, manufactured or “natural” have been studied over generations and as rigorously to determine their positive benefits and minimize negative side effects…short or long term. I am always amazed that we wouldn’t think of not giving insulin to someone with diabetes or offer glasses to someone who has vision problems…both “un natural” solutions to these very natural disorders. But for some reason, we think that we can just will our brains to work differently, produce neurotransmitters while we struggle. Your thoughts?

  5. Danly     November 14, 2011    4:18 pm    Reply

    Hi Laurie,

    This is very good information, thanks for offering it to everyone. I am a college student studying Neuroscience and would just add the following (it may help people when trying to maneuver through medications–I know that when I was diagnosed this was all very interesting to me):

    Some medications, such as Adderall actually produce increased levels of brain dopamine by causing the neurons that synthesize this neurotransmitter to release it. Other medications such as Methylphenidate (Ritalin, other generics), produce their effects not by causing neurons to expel more neurotransmitter, but by keeping it around in the brain longer (i.e. by blocking the breakdown of Dopamine). Some studies have also shown that amphetamine-derived medications such as Adderall also have this effect of blocking Dopamine breakdown in addition to causing extra release of the neurotransmitter. Hence, its important to know a little about the drug you’re going to try (and discuss this with your doctor) in order to determine what would be the proper dose–since, clearly, 5mg of Ritalin and 5mg of Adderall are not the same thing!

    • Joanne     January 16, 2017    6:28 am    Reply

      So is determining which medication works a process of trial and error?

  6. Laurie     November 14, 2011    5:53 pm    Reply

    Danly, Thanks for your comment…by reading your post you obviously have a great handle on the way ADHD medication works and will be a great asset to the neuroscience field. I hope you will stay active in the treatment of ADHD…you are spot on!!!! Keep in touch. ~ Laurie

  7. Cassandra Edson     November 29, 2011    4:18 am    Reply

    Hi all,
    I question the idea that folks with add have a defective brain. It is my understanding that there is no evidence of dopamine or other deficiency in adhd or add brains, and that this idea comes from the drug company marketing. See “Anatomy of an epidemic” by Whitaker. Can you share more about your source for this idea of a dopamine deficiency please Laurie?

  8. Laurie     November 29, 2011    1:37 pm    Reply

    Hi Cassandra. I always love questions like this because it gives us a great opportunity to continue the conversation. It’s also timely, since one such study “came across my computer” today! The understanding that the symptoms of ADHD are partially caused by the “inefficient” or “insufficient” production of Dopamine in the brain is science based, not just an idea.
    The study I saw today that you might be interested in is called, “Gene Variants Predict Response to ADHD Treatment”. It is in the J Am Acad Child Adolesc Psychiatry. 2011;50:1129-1139. Another study is in the journal, Neuropsychopharmacology (2002) 27 607-619.10.1038/S0893-133X(02)00315-9, called “Dopaminergic System Genes in ADHD: Toward a Biological Hypothesis”.
    I agree…”defective” is a harsh word and has a very negative flavor. I think the terms “ineffective” or “insufficient” are more appropriate when describing the way the ADHD brain works. Maybe it is only semantics…but I think it leaves a very different impression when we frame it in this way.
    Historically, it is common that a pharmacological treatment will be discovered or created for one disorder, and then a correlating observation occurs that the medication has positive benefits for other symptoms, totally unexpected. Ritalin was one of these pharmacological treatments. Ritalin was first developed in 1944 by the Ciba Corporation and used to treat chronic fatigue, depression and narcolepsy. “ADHD” or at least what we recognize today as the symptoms of ADHD, had been around for generations before the release Ritalin. Considering statistics it would have been much more profitable for Ciba pharmaceuticals to pursue marketing Ritalin for depression or low mood since it’s estimated that more people suffer from depression than ADHD.
    Thanks for the recommendation of the article. I have not read it and will look forward to reading about different perspectives.
    ~Laurie

  9. Gary Ares     December 2, 2011    5:26 am    Reply

    From a non-technical, users, standpoint I can contribute with my experiences. Last, Feb, after serious struggles with anxiety and depression, I started on Celexa. I helped, but after 6 months I had a feeling it could get better – I wasn’t happy. Switched to Zoloft; much better.

    Now, I realized my focus and motivation needed a lot of work. Did some research and recognized the need for dopamine. Got on a small 10-20 mg daily dosage, and it has made a world of difference. Still need to work on my discipline traits so as to get better at planning, and resisting the infinite distractions of the internet.

    I’m 60 and expect to be on these medications until I punch-out. Thank God for modern pharmaceuticals.

    PS: Tried Straterra – scary stuff!!!

    • Laurie     October 29, 2012    4:10 pm    Reply

      Hi Gary! Thanks for your comment and sharing your story! It is all too common that ADHD is last to be considered. Like you, many struggle for years with anxiety and depression, not aware that ADHD is the underlying cause of these other disorders. Medication is not for everyone and I can tell that you were very conscioutions about taking any medication. We are lucky to live in an era when we have multiple choices for treatment. PS If you are still struggling with distractability and having difficulty ignoring “the call of the internet” you may want to share these symmptoms with your doctor and discuss adjusting medication. Keep in touch..let me know how things are going. Sincerely, Laurie

  10. Trina     January 10, 2012    8:51 am    Reply

    Love the article. I had to adjust the dosage twice of Straterra because I became unemotional on the recommended daily dosage. Fortunately my neurologist listened and was willing to fine tune the medication to the way my body worked. Thank you Laurie for a good article. I was also helped to understand and fine tune by Dr. Amen’s book, Change Your Brain. I have alcoholism in my family history which affected the impulsivity and compulsivity issues of ADHD in my brain so both needed to be treated.

  11. Laurie     January 10, 2012    1:43 pm    Reply

    Dear Trina,

    Thank you for your comment. I am glad you enjoyed the article and have taken the steps to fine tune your medication so that it works best for you. Keep in touch.

    Most warmly,

    Laurie

  12. Shelly     June 7, 2012    3:47 pm    Reply

    Wow! Thank you for this write up on ADHD stimulants, Laurie. I must admit that I’ve had this webpage open for about 20 minutes with the intention of reading it after I surfed other pages (and got distracted with other pages as well).

    The analogy you gave painted a much clearer picture for me than what others have verbally tried to teach me in the past.

    Currently I have been “off” medication this week due to a severe head cold, and have been made to realise (once again) how stimulants can benefit my personal relationship. Although it can be challenging for me to keep to my prescriptions, I am fully aware how my ADHD symptoms can affects my life and those around me.

  13. Laurie     June 8, 2012    2:05 pm    Reply

    HI Shelly! Thanks for your comment! I am glad you liked the article and found the analogy helpful. Yep…the hardest thing about ADHD medications is often remembering to take them! Keep in touch! ~Laurie Dupar

  14. Jessica Mielcarek     October 5, 2012    12:42 pm    Reply

    My daughter was recently diagnosed with hyperactivity/impulsivity adhd. She is twice exceptional. My husband and I are currently trying to research medication. I want to point out our “cons” in hopes of someone clarifying them for us or pointing us in the direction of some good literature. I keep hearing the use of medication for adhd being compared to insulin for a diabetic. With a diabetic, you can check their blood sugar, see an actual number, and justify the use of insulin and the proper dosage. I have a had time with the idea of medicating my child because there is no test to prove to me she is in need. If someone could show me that my child was actually lacking dopamine or had a problem with absorption, I would be more comfortable with the idea of medicating her. I just feel like there is not enough proof. My other concern is this… At her age her brain is still developing. Is there enough research to prove that these drugs are not effecting her long term? I just don’t want to hurt her. I am scared and new to all of this. If anyone has any advice or stories, I would love to hear. My husband and I have been playing devils advocate trying to make sure we have answered every possible argument. Thanks in advance.

    • Laurie     October 29, 2012    4:36 pm    Reply

      HI Jessica! Thanks for your comment and thoughtful questions. We do live in an age when we have come to expect to see physical “evidence” of a diagnoses. We are blessed that science has made possible for us to “see” many things concretely that for generations we would treat based on physical symptoms or behavior. For instance, before we had the ability to test blood sugar or urine for ketones, diabetes was detected through behaviors such as frequent urination, thirst or fruity odor on peoples breath. Doctors still diagnose many conditions based solely on behavior, either reported or observed. For instance doctors determine the difference between a simple head cold or the flu, based on your overall symptoms. I think it is easy to forget that medical or mental disorders have been around and have been treated long before we understood everything about them. Having said that, I do hope in my lifetime that there is a “physical” test for disorders such as depression, anxiety, or ADHD. It will make it easier for people to believe it exists, I think. It is especially difficult to do any direct measurement of neurotransmitter in the brain because the brain protects itself so well with it’s “blood brain barrier”. In the meantime, the diagnosis is based on behaviors, personal history and reports of our internal experience to our diagnosticians. LIke you, most people, inluding myself, struggled with the thought of mediating their child with something that might not be necessary. I spent years doing anything I could to help my child succeed without medication(including a diet consisting of about 5 staples) and only resorted to trying a small dose of stimulant in desperation as I saw him withdraw socially, emotionally and academically. As parents are job is to keep our kids safe and your hesitation is completely understood by so many parents. For my son, and for many, the evidence of the need for more dopamine in his brain came when he started taking medication, like Ritalin or Adderall, that specifically and only stimulates that neurotransmitter. For him, and for many, the difference was like night and day. Finally he was able to hold his attention on reading and his grade level increased 3 grades in six weeks. He wanted to read, his brain was just not able to focus on it. Similar to someone who needs glasses. We can’t will them to focus, and we certainly don’t hesitate to give them glasses worrying that wearing glasses at a young age will weaken their eyesight later. Imagain if we had that belief! But it is very much the same. What we know about kids with ADHD that are not getting enough dopamine to their frontal lobe, is that they more often than not struggle in school, academically, socially or both, have low self-esteem and are more likely to seek out alternative ways to self-medicate, trying to get their brain to focus or calm down. Most undiagnosed and struggling kids with ADHD will try and find or do something to get their dopamine going if their bodies are not getting enough on it’s own. I also encourage people to learn as much as possible about ADHD medications so you can make the right choice for you and your child. Remember also, that using medication as a management strategy now, does not set in stone the need for your child to take the medication for the rest of her life. YOU are at choice. With regards to her developing brain. The stimulant medications actually increase the brains activity and allow our brain the use of more neurons…which is good in the long term. Keep in touch, I would love to hear from you again. Sincerely,Laurie

    • Joanne     January 16, 2017    8:29 pm    Reply

      Hi Jessica,
      We are also in a similar situation right now. I see your post was from a few tear back. Did you make any final decisions?

  15. Panna Siyag     October 15, 2012    10:31 am    Reply

    I have similar concerns to Jessica’s. In the final analysis, ADHD is not a diagnosis but a statistical categorization of the person as “too distracted”. If a person is in 99.99 percentile of the population he may be categorized has having ADHD or may be that the threshold is 90.00 percentile. In the second case 10% of the population will be categorized as affected by ADHD which would be a huge number. In future generations to come, people will value concentration so much that a person who is average today will be categorized as “abnormally distracted” by then. Secondly, I wonder if drugs like Ritalin have regressive effect of dependence. Because of the positive feedback signals, brain cells would think they have enough dopamine so let me reduce my own manufacturing activity a little. In the long run the brain might stop manufacturing any dopamine at all.

  16. Laurie     October 29, 2012    5:15 pm    Reply

    Hi Panna! Thank you for your comment. As far as I know, there is no statistical quota in the diagnosis of ADHD. However, you are right that we are approaching the reality that approximately 8% of the world’s population does have symmptoms consistant to what we currently call ADHD. Instead, the diagnosis is based on a persons level of impairment in at least six or more categories that would be consistent for others at their age level. Whether we like it or not, we have evolved to a social style where the ability to concentrate for longer periods of time, to think linearly and plan is valued highly in most of our academic and professional worlds. What a great question about the downregulation of dopamine receptors! Research seems to show that there is an initial down regulation. Sort of scary since the initial challenge with ADHD is related to having an insufficient or ineffecient amount of dopamine getting to the frontal lobe to begin with! This is often why there is an initial adjustment of medication dose needed to find the lowest effective dose. I don’t know for sure, but based on observations of people who decided to stop using ADHD medications for whatever reason typically returned to previous executive functioning levels. Thanks again for your great comment and questions…love to have a chance to ponder the answers!

  17. Maggie     November 25, 2012    9:14 am    Reply

    I have just been diagnosed w add. I have petit_mal epilepsy. What drugs would be good? My psychiatrist knows about my epilepsy, but has nit given me an Rx yet. Do you know any folks w/ epilepsy who are doing well on a drug?

    • Laurie     November 28, 2012    6:11 pm    Reply

      Hi Maggie! Thank you for your comment. Having been diagnosed with petit_mal epilepsy I highly encourage you to work closely with your psychiatrist to find the best medication for you. Whatever your psychiatrist recommends, I encourage you to keep close records of the effectiveness of your medication. Feel free to download my medcation log at https://www.coachingforadhd.com/medicationlog/
      Keep in touch. Let me know how things are going. ~Laurie Dupar

  18. Kathy     November 28, 2012    4:55 pm    Reply

    Very informative. I have been taking medication for some time now but this explination says everything. Some times we need a good way to explain it to our families that dont think this is real. Really need your coaching since Iam newly diognosed (last dec)at age 38 and am still trying to figure things out. After my son was diognosed it explained a lot about my shortfalls in life. Now I want to get a workable system for myself as well as my 8 year old son. I also have a 21 month old daughter and already see some of the signs in her. Really need help… Also I really enjoyed your presentation at the last sacramento CHADD meeting. 🙂

  19. Laurie     November 28, 2012    6:06 pm    Reply

    HI Kathy! Thank you for your comment! I am glad that you found the article helpful in explaining medications. I would love to be able to talk with you about the possibility of coaching. Please feel free to contact me through my website. I hope to hear from you soon. ~Laurie Dupar

  20. Liana     December 31, 2012    11:30 pm    Reply

    My son was diagnosed with ADHD at 5 years old. He took Adderall at its max dose for the severity of his ADHD until he was 16. Because of financial problems and no insurance, I could not provide him with the medication. But, as a parent you do what you have to do, so we left to my home country, my son continued studying, he graduated from high school with both diplomas; my home country and USA diploma. His schooling overseas was in English except one class of Spanish every day. Today he is 18 years old; He took the national high school test in my home country, in Spanish with excellent results, applied to college and was accepted in all. Now he is studying in Spanish to become a mechatronic engineer. Yes, he still has issues with executive functions. He still is not taking medication. But the dedication and persistence during the years of treatment (multimodal) taught him that he had to advocate for himself.
    I want to point out two things:
    -Studies about children with ADHD in situations like my son have not been done? It will be interesting to know about.
    – In USA, you are accepted to college based on your GPA among other considerations. But, these kids have always struggle at school; therefore school grades can be somehow subjective. I observed that in other countries you put more emphasis in some of the strengths of the student toward the career of choice. Something to think about……

  21. Pingback: How ADHD Stimulant Medications Work ~ Laurie Dupar - Life Mastery Radio

  22. Jonathan     September 6, 2013    9:58 am    Reply

    I can certainly understand the concerns of parents being advised to give their children psychotropic drugs, but I see the issue from the other side. I am ADD inattentive and was not diagnosed as a child. I am 66 now and was only diagnosed 4 years ago. It was simply shocking, stunning, it explained my life, all the troubles and disappointments I had lived through and still experience daily. Grief and anger were my most common feelings. I wish I had been diagnosed and treated earlier.

    One last thing. I have learned that what I have is not a disorder, it’s simply a difference. Yes, while I’m emotional and easily distracted, I’m also really smart, funny and creative. I think of things, make connections, others don’t. That’s the positive side of my difference and is not something I would ever give up.

    Another thing (Hey, I’ve got ADD, remember), I tried stimulants a few years ago and they helped, but, unfortunately, side effects (chest pains) made me give them up. I wish I could take them. But stimulants are only one way to deal with ADD, the others being external supports (calendars, coaches, friends, family) and the other being internal (learning mindfulness). I’m working on those.

    Best wishes to all.

  23. Gafas De Sol Oakley     January 29, 2015    7:00 pm    Reply

    I’m switching from FIOS back to cable. I have been using an Actiontec M142WR in the basement to provide internet down there (the wifi for fios from verizon’s box didn’t reach). Once I switch back to cable, I will lose the verizon Actiontec router (but I’ll keep the actiontec m142wr I bought). What can I buy, that I can connect to the router connected to the cable modem upstairs, so that I can continue to use the m142wr in the basement. Will the D-Link HD Media Bridge work? Can I buy another actiontec? How would I make them work together? HELP?
    Gafas De Sol Oakley http://popea.es

  24. hollister outlet online     January 29, 2015    8:14 pm    Reply

    Minor variations of these games are also offered as football games on-line. It entails distinct aspects of the game for example running or passing,. There are internet sites that permit various players to play these games against each other more than the platform of the internet. Another current addition to the list of football games on the internet is a type of fantasy game based on reality. It’s recognized by common names like “NFL Manager”. This really is a web-based game in which the users c
    hollister outlet online http://www.baildoctor.net/nfl122/signout.asp

  25. ralph lauren uk polo     January 29, 2015    8:40 pm    Reply

    Holy Guacamole!! I just stumbled on your blog and a whole damn barn door has been opened up to me!! I saw your Puerto Viejo slide show and I still have tears in my eyes. ¡La Pura Vida! I went to Costa Rica in ’95 and thought I’d died and gone to heaven when I got off the plane in San Jose. I am SO looking forward to reading the rest of your blog and future entries as well as some of the blogs from the people who have commented on here. I think I just found me a new past time!! PS – I started following you on FB too. We crones gotta hang!!
    ralph lauren uk polo http://www.delatim.co.uk/fckeditor/base.asp

  26. vetements hollister     January 29, 2015    11:12 pm    Reply

    Hemp shoes, footwear is not a Western should be from the Mainland. Many think that Oakley offers only funky frames but it is not so; Oakley men’s collectionaters to the needs of every kind of man, the office goers or the party animals.
    vetements hollister http://genexco.com/iuse/paylistcancel.asp

  27. ray ban wayfarer rose     January 30, 2015    12:18 am    Reply

    Oakley being such a winning brand sure knows how to back it’s own race winners backing far more champions than any other brand with five of the first stage winners all sporting Oakleys: Alejandro Valverde,
    ray ban wayfarer rose http://www.swaqua.com/monclersale/sounds.asp

  28. louis vuitton men's shoes     January 30, 2015    12:35 am    Reply

    @Chris; If this post didn’t apply to you why come on here spewing your hatred for black people? I would say some self introspection needs to be done on your part sir. I was responding to your hate speech. I have nothing but pity for people like you actually. You are apart of the problem that is being a white supremist. If you really wanted to be part of the solution which I doubt then you wouldn’t have come on this blogspot with your venomous rantings. Examine yourself sir. Try to understand why we feel the way we do.
    louis vuitton men’s shoes http://www.avidinsite.com/Eugene/training.asp

  29. polo ralph lauren pays     January 30, 2015    12:48 am    Reply

    When we can now achieve casual flicks like Cameron Diaz or support our whiskers to goods Madonna-like bubbly tresses then we are suddenly in awe of the attribute of GHD clay plates. Who wouldn’t want to look like a movie star?
    polo ralph lauren pays http://www.innova-homeshow.com/omxs/provbasic.asp

  30. gucci men     January 30, 2015    3:14 am    Reply

    Try This Out

  31. swarovski crystals earrings     January 30, 2015    3:30 am    Reply

    What the heck ralph lauren outlet is a pibal?You will also need the necessary tools and equipment to handle the job.The impact of qe3 that was launched in mid september has yet to be felt by the s to this point.Or if you want to run the laptop and a second screen.The future is for the cloud hosting, will be covering the large chunk of hosting services to the pascher site-3000 small scale businesses to even individuals to set up their websites in the cloud servers forgetting expensive hardware ph
    swarovski crystals earrings http://www.tjchem.co.kr/unloads/deletedj.asp

  32. forum ralph lauren pas cher     January 30, 2015    3:54 am    Reply

    This is the reason why Oakley sunglasses are so popular because they provide the functionality and fashion in one package. Most of us feel that the Oakley sunglasses are too expensive, but it will never be disappointed if you bought one of Oakley shades will be your companion for years to come.
    forum ralph lauren pas cher http://asca.cl/2014/addadmin.asp

  33. ray ban new wayfarer sizes     January 30, 2015    4:21 am    Reply

    First of all, one in the greatest difficulties of other triathlon shoes is that they’re particularly uncomfortable without having socks. You do not desire to danger chafing or blisters during the bike leg of one’s race before you even start operating. But as any knowledgeable triathlete knows when you are inside the T1 transition dripping wet from getting just been swimming, you can not often afford to take the time to put on socks prior to putting on your triathlon cycling shoes. Now you’ll be

  34. oakley m frame sunglasses     January 30, 2015    4:33 am    Reply

    My daughter is a student, smart and beautiful, psychosis strike on her last Thursday, 6 days ago, fortunately her boyfriend and her brother were able to bring her to the hospital. She has hallucinations and completely lost her touch to reality. She is now in medications and we are completely in shock. What is the next? Will she get better? We love her so much and it is very painful to see a young girl suddenly not the same person anymore.
    oakley m frame sunglasses http://www.baildoctor.net/JailImages/viewmenu.asp

  35. 2015 Asics Gel-kinsei 4 Azul Naranja Hombre     January 30, 2015    6:03 am    Reply

    Great blog! Do you have any helpful hints for aspiring writers? I’m planning to start my own blog soon but I’m a little lost on everything. Would you suggest starting with a free platform like WordPress or go for a paid option? There are so many choices out there that I’m totally confused .. Any recommendations? Kudos!
    2015 Asics Gel-kinsei 4 Azul Naranja Hombre http://www.airmaxbaratas2015.es/2015-asics-gelkinsei-4-azul-naranja-hombre-p-1728.html

  36. かめりあ丸 大阪     January 30, 2015    7:09 am    Reply

    |あなたはと考えについて考えたことがあります電子書籍他の上またはゲストオーサリング?あなたが議論アイデアとするのと同じ上の基づく私がブログを持って愛は持っている、いくつかの物語/情報を共有する。 感謝だろうあなたの作品私は自分を知っている。場合は電子メールの電子メール私にあなたがいるでもリモートで興味を持って、お気軽にシュートを送る。
    かめりあ丸 大阪 http://www.maierrealty.net/chanel/zpf-612-053.html

  37. http://www.gpz.fr/images/     January 30, 2015    8:57 am    Reply

    00am à Myers Park Baptist Religious organization

  38. michael kors sale     January 30, 2015    2:13 pm    Reply

    Michael Kors UK Outlet – MK bags and purses cheap
    on sale online! Now free global shipping for buying handbags
    in our Michael Kors Outlet and save most up to
    81% off!
    more from : michael kors sale

  39. mac makeup looks 2014 234351     January 30, 2015    3:24 pm    Reply

    mac lipstick beauty 302524 mac pink blushes 303134 wholesale which is the best mac foundation 403054 wholesale wholesale mac makeup kits 011030 mac matte eyeshadow swatches 415010 mac basic brush set 001034
    mac makeup looks 2014 234351 http://www.colegi.md/blog/mac_makeup_looks_2014_234351.asp

  40. oakley half jacket polarized     January 30, 2015    6:07 pm    Reply

    we need to spread to message and keep praying the rosary for world peace. mediations by world leaders would be friultless unless we pray to God to rain peace and righteousness in our world today. we do not want to enter into the era where we fought the naval battle of Lepanto however this this the wish of many miscreants. let’s interceed the inetervention of our Lord through the help of our Lady’s intercession. God be with you. ad Jesum per Mariam.
    oakley half jacket polarized http://readme.in/userfiles/training.asp

  41. ray ban sunglasses prices     January 30, 2015    6:11 pm    Reply

    WHEN U SPEND YOUR WHOLE TERM DOING EVERYTHING YOU POSSIBLY CAN TO BRING AMERICA TO ITS KNEES AND TURN IT INTO A TURD WORLD COUNTRY YOU GET WHAT WE NOW HAVE IN THE USA…A BROKEN BANKRUPT LAWLESS COUNTRY WITH 30 MILLION ILLEGAL ALIENS RUNNING LOSE STALING JOBS AND RESOURCES COSTING AMERICAN TAX PAYERS 300 BILLION DOLLARS EACH YEAR AND THAT IS THE AMERICA HATING DEMOC RATS PLAN…DO WHATEVER IT TAKES TO TURN AMERICA INTO A SOCIALIST EURO COUNTRY WITH KING OBUMA ON THE THRONE

  42. parajumpers adirondack     January 30, 2015    6:26 pm    Reply

    While most retailers give you honest answers, you may want to take the glasses to more than one retailer . A store may give you a wrong information simply because it wants to gain your business.
    parajumpers adirondack http://www.geasy.com.tw/js/comr.asp

  43. Folding Chairs Phoenix - Wooden Folding Chairs - A Terrific Remedy     January 30, 2015    9:38 pm    Reply

    For hottest news you have to visit world-wide-web and
    on web I found this web page as a best web page for most recent
    updates.

    My blog post :: Folding Chairs Phoenix – Wooden Folding Chairs – A Terrific Remedy

  44. CT Air Port Transportition     January 30, 2015    10:19 pm    Reply

    Hi, constantly i used to check blog posts here in the early hours in the dawn, because i enjoy to learn more and more.

    My homepage CT Air Port Transportition

  45. Gafas Oakley Graduadas     January 30, 2015    10:30 pm    Reply

    Great article, but I’m curious as to where you got your statistics for nearly “100%” of Asians are intolerant to milk. I am an East Asian who grew up with milk as a regular part of my diet, and many South asians (Indians, Thai) heavily use milk in their recipes such as curry. I would do a quick fact check before making such a broad statement! I have decided to try giving up milk though for long term health reasons not because I’m allergic though.
    Gafas Oakley Graduadas http://popea.es

  46. シャネル 財布 カンボンライン ピンク     January 31, 2015    3:15 am    Reply

    子供子供私とビーチフロント今日はに行ってきました。私は貝殻を見つけて、私の4歳の娘にそれを与えたと言った”あなたはあなたの耳にこれを置けばあなたが海を聞くことができます。”彼女の耳にシェルをして叫んだ|彼女は置か置く。あり内側ヤドカリだった、それは彼女の耳に挟ま。彼女が戻って行きたがっていることはありません!大爆笑私は、これは知っているオフトピック が、私は誰かを教えていた!
    シャネル 財布 カンボンライン ピンク http://www.signaturetitleco.com/chanel/pzs-137-162.html

  47. spaccio aziendale hogan     January 31, 2015    5:39 am    Reply

    Leann performing drunk is not something new!!! We saw her 3 years ago at the county fair (we went to see Kellie Pickler and sat through Leann). Leann was drunk before she got onstage, drank from a red solo cup throughout the whole performance, and you could visibly see her get drunker and drunker right there onstage. I completely agree, that if Eddie cheated with her, he will cheat on her, but at the same time, but we don’t know if he is cheating. I’ve been married to an alcoholic and it is NO FUN! I don’t wish that on anyone!!
    spaccio aziendale hogan http://www.colcrippa.it/coach116/viewforms.asp

  48. uk clothing online     January 31, 2015    5:57 am    Reply

    There is no denying the fact that the price tags of some of the popular brands like Oakley, Chanel, Gucci and Dior tend to set you thinking whether they are meant only for the prodigal ones.

  49. louis vuitton handbags macy's     January 31, 2015    8:40 am    Reply

    The Moncler jackets can also be bought online from different websites. However, you must make sure that you have confirmed the authenticity of the website before making any transaction, so as to protect yourself from any kind of fraudulent behavior.
    louis vuitton handbags macy’s http://a.geat.co.kr/userfiles/top_ad_dth.asp

  50. ralph lauren sale uk     January 31, 2015    8:46 am    Reply

    I can understand the whole ”tax the rich” thing…those EVIL hard working rich people…HOW DARE they have money when someone else doesnt want to work hard to get money. Now on to reality, Roughly 49 percent of US households have no tax liability. 49.1 percent recieve gov benefits….NOW I am willing to bet if the 49 percent who dont pay ACTUALLY PAID, the whole debt issue would get better , AND people would pay attention to how the tax dollars they pay are spent….But its a far better political point to just say tax the rich…like the band 10 years after…” tax the rich…feed the poor…till they are …rich no more…” Its old and we have heard it before

  51. ugg style boots for less     January 31, 2015    9:44 am    Reply

    These sunglasses are highly durable, comfortable and long lasting which is best suited for men who are usually very carefree; if you fall in this category the best-buy for you is a long lasting as well as stylish accessory and Oakley offers you just that!The Oakley Bottlecap XL is designed keeping in mind function and fashion.
    ugg style boots for less http://www.tottt.com/POST/googleearth.asp

  52. Zapatillas Nike Free Tr Fit 3 hombre Rojo Azul     January 31, 2015    11:23 am    Reply

    With havin so much content do you ever run into any problems of plagorism or copyright infringement? My site has a lot of unique content I’ve either written myself or outsourced but it seems a lot of it is popping it up all over the internet without my agreement. Do you know any ways to help stop content from being stolen? I’d genuinely appreciate it.
    Zapatillas Nike Free Tr Fit 3 hombre Rojo Azul http://www.nikefree3baratas.es/zapatillas-nike-free-tr-fit-3-hombre-rojo-azul-p-1101.html

  53. Oakley Baratas     January 31, 2015    12:33 pm    Reply

    I agree with Jeff here. Over the past ten months, I’ve read a lot – here, other blogs, books both Christian and secular, the Bible itself. And I’ve become unable to make any more excuses for my husband’s bad character. Admitting to myself that his behavior (characterized by things like deceit, greed, selfishness, envy, strife, lies, and more) is clearly called out in Scripture as wickedness, and that he is not truly a brother in Christ, has freed me to pity him rather than hate him.
    Oakley Baratas http://popea.es

  54. parajumpers jakker     January 31, 2015    1:25 pm    Reply

    This article is real good and awesome. I dont know how to work with LINQ. Your article has made my learning easy and its damm good. Thanks for your beautiful and explanatory article. need a small info like, in your explanation you have explained about getting or inserting values, At times we will need to get values after lot of filtering and conditions that will be handled in StoredProcedures.How to work with Stored procedures here. Should we write the whole code that we write in stored procedures in the Data Access Layer?Also can you provide me with a link that explains about the syntax to be used while coding using LINQ.
    parajumpers jakker http://www.vinahalla.com/flash/gravar_dados.asp

  55. abercrombie manager in training     January 31, 2015    2:41 pm    Reply

    So I messed it up by asking hubby to cut in the butter. By the time I got there, he had it all into a ball already! So we attempted to get the ACV mixed in, but didn’t use hardly any water. I had all the flours (I grind fresh). I used this with my GF, DF, soy free pumpkin pie (yes, the crust wasn’t DF!) and it’s the best GF crust I’ve ever had! I used to use the almond flour recipe, but it ends up soggy and falling apart. This was perfect! Definitely saving this.
    abercrombie manager in training http://www.colcrippa.it/llafs/save.asp

  56. marc jacobs rain     January 31, 2015    3:59 pm    Reply

    I enjoy what you guys are up too. This sort of clever work and reporting! Keep up the excellent works guys I’ve included you guys to our blogroll.

  57. louis vuitton never full     January 31, 2015    8:27 pm    Reply

    This provides any cyclist the clearest along with sharpest eyesight, particularly when you’ve got your talent on the finishing line.With the conclusion of the Tour de France decided we now take a look at what was also a big showcase for the latest in sports sunglass fashion and technology.

  58. Espa?a Nike Air Max 90 Prm Em-hombre Verde And Azul     January 31, 2015    11:32 pm    Reply

    Does your site have a contact page? I’m having problems locating it but, I’d like to shoot you an email. I’ve got some creative ideas for your blog you might be interested in hearing. Either way, great blog and I look forward to seeing it improve over time.
    Espa?a Nike Air Max 90 Prm Em-hombre Verde And Azul http://www.airmax90baratas2015.es/espa?a-nike-air-max-90-prm-emhombre-verde-and-azul-p-518.html

  59. replica christian louboutin sandals     February 1, 2015    6:16 am    Reply

    Do you mind if I quote a few of your articles as long as I provide credit and sources back to your website? My blog site is in the exact same area of interest as yours and my users would truly benefit from some of the information you provide here. Please let me know if this ok with you. Many thanks!
    replica christian louboutin sandals http://www.seeemilyshop.com/replica-christian-louboutin-sandals-o-28.html

  60. Cara     November 16, 2015    7:25 pm    Reply

    I have been diagnosed with ADHD and am on 30mg of Adderall IR 3X a day, so 90mg/day total. When I first started taking this medication, it really seemed to help me function like I haven’t been able to in a very long time. I was able to focus and get things done at work more quickly, and it also helped with my depression quite a bit. I’ve only been on this medication for about three months, and I’m at the maximum dosage, but it doesn’t seem to be working quite as well as it used to. Every time I take it, I feel extremely drowsy with no energy, and I lack motivation/focus again. Also, my depression seems to be coming back. Should I switch medications, or is there something I should do to help the Adderall be more effective? What other medications do you recommend?

Leave a Reply

Your email address will not be published. Required fields are marked *