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Old 08-02-18, 05:04 PM
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What kind of doctor would I start with to find out exactly my problem?

I am cashing out of a fund and will soon have some money, what kind of doctor should I start with if I'm more concerned about discovering my exact problem, rather than just someone who will prescribe Adderall or something like it?

To share my problem, and trying to keep it short...

I grew up in an extremely disciplined (but loving) household, could work in the cold doing very hard labor to the point of exhaustion and/or frostbite, even from a very young age (milked cows by hand before and after school all through elementary) etc etc. I was very well behaved, disciplined, and conscientious. If I was supposed to do something, I did it, and I truly wanted to do it because it was expected of me. My point here is that it's not a discipline problem, as it was mostly brushed off as, since this was in the 70's and 80's.

But even with that background, and a serious interest to do what was expected of me, there was never any way I could focus on a math paper with 20 questions, I was always out in the hall with the same other kid, both of us trying to do our unfinished homework while the rest of the class was out for recess, and even then, frightened to death that my Dad would visit the school for some reason and find me in the hall (that would be the end of me) I still could not focus and get those last 12 simple math problems done, which if I focused would only take 5-10 minutes.

This was the same story all through elementary school and into junior high which is as far as I ended up going. In the 70's and 80's, I don't think there was much of a label for it besides "pokey" which I heard A LOT.

This kind of inability to focus and/or follow through on anything has been a major problem my entire life. Almost to the extreme. I am extremely creative (not just my opinion- it got me work in Film and TV, and quickly to really great positions, being more creative than my co workers who came from Harvard and Yale, but the inability to focus on something for a full 8 hour day made sticking with that impossible.

Adderall helps. But only for an hour or so. IR, XR, different dosages... Ritalin, etc. I've tried a lot of things over the years, and even now the boost from an extra large coffee (which I don't normally drink) or a powerful pre-workout drink is almost as effective as any of the prescription meds.

No weed, drugs, I don't even smoke or drink, as they were habits I just never picked up, and was always afraid those things would make my problem to be productive even worse.

What kind of doctor would be best to start with, to see what exactly my problem is, and if it is ADD, or something else? I've been through self-pay treatments for an injury before, and I know how doctors will be just fine with making appointments and seeing you and referring you to their college friends as long as you can pay. So if I know the exact type of doctor to start with, to at least begin to narrow down my exact problem in the most effective way possible, that would help a lot. Or if the strengths/problems combo sounds like anything someone here recognizes, that would be helpful too.

Thanks in advance for your time!
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Old 08-02-18, 07:38 PM
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Re: What kind of doctor would I start with to find out exactly my problem?

I mean I would suggest a psychiatrist, especially if it’s mental. Have you been on a stimulant long enough and at the correct dose and to let your body adjust to it before you count them out? They did wonders for me. Still sorting through an issue or 2 but the good far out weighs the bad.
Before stimulants I was on (and still am) a drug called Strattera which is for ADHD/ADD and it is not a stimulant. Good drug but it takes about 6 weeks before you notice any changes.
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Old 08-02-18, 07:42 PM
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Re: What kind of doctor would I start with to find out exactly my problem?

Before I was diagnosed with ADHD/ADD my pdoc put me through a series of tests and multiple questions regarding my childhood and life now. I doubt any doc is just going to throw you a script and say have a nice day.
Do a google search of some psychiatrists in your area, most docs these days have a review system you could go through and sort out the good ones
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Old 08-03-18, 02:40 AM
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Re: What kind of doctor would I start with to find out exactly my problem?

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Originally Posted by Srjs28 View Post
.... I doubt any doc is just going to throw you a script and say have a nice day.....
You're right, even getting to that point is difficult, but for most people that's the end game, to get to the point where the doc feels the pills might help.

I'm hoping for some kind of specialist who's best able to pinpoint a specific problem that might not be as common in the field. For years I've read articles and forums and it's always seemed that what I have is slightly different. Even on a day where I feel normally able to focus and do some things, if I sit down and try to read an instructional page on how to set up some machine or program, I quickly become foggy, if that makes any sense. No matter how much I want to do whatever is in front of me.

I'm just hoping to find not only a doctor who is good at diagnosing ADD, but who would also notice if it was something slightly different.

I'd be happy to go to Boston, NYC, or anywhere to see someone who specialized in variants of the ADD problems, if there is such a thing.
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Old 08-04-18, 07:04 AM
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Re: What kind of doctor would I start with to find out exactly my problem?

Quote:
What kind of doctor would be best to start with, to see what exactly my problem is, and if it is ADD, or something else? I've been through self-pay treatments for an injury before, and I know how doctors will be just fine with making appointments and seeing you and referring you to their college friends as long as you can pay. So if I know the exact type of doctor to start with, to at least begin to narrow down my exact problem in the most effective way possible, that would help a lot. Or if the strengths/problems combo sounds like anything someone here recognizes, that would be helpful too.

Thanks in advance for your time!
You will have to change your view of doctors to start. Yes there are some who might seem more interested in money but I would say its rare that a doctor wants to refer you to a "college" friend or colleague just because you can afford it. I would say most doctors are interested in treating their patients.
Do you think your issues have to do with mental health? You could have a learning disability and you said you only made it through junior high so do you think that's a possibility? ( I mean no disrespect btw).

Everyone's first gut answer is going to be a psychiatrist. There are also neurologists and neuro-psychiatric doctors as well.q
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Old 08-04-18, 10:00 AM
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Re: What kind of doctor would I start with to find out exactly my problem?

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You will have to change your view of doctors to start. Yes there are some who might seem more interested in money but I would say its rare that a doctor wants to refer you to a "college" friend or colleague just because you can afford it. I would say most doctors are interested in treating their patients.......
Yes, I know what you mean, and for the most part doctors ARE all about getting you the help you need, I agree.

But I spent enough money out of pocket for an injury in the late 90's that was enough in total that I could have actually retired on it, just going from specialist to specialist, and a few times I was sent to "PT" that was both completely ridiculous and an insane long shot as well as the three doctors knew each other personally.

So now this time as it would be out of pocket again, I want to be really smart about it. I have the advantage of things like this forum, Yelp, and other similar things to make the best choices, but when there's a point where the money can run out, it makes me nervous.

Also, your point about me possibly having learning disabilities- it's actually a good point you bring up, I was just researching ways to identify learning disabilities vs other issues. All suggestions are always welcomed, because 95% of these long ongoing seemingly impossible problems are probably due to something that was overlooked in the past, by either me or a doctor.

So thanks again and to all the people who share on here- this forum has been the best reading and source of research I've found since making this a priority. 💙
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Old 08-04-18, 03:24 PM
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Re: What kind of doctor would I start with to find out exactly my problem?

I might start with a psychiatrist ... just warning: basically you want an initial session that goes about an hour ... or an hour and a half ... where the person asks you lots of questions ....

That tends to be expensive, but if you get to a really great psychiatrist, could be well worth it. I'd google and look for reviews from multiple sites ... then call someone ... even from talking on the phone to set up a meeting you will get some sense of how good the person is.

Also don't overlook, starting with a primary care doctor as sometimes there are other health issues that can interfere with concentration ... and you can tap the pcp doc for a recommendation.

Also when you call the psychiatrist for a possible meeting, tell them that you wonder if you are starting at the right place. You could have that conversation right there ... and a great psychiatrist will know if you need to go to--or also need to consult with--a neurologist, etc.
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Old 10-31-18, 04:36 AM
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Re: What kind of doctor would I start with to find out exactly my problem?

Do you feel like any doctor in the past ever really went through enough history and background or testing to effectively diagnose you? The ADHD meds prescribed in the past didn't work...doesn't mean other ADHD meds wouldn't work. But yes, there might be more to what's wrong, for that matter.

Last edited by SashaBV; 10-31-18 at 04:55 AM..
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Old 11-16-18, 09:35 AM
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Re: What kind of doctor would I start with to find out exactly my problem?

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Originally Posted by SashaBV View Post
Do you feel like any doctor in the past ever really went through enough history and background or testing to effectively diagnose you? The ADHD meds prescribed in the past didn't work...doesn't mean other ADHD meds wouldn't work. But yes, there might be more to what's wrong, for that matter.
I dont think this member has been back since August. Hopefully they check back in.
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