I tried this as an ask, but it failed. I’m writing following an anonymous ask that expressed similar experience.
Diagnosed in 2003 or so, with inattentive type and been on 30-40mg of dexedrine ever since. I’m now in mid 40s. In the last two months, I’ve been having new trouble with verbal expression: oral and written. It presents this way: skipped words, letter order inversions, and - perhaps not related - severe decline in word recall. As I say, it’s evident in speech and writing (which is affecting my publishing deadlines significantly). There is no change in receptive language.
Physician’s assistant has referred my to the psychiatrist, but I’m not so confident in him. I’m writing because I’m not certain this is a symptom of ADHD rather than, say, ageing.
Note that I’m also treated for bipolar disorder, obsessive/compulsive disorder/anxiety, and some psychotic symptoms. The most recent change to my regimen (that I’m unhappy about) is the addition and subsequent increase in Geodon.
Any thoughts beyond see the doctor?
Okay, so I read about this a little. Normal aging often causes problems with word recall and other expressive language. I’ve seen it happen to many people in their mid-40s. It usually comes on very gradually, which is not what you described, though I suppose it’s possible you just didn’t notice this until it hit a certain level.
However, there are other possible causes of this kind of thing, and most of them are medical: a mild stroke, a brain tumor, a brain injury, a vitamin deficiency, a thyroid deficiency (which often presents in middle-aged people), a sleep disorder, or something called mild cognitive impairment can all cause problems with expressive language. For me, it was brain surgery, but you didn’t mention having that! Your primary care physician can evaluate you for some of these, and a neurologist could evaluate you for the rest.
On the other hand, I looked up Geodon on Drugs.com and found that “difficulty with speaking” is one of the known possible side effects, so whoever prescribed that (or the psychiatrist) might be able to help. Medication, especially for mental stuff, is always a balancing act between side effects and symptoms.
If you’d like, let us know what you find out about this! I’d love to know if there’s a proven nonmedical treatment for expressive language difficulties, like brain exercises or something.