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Adult ADHD Advice

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Comments

  • Registered Users, Registered Users 2 Posts: 710 ✭✭✭Feu


    The diagnosis still stands, and you now just need a prescription from a psychiatrist. You could for example go through a couple of places that will accept an existing diagnosis. ADHD Doc do, as well as a few of the psychiatrists listed on ADHD ireland. Just go ahead and contact them.



  • Registered Users, Registered Users 2 Posts: 710 ✭✭✭Feu


    While I have heard mixed reports about some ADHD coaches, there certainly are some good ones out there. The specialist training is very costly ~7,000€ which results in ADHD coaches charging in the region of €160 per hour, which i think is out of most people's reach to go to on a regular basis, but good for the coach obviously.

    That being said, I agree with both you and your GP, we are seeing a rising cohort of adults getting diagnosed. In Ireland, this is usually private, and there is no intervention or after care at all, apart from ADHD Doc. There is a huge need for skilled, experienced practitioners, and that need is only going to grow.

    I know its costly, but would you consider attending an ADHD coach, even for a one off appointment, to get a feel for what they do, what they're offering etc before jumping into training?



  • Registered Users, Registered Users 2 Posts: 2 jamesdaniel


    She seems like a good doctor for other things. She helped me with my shoulder pain. But I don't feel like she is the person for me to talk to about any mental health concerns.

    Thanks :-) . I'm not so concerned with medication. I'd like to try alternative ADHD treatments first. But I don't want to close any doors either. Right now I'm trying to get my foot in the door of this process and find someone to give me an accurate assessment.

    Good to know. Thanks.

    That's terrible. I feel sorry for her. I asked ChatGPT for advice on how to ask for a referral but of course I bungled it up at the time it counted.

    I'm deffo not going to become an ADHD coach. But I'd definitely consider going to one in the future if I test positive.

    I've educated myself a little bit about ADHD but I'm trying to not become an "internet expert" on the subject so I don't learn how to unwittingly give myself symptoms. I don't want to corrupt my assessment. The time to learn more about ADHD is after a professional in that field tells me I have it. That is if they say I have it.

    That said, what I've learned about ADHD is very confusing. So talking to a GP about it is confusing because I say I'm not hyperactive but I'm very easily distracted, but at other times very focused. So it's really mixed messages to me. Are you distracted or focused? ADHD is confusing to me right now but would be great if having it explains my inattentiveness and terrible short term memory.

    I kinda understand where doctors are coming from. With so many people being diagnosed now it's possible that some people are being misdiagnosed as having it. And stimulants can be very addictive and damaging to our bodies. I've always got the impression that doctors won't prescribe or refer anyone for a mental health thing unless you have a good story to tell(with emotion) or appear very distressed.

    I've looked back through this thread and found two links in particular that look useful. It says I can't post links here so I'll just say the names.

    Dr. Jaime Martinez

    ADHDdoc

    I think the second one is the best I've seen so far. They're more expensive but do things in person which I would imagine would lead to a more accurate assessment. And they also do the GP consultations. So they seem to take care of everything. They are a bit expensive though but you get what you pay for I guess(I hope).



  • Registered Users, Registered Users 2 Posts: 819 ✭✭✭I.am.Putins.raging.bile.duct


    Be wary of the hundreds of ADHD coaches on social media half of them are full of **** and trying to sell you a course or something. 3 or 4 appointments with a psychologist should be enough to determine if it's ADHD that is causing the issues you are concerned with. It could be something else too so best stick to the professionals.



  • Registered Users, Registered Users 2 Posts: 710 ✭✭✭Feu


    ADHD coaches can't and shouldn't be diagnosing people.

    While I personally would recommend ADHD expert occupational therapy, as the best profession to support ADHDers, it's regulated, focus on physical and mental health, client centred, and cheaper than coaching!

    There is a huge need for a range of professional supports, as none of the private services, bar ADHD Doc, offer post assessment support, and some people really benefit from the coaching approach. But I feel the most important aspect of support is that the therapist/coach understands ADHD well. I've seen loads of psychologists advertise themselves as "ADHD experts" when they really don't know the first thing about it . This is absolutely something to check with prospective therapists.

    Thriving Austic has a selection of Neurodivergent therapists, coaches, psychologists etc. I.e. many of the therapists are ADHDers. While obviously not the only criterion, at least they get it!



  • Registered Users, Registered Users 2 Posts: 5,820 ✭✭✭caviardreams


    Also with regulated/accredited therapists you can claim back from health insurance and tax etc. Not so with a "coach" which is a cost barrier. Would think long and hard about becoming a coach - definitely go through coaching as a coachee first imo



  • Registered Users, Registered Users 2 Posts: 1,553 ✭✭✭BlackEdelweiss


    Has anyone any experience with ADHD Now?

    I am 49 and never thought I had ADHD until I saw a post on tic tok 2 days ago that summed up my whole life.

    My son is on the autism spectrum, I recently done an online test and beat his score.

    I really want to get a diagnosis as finding out about my son 10 years ago changes everything for us all. If I have ADHD I want to know so I can try to get a bit of clarity for the next 20 years.



  • Registered Users, Registered Users 2 Posts: 710 ✭✭✭Feu


    Haha yes forgot that. If you're lucky enough to have health insurance, many policies you can get 50% on therapy, physio, speech therapy, Occupational therapy etc.

    Some policies will also offer something back on the assessment cost. Worth reading the fine print if you have insurance



  • Registered Users, Registered Users 2 Posts: 1 peGGi


    Does anyone know if someone gets assessed privately for ADHD if the medical card will then cover the cost of prescription medication?



  • Registered Users, Registered Users 2 Posts: 819 ✭✭✭I.am.Putins.raging.bile.duct


    Yes. I have a medical card and I get Tyvense for 1.50 a month.



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  • Registered Users, Registered Users 2 Posts: 1,553 ✭✭✭BlackEdelweiss


    I just got my diagnosis this morning with ADHDNow. I have to see the psychiatrist next to see about medication.

    Is medication covered or do I have to fund it myself? I don't have a medical card. I have Laya Health care insurance but don't know if that would cover it.



  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien


    Most meds are covered with the drugs payment scheme for you and your family, so the most you can spend in a month is €80 for all the family. Register for the scheme here:

    https://www.mydps.ie/



  • Registered Users, Registered Users 2 Posts: 1,553 ✭✭✭BlackEdelweiss


    Thanks. I already have a long term illness card for diabetes, does that mean anything for it?



  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien


    I couldn't tell you, but I would still register for the DPS if I were you. I have a medical card, so I don't know how much a month's supply of ADHD meds would be on top of your insulin.



  • Registered Users, Registered Users 2 Posts: 766 ✭✭✭PmMeUrDogs


    No, ADHD meds aren't covered under long term illness unless you're under 16 - which is ridiculous!

    Off topic of what I was replying to, but has anyone had any experience with non stimulant medication? I've been off my ritalin for a while for unrelated medical reasons and it's a struggle. I'm managing but would prefer to more than manage! Any experience, positive or negative? I don't know much about non stimulants



  • Moderators Posts: 51,969 ✭✭✭✭Delirium


    I've been taking Intuniv for almost a year now (doctor wouldn't prescribe stimulants due to high blood pressure).

    Most of the things I had been struggling with were of the inattentive flavour.

    There was an initial (and very noticeable) positive impact about a week into taking it (I'm on the extended release version).

    Additionally, the longer I've been on it, the more positive impacts (in small ways) I see on the day-to-day. Be that work or at home.

    If you can read this, you're too close!



  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien


    I take guanfacine, can't take stimulants due to a bad heart.

    I've been on them 3 months, can't say I've noticed a huge change in anything, tbh. I have a follow up consultation in a few weeks, so he may change to something else.



  • Registered Users, Registered Users 2 Posts: 766 ✭✭✭PmMeUrDogs


    Thanks Delirium and Flaneur :)

    It's the inattentive (I have combined type) I struggle with the most currently.

    I'm cautiously hopeful that because I've managed unmedicated for a number of months, non stimulants may help. I'm just lucky that I find my current job very interesting so I can focus well ish.

    Coming into more boring sections of my work of late has made the struggle to concentrate worse and made me realise I should probably book an appointment and talk about options.



  • Registered Users, Registered Users 2 Posts: 819 ✭✭✭I.am.Putins.raging.bile.duct


    I'm awake and wired at this time because I took my meds way too late in the day and thought I could get away with it if I just exercised and wore myself out. Nope.



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  • Registered Users, Registered Users 2 Posts: 422 ✭✭Robert Nairac


    Finally managed to get an ADHD appointment for the start of October. Looking forward to hopefully making some progress towards feeling/functioning better.



  • Registered Users, Registered Users 2 Posts: 241 ✭✭Baseball72


    Hi. It never occurred to me that I might suffer from ADHD (I am hitting 70 next month) until I heard Ray Foley being interviewed by Brendan O Connor a couple of weeks ago. Ray could have been describing my life! I felt better by the end of the interview as much of what he said made sense and explained issues I have had down the years. I am not hyperactive - the opposite much of the time.

    I guess my next port of call is my GP to discuss my symptoms and go from there. Any advice or guidance from anyone, please?



  • Registered Users, Registered Users 2 Posts: 422 ✭✭Robert Nairac


    Does anyone have any suggestions on where to start with CBT? Books to read, useful websites etc?

    Got diagnosed with the combined type and still need to do the cardiovascular exam before starting medication.



  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien


    This is the workbook I used with a CBT therapist. I found it very good.

    What was more valuable however, was the weekly check ins with her.

    If you can afford it, would you think of going to an ADHD Coach, or a CBT practitioner to help?

    My CBT was supplied by the HSE. I got 10 weeks for free.



  • Registered Users, Registered Users 2 Posts: 2,189 ✭✭✭mrsdewinter


    Hi - hopping in here to ask: what is the workbook? Or is something that was mentioned further up the thread?



  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien


    Apologies! It looks like I hadn't had my coffee when I posted that.

    Mastering your adult ADHD: A cognitive behavioural treatment program (client workbook)



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  • Registered Users, Registered Users 2 Posts: 2,189 ✭✭✭mrsdewinter




  • Registered Users, Registered Users 2 Posts: 704 ✭✭✭dazzday


    Any feedback or experience with Dr Online?

    https://dronline.ie/en/produto/attention-deficit-hyperactivity-disorder-adhd-1of3/



  • Registered Users, Registered Users 2 Posts: 422 ✭✭Robert Nairac


    Thanks for the link.

    I have been taking Medikinet for about 10 days. I think I feel like I have a bit more energy and l feel a bit sharper. I don't know that my concentration is any better. Will see how it goes.



  • Registered Users, Registered Users 2 Posts: 895 ✭✭✭crybaby


    I can totally relate to how overwhelming it is when you first get that ADHD diagnosis as an adult. I was diagnosed not too long ago, and what really helped me was creating a structured daily routine. I started using planners and setting reminders on my phone, which made a big difference. Joining a local ADHD support group has also been really valuable; it’s great to connect with others who understand what you’re going through. If you're in Ireland, they often have resources that can guide you through the process.



  • Registered Users, Registered Users 2 Posts: 422 ✭✭Robert Nairac


    Edit: Deleted

    Post edited by Robert Nairac on


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  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien




  • Posts: 0 [Deleted User]


    Diagnosed recently in my late 30s.

    Question for people who create these daily routines, how the hell do you stick to them? I get such bad task paralysis about anything. For example, today my concentration is at an all time low even though I've a pile of work to do. Last week I was able to get some tasks done but today is one of the worst bouts I've had in a long while.

    I'm due to meet with the Psychiatrist this Friday where I will hopefully get medication as I'm one of the few where therapy would just not work (which was confirmed by the clinical psychologist).



  • Registered Users, Registered Users 2 Posts: 422 ✭✭Robert Nairac


    Up to 50mg of Ritalin LA now. No benefits noticed at this point.

    Post edited by Robert Nairac on


  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien


    Hello all! I am looking for a recommendation. An easy to read, easy to digest book that explains what ADHD is and isn't. It should be fun, with pictures (ideally) and the print shouldn't be too small.

    Something to give away when someone says, "Maybe I have ADHD" (and you're thinking, "Duh. I could have told you ages ago") but instead, you can give them this book.

    OR

    For someone who says, "Sure we're all a little ADHD sometimes", and instead of grabbing them by the scruff of the neck, and giving them a slap, or strangling them, you can calmly give them this book and say, "This is a quick read, you can see for yourself".



  • Registered Users, Registered Users 2 Posts: 7,747 ✭✭✭StupidLikeAFox


    .y doctor recomme ded "Driven to Distraction" - currently working my way through it on audible so not sure how it looks in print



  • Registered Users, Registered Users 2 Posts: 6,178 ✭✭✭Flaneur OBrien


    Thanks. You're the second person to recommend Ned Hallowell to me, although the other person didn't specify which book. I'll look it up!



  • Registered Users, Registered Users 2 Posts: 422 ✭✭Robert Nairac


    I switched from Ritalin LA 80mg to Tyvense. Currently taking 40mg. I'm not noticing any benefits at this point. Feel a bit agitated and more anxious now if anything.

    Has anyone found Ritalin and Tyvense both to be ineffective for them? What medication did you take after that?

    Has anyone significantly improved their diet/lifestyle and noticed the medication becoming more effective as a result?



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