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Adult Diagnosis & Treatment This forum is for the discussion of issues related to the diagnosis of AD/HD

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  #31  
Old 06-13-13, 04:03 PM
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Re: Steps to get Assessed for ADHD

extremely useful post and replies. i wish we had psychiatrists that specialize in adhd in india. plain psychiatrists mostly end up diagnosing anxiety in totally non anxious people like me. psychologists are even worse- they'll just give you a iq test and say -" you have good iq - you probably have depression or anxiety". and no body knows how to take proper history- i had the symptoms since i was born- i obviously did not have anxiety or depression at age 5-6 when the adhd symptomps were all there.

Last edited by sicunder; 06-13-13 at 04:23 PM..
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  #32  
Old 06-13-13, 08:45 PM
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Re: Steps to get Assessed for ADHD

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Originally Posted by sicunder View Post
extremely useful post and replies. i wish we had psychiatrists that specialize in adhd in india.
You pobably do somewhere. India is a huge place.
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  #33  
Old 06-22-13, 02:28 PM
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Re: Steps to get Assessed for ADHD

When i was diagnosed, I didnt even know that it was possible to be an adult with undiagnosed ADHD, I'd always been good in school, that sort of thing. So like pretty much everyone these days, I went online. There are lots of quizzes and whatnot online, and I know they are generally considered not reliable. I found the,very helpful in telling me what to symptoms to look for in myself.

However, there is one screening tool that is considered reliable and useful to a mental health professional, used by them as a screening tool (but ONLY a screening tool, not a diagnostic test), and available online.

It's the Adult ADHD Self Report Scale, or ASRI, v1.1. Just google and you will get a gazillion hits. There is one that not only scores you, but has a Print button for you to take in to your healthcare provider.

You can use the printout if you need a referral from a PCP, or if you are meeting with someone for the first time.
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  #34  
Old 09-06-13, 06:50 PM
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Re: Steps to get Assessed for ADHD

If I get referred to a psychiatrist for ADHD, do they fulfill the role of a general therapist as well? E.g. if I'm getting depressed about something in my life.
Can I talk to them about things regarding psychiatry outside of ADHD?

Last edited by redstarx; 09-06-13 at 07:07 PM..
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  #35  
Old 09-27-13, 10:55 AM
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Re: Steps to get Assessed for ADHD

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Originally Posted by redstarx View Post
If I get referred to a psychiatrist for ADHD, do they fulfill the role of a general therapist as well? E.g. if I'm getting depressed about something in my life.
Can I talk to them about things regarding psychiatry outside of ADHD?
A psychiatrist usually can prescribe medication for any disorder and one that is a specialist in ADHD should know a lot about linked conditions such as depression. However, being psychiatrist and being the therapist are two different jobs and it might be possible that your doctor doesn't do them both. I don't know the rules in general, but the psychiatrist I went to said specifically that she doesn't do psychiatry and therapy with the same patient. If I ever want her as a therapist, I should find another psychiatrist. Maybe you could ask in advance.
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  #36  
Old 10-26-13, 06:48 PM
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Re: Steps to get Assessed for ADHD

When I was in London, near the Sword, I saw a Doctor regarding some bed bugs bites. His fee was typical of doctors (100 quid) and I did not have insurance, but he was quite willing to prescribe medication for me. And I'll add that he was very nice about it, really.

In Dublin I found a doctor right off the street. If you really do have ADD and need this medication, I think it will be provided to you. The Euro 5mg Dexedrine tablet takes about 24 hours to arrive at your pharmacy. If you are new to the medication I would take 2 in the morning and one in the afternoon. This is just for safety. I take 45mg per day (split up over the course) and a bit of anti-acids. Very nice medication.

In Northern Ireland this medication was practically impossible to acquire, unfortunately.

In Germany, there are ADD specialists -- don't let Berlin leave you stranded, get insurance. The waiting period could be 2 weeks here. In Holland, you would see a psychiatrist. Waiting period is about a week.

Austria does not have this medication but Ritalin is available.
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  #37  
Old 08-19-14, 02:33 PM
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Red face Re: Steps to get Assessed for ADHD

A psychiatrist tested me for ADHD Inattentive, and the result was negative and said I did not have ADHD. I have a high IQ, yet I almost failed out of high school my freshman year. I then switched to a school with shorter classes and became an avid coffee-drinker and suddenly I turned into a 4.0 honors student. However, without my caffeine, I revert right back into the girl I used to be. Is it possible that the test was wrong, and that maybe my intelligence hid the ADHD Inattentive?
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  #38  
Old 08-28-14, 01:02 AM
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Angry Re: Steps to get Assessed for ADHD

Hi Forum,

New member from the UK

I hope this is the appropriate place for my first post and to let you know, I'm not even sure I have eligibility to be here as I do not have a diagnosis of ADHD, however, i will post and if I'm in the wrong place i will ultimately bow out and politely leave the forum.

I also realize that it can be so easy to read up on a condition and self diagnose, and seek affirmation by joining a particular community in an attempt to seek confirmation of this. That's not why I'm here. I'm here because I am once again putting myself through the daunting of trying to find suitable treatment for who I am and what condition is so drastically affecting my life.

I'm a man in my mid 40's who has been treated on for mental health issues most of my adult life, but I never quite feel I've got to the baseline which is affecting my pyschology. I have my ups and downs and have been put on every SRI anti-depressant going, none have suited me. 7 years ago I was diagnosed with cyclomythia on the low end of the bi-polar spectrum, however I feel I need this reviewed as possible misdiagnosis, while admittedly I do have highs and lows, I don't think it actually fits the correct bi-polar pattern. I think the key is what drives the highs, and in truth I don't my mental health is out of my control in the same way as a true bi-polar suffer who become manic and find and activity to fill the mania, in my case its I find an activity, something which interests me and motivates me and that gets me very excited often obsessed by that, often at the expense of other things, this happens for a while before the interest wares off and i become agitated and discontent.

At the moment I'm just wanting information on how I might approach this in going into psychiatric services. Can I don't want to drive the diagnosis any particular way, but ADHD is a condition I want considered, questioned and challenged, i was previously diagnosed after only 45 minutes from which i was given Med which I have been on for 7 years and i dont feel right. anyway, here i go again,,,,,,,,,,,,into the scary psychiatrists lair,

I feel the underlying route of my psychology is more complicated
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  #39  
Old 09-26-14, 12:32 PM
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Re: Steps to get Assessed for ADHD

This sounds so simple but im really struggling to find a way to get an assessment. My doc gave me a phone appointment and advised for private to ring bupa(who just asked for a insurance number, i just got annoyed and hung up) the doc said nhs would take about a year and was quite dismissive.
I cant seem to find a psychiatrist online- iv been emailing people who just give me numbers to someone else and a few people i have rang have just been rude. Is it so hard to just get the number of someone who can do it if i give them some money cos i swear if i have to look online anymore this laptop is going through the window!
by the way, im 32 and was told by a psychotherapist i probably have adhd and after reading about it im positive i have it. Just want a crack at life with the help of meds to fulfill some potential. Seems most people think its not real and fob you off thinking you're naughty or bone idle, which is not true.
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  #40  
Old 10-16-14, 07:48 PM
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Re: Steps to get Assessed for ADHD

I'm a partner to a very lovely but currently very messed up ADHD. We have strongly suspected for years that he has ADHD but always just found ways to cope/deal with issues that popped up (i take care of finances, kids, schedules etc). When our 3rd child came along, i started to need more help keeping on top of things and tried to hand over some of the responsibilities to him. This was generally disastrous. Things gradually fell apart and his anxiety went off the charts and he developed depression. Long story short, our son has ADHD too, so we consulted his clinical psychologist about my partner. This psychologist is specialised in ADHD, ASD and learning disorders. He was quite thorough in his evaluation of my partner and had already identified key behaviours in my partner when we had my son's appointments. He diagnosed ADHD and identified traits of ASD also.
Partner was also having trouble completing his work tasks and his work sent him for neurological evaluation and independent assessment of the diagnosis. They also diagnosed ADHD (combined type) and suggested a psychiatrist for med recommendations.
Skip to the appointment with the psychiatrist and during the first session the dr declares that my partner doesn't have ADHD, he is just really depressed because we fight too much. I know my other half presents extremely well, he is intelligent but he tells some pretty interesting lies without realising their effects (like that he was an average student when in fact he was in the bottom percentile at school).
My concern now that we know this psychiatrist hasn't really done his job, is where to from here? We live in a smallish town with few psychiatric services available and we were on this dr.s waiting list for months...
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  #41  
Old 11-06-14, 03:05 PM
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Re: Steps to get Assessed for ADHD

Excellent list and breakdown of the steps that should be taken to be properly diagnosed and treated for ADD/ADHD. I have also found some excellent resources online that can give someone who is really not sure, a general idea if they should go ahead and make that appointment, based on answers to self assessment questionnaires. Of course, some are better than others, but I have found a couple that are decent indicators that you should consider taking the next step in seeing a doctor.

The only thing I would add to this list, unless I missed it, is that I would try and seek referrals or recommendations from others who are being treated by that doctor for ADD/ADHD. Unfortunately, there are also doctors out there who can misdiagnose or carelessly prescribe medications without providing the additional tools that are necessary to effectively manage their ADD/ADHD. I fell into this trap for a while and was prescribed an inordinate amount of adderall, which helped for the short term, but ultimately, left me with multiple side effects that seemed to take the "me" right out of me. I had to do a lot of my own research and trial and error to find the additional tools necessary to help me more effectively manage my ADHD.

Eventually, I changed doctors and was prescribed the proper dosages. Although, I absolutely believe that some of these prescription medications have their place and serve a positive purpose, I also think some natural ADHD remedies are commonly overlooked or go unmentioned. A lot of people are simply not educated to some simple changes that they can implement into their daily routines, as well as their daily diets that can tremendously help to effectively manage their condition. I found that by implementing these small changes into your daily life, even if you are supplementing with prescribed medication, can leave you feeling better, overall. I feel that I have more control over my ADHD, but it comes with work and routines. If I break them, my brain is off to the races.

The more places like this and the more information that gets shared to the public, the greater the education and hopefully, the greater relief for those who not only suffer from ADD or ADHD, but who may also have other disorders associated with those conditions, like anxiety, depression, insomnia, etc. All of these things are common and add stress to an already busy brain.

Thanks for sharing this great list and all the best!

Howie





Quote:
Originally Posted by livinginchaos View Post
This is a question that is asked a lot on this forum, so I hope this guide is helpful

1. Get a referral from your general physician, if necessary, to see a psychiatrist
at the same time, work with your General Physician to out rule other disorders/issues/concerns/conditions (ie: 50 conditions that mimic ADHD)

2. Find a psychiatrist who specializes in ADHD (it's usually best to get a referral; meadd823 wrote up a post on it here)
- you want to see a psychiatrist because they are typically more knowledgeable about ADHD and are able to prescribe medications
- General physicians can diagnose and prescribe, but they might not be familiar with the diagnosing process, nor up-to-date with current research, treatment, etc.
- psychologists can diagnose but not prescribe
- neurologists can diagnose and rule out other neurological abnormalities, but will be very expensive and likely require more testing than necessary

- other professionals may be able to assess and diagnose (not prescribe), but it depends on their training (Licensed Professional Counselor, Clinical Social Workers)

3. Prior to your appointment, write down:
a. any questions you want to ask the doc
b. reasons why you came in for the assessment
c. symptoms

4. At the appointment, if your doctor uses language that is not up-to-date (doc should use: ADHD, ADHD-combined, ADHD-inattentive, ADHD-hyperactive)
I highly recommend you get a second opinion. It's likely that the doctor isn't up-to-date with the most current DSM (Diagnostic and Statistical Manual of Mental Disorders), which says to me that the doc isn't likely up-to-date about anything regarding ADHD (assessments, treatment. . etc).
- the doctor should use the DSM IV to evaluate ADHD
- if the doctor uses a different method, the question the doctor as to why he's using other tests
- an IQ test does not diagnose ADHD
- more often than not, the doc will ask you to get a family member, teacher and other people in your life to fill out a questionnaire (this is appropriate)
- assessments may take more than 1 appointment
- if a doc diagnoses (or says absolutely not ADHD) you within 10 minutes or so, then look for another doctor. 1 session is pretty normal.

5. While at the appointment, make sure you have a pen/pencil and paper to write down what the doc says and any questions and answers

6. If you are diagnosed, ask about treatment and what the doctor recommends
a. when your doc gives a recommendation, remember to ask "why" the doc recommends that specific treatment
b. if your doc recommends medications, then that doc should also inform you of the possible benefits and risks (side effects)
- if your doc tells you to learn about the med on your own, then go see a different doc
c. ask your doc about other ways to manage your ADHD (coping skills, ADHD coach, behavior modification, using positive reinforcement. . )
d. ask about possible medication interactions if you are on any other medications

7. Work with your doctor as a team to work with your ADHD
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  #42  
Old 12-04-14, 08:25 PM
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Re: Steps to get Assessed for ADHD

I was diagnosed by my PCP. I'm making an appointment to see a Psychiatrist, because I have other "mental illnesses", and I want to be sure I am being given the right treatment.

Does an ADHD diagnosis from a PCP even count?
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  #43  
Old 09-28-15, 04:48 PM
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Re: Steps to get Assessed for ADHD

Yep, it can be difficult to get an additional diagnosis when you have one major psychological one like depression, for years I've been stigmatized and pathologized b/c of my past depression diagnosis. But I'm no longer depressed (since 2012) since I started trteating my thyroid problem, but still have ADHD. I'm thinking of just giving up on ever being able to get medication and just getting neurotherapy instead.
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  #44  
Old 10-01-15, 10:30 PM
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Re: Steps to get Assessed for ADHD

Another thing I should mention, I've been reticent, hesitant, and apprehensive about getting properly diagnosed b/c every time I read anything about the assessment for ADHD for an adult I see all these assessments that cost about $900 - $1,000 and it's not covered by medicaid/medicare and I'm like what?! That's impossible.

But so many people seem to have been able to bypass this lengthy, and costly, process. So I have a little bit of renewed hope.

Now lets just hope that my PCP actually listens to me. I so don't want to deal with him any time soon...
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  #45  
Old 10-01-15, 11:51 PM
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Re: Steps to get Assessed for ADHD

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Originally Posted by gothceltgirl View Post
Another thing I should mention, I've been reticent, hesitant, and apprehensive about getting properly diagnosed b/c every time I read anything about the assessment for ADHD for an adult I see all these assessments that cost about $900 - $1,000 and it's not covered by medicaid/medicare and I'm like what?! That's impossible.

But so many people seem to have been able to bypass this lengthy, and costly, process. So I have a little bit of renewed hope.

Now lets just hope that my PCP actually listens to me. I so don't want to deal with him any time soon...
Is PCP primary care physician? All these initials no days confuse me. Mine treats and diagnosed me here in FL. She is basically just my family Dr. who happens to specialize in ADHD.
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