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nervousnellie

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About nervousnellie

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  1. I appreciate that, @mmaryland. I did complete probably a similar questionnaire and it came up as "negative" for adhd. I actually want to figure out if there's anything "wrong" with me. Not sure why, I just want to know. Does the Adderall XR help you focus without too many side effects?
  2. Interesting. I knew anxiety and ADHD were often comorbid. I guess it makes sense that depression would be as well (and given that anxiety and depression are comorbid, logic would tell me that this is true).
  3. Thanks, @Squish! A few of those tests are foreign to me, but it sounds like they did a thorough evaluation. Your results seem to be further proof that slow processing speed does not correlate with cognitive ability!! I'm glad that you got this all figured out and that the stimulants are helpful. I will say that after I've had coffee in the morning I am able to think very clearly and see things in a way that I usually don't. The caffeine pulls me out of the details a bit and I can see things from a bigger picture standpoint. No idea if this means anything, and unfortunately it doesn't last long (and then I get the jitters, so there's that). I do wonder if stimulants would do the same thing, but I need to get tested first of course. I'm going to talk to my pdoc soon. Thanks for all the info!!
  4. Actually not at all worried about side effects - I'd just go off/switch. I was actually talking about getting used to them and then having to switch pdocs (due to retirement) and being pulled off. But no, it wouldn't prevent me from trying them
  5. I'm embarrassed to say I did not know ADHD was commonly diagnosed by psychiatrists. I knew they could prescribe, of course, based on their observations or patient's description, but I didn't know they did thorough evaluations for it. @looking for answers your answer makes me wonder if I should even try stimulants Such a bummer that mental disorders are STILL not seen by many as chemical issues right up there with all others. Unbelievable.
  6. @looking for answers Same with my primary - nearing retirement age. I do not look forward to doctor shopping, but definitely more so for the pdoc. I take Klonopin (actually I see I take precisely the same amount you do at night; we have the Trintellix in common as well except I take 10mg), and I worry that the next pdoc will be benzo-phobic and pull me off the Klonopin which I have been on for years. Thanks for the link - I would definitely find a way to ask him the questions at the bottom of that article. I know he would tell me he could diagnose me, but I would like to know about his experience in diagnosing.
  7. I agree about the discussion part for sure, but not sure about the diagnosis part. Do you really think pdocs, as knowledgeable as they are about serious mental illness and meds, are as good at giving a comprehensive diagnosis for ADHD/slow processing/etc? It's sort of how I feel about therapy. I LOVE my pdoc for figuring out what meds I should be on for anxiety - he's brilliant at that. But if I wanted to go to someone for therapy, I think I'd go to a psychologist who has extensive experience in CBT, etc. So I guess I was thinking the same about ADHD etc. @looking for answers, yeah I can schedule another appointment. My pdoc is out-of-network, so that's another chunk of change for his opinion, but that's probably what I should have done in the first place instead of bugging you all And I know people will say to change pdocs to an in-network doc, but this pdoc has "fixed" some absolutely terrible anxiety, and I will probably never change docs. I am worried about the day he retires...
  8. This is a really good question and one that I've asked myself. If I did get a diagnosis of ADHD, I would try stimulants, but would not want to be on them all the time if possible. If I do have this, I've been living with it for many, many years (decades), and have been somehow able to compensate for it. I've always been a super hard worker, and I think that has helped me get by. I guess my reason for pursuing this is that I'm curious about whether ADHD meds would make my life easier; if I wouldn't have to work quite so hard at things. I am also thinking about going back to school (very short-term), and I wonder if it would come much easier to me if I were on meds. I got straight A's in high school, but I studied like no one else I know. I also very often have a hard time seeing the forest for the trees, and I guess I have this curiosity about whether a big light bulb would go on while on meds, and I'd just be able to think differently. I have no idea if this makes sense; just rambling. Yep - you're right - my pdoc could probably have been the first person I asked about this. I just don't see him for a while, but I've gone this long without testing anyway what's a little more time Yes, I live by a huge university - this is actually an excellent idea, as long as it's supervised by someone with experience (which it would likely have to be). These forums are awesome, and I very much appreciate all the input.
  9. @Geek Thank you for that! That seems much more comprehensive than the tests that the psychologist was going to give. And @lookingforanswers, thanks for your experience as well. Very helpful. Still confusing, though, because so many people get "diagnosed" based on a questionnaire, and on the questionnaire I completed didn't show ADHD. In addition to ADHD (inattentive), I've read about slow-processing speed and really, THAT'S what I think I have. I also have somewhat of a tough time making decisions, but that could be caused by anxiety I suppose (the slow-decision-making is why I am on this board with analysis paralysis trying to decide what to do; having said that, there is $2k at stake....). In my heart of hearts I think I need to spend the $2k to get a full, thorough evaluation. The bummer is, if it turns out I don't have ADHD but rather have slow processing, I don't know that there's anything that can be done. Stimulants don't work for slow processing speed, do they?? And btw, I can't stand the phrase "slow processing speed." It conjures up a dim-witted, slow person. I have read there is no connection between this and IQ, though, so I'm sticking with that... THANK YOU ALL!!
  10. @notloki, @CrazyRedhead, and @dancesintherain These are all extremely helpful answers - THANK YOU! I think I'm going to talk to my pdoc about all this. The test descriptions, @dancesintherain, were especially helpful. It definitely doesn't sound like these would give a definitive diagnosis, but rather an IQ measure (which I don't even necessarily want to know.......). And I already know I have anxiety, so that particular test isn't going to help. I have a feeling this psychologist is simply too inexperienced at this "branch" of practice. I appreciate the answers. I may either shell out the big bucks for the neuropsychologist or more likely talk to my pdoc and see what he says. The only reason I may go to the neuropsychologist is to figure out if there's anything else going on that I should know about, other than the anxiety. Thank you all!
  11. @notloki do you think a psychiatrist would give the battery of tests that one of these psychologists would? And if not, are they necessary? I have filled out an initial questionnaire and it did not indicate ADHD, but I was told these aren't necessarily definitive and that further testing is a good idea based on my own descriptions of symptoms.
  12. Hi there, I am wondering if I could get advice regarding what type of professional is needed to diagnose ADHD? What type of training, background, credentials, etc? There have been hints that I may have ADHD (inattentive). I have seen a clinical psychologist who told me she has neuropsychology experience (her PhD or PsyD is in Clinical Psych). The tests she said she'd give me are the WAIS (Wechsler); the Woodcock-Johnson Cognitive Ability test, and the Taylor Manifest Anxiety Scale test (I do have diagnosed anxiety, and I have to say that IF I have ADHD , it does seem to be helped somewhat with anti-anxiety meds). I guess my question is this: how much subjectivity is involved in analyzing these tests? This provider is covered by my insurance, but I'm not super thrilled with her experience (school counselor who seems to be fairly new at working with ADHD folks). There is a neuropsychologist in my area who is supposed to be extremely good but is not covered by my insurance and the testing/reports/recommendations would cost over $2,000 all out of pocket. Please note that if I DO get a diagnosis of ADHD, I would not be getting counseling from either; I would simply see if adding a small amount of stimulant (or other) medication would help me. I would rather not pay that much money IF the testing is relatively objective and the results would likely be the same regardless of who administers the tests. Thank you!!
  13. Thanks, @inabook. I appreciate that. Distraction also works wonders for me to prevent anxiety. However, once I'm in anxious mode it's a different story...... though I have found that meditation apps/relaxed breathing can help me personally a TON (I do know what you mean about over-thinking the breathing, though ) It sounds like maybe you used to have more anxiety "attacks", whereas my anxiety, when I have it bad, is a more chronic type. Thanks again!
  14. I've been where you are - something stressful happens in your life and you get severe anxiety, and then at some point in the future you become anxious about the anxiety, and you worry that it's going to come back, and then of course it does. It truly is a catch-22. Has your pdoc ever mentioned taking Klonopin (Clonazepam) rather than Ativan? It has a longer half-life, and you may only need to take it once per day, possibly twice. My pdoc, for whom I have the utmost respect and is very well-respected like yours, does not think that most people become addicted to Klonopin if they take a low dose as prescribed. I have been on it for 13 or 14 years at a pretty small dose (.5mg/day). I also do take Trintellix, which is very similar to an SSRI. Perhaps you could stick with the Prozac for a while since you know it's worked for you in the past, and while you increase to get to a therapeutic dose you take something like Klonopin, on a regular basis, just for the time being? Once you feel better you can slowly wean off the Klonopin. The Klonopin could possibly help the jitters you're feeling from the Prozac. There is always the option of just taking a small dose of Klonopin long-term (it sounds like that's what your pdoc wants you to do), but I've found that the combo of small Klonopin dose + fairly low SSRI-type (10mg Trintellix) works best.
  15. @inabook, would you mind letting us know what your steps are to lower your anxiety level? Is it breathing exercises, distraction, etc? I personally use a combo of the two (and meds for me help immensely), but would love any other ideas. Thanks!
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