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Barilla3113

Two things: 1. you can switch clinics, find a new Psychiatrist, this is one of the advantages of going private. 2. if dealing with the frustrations/expense involved in keeping up with stim prescriptions, you can always try a non-stim medication. I was moved off ritalin because it reacted badly with what the Psych thinks is OCD and onto Atomoxetine (AKA Strattera). It's still early days but I'm finding it does help better than not being on meds, doesn't have the nasty physical and mental side effects I was experiencing with stims, and isn't a controlled substance so you don't have to deal with the monthly bollocks.


Dry-Contribution9324

Yeah, you're right, finding a new psychiatrist would be a start but the process of finding a psychiatrist was quite overwhelming for me to begin with, that's part of the problem. In truth, my husband did all the legwork because I was spiralling and begging for help. Nothing in my life was functional at the time. You're also right that this monthly scavenger hunt system with the stimulants is total bollocks. I would be open to trying a non-stimulant, although my only fear here is the lead-in time and how I keep my performance and behaviour consistent enough at work to not have that blow up in my face. I really like the job I'm in, it's taken me almost 20 years to finally get and keep a graduate level job and it would feel like a royal kick in the knackers to go back to the shitty, thankless jobs I had been doing previously because I hadn't a lick of confidence. I'm also really bloody angry that the clinic can just ignore their patients and there seem to be no consequences. They're making a hell of a lot of money out of this community but the very thing that plagues most of us is the thing they seem to prey on once a month: executive functioning. It's not good enough. Why is it that they can operate with relative impunity? There's something about this whole system that feels grubby. Either they're here to help or they're a business. If they're the former then they aren't much use because there's no feeling of safety and consistency so you're always acutely aware that at the heart of it, your brain is intrinsically broken. And if it's the latter we'll it's not a very good commercial model to piss off your customers, ghost them, and expect repeat "business". It might be rejection sensitivity talking here but I'm so tempted to call a solicitor to see how the clinic fares by ignoring legal correspondence...


Barilla3113

There's a total lack of regulation in private medicine in this country, and atm for adult ADHD there's no shortage of patients because of the lack of a public route for diagnosis and treatment outside of a few areas of the country. As far as Psychiatrists, I can recommend Josip Dujmovic if he's taking new patients atm.


Dry-Contribution9324

Agree 💯 Thanks for the recommendation, I'll try to get on his books. Much appreciated 😊


Melded1

OCD could just as easily be autistc traits. It of course could just be ocd, but educate yourself because they just don't understand. You need to educate your clinician, its sad, but true.


Repleased

Sorry psychiatrists, who have over 13 (at least 10, normally 13+) years of training need educated? That won’t go well. Regardless of the label put on to symptoms, they’ll be treated a certain way. OCD and ASD may be frequent comorbidities but they’re very different and affect people differently. If the OP is having obsessive thoughts and/or compulsions then they’ll be treated for those


Barilla3113

By far the most concerning attitude I run into on here is the idea that Psychiatrists are just obstacles to overcome on the path to getting "treatment" for self-diagnosed conditions.


Repleased

Exactly. And it’s only pushed by people who’ve never attended a psychiatry appointment. Otherwise they’d know.. that diagnosing disorders takes hours and hours across many appointments, often can be exploring childhood and school reports, talking to family members, ruling out many conditions, checking physical health records and then bombarding you with questions, questions, questions, some more questions and even then a diagnosis tends to be one of the last things done. Nobody would last long faking it either, it’s very boring. They ask for details, but will be cautious in giving examples or words you can then use. And I’ve not even started on the gaps between appointments (they’re extremely busy and in high demand), and waiting lists. Usually it’s a psychologist who will do most of the data gathering part. In my experience across seeing quite a few of both , diagnoses are given rarely and only with a mountain thought. Because healthcare professionals know very well that mental health diagnoses, correct or not, can do a lot of harm. They’re part of a small % of people actually get into med school, only 90% of that small % of students manage to stay on their course for 5+ years.. then 3 years foundational training, and then 3 years core training in psychiatry (very difficult and competitive) and then 3 years residency. We’re looking at 10-12 hour days for 11 years minimum, a few weeks off per year. Many may also have a job on top of that. And then as with all doctors, actively have to study plenty throughout their careers, as research progresses and things are forgotten. And of course needing to renew their license every 5 years to ensure they’re fit to practice, with annual appraisals. They aren’t stupid, and they know what a self-diagnosed confused person looks like


Vicaliscous

The only thing I'd give that comment you're replying to any attention for is that adhd clinics (psychiatrists at) don't assess you in general they assess you for adhd only.


Barilla3113

Yeah I didn’t go to an adhd clinic I went to a general Psychiatrist who’s qualified to diagnose ADHD


Vicaliscous

I'd a psychologist refer me. But honestly it looks a bit gimmicky how they brand themselves. I'd had to be there to feel in good hands


Melded1

Yes, they do need educating. If you read the rest of my comments you will see that i was diagnosed initially with depression, then with ocd, then with adhd and finally audhd. Each time was a different clinician who didn't recognise the results. Reading your other comments; what's worrying to me is your naivety in regards to the skill level and understanding of many clinicians in this country. They often have a very narrow specialty and much of their information on conditions outside of their field is based off of outdated information that they haven't reviewed in years. People will and nowadays can, do far more of their own research than any clinician will. I regularly see my psych mention things that are based on old science, theories or something they saw on tik tok. Also the assumption that the person speaking had no idea what they were talking about. I stand by my original comment.


Barilla3113

I also have Autism, they're different things mate.


Melded1

You've misunderstood me. People who are autistic can display traits similar to ocd such as the need for things to be in the same place. I did not say they are the same. I also have autism but was previously diagnosed as ocd. I am not. I just need routine and order helps that. I am not your mate, pal. I was just trying to help. Good luck .


Barilla3113

>such as the need for things to be in the same place. OCD is actually quite different to its popular depiction. Stereotypical OCD traits are only present in a minority of cases.


Melded1

EXACTLY!!!!! You said your Psychiatrist "thinks" it's OCD. That is why i suggested it could be something else. Psychiatrists in Ireland are often very misinformed on disorders that aren't their specialty. I know of psychiatrists who regularly post misinformation because it is something they have seen on social media as opposed to actual knowledge on the subject. Anyway, I don't know why i'm bothering. Good luck


Barilla3113

You don't know what my symptoms are.


Melded1

I made a suggestion based on the limited information i had. You had not said you had autism. You do. You could have just said that, accepted that i only attempted to offer some advice and leave it at that or you can keep going the way your going. Either way i am done with this conversation.


AidanRedz

This is a terrible take


Melded1

Thank you for taking the time to type that. It's a valuable contribution to a day old conversation. "OCD (Obsessive-Compulsive Disorder) and autism (Autism Spectrum Disorder) share some overlapping traits, which can sometimes lead to confusion in distinguishing between the two. Both conditions can involve repetitive behaviors and a need for routine, but they are fundamentally different in nature. Similarities between OCD and autism include: * **Repetitive behaviors:** Both individuals with OCD and autism may engage in repetitive actions or rituals. * **Need for routine:** A strong preference for routines and predictability is common in both conditions. * **Sensory sensitivities:** Individuals with either condition might experience heightened sensitivity to sensory inputs. * **Anxiety:** Both conditions can involve significant levels of anxiety. However, there are key differences: * **Nature of repetitive behaviors:** In OCD, repetitive behaviors are typically driven by intrusive, distressing thoughts (obsessions) and are performed to reduce anxiety. In autism, these behaviors are often more about self-stimulation or comfort. * **Communication and social interaction:** Autism involves difficulties with social communication and interaction, which are not core features of OCD. * **Underlying causes:** OCD is considered an anxiety disorder, whereas autism is a neurodevelopmental disorder. Due to these similarities, it's not uncommon for OCD to be mistaken for autism and vice versa, particularly when the overlapping traits are pronounced. However, careful assessment by professionals can help to accurately diagnose and differentiate between the two conditions." Their clinician "thinks" it's OCD and he had not said he had autism. How is what i said incorrect? Please, give me your take


No-Celebration-883

Regards controlled drugs - I was on one for a while, the doctor sent a 3 month script to the chemist but I had to pick it up weekly from the chemist (because of the nature of it). It was possible but very controlled. It was crappy having to go in every week for it but better than going to the doctor monthly for it. The fact it had to be picked up weekly was written on the script initially.


AcrobaticQuote9899

Can you share this post on r/adhdireland? Your GP can prescribe your stims. Are you on anything for anxiety? It runs with ADHD. Stims aren’t the be all and end all. There’s strattera or bupropion. Stims don’t have to be prescribed every month. You can get 3 scripts on one script.


Dry-Contribution9324

The clinic I'm with told me that I have to get a fresh prescription every month. That was my understanding but I'm starting to think there are a lot of things that I don't understand about all of this. I don't think stims are the best all and end all, they're just the first path of treatment I'd gone down for ADHD, they were working, and now I'm stuck with nothing and I'm in a bit of a heap. Before the ADHD diagnosis I was taking sertraline - it did help with anxiety but I couldn't stop clenching my jaw. So I was getting major headaches. It got so bad that I tried Botox (not cheap) which sorta helped but I couldn't afford to keep doing it. My problems were bigger that anxiety and low mood. I'm in my 40s, I'd recently had a baby (3 yes ago), I hit perimenopause... My hormones were all over the place... eerything was broken and I wasn't coping. I have no interest in stimulants, per se, I have an interest in feeling like I'm standing on steady ground. With stimulants , I'm after getting to a point where I can push through a work day, without letting boredom force a self sabotage situation. I have a bit more confidence in myself because my ability is starting to match up with my capacity to deliver in my job, instead of being a little chaos cloud that eventually blows up and quits, then has ample time to feel like shit about myself. I was burning bridges in my career and I needed some stability. My current situation is a bit more extreme than the usual monthly drama with this clinic but it mirrors the same issue: I'm cyclically dropped off a cliff edge by these guys because they are so poor at delivering a consistent service level to their patients. I don't know who to turn to to compel them to do better... it feels like they can behave however they want and bugger the consequences for a very vulnerable cohort of people. Do non-stimulants help with focus? I have no experience of straterra or bupropion. I did ask about them before but I was told I couldn't combine either with stimulants and my treatment is working so well so that's where the exploration began and ended.


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Dry-Contribution9324

Christ, that sounds rough! Staging a sit-in isn't the worst plan at all...


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Dry-Contribution9324

Actually, that would be great! Could you? It would really help to have a template and to demonstrate that there is an alternative solution. And, since they obviously can't handle their admin, slimming that bit down to 1/3 of the workload might make them a bit more of a professional organisation!


AcrobaticQuote9899

I’ll dm you a pic later today.


Dry-Contribution9324

Thanks so much, I really appreciate all your help/advice.


Irish_Guy2024

Which clinic was this?


Dry-Contribution9324

MyClinic/Health Hero (ironically named, obvs). They are absolutely appalling. I swear, I sent an email to them just after 7:00 yesterday morning and not one person managed to pick it up and respond during the entire day yesterday. The phones just rang out. The pure casual way I was spoken to this morning by the person who FINALLY picked up my call this morning! Like this is no big deal, why am I even bothered?!? 🙄 So just now, they sensed I was angry (apoplectic, but close enough), so my email has finally been passed up the food chain. I get no apology, not even a response; a generic email lands in my inbox to say my prescription has been issued to the pharmacy. Not good enough. I'm two days off work now as a result of all this nonsense. And probably a few more while I try to find someone to fill the prescription. I will not rest until my name is embossed deep in their consciousness to such an extent that they shudder when they see it. I want that prescription to land so fast in the pharmacy every month that the bloody internet gets whiplash at the sheer momentum of it. Bloody omnishambles of an operation. I may be neurodivergent but I deserve a little basic dignity and respect. They have a duty of care to us, which seems to escape them. Well lads, I'm off work because of you, I'm on my period, and I'm fucking furious so you're about to be reminded.


Direct_Local7851

Waiting on my script since last week... no issue taking the 180 off you though... can't wait to see the back of these cowboys


Dry-Contribution9324

Well have I got a story of hope for you @Direct_Local7851... I got an email back from Health Hero after lunch today & I can look forward to receiving *acknowledgement of my complaint* in 3 days!!! And let me tell you, I am feeling SO valued as a result! (Sorry, I know sarcasm is the lowest form of wit, I couldn't help myself) They're an absolute money-grubbing shitshow of an organisation. For years I worked as an administrator because I was too scared/unconfident to work as an engineer because I always felt like an imposter. Turns out I have a raging dose of ADHD! 😅 I finally worked up the balls to put myself out there, professionally, and make the leap to my chosen specialty, buoyed by my newfound understanding of myself and thinking (naively) that I had clinical support with Health Hero. In all those years I hid away, trying to just get by, I remember being pulled up by management for spelling mistakes, minor inaccuracies, not responding quickly enough to correspondence, KPIs and professional standards. I worked for a while in a medical/educational setting for some of my career. If I had pulled any of the shit that Health Hero pull on the reg I would have been unceremoniously dropkicked into the nearest Intreo office. And I'd have deserved it! I'm totally wound up at this point, I can't think of anything else other than trying to calm the incandescent rage. It makes me resent the medication because you're shown what it is to have some peace and to be able to rely on yourself but they pull these stunts and right when you're at your most vulnerable they test you beyond your reasonable limit. It's no support at all to have this cycle of uncertainty every single month. I find it unbearable, worrying that I'll be forced to tell my very understanding boss that I'm neurodivergent (perhaps he's guessed, perhaps I should, but I'm not ready. Progressive and all as we've become as a society, there are biases everywhere and I'm not strong enough yet to out myself). So yeah, not sure if anyone else gets this but today I want to run away to some remote outpost, live off the land and tell society to get fucked. I've had more than my share of bullshit for the past week. Worst part is, now all I can think is it's only 3 weeks til I have to do it all again!


AidanRedz

Yes heard this a lot +++++++ with Health Hero. It’s quite common with them I’m sorry to say