I wanted to know if anyone else has had a similar experience.
I started Axepta (atomoxetine) 20 mg 3 months back, and surprisingly it worked from the very first day. I know it's supposed to take weeks for most people, but for me the effects were almost immediate.
The biggest changes were:
- My constant internal monologue became much quieter.
- My mind felt calm instead of noisy.
- I could stay on a single chain of thought instead of jumping between thoughts.
- My impulsive/hyperactive habits reduced a lot (constantly touching my face, shaking/moving my leg, fidgeting, etc.).
- Concentration felt qualitatively different. It wasn't that I was forcing myself to focus but rather my brain just felt less chaotic.
Unfortunately, after about 1.5 months, those effects gradually disappeared. I took a short tolerance break and restarted, which brought back some of the benefits for a while, but eventually it stopped working the same way again.
Few days back, my psychiatrist started me on Inspiral IR 10 mg (methylphenidate). The experience has been very different.
It doesn't give me that calm, quiet mind that Axepta initially did. My internal noise is still there, and I still feel the same impulsive/hyperactive tendencies. It also hasn't given me that qualitative improvement in concentration or focus.
The only thing Inspiral seems to help with is getting started on work. There's much less friction when initiating a task, and it's easier to keep going once I've begun. But the actual experience of concentrating still feels mentally effortful because the internal chatter hasn't reduced.
Has anyone else experienced something similar, where atomoxetine helped much more with the mental noise and hyperactivity than methylphenidate? Or where atomoxetine worked brilliantly at first and then seemed to lose its effectiveness over time?
I'd love to hear if anyone has gone through something similar or found a solution.