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Old 06-09-11, 07:22 AM
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Unhappy How do you get a doctor to test and diagnose you with ADD

How do you get a doctor to test and diagnose you with ADD.

I have been going to my GP for the past 2 months to try and get tested for ADD. 2 doctors dismissed my conversation and shut me up blank, for them to tell me how I should be feeling and ADHD is just not in adults.

I booked appointment to see a different doctor who I thought actually listened to me has I took my girlfriend in to help me get the words out, as I struggle when I get very nervous.

The doctor admitted she does not no a great deal about ADD but she will not dismiss the fact it’s a possibility.

She tried me on anxiety tablets, to help me settle and I have been taking some tablets at night to knock me out has I have a vivid mind while I sleep. These were a big problem as I lashe out occasionally and scream at my girlfriend while I dream lol.
The tablets did not help a great deal, so I was being referred to see a specialist, but when I called to see what the date would be, I was told I am only to have another review with the same doctor!

This is really getting me down, and coursing a huge problem within my daily life, for example I got a fantastic opportunity to work with a gaming company, but I had to do a presentation and then the job was actually guaranteed.
Presentation came along, I stuttered shuck, sweated excessively and looked so confused with the bulled up of nervousness. Half way through the presentation I was stopped and was asked to finish due to me forgetting what I was actually talking about.
Surprisingly I lost the job due to me showing too much nervous.

Another problem my car got broken into the other day I did not report it due to me forgetting about going to the police due to me having so much rage inside. i just jumped into my car and drove really fast and screamed at all the drivers who got in my way.

I did have a horn battle with this massive lorry that tried to pull out on me, lol

I have a face full of cold sores due stressing about everything, and the fact when I ask for help I just get dismissed. I am stuck with what to do next, should I just accept the fact I need to move doctors or they are right with them telling me how i should feel.
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Old 06-09-11, 09:14 AM
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Re: How do you get a doctor to test and diagnose you with ADD

One, adults do have ADHD. I suppose you know that. GPs don't know much about ADHD or any neurological disorder. I once got told 'no, you can't be having seizures, you're too young, you just need to exercise more.' Then when I provided a list of symptoms my GP's face fell and he immediately wrote me a referral to a neurologist.

What I did was write a list of symptoms to show the doctor and get a referral to a specialist, usually a psychiatrist to diagnose you and give you a script for medication.

I know how much of a mess things can be when you don't know for sure if you have ADHD and how frustrated it can make you feel.

I hope it all works out for you.
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Old 06-09-11, 12:52 PM
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Re: How do you get a doctor to test and diagnose you with ADD

Hey thanks for the reply,
Unfortunately I had no luck again, due to the fact they cancelled my appointment and neglected to tell me! They said the doctor is booked up for nearly 2 weeks. I told her in a polite way to balls and forget it I will go elsewhere….

So back to square one.
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Old 06-09-11, 01:15 PM
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Re: How do you get a doctor to test and diagnose you with ADD

Pete, I am an ex-pat who was diagnosed back in England as a kid. All I can share is that it happened in spite of what I thought due to my Mum citing a long list of "behavioral" issues I was exhibiting. So I agree with Fracturedstory in that listing the symptoms in full is a good start. Also, Google some of the self-assessment tests. They are not a diagnosis, but if you and/or a partner can fill them in honestly, you can add them as supporting evidence. At the very least INSIST that your GP refers you to a Psychiatrist. I know the NHS, they have 7 minute appointment windows. For them it is all about bums on seats, not so much patient care. Even if she wont refer you for ADHD, at the very least she prescribed you anxiety medication, which in turn indicates a possible mental health crisis, so get the GP to refer you for extreme anxiety if it makes them feel better, and then when you get to the Psychiatrist, hijack the session and tell them your situation. At least the NHS psychiatrists don't have a 7 minute appointment window.
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Old 06-09-11, 01:17 PM
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Re: How do you get a doctor to test and diagnose you with ADD

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Originally Posted by petew View Post
Hey thanks for the reply,
Unfortunately I had no luck again, due to the fact they cancelled my appointment and neglected to tell me! They said the doctor is booked up for nearly 2 weeks. I told her in a polite way to balls and forget it I will go elsewhere….

So back to square one.
Don't waste time then. Get a locum or an alternative GP at the Practice to refer you
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Old 06-09-11, 01:55 PM
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Re: How do you get a doctor to test and diagnose you with ADD

Well, here's a direct answer to the question in your title.

First you have to screw up a few different areas of your life, like school, work, or relationships. You need to do this in a way that makes you look fairly dysfunctional. Get fired or quit a bunch of jobs, have your wife leave you, drop out, fail a bunch of classes.

Second, you need to demonstrate that your life isn't all screwed up because you're lazy, stupid, or have other things messing with your brain, like blood sugar problems.

Third, you need to find a doctor who actually believes that ADHD is real and who knows how to help you with medication or therapy.

Good luck! If you haven't done step one, I wouldn't recommend it!
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Old 06-09-11, 06:08 PM
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Re: How do you get a doctor to test and diagnose you with ADD

To be honest, this sounds like you have an anxiety problem much more than an ADHD problem. They can both run together and share similar symptoms, but it sounds like the center of your issues are stress, nervousness, worry, etc.

If your car stops running and there's smoke coming out of the engine, you don't change the tires and expect it to run. You look at the most obvious symptom of the problem and start there, then work your way out to the other issues. You have to deal with your anxiety first, and then have a full ADHD evaluation.

I did it the other way around. I had an anxiety problem that I figured was entirely caused by ADHD and got tested before I ever really made a serious effort to get my anxiety under control. I felt much the same way you do now and had similar experiences. I started on Adderall and it was amazing, I had confidence, focus, less anxiety and more motivation. I felt like it was a cure-all, like I had finally figured it out.

Unfortunately, Adderall is not an anxiety medication. I found this out the hard way.

Six months after I started on it, I began to become more and more anxious, more and more paranoid, more and more like I was before the medication, but much worse. I basically went crazy with anxiety for the better part of two months - The euphoric properties of the medication wore off, and without that there to counteract the stimulant-produced anxiety on top of my regilar anxiety, I had the ability to focus, but not the ability to choose what I focused on. Guess what people with anxiety tend to focus on? Yep. Negatives. Worry. Doubt. Not good.

I eventually went on an SSRI + Wellbutrin along with Adderall to balance everything out. I take klonopin as needed when I need to turn my brain off and relax, or I'm dealing with a lot of things and am freaking out. I lost months of my life and almost lost my job / girlfriend because I didn't approach the situation correctly and had a General Practioner instead of a skilled pychiatrist. I strongly recommend you address your anxiety first with a long-term solution such as an SSRI (Zoloft, Luvox, Effexor, etc) before jumping into the ADHD pool.

Also, you don't want to be trying to convince random GP doctors that you have ADHD. Most of them don't even believe it exists and have to filter through hundreds of college kids who are trying to score stims. Going in and saying, "I'm ADHD, give me Adderall!" is going to get you booted out the door 100% of the time. Explain your situation and let the doctor do the diagnosing. I also had trouble organizing my thoughts and feelings and wanted to make sure I got everything out in my initial consults, so I wrote it all down and just read off of it.

The best way to obtain a ADHD diagnosis is to find a psychiatrist experienced with ADHD and see them, have them evaluate you and then have a series of questions and preformance tests reviewed by a board or behavioral medicine department. But in all honesty, I would say that your acute issue right now is anxiety, and that's where you should start.
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Old 06-10-11, 06:01 AM
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Re: How do you get a doctor to test and diagnose you with ADD

Thank you for your input.
Going on string’s suggestion.

I told the doctors my life is all over the place, due to easily walking out of jobs, bank charges on top of bank charges, failing university in my 3rd year and not going back to re do the project so I get no qualification so that was 3 years wasted. Easley distracted and so forgetful my minds always blank, but I am constantly in a rush. I tend to walk round in circles trying to find the things I have misplaced. My university tutor once told me I am the hardest person to try and understand, due to me zoning out and never knowing what day of the week I am on, he was a very critical person.
I am only still with my girlfriend due to her not walking away, I do make it a little hard to be around sometimes. I am never really late for work, but I am always constantly in a rush, due to the fact I hate being early. The only way I don’t get distracted or agitated is when I have music on full blast, the noise seams to make my mind become clear if it makes sense. I dislike reading books, due to losing where I am, and I am open to distractions. I have loads of books, and I have only managed to read one out of them all.
I do graphics but when do I lose track of time and don’t eat just fuel by coffee after coffee my mind wonders off has this is only how I can occupy my mind with activities. Alcohol and coffee seams to be the only source that chills me out.
I have done the quizzes on line and I know its not a diagnostic but I gave it also to some of my friends to do, and asked them to score me on how they think i come across to them. They marked each question really high. They find my manner funny to be around, like I am entertainment for my dumbness lol.

I told the doctors all this, and they did treat me with anxiety tablets once and they did help, but only on the nervousness. I gave him a list that my girlfriend written down, so it was truthful on her part and he would not take it off me or read it. He just said change your life do something different. I got so angry and my mouth became sharp towards him as I walked out. This is probably why I got my appointment cancelled.
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Old 06-10-11, 02:03 PM
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Re: How do you get a doctor to test and diagnose you with ADD

You'll probably need to go into counseling and get diagnosed that way. Try to find a psych who knows something about ADHD.

Meds aren't the only solutions. You might find some coaching, CBT, or other options. Those things can be extremely helpful.
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Old 06-11-11, 06:41 PM
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Re: How do you get a doctor to test and diagnose you with ADD

Also, anxiety "tablets" which I'm assuming are benzos such as Ativan, Klonopin, Xanax, etc aren't the only options for anxiety - In fact, these are usually the second or third type of medication tried for anxiety, or only used for short periods of time and situational problems. They did absolutely nothing for me but make me fuzzy and aggrivated prior to being on antidepressants, but now I get some solid anti-anxiety effects from them. Trying an SSRI or SNRI might be a good idea - If your distraction and anxiety comes from a place of depression or self-doubt, it might really make a different in how you feel.

Your symptomology sounds a lot like mine. I had huge problems with getting frustrated, being on time, organizing my thoughts and priorities and controlling my emotions. I found ways to basically shut myself down to where I wasn't moodswinging on people, but those closest to me could always tell and would often ask me what was wrong, if I was upset, etc. Frustration with everyday tasks and situations would just mount and mount over the course of the day and leave me feeling exhausted. I couldn't concentrate on anything and only really found any peace in blasting my car radio, distracting myself by watching TV and internetting at the same time or enaging in high-stimulus activities like sex, partying, etc. I didn't have the ability to just let things go - Stuff would sit in my subconcious and eat away at me all day, anything left up in the air or unsettled would bleed into every area of my life to where I couldn't enjoy anything.

The second block of information that you posted sounds more like ADHD than the first, but keep in mind that there is no medication for mood. As String suggested, CBT is typically the best way to impact acute mood issues, though I did not have any success with it. I know how to be mindful and how to work my way through the rationalization process of my various mood states, but there just doesn't seem to be a whole lot I can do to impact the emotions that go along with them.

Once you do find a psych, I'd strongly suggest you take a look at Wellbutrin. I've tried a lot of different medications for ADHD, depression and anxiety, and Wellbutrin has been by far the most effective in terms of mood elevation and stabilization. It also is used alone or in combination with stimulants as a treatment for ADHD, so you might be able to kill two birds with one stone. It did cause me to have some spikes my my anxiety, but I felt like I was able to enjoy things more and my emotion / negativity loop wasn't nearly as overpowering.
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Old 06-16-11, 09:21 AM
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Re: How do you get a doctor to test and diagnose you with ADD

Quote:
Originally Posted by String View Post
Well, here's a direct answer to the question in your title.

First you have to screw up a few different areas of your life, like school, work, or relationships. You need to do this in a way that makes you look fairly dysfunctional. Get fired or quit a bunch of jobs, have your wife leave you, drop out, fail a bunch of classes.

Second, you need to demonstrate that your life isn't all screwed up because you're lazy, stupid, or have other things messing with your brain, like blood sugar problems.

Third, you need to find a doctor who actually believes that ADHD is real and who knows how to help you with medication or therapy.

Good luck! If you haven't done step one, I wouldn't recommend it!
Im not sure screwing your life up is accurate. Many people. Are highly funtional and have coping techniques so playing up your symptoms may seem suspicious. Just be honesty
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Old 06-16-11, 01:48 PM
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Re: How do you get a doctor to test and diagnose you with ADD

I tend to think that the best first move is often to see a psychologist -- preferably one with a specialized interest in ADHD or related disorders.

First off, they can't prescribe medications themselves, so they tend to be a little less likely to think you're just on a quest to get stimulants. Secondly, their training is more consistently relevant to ADHD. Some medical doctors are extremely knowledgable about ADHD and some....well... are NOT. (Don't get me wrong -- there are some psychologists out there that are absolute wackos, but your odds are generally better seeing a psychologist to diagnose ADHD.)

The diagnostic process may involve your regular doctor at some point but when you have a psychologist taking the possibility seriously, the doctor is more likely to take the possibility seriously.

My final word of advice is -- don't become so convinced you have it that you refuse to accept the possibility that you might not. There are quite a number of other conditions that can produce ADHD-like symptoms. It's quite a long list, actually. (Just to name a few: depression, anxiety disorders, insomnia, autism spectrum disorders)
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Old 06-16-11, 03:45 PM
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Re: How do you get a doctor to test and diagnose you with ADD

1. Mention possibility to your PCP so he will shunt you to a PDOC that hopefully has some experience with AD(H)D. If said doc doesn't ask for phone #'s of Docs that might.
2. Make an appt with Doc. Be prepared to pay out of pocket because likely your insurance won't cover the consult.
3. Go to the Appt. Have a nice convo. Leave with or without AD(H)D diagnoses.
I made all the symptom lists, looked up old report cards, etc. and forgot them at the house on the way to the appt. It still went well.
4. Go back to PCP and ask about meds or if s/he can shunt to someone else who knows more about meds.
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Old 06-16-11, 04:06 PM
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Re: How do you get a doctor to test and diagnose you with ADD

Petew. I feel for you. There does seem to be a divide on how ADHD is accepted between the US and Britain and Europe. I'm US but my family is from central europe and absolutely refuses to accept ADHD as a valid diagnosis, especially the 3 of the 4 dr.s.

Try connecting with an ADHD advocacy and support group in the UK, such as this sitehttp://aadduk.org/help-support/support-groups/. They should be able start you on the process though both the diagnosis and the health system.

Meds are only one part of the treatment for ADHD. There are several things you can do now that don't require any medical care.
Exercise (best thing for ADHD according to research) 30-60 mins of vigorous, heart pumping exercise a day. Aim for 5 or more days a week, but even just doing it once will help
Switch to a high lean-protien diet and cut out refined sugars and flours
Take Omega-3 Fish oil and a multi vitamin every day
Read up on adult ADHD to learn new stratigies to organize you life and manage symptoms

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