### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, My name is Henry, Im having lots of trouble with my mind worrying all the time, making bad decisions, cant keep a job, my marriage is been off because of my problems, cant concentrate, not attentive, not sociable and have no feelings in getting motivated to do tasks.  Ive been going to doctors for over 20 yrs and not one of them have done tests. They just guess and say here try this medication, if it soesnt work well try another and another and so on. Been taking Ritalin for 3 yrs, 20mg twice a day. I tell my doctors that if I take 20 mgs 6 of them seperately doing the day I feel absolutely fantastic, Im sociable, more confident, attentive, and make better decisions. but 2 20 mgs a day just dont do it. AT ALL! I take 3 in morning everything is great until 2.5 hours later. THey wear off and Im back to being aweful, So I take 1 for another hour then 1 for another hour and 1 for another hour. That seems to work really good. But that is like overtaking my meds that were prescribed to me. Why cant they just prescribe me 3 40 mgs a day? I want to be better after all these yrs of taking off the wall medicine that dont work. but dont want to over  tale whats prescribed to me. Adderal is aweful, and so is dexedrine. Ritalin LA and RA makes me wired and jittery dont work at all. Can someone please after all these yrs help me? In my opinion I need tests run brain and blood work, but havent in 20 yrs had any. I asked them too, but they say no u dont need tests.

### output:

Dear Henry, Thanks for using Chat Doctor. Your doctors are absolutely right in saying that you do not need any tests. At the same time I think you need some behavior therapy to counter your symptoms. It is difficult to predict what is going to work for you, but I guess that even the low dose Ritalin can help you to the large extent if behavior therapy given along with this medication. It is also possible you may not need medication if you get good results with behavior therapy. This is a bitter truth that you need to take Ritalin unless other measures of helping you are not tried with almost seriousness. Thanks