Vyvanse or Nothing
Q. Our daughter was recently diagnosed with ADHD, and her doctor prescribed Vyvanse. Our insurance covers only Adderall or Focalin. From the doctor’s description, it doesn’t seem like these two meds would work as well for our daughter. Can insurance companies cover only certain types of medication?
Your problem with medication coverage is not uncommon. Many insurance companies cover only generic forms of ADHD medications, since they are less expensive. Vyvanse is new and under patent, and, because of this, expensive. Vyvanse works like Adderall, but each is released into the body in a different way. Ask your physician to contact your insurance provider and explain why Vyvanse is essential for your daughter. The insurance company might approve its use, but I would not count on it. You may need to pay out-of-pocket for it, or choose another form of the medication.
Do I Need a Coach?
Q. I take medication and see a therapist, but I still can’t manage all of my symptoms. I’m thinking of hiring an ADHD coach. Do all adults with ADHD need so much help?
Medication helps manage some ADD symptoms, but not all of them. Many, if not most, ADDers have problems beyond the core ADHD symptoms of hyperactivity, inattention, and impulsivity. They have difficulty with “executive function,” which is the ability to organize, manage time, and so on. If your life feels out of control, working with an ADHD coach can help you navigate the daily challenges caused by your symptoms. Don’t think of it as a long-term arrangement. You might need only a few sessions with him, to develop some coping strategies.
