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How to bring up ADD w/ my pdoc?


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I'm new to this board. I am diagnosed with BP and panic dx. I'm about to start grad school and I think I have ADD but am worried about bringing this up with my bpdoc.. I have no drug abuse hx. My mood is pretty stable BP wise. I'm worried about stimulate meds and how they could affect my BP (manic?). Does anyone else here have BP and ADHD? and if so how do your meds interact mood wise?

My main symptoms are:

-extremely disorganized! I can't emphasize extremity enough (I can NOT keep up with house work no matter what).

-procrastinate. I wait until the last minute and then do everything. In college I waited until the last minute to study, by that point I could hyperfocus and did very well on exams.

-I lack a compete attention to details...though I can see the big picture very well.-

-I can't tell you how many jobs I've had. I would just quit because of boredom or my anxiety was so out of control.

-my brother has ADHD

-I fall sleep after drinking caffeine lol

-I can NOT sit through a movie so my family has to go to the theater without me most of the time

-can't finish a book unless it's short and has my compete attention.

-I got in trouble at school a lot (elementary) because I talked to much and just didn't care. I teacher literally taped my mouth shut even I was in the 4th grade :(

-my dad called me motor mouth as a child

-I have to be very.conscious of not waiting my turn to talk

-I lose everything, everyday (keys thrown in the trash, where is this, where is that?)

-I feel like I'm such a lazy person but really I know I'm not.

My concerns with this are because I'm about to start grad school and I want to do well! I'd also like to be able to invite ppl over to my house but it's so freaking messy all the time!

Edited by Energizerhoney
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I agree with Notfred, you list is great. Definitely bring it along to your pdoc appointment. 

 

I have bipolar and ADHD. My docs won't let me take stimulant meds, unfortunately. Hopefully you can try them, or find other ways to deal with your symptoms. Even if you don't end up being diagnosed with ADHD, you still have a lot of symptoms that need attention. I highly recommend checking out the Crazystore, there are lots of good books there about dealing with ADHD. 

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Thanks guys :)

@Parapluie: Are you on any meds for your AD/HD? I know there are non-stimulate meds, which is what I'd prefer. The thought of something like Adderall freaks me out.

 

For some reason, my gdoc and pdoc refuse to prescribe anything even remotely stimulating. They are very worried about my tendency to flip into psychosis very easily. I have brought up Straterra and modafinil but they still refuse. My pdoc even said that I have been "too successful" in life to warrant treating my ADHD and encouraged me to seek out other options, like coaching and self-help books. *shrug* I may be seeking out a second opinion. 

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I have bipolar. I take a hefty dose of Concerta, a stimulant.

Some docs are very concerned with stims and mania and/or psychosis risks. In my completely unprofessional opinion, more should be open to trialling people on stims, starting out at super low doses, when you're already pretty stabilized on mood stabilisers, antipsychotics, whatever you need. I think it's a shame that so many aren't even given the chance, but I appreciate the risks can be very high for SOME.

I have an extensive and broad history of drug abuse including abuse of illegal stimulants and illegally obtained prescription stimulants. I have been shut down by psychiatrists before on the subject of ADHD, sometimes based on my drug history alone. It took me years to get a Dx.

I have a wonderful psychiatrist now who not only specialises in ADHD, she has it. She listens to me and together we've been working out the finer details of my stimulant therapy for about a year. I am only off my stimulant if I fuck up my refill timing or if I flip into a hypomanic episode (the stims don't cause it but when trying to get back down to earth the stims sure don't help it.)

I suggest WRITING A LIST of your specific struggles and issues on why you think you have ADHD and how it effects your life negatively. Another key point in diagnosing ADHD is your history, so be sure to include stuff like that too. Focus on those things, not on meds. Meds can be asked about when discussing possible solutions/coping things (though some docs might prefer to bring it up first) but I wouldn't focus on the med question unless the doc does. If you ask it, don't dwell on it, unless doc seems open.

Keep trying, find a neew doc if you have to, iif they reject your struggles outright. There ARE other things that caan mimic ADHD. And if doc's not down for stims but great for your other mental health stuff then it seems reasonable to remain with them... lots of other variables here too, of course. I won't list 'em.

Persistance. Sensitivity to 'they are the doc' dynamic. Notes to keep yourself on track. Good luck.

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Ps: meds, IMHO, aren't just about OMGWTFBBQ MY LIFE IS BATFUCKINGSHITNUTS WITHOUT THEM. It's about QUALITY of life. Somewhere along the line I started believing that I deserve the best healthcare and quality of life I can sink my teeth and claws into. Sure I've lived for years and held a job and the like without stimulants. Sure I could only take stimulants on work days. I survived like that for most of my life. But bare minimum is no longer good enough. I'm sick of surviving. I prefer to live my life instead, and I deserve it.

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Ps: meds, IMHO, aren't just about OMGWTFBBQ MY LIFE IS BATFUCKINGSHITNUTS WITHOUT THEM. It's about QUALITY of life. Somewhere along the line I started believing that I deserve the best healthcare and quality of life I can sink my teeth and claws into. Sure I've lived for years and held a job and the like without stimulants. Sure I could only take stimulants on work days. I survived like that for most of my life. But bare minimum is no longer good enough. I'm sick of surviving. I prefer to live my life instead, and I deserve it.

 

You have solidified my decision to get a second opinion, when I get the opportunity. Thank you. 

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Thank you all. I'm going to definitely bring a list of my symptoms and my concerns about grad school and doing well with that since I'll be going ft and working ft and have 3 children to take care of as well, and just see what he says. I guess that's about ask I can do.

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