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23 minutes ago, nervousnellie said:

@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.

im worried about the stim, not the benzo........tbh

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1 hour ago, nervousnellie said:

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...

ADHD is a mental disorder and is listed with diagnostic criteria in the DSM 5. Psychiatrists diagnose and treat it all the time. It's pretty common. Psychiatrists also spend a lot of time doing differential diagnosis to exclude ADHD, partly because it has developed a stigma about being over-diagnosed. I recommended a psychologist because I didn't realise you had an existing relationship with a pdoc. You will get a far more accurate diagnosis of most mental illnesses by a diagnostician who knows you well than by one you're just meeting for the first time.

No judgement here about seeing out of network docs. My pdoc is out of network (though she wasn't when I first started seeing her, many moons ago) but I still see her weekly. Given that your pdoc is someone you trust so much, he probably has a good sense of you. That is good news for diagnosing ADHD and/or cognitive processing issues.

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7 hours ago, Geek said:

ADHD is a mental disorder and is listed with diagnostic criteria in the DSM 5. Psychiatrists diagnose and treat it all the time. It's pretty common. Psychiatrists also spend a lot of time doing differential diagnosis to exclude ADHD, partly because it has developed a stigma about being over-diagnosed. I recommended a psychologist because I didn't realise you had an existing relationship with a pdoc. You will get a far more accurate diagnosis of most mental illnesses by a diagnostician who knows you well than by one you're just meeting for the first time.

No judgement here about seeing out of network docs. My pdoc is out of network (though she wasn't when I first started seeing her, many moons ago) but I still see her weekly. Given that your pdoc is someone you trust so much, he probably has a good sense of you. That is good news for diagnosing ADHD and/or cognitive processing issues.

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.

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4 hours ago, looking for answers said:

@nervousnellie what makes you worry that i had a side effect? no big deal they happen, i switched stims. And their is taboo around benzo's stims etc at times, nothing to fear though

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 :)

 

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Slightly late to the party, but I got assessed by an educational psychologist (heavily subsidised by my university) which picked up moderate SADHD, followed by an assessment with a psychiatrist before I could try stimulants. The educational pyschologist used the WASI-II test to get an overview of cognitive ability to compare to specific areas where I might have issues. In addition, I did the WAIS-IV Digit span test and Arithmetic test to look at working memory, the WAIS-IV Coding test and Symbol Search test to test processing speed and the CTOPP 2 Elision phonemic segmentation test, WIAT-II tests for reading accuracy, comprehension and speed and TOWRE 2 phonemic decoding test to check for dyslexia, or Phonology/Phonological Awareness.

Where the results of the latter tests were much worse than the WASI-II test, that was an indication of a specific learning disability. In my case, there was significant evidence of ADHD (inattentive), dyspraxia, and, surprisingly, dyslexia. For example, on the WASI-II I was in the 99.9th percentile, while for the WAIS-IV Digit span test I was in the 16th percentile, indicating that my working memory is way worse than it should be. For the WAIS-IV Coding test (visual motor short term memory, a component of processing speed) I was on the 9th percentile.

Ultimately, stimulants have made a massive difference but it is useful to be aware of the results of the all the EdPsych tests, if only because I'm working in an academic environment. It was particularly useful to know about the dyslexia, as some of my issues with paying attention to what I read are because my reading comprehension and ability to decode words is not great.

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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!!

 

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ADHD is a common comorbidity with learning disabilities. 50 % of dyspraxics have ADHD. Depression is a common comorbidity with learning disabilities, also.

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On 12/13/2018 at 4:46 PM, notloki said:

ADHD is a common comorbidity with learning disabilities. 50 % of dyspraxics have ADHD. Depression is a common comorbidity with learning disabilities, also.

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). 

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I'll put this here as I can't find the thread. IQ tests are important to Dx learning disorders. People with LD's function at a much lower level than the IQ test would indicate. A "normal" person functions close to what the IQ predicts. A big red flag is a student who functions much lower than the IQ indicates, this is essentially what an LD is. If IQ and true functioning are very different you rule out everything else (Physical issues like hearing and sight, psychological issues like "Is jonny happy at home ?"), ect, and what is left, the Diagnosis of Exclusion, is what you have. Specific tests are done to isolate what learning component they have a deficit in. Reading suggests dyslexia or dysgraphia, horrible writing suggests dysgraphia, co-ordination problems suggests Dyspraxia.

 

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I legit diagnosed myself. First psychiatrist visit I just emphasized my ADHD symptoms and impairments. Walked out with a diagnosis of ADHD and a script for Concerta, which soon got swtiched to Adderall XR. 

At the 1st appointment, all he did after I mentioned that I've had adhd since childhood but never treated it (halfway true), and he gave me a paper with about 15 questions; it was the easiest thing in the world, anyone could go into this doctors office and be diagnosed adhd if that's their agenda

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On 12/18/2018 at 8:15 PM, mmaryland said:

I legit diagnosed myself. First psychiatrist visit I just emphasized my ADHD symptoms and impairments. Walked out with a diagnosis of ADHD and a script for Concerta, which soon got swtiched to Adderall XR. 

At the 1st appointment, all he did after I mentioned that I've had adhd since childhood but never treated it (halfway true), and he gave me a paper with about 15 questions; it was the easiest thing in the world, anyone could go into this doctors office and be diagnosed adhd if that's their agenda

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?

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