#bout going back on some kind of antidepressant/anti anxiety meds

[dont-offend-the-bees]

Anyone else out here haunted by the unknowns of recovery?

[lymanjosh]

do you have any tips on bringing up ADHD to a therapist? I desperately need help for it but I don’t want my concerns dismissed because stuff like adderall is heavily misused :(

i had like two pages of an answer for this (and it was coherent, even, if you can believe it) and then i refreshed the page like a dumbass so this is take 2, which is Less Coherent and im sorry but theres nothing i can do about it

so im not an authority on the subject or anything, and i don’t know your situation, and also ive been diagnosed for like 2 weeks, so you can pretty much take everything i say with a grain of salt. what im gonna do is im gonna run through my own experience / what i wish i did differently / what im doing now, and i hope it helps, and you can totally feel free to come back if you wanna talk more at all once im finished!! and i really hope that at least something i say here is of help to you

also this is gonna be rambly and im sorry about that but i don’t know any other way to be. im gonna preemptively forgive myself because youre like me so you get it but im sure it’s not easy to read so for that i apologize.

tldr: know concretely why you think you have ADHD and what treatment options you want to pursue, do like 3 times more research than you think you need to do, write down all your symptoms in advance, cite your past history of mental health treatment if you have one, and try not to worry too much. if your therapist is any good at their job they’ll know you’re not just drug-seeking, and they’ll recognize the symptoms and problems you discuss when you bring them up in the context of ADHD. probably you’ll be okay, and you’ll get the treatment you need.

so i spent most of my teen years in a drug-addled haze. i was depressed and anxious because i couldn’t Fucking Do Anything, and my parents were worried so they took me to the doctor, and the doctor was worried so she sent me to another doctor, and this continued for a long time and i was on like 4 different antidepressants and 4 different antipsychotics and also some anti-anxiety meds between the ages of like 15 and 16. it was heavily traumatic and also not fun, and the reason all this happened was that nobody stopped to think that maybe i might share some genes with my dad, who has been diagnosed inattentive since before i was born.

right off the bat i should have been way more up in arms about self-advocating, which is something you’re clearly doing, so that’s awesome and you should give yourself a pat on the back because that’s really difficult in the mental health industry especially when you’re already fighting your own brain on most things. 

hopefully you haven’t been through a wringer of false diagnoses and nonsensical prescriptions, but if you have, then you can guilt your doctor a little bit. “i was traumatized! i was given dangerous psychoactive drugs during a critical phase of neural development! you have to give me stimulants to atone for your sins!” phrase it exactly like that, it’s like a silver bullet. in all seriousness if you ahve past diagnoses of anxiety or depression or anything to do with emotional dysregulation that can help your case, because you can point out that a) these things are common misdiagnoses for adhd, and b) the symptoms for these things logically emerge from things like emotional hyperarousal and rejection-sensitive dysphoria. 

what i should have done, and what i think you should do, is write down your symptoms in advance, because then you won’t have to spend an hour hemming and hawing and trying to thnk of them all in the doctor’s office. i did not do this. it didn’t prove to be a problem because my doctor was kinda irresponsible but i really should have done this, just for my own benefit.

when i actually brought it up to my doctor that i might have adhd i had a couple different things going for me. i was talking to my GP, and not my therapist; im not in therapy (which you can probably tell) because therapists creep me out, but i think physicians are probably more inclined to throw drugs at it than therapists are. my GP was also brand new to my case– i had never even met the guy before. i mentioned my history of mental health treatment, and i also mentioned my dad being diagnosed, and im also a girl (girls are chronically underdiagnosed and extremely likely to be misdiagnosed with either anxiety or depression), so i had some concrete facts to support why i had suspicions. i had also done a shit ton of research beforehand, so i advise you to do that– know concretely why you think you have adhd and what treatment options you want to pursue.

you might benefit from talking about it with your doctor before your therapist, but idk that might just be my fear of therapists talking. i think a doctor is less likely to want to taco bout it than a therapist but that may just be my specific experience– you know your situation better than i do. and admittedly a therapist is more likely to, like, Know You and know what you’re talking about when you say (for example) that you’ve always struggled with emotional dysregulation, or whatever.

something else that might help you– i wish i had done this not because i don’t want to look like a drug-seeker but because i Miss Coffee– is to bring up non-stimulant treatments like strattera (for adults) or kapvay or intuniv (both for children but sometimes prescribed to adults) because it’ll show you’ve done your homework and it might be a point against writing you off. stimulants are usually the first resort for adhd, so it’s highly likely you’ll end up on adderall or another stimulant, but it’s good to bring up as an option. might also be good to research it as a serious course of action, especially if you suffer with anxiety, because stimulants are likely to make you more anxious.

i would also advise you not to fixate on adderall? idk enough about your situation to know if you’ve done that but it’s good to be open to other medications and treatment plans bc if adderall doesn’t work for you it doesn’t work and there’s not a ton you can do about it. you should for sure read up on other treatments– you might find one that sounds more appealing, or at the very least you’ll know what to think if your doctor brings up another one unexpectedly.

so i brought up to my doctor that i might have adhd and he immediately plonked a questionnaire in front of me. i filled it out (spoiler alert most of my answers were “often”) and he was like “oh this is textbook, let’s get you on adderall” which like WHAT. i didn’t even ask about adderall. like im not gonna argue with you but let’s talk about this first before we break out the stimulant medication. but i’ve been on it for a couple days and no major side effects yet so maybe he was right who knows. anyway he was super irresponsible don’t let your doctor just prescribe you meds at random go through the side effects. always ask about the side effects. i get such bad headaches after it wears off. i have one now and its Bad. 

but as an addendum you should for sure be prepared to use other coping mechanisms. i’ve started using a bullet journal since i was diagnosed which i’ve found works really well, and youtube channels like howtoadhd are really helpful to me!! i try to use the meds sparingly because i Don’t Like taking pills and also bc adderall can be habit forming, and because i hope to eventually be able to function without it, and i advise you to think of it the same way. drugs don’t have to be a permanent fixture in your life– you can use it as a temporary tool while you build up the necessary coping mechanisms and mental pathways to function without it. adhd isn’t broken brain, it’s just brain on hard mode, if you know what i mean. i try to think of the meds as training wheels– i learn to function with it, and then i gradually learn to function without it. so idk if that’s a useful way to think about it for you but to me it feels more hopeful than resigning myself to a lifetime on more drugs. idk. 

but even if you’re okay with that, adderall isn’t gonna make you functional (it might. kinda feel like you’re magically functional. that’s how i feel right now, that is to say when im not headaching.) so you have to have systems in place to make it easier for yourself. some kind of productivity app might help ig (i used ike for like 3 days and then my phone died and i forgot to charge it for a week because that happens to me sometimes, but i liked ike!) but i like analog todo lists. feels good checking stuff off. either way is good though. 

also get your phone to send you alerts. also rearrange your stuff. like, make the world around you conducive to your functioning. do your best to create and live in a space that enables you to do the things you need to do. get accommodations at school if you need to (i haven’t done this and can’t tell you how but there are a ton of online tutorials and you can probably just google your school + accessibility, or something, and that’s assuming you even go to school)

but yeah i hope any of that was helpful to you and im sorry to make you do 1 million hours of deciphering my shitty informal writing style and i love you and i want to help you please come back and let me know how everything goes bc im gonna worry about you otherwise