One of these days, I really ought to go talk to a Qualified Medical Professional about the whole ADD thing.

It is, I think, a fairly familiar story. Difficulty paying attention but bright enough to get good grades anyway, not so hyperactive as to annoy teachers, and thus ADD coped with haphazardly until old enough to look up symptoms when no longer under parental insurance plan. Yadda yadda. But as I have some reasonable form of health insurance right now, I should probably actually go address this. Caffeine and multi-tasking can only go so far to help me cope when crunches hit, and I've learned enough about proper study skills as a "returning student" to realize just how poor mine used to be. And just how much attention is required to study properly these days.

Of course, I'm writing about this now as an expression of frustration on not being able to focus on studying for my Greek final tomorrow. Which would be less of a problem if I'd been doing this sort of not-quite-studying for a week, like I planned, but a nasty cold has seriously reduced my ability to focus from its already pathetic levels.

(You want "has difficulty focusing"? I can't play video games I deeply enjoy, with lots of exciting action that requires concentration at regular intervals, unless I can window them on my computer, or pause them on the console, for regular breaks to read a few pages of a book or chat to someone or check forums or get a snack or...well. Let's just say the dragons of Skyrim are usually two-pause battles for me.)

In sadly related news, I've gotten a fair amount of writing done lately, but mostly out of avoiding the studying I should be doing.

My brain is very tired. I'm looking forward to the end of the semester. Which comes at 10pm tomorrow, when my last final is done. Now, if only I could get through this Antiphon review one more time, and move on to Lysias...
kore: (Default)

From: [personal profile] kore


....dude, seriously, when my GP put me on Vyvanse, it made a big, big difference. That shit is expensive, but I know a lot of the older ADD meds are generic and pretty cheap. Being able to FOCUS was awesome. Also, for me at least, it really helped cut down on anxiety.
dorothean: detail of painting of Gandalf, Frodo, and Gimli at the Gates of Moria, trying to figure out how to open them (Default)

From: [personal profile] dorothean


I recognized a lot in this entry! I got tested for and diagnosed with ADHD last year, and started taking medication (adderall) for it in the spring, and I'm so happy I did. If you have questions that I might be able to answer, just ask...
dorothean: detail of painting of Gandalf, Frodo, and Gimli at the Gates of Moria, trying to figure out how to open them (Default)

From: [personal profile] dorothean


Hmm. I was worried about that too, but in my case I found that the therapist's office staff were experts on what my insurance could do. (I go to a therapist who's part of a group of therapists, psychiatrists, etc. so they may have more resources for figuring this out than a sole practitioner.). Here's how it worked for me, in case it helps to have an example:

I actually got my diagnosis right after a therapist (who ended up not being the person I saw regularly) did tests on me -- this was several hours, and included a written report with the results of the tests, and another meeting to discuss the results. I think the tests counted as two meetings, the discussion as another, and (possibly) the written report as a fourth, for the purposes of insurance billing.

If your therapist has already tested you, s/he might already have a diagnosis, and would just need to put it in the right paperwork format to be filed with your insurance company.

The office staff took my insurance information (I had already made sure that the people I was working with were "in network" for my insurance company), learned immediately what my copay for each visit was, billed me (I paid then, but I think I could have done it over a longer period of time), and then sent off to my insurance company for the rest. I wasn't involved in that at all -- in fact, I've never even got any paperwork from my insurance company about my therapist office visits, although I think I could probably look up information online.

Then, after I had my diagnosis, I presume it was submitted to the insurance company to justify my having continued office visits, but again, the therapist's office staff did all of that. I know from the booklet that I got from the insurance company that I have coverage for 30 office visits for mental health purposes per year. I meant to keep track of this, but I didn't -- but it turns out that the office staff also keep track, and report to my therapist if I'm in danger of running out, so we can make different scheduling arrangements.

My therapist is a psychologist, so can't prescribe, although she did give me some written material about medication and encouraged me to try it. When I decided to try it, I had two options: I could make an appointment with one of the psychiatrists in my therapist's office, or see my regular doctor. I decided to see my regular doctor, because (1) the copay to see her was less, (2) I thought, correctly, that she would be friendly to the idea of me taking ADHD medication, and (3) my therapist thought, again correctly, that I would respond well to a basic kind of prescription, and that if this didn't work for me, I could always see the psychiatrist later for problem-solving or fine-tuning. (With a different kind of medication I might have had a third option -- try it out with a free sample -- but Adderall is a controlled substance so therapists don't get samples.)

In short, I was initially very worried about how the insurance would work, but it turned out that my therapist's office staff handled everything. (They were also very very good at telling me how much things would cost and how long things would take, but that might just be luck on my part.) I think this is probably the case for most doctors' and therapists' offices, because insurance filings are nightmarishly complicated for everyone and it's in the offices' best interests to take over all the work so the patients can't mess it up. I suspect that the staff where there a lot of clients with ADHD are particularly keen to help and simplify matters, because people with ADHD are expected to be disorganized (this amuses me because I've become extremely organized, especially with my finances, as a sort of coping mechanism). However, I think things are more likely to be simplified with a therapist's office that's large enough to have office staff, and there might also be regional differences in how things get filed.
dorothean: detail of painting of Gandalf, Frodo, and Gimli at the Gates of Moria, trying to figure out how to open them (Default)

From: [personal profile] dorothean


Yeah, I don't have much to say about finding a therapist -- it took me forever because I wanted to find someone to see regularly without taking time off of work -- turns out most therapists like to work 9-5.

I don't know if my testing was unusually long. I had an interview with the therapist, and then did a bunch of quantifiable tests. It wasn't all to test attention specifically; some of it was testing memory and verbal, numeric, etc. abilities, but I think they wanted that information as context for the results of the attention test.

Now that I'm thinking about it, I actually had testing on two different days. The first day I think I was tested for about two hours, then in between the therapist analyzed the results, and then on a later day I did more tests (chosen either because they depended on the results of the previous tests, or because they could be analyzed quickly) and then reviewed the results with the therapist. I found it all interesting, but surprisingly tiring.
wednesday: (Default)

From: [personal profile] wednesday


Adderall is the med with severe national shortages at the moment. They may want to start you on Vyvsnse, the pricey but effective prodrug, or visit one of the methylphenidate options (of which there are extended and sustained release options in generic form) while things settle out.
wednesday: (Default)

From: [personal profile] wednesday


If you need to pick my brain on the subject, definitely do. Among other things, I carry a bunch of pharm data around and keep tabs on stuff like the shortages. I didn't know you were diagnosed (or may have just forgotten), but it makes a lot of stuff fall into place.
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