View Full Version : how did you ladies pick your psychiatrist?


ashlers
12-23-13, 12:00 AM
Assuming that those who reply to this have one ( obviously not everyone sees a therapist) ... how did you find your therapist/psychiatrist? It kind of sucks that the therapists that specializes in ADHD ( at least here in Maryland ) are usually out of network in my insurance company. So I've been putting off seeing a therapist although I know I REALLY need to see one. I've been on meds for the past 4 months now and I used to get therapy about 6 years ago but stopped after 9 months.

It's hard finding an affordable place so do most of you rely on your insurance companies or on sliding scale fees? :umm1: don't want to put this off anymore :(

dvdnvwls
12-23-13, 01:04 AM
Psychiatrist and therapist are usually not close to the same thing. You have to know what it is you want to accomplish by seeing this person, before you choose which type of professional you're really looking for.

In my opinion, their knowledge of (and their willingness and capability in treating) adults with ADHD is the one single factor you cannot do without. I have had two therapists who were highly qualified and were recognized as being among the best in this end of the country, and yet they were nearly useless for me because they weren't trained to notice or manage ADHD. Being highly-respected, being recognized among the best, and being (in one case) a shining example of a learned, thoughtful, compassionate person, didn't help them much at all with me.

My psychiatrist, on the other hand, while again highly respected, has a brusque manner, forgets vital information and has to be reminded, can be inconsiderate at times, runs severely late & short on appointments sometimes... and yet has understood me better and helped me infinitely more in our few sessions together than the no-clue-about-ADHD therapists did in a period of several consecutive years (and too many sessions to count). I liked one of the therapists more. If I wanted someone to talk with about philosophy and life, the first therapist I saw (now retired, unfortunately) would be near the top of my list, and my psychiatrist would hardly make it ON the list. But right now I don't need help with philosophy and life so much as I need help with ADHD. High-quality items are only worth getting if you do need that kind of items.

Hope that made some sense at least.

ashlers
12-23-13, 01:11 AM
Psychiatrist and therapist are usually not close to the same thing. You have to know what it is you want to accomplish by seeing this person, before you choose which type of professional you're really looking for.

In my opinion, their knowledge of (and their willingness and capability in treating) adults with ADHD is the one single factor you cannot do without. I have had two therapists who were highly qualified and were recognized as being among the best in this end of the country, and yet they were nearly useless for me because they weren't trained to notice or manage ADHD. Being highly-respected, being recognized among the best, and being (in one case) a shining example of a learned, thoughtful, compassionate person, didn't help them much at all with me.

My psychiatrist, on the other hand, while again highly respected, has a brusque manner, forgets vital information and has to be reminded, can be inconsiderate at times, runs severely late & short on appointments sometimes... and yet has understood me better and helped me infinitely more in our few sessions together than the no-clue-about-ADHD therapists did in a period of several consecutive years (and too many sessions to count). I liked one of the therapists more. If I wanted someone to talk with about philosophy and life, the first therapist I saw (now retired, unfortunately) would be near the top of my list, and my psychiatrist would hardly make it ON the list. But right now I don't need help with philosophy and life so much as I need help with ADHD. High-quality items are only worth getting if you do need that kind of items.

Hope that made some sense at least.

:yes: that made sense to me! so are you finding that you like being with the psychiatrist more because they're more understanding of your specific condition? And also because I'm already medicated do you think the psychiatrist would want to change the dosage or anything like that once I'm with them regardless of my doctor? This also matters to me because what if they have a different opinion on which medication I should be on other than my doctor. I think I need a specific ADHD psychiatrist . I wouldn't want to waste my time with a therapist who doesn't specialize in ADHD. I need help figuring out and talking out which instances in my life have been affected by ADHD before my diagnosis mainly. and of course helping me through life now! :)

dvdnvwls
12-23-13, 01:38 AM
I'll play devil's advocate for a moment - why would you want to know which instances in your life have been affected by ADHD pre-diagnosis? What good would that do you?

In my very general and maybe-not-so-useful opinion, it sounds to me as if you have medication working OK and you need help with making your life better. In that case, sticking with your current doctor's appointments and adding an ADHD-specific therapist or coach makes the most sense to me.

If (on the other hand, and I don't think this is you...) you believe your medication is mis-prescribed or not really doing anything, then you might want to quit your current doctor and change to a psychiatrist who has greater ADHD experience and more-effective prescribing criteria.

For yourself (no need to post it here), having a much more specific and detailed list of what you need and want to accomplish would probably be very helpful, both for you personally and for whoever you end up seeing.

sarahsweets
12-23-13, 05:51 AM
I just decide which one I'd rather sleep with and go from there. (Jk) ;)

dvdnvwls
12-23-13, 02:19 PM
I just decide which one I'd rather sleep with and go from there. (Jk) ;)
By that method, I'd have gotten all indecisive and never been able to choose. :)

ashlers
12-23-13, 04:38 PM
I'll play devil's advocate for a moment - why would you want to know which instances in your life have been affected by ADHD pre-diagnosis? What good would that do you?

In my very general and maybe-not-so-useful opinion, it sounds to me as if you have medication working OK and you need help with making your life better. In that case, sticking with your current doctor's appointments and adding an ADHD-specific therapist or coach makes the most sense to me.

If (on the other hand, and I don't think this is you...) you believe your medication is mis-prescribed or not really doing anything, then you might want to quit your current doctor and change to a psychiatrist who has greater ADHD experience and more-effective prescribing criteria.

For yourself (no need to post it here), having a much more specific and detailed list of what you need and want to accomplish would probably be very helpful, both for you personally and for whoever you end up seeing.

well it matters to me because it's something that I struggle with, is discovering that a lot of really bad things that have happened to me in my past have been a result of an undiagnosed problem that I have always had. so the good it would do to me is help me heal.

Yeah I'm thinking to deff go with an ADHD specialist therapist for sure! no my meds are not mis-prescribed I am on the right working medication although it could use some tweaking.

thanks for that last bit that's actually a super good idea I'll do that!

ashlers
12-23-13, 04:39 PM
I just decide which one I'd rather sleep with and go from there. (Jk) ;)

lol! good idea! :lol:

dvdnvwls
12-23-13, 04:56 PM
well it matters to me because it's something that I struggle with, is discovering that a lot of really bad things that have happened to me in my past have been a result of an undiagnosed problem that I have always had. so the good it would do to me is help me heal.
That makes perfect sense. Thanks for clarifying. Sounds like you're on the right track.