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mycelium | 5 years ago

What was the diagnosis process like? I'm in my early 30s and have been putting off trying to get an ADHD diagnosis (and medication) even though the symptoms clearly resonate, because I'm concerned that I'll be dismissed as just seeking pills. In college I tried to get diagnosed and was dismissed as lazy and just seeking a prescription. Did you have to deal with any of that skepticism?

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apostacy|5 years ago

In the United States, there are controlled substances, and federal law requires that a psychiatrist write a new prescription every month, with no automatic refills.

However, it is heavily streamlined. My university medical center and on campus pharmacy had me in and out with a week supply of adderall in about two hours. There were weekly followups for about four weeks, then monthly followups every three months, and then it was just five mins with a psychiatrist for minor adjustments thereafter. After graduation, most psychiatrists will do monthly followups over the phone, and may only require you to come in a few times a year.

I have however heard it can be much harder if they suspect that you are unstable or "drug seeking". But if you don't appear to be a risk, and you can clearly explain your situation, then they will usually offer you a week supply and you report if it helps you. I think a big factor is just what your life situation is.

Private psychiatrists are much more likely to help you. Make an appointment with an "ADHD specialist". As long as you don't have any red flags, they are likely to give you a test prescription"

electroqueen|5 years ago

If you can afford it, go to a specialist (ie Seattle's Hallowell Todaro ADHD Center). It will probably be more expensive and might take longer to get evaluated, but you'll be taken seriously and it's easier to advocate for yourself and your medication when the medical providers don't automatically jump to "pill seeking".

I'm not sure about my current provider, but the place that diagnosed me would let patients complete evaluations at a slower pace if they couldn't afford everything right away.

Also, before I switched to a specialist after moving, I tried asking my GP for my RX and they went straight to "pill seeking", however, they would still allow me to get my script if I came in every month for a drug test.

eru|5 years ago

I was lucky that I was living in Australia at the time where adult ADHD seems to be taken more serious by shrinks than in most other parts of the world. I also splurged and saw the shrink privately.

So the diagnosis process was mostly answering lots of questions and filling out some questionnaires.