this post was submitted on 14 Jun 2023
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ADHD

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What should I say or not say to the therapist for the first time? Should I come out and say I think I have ADHD or should I avoid my own self-diagnosis and ask them to evaluate my habits on their own? Anything I should say or not say in a first chat? Anything that may be a red flag or green flag with a new therapist?

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[–] [email protected] 3 points 1 year ago (2 children)

I'm 27, and I've recently been diagnosed with ADHD a few months ago. When I first met with my psychiatrist I told them that I suspect I might have ADHD, and I told them why. There was a few appointments. I had to go through several evaluations where I answered a bunch of questions and they watched me closely when I was in. Then they interviewed my family to ask about my history and how I acted growing up, and then they started me on stimulant treatment. All in all it took me two months before they started medicating me.

Just make sure you're seeing the right doctor for the right treatment. As far as I understand, a therapist can help you with cope with ADHD by helping you find ways to form habits to overcome your symptoms. a psychiatrist will help diagnose you officially and work with you to find a medication to help mitigate your symptoms.

For me they put me on Adderall and it has been completely life changing, but I've been told my case is pretty severe. (For context, my Dr. doesn't like to treat people with stimulants first, and usually tries to treat for depression or other conditions that have symptom overlap with ADHD first, but he moved me to stimulants after interviewing my family.)

As amazing as treatment has been so far though, as they've been slowly increasing my dosage, the side effects are a bit rough, the medication wears off later in the day causing a crash - especially when I first started the come down was rough, and after about 3 weeks started to lose effectiveness, and no matter how much they've increased my dose it has not been as effective as it was in those first three weeks. (Tolerance seems to be building fast for me :< )

[–] [email protected] 2 points 1 year ago

Yeah I don't know if I could handle the crash and other side-effects. I already have so many other health things I am trying to manage and understand I feel like this would be another wrench thrown into the proverbial machine.

I did get a chance to meet with the therapist and she immediately was like "you have ADHD". All it took was mentioning my unending fidgeting and constant need to rush things and she already knew where it was going. I wonder if a therapist has the ability to administer any tests even if they aren't for the purpose of medication - more as a clinical confirmation of diagnosis I guess?

Thanks for your ADHD story btw!

[–] [email protected] 1 points 1 year ago

A medical doctor (psychiatrists are also medical doctors) or psychiatric nurse are legally authorized to prescribe.

Psychologists and therapists are not.