this post was submitted on 10 Mar 2025
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ADHD

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Disclaimer: I'm referring the the US medical system, but I imagine people in other countries may encounter similar things.

I cannot be the only one who has had this experience, but all my dealings with the medical industry feel like they were refined by a group of psychologists to exploit the weaknesses of those with ADHD.

The volume of calls, appointments, and paperwork I had to full out to get a diagnosis and prescription for treatment is completely unreasonable to expect someone with poor working memory and attention issues to navigate.

Then, to stay on medication, you need to schedule and make appointments with a psychiatrist every month, for the rest of your life, and if you miss a single one, you will run out of meds (and likely charged a fine), which will make it even harder to remember to make the next one. If you miss too many, that psychiatrist will refuse to see you again and you have to go back to your PCP to get a new referral.

Look, I understand that their time is valuable, but this system couldn't be designed any other way to be more accommodating to people who clinically forget things?!

It's like designing a wheelchair ramp that's actually just stairs that are 3x as steep as the regular stairs. Also, if you fall to the bottom, someone takes your wheelchair until you can climb back up.

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[–] [email protected] 45 points 1 day ago

100%

It took me years to realize I had it, even more years to get a diagnosis (I was told I had "severe ADHD" btw") and even now, I'm out of medication more often than I have any due to logistical and financial barriers.

[–] [email protected] 30 points 1 day ago* (last edited 1 day ago) (1 children)

It's designed that way, because it has the same effect on everyone. People with ADHD are just starting with a lower capacity for it. The goal is to get as many people as possible to give up on getting what should be theirs in order to "save money". It's the same thing you'll see in certain software when you try to do something they don't like, for example, opening a link in an external browser, or contacting an actual support representative. Suddenly, this app is really poorly designed! It's not a bug, it's a feature

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[–] [email protected] 25 points 1 day ago (3 children)

My biggest fear living in the US was falling off meds and being unable to get back on them. If your life situation allows you should absolutely rely on friends or family for help. You don't need to do this alone, ADHD is a disability and you're allowed to need assistance.

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[–] [email protected] 10 points 1 day ago (2 children)

I've never seen a psychiatrist - I was diagnosed by a psychologist and prescribed by my general practitioner doctor. My doctor doesn't make me come into the office regularly, I can generally just message him for a refill. I realize I am extremely lucky (not that lucky - I can't seem to tolerate stimulants), but I encourage people to try a different route.

[–] [email protected] 4 points 1 day ago (1 children)

I've heard it makes reliably getting meds a lot easier if they arent stimulants, so maybe youve got that going for you? 😃

[–] [email protected] 4 points 1 day ago (1 children)

This was for stimulants, I haven't tried non-stimulants yet, but I am also of a demographic that doesn't arouse suspicion

[–] [email protected] 4 points 1 day ago (1 children)

I meant shortages, i hear its a nightmare (at least in the US). I've got a little over a month to go for an appointment for an initial evaluation 😞

[–] [email protected] 2 points 22 hours ago

It's hit or miss. The instant release Adderall has been more reliably available than the extended release version, but they're both often delayed by a couple of days. The longest delay for me so far was like 2 weeks for the extended release. I've been taking it for almost a year now.

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[–] [email protected] 5 points 1 day ago

I've never had a doctor or therapist take me serious. If I had access to the drugs I could self medicated diagnose better.

[–] [email protected] 4 points 1 day ago

I'm extremely happy with the process I've had, but I understand it's very likely not representative of the rest of us here.

By and large, you're right though. My wife has gone through similar struggles and hasn't been medicated for over a year because of it.

[–] [email protected] 3 points 1 day ago

"Zocdoc" is a great app to make appointments when possible.

[–] [email protected] 0 points 1 day ago (1 children)

This is why I got off the schedule 1 stuff. There are other options.

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

Not really. I’ve tried some other solutions like antidepressants and they didn’t help because they don’t address the core issue. AFAIK only stimulants are proven to be an effective treatment for ADHD.

Also, that only alleviates one of the problems I mentioned.

[–] [email protected] 0 points 1 day ago (2 children)

Wellbutrin and strattera are both for adhd

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