Uneducated Doctors

This topic contains 8 replies, has 8 voices, and was last updated by  jwilli 4 weeks, 1 day ago.

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  • #131763

    I grew up with parents that didn’t believe ADHD existed. They convinced themselves that I was just lazy and defiant. They are convinced the things I did or didn’t do, were deliberate. As a result, they convinced me that what they thought was true. It’s 40 yrs later and my life is a mess. I finally realized I am Sooo classic ADHD, {MY SELF TEST SCORED 80%} and have done my research and now fully understand exactly what is going on in my brain. I want treatment.
    Empowered by this realization, I went to my Doctors and asked to be professionally evaluated and properly medicated.
    This is what my Doctor said.
    Me: Can you refer me to a specialist or expert to give me a full evolution for ADHD?
    He said: We are all experts, any of us can write you a scrip.
    Me: I really think I need coaching and medication.
    He said: Well I don’t like giving medication for my ADHD patients because I don’t want them getting lazy and relying on a pill, when they really just need to do the work.
    My heart sank. Clearly he had no idea.
    I wonder if he doesn’t want his blind patients using a cane, maybe he prefers they just work hard and learn echo location like bats.
    I am so income it’s sad and won’t be able to earn more till I get my ADHD some what under control. Any suggestions?

  • #131804

    Penny Williams
    Keymaster

    Clearly, he has no idea. Sounds like it’s time to find a new physician. 🙁

    Penny
    ADDitude Community Moderator, Parenting ADHD Trainer & Author, Mom to teen w/ ADHD, LDs, and autism

    • #133852

      quietlylost
      Participant

      I’d echo Penny. If you can find a new physician, it may be worth the change. I know it can be hard with financial resources being limited, but clearly this doctor has a high opinion of himself/herself that doesn’t seem to bear out.

  • #131849

    AutumnDraidean
    Participant

    You don’t say where you are located.

    It took me a couple of tries before I found a mental health clinic that could help me. I’m in far northern NYS, like Montreal PQ is two hours drive from where I live. The closest ADHD specialists listed here are in Albany NY, 2 hours and 30 minutes drive from me. There’s NOTHING listed in Burlington VT! (Where I would normally go for specialist care)

    I didn’t find help thru ADDitude, I just started calling local mental health clinics until I started having an e-mail interaction with an intake person who understood what I was trying to do. First I was told about a local psychiatrist but during my intake with them they explained that they do not prescribe ANY controlled substances. Ummmmm how can I trust a psychiatrist who knows so little about ADHD that they are trying to treat it with only second and third line options? I know it’s a pain in the touchas to be able to write scripts for controlled substances…but just say you don’t do ADHD!

    Find the mental health practitioners in your area and start calling around. It’s going to take some time and you will need patience and perseverance. I started with asking about “Medications and support groups for adults with ADHD.” I still haven’t found a support group. Therapy is meh…I understand what I should be doing apart from meds…actually doing it is another matter…but now I have an attention span and that helps a lot.

    You may well need to find a different primary care doctor but sometimes that’s easier said than done. I didn’t have “a doctor” for years!

  • #133823

    ninjaroo
    Participant

    Yes it is key to find a local psychiatry clinic and get tested.
    From there they will put you in a plan.
    This is hard work and understand healthcare in this country is severely broken.

  • #133906

    Aaron Lewis
    Participant

    I was diagnosed with ADHD at four years old. My mom told me our primary care physician referred us to the psychiatrist I’ve had ever since. I live in rural East Texas. Dr. William Dodson has stated on previous webinars that 93% of adult psychiatric residencies mention nothing about ADHD, so there is a woeful lack of education about the condition.

  • #133924

    jwilli
    Participant

    I was diagnosed by a psychiatrist in 1992. I’m currently 57 and I’ve also been re-diagnosed with ADD/ADHD over the years by other doctors too. But my original diagnostic psychiatrist was very thorough and the diagnosis required several office visits, with multiple interviews with me and my parents, and testing such as MMPI, Wechsler etc… Frankly, I think a big part of what brought on the stimulant abuse problems was because of improper, quickie one office visit diagnoses. In my opinion, simply rattling off a few symptoms to your doctor isn’t sufficient to accurately diagnose ADHD, and then prescribe stimulants. Also, it seems that too many doctors only know what their drug reps tell them about the drugs. Drug reps are salespeople, not doctors…Need I say more?

    I’m not saying you have to go to a psychiatrist to get diagnosed, but you should be seen by a doctor who knows and understands ADD/ADHD. For me the best treatment I’ve had overall has come from mental health experts I’ve sought out, because they typically know or should know better how to treat ADD. But unfortunately that’s not always the case. So, do some homework on doctors first. I just recently chose to discontinue seeing a psychiatrist because he was eager to push more than stimulants for illnesses and complaints I don’t even have and have never been diagnosed with either! When I’d ask him what exactly he was treating me for he would tell me ADD. But when I asked him what was the purpose of prescribing “compounded” stimulants that contain drugs other than stimulants? He couldn’t give me a straight answer. His own nurse told me on more than one occasion that “all the stimulants nowadays are tainted, that’s just the way it is” Really!? Not good! The landscape for ADD and stimulant medications has become a lot trickier. So, do some research on meds and doctors and by all means ask questions, especially if it doesn’t feel right!

    • This reply was modified 1 month ago by  jwilli.
    • This reply was modified 1 month ago by  jwilli.
    • This reply was modified 1 month ago by  jwilli.
    • This reply was modified 4 weeks, 1 day ago by  Penny Williams.
  • #133993

    jwilli
    Participant

    It seems to be true that many doctors are not trained well if at all to treat adults with ADD/ADHD. I was fortunate to be diagnosed by a psychiatrist in 1992. I’m currently 57 and I’ve been re-diagnosed with ADHD over the years by other doctors too. But my original diagnostic psychiatrist was very thorough and the diagnosis required several office visits, with multiple interviews with me and even my parents. He also conducted testing such as MMPI, Wechsler etc…Frankly, I think a big part of what brought on the stimulant abuse problems over the years was because of improper, quickie one office visit diagnoses. In my opinion, simply rattling off a few symptoms to your doctor is NOT sufficient to accurately diagnose ADD/ADHD. Also, it sadly seems that too many doctors only know what their drug reps tell them about the medications. Drug reps are salespeople, not doctors…Need I say more?

    Hey I’m not saying you have to go to a psychiatrist to get diagnosed properly, but you should at least be seen by a doctor who understands ADULT ADD/ADHD. It’s just not the same as kids with ADHD. For me, the best treatment I’ve had overall has come from mental health professionals vs. family doctors. But having said that, I recently had to discontinue seeing a certain psychiatrist because he seemed more interested in pushing various drugs other than stimulants for illnesses and complaints I don’t even have and never have been diagnosed with having either! When I’d ask him to clarify what exactly he was treating me for, he told me ADD. But when I complained about the lack of efficacy of the treatments and the awful and unorthodox side-effects I got from the so-called stimulants, he would get very defensive instead of hearing my subjective and objective complaints about the stimulants When I asked him what was the purpose of prescribing “compounded” stimulants that contain drugs other than stimulants? He refused to give me a straight answer. Yet his own nurse told me on several occasions that “all the stimulants nowadays are tainted, that’s just the way it is”…Oh Really!? That’s Not good and NOT acceptable!

    The sad fact is about 15 years ago the landscape for ADD treatment with stimulant medications changed to “compounded” stimulants that contain other active ingredients like SSRI’s and anti-psychotics. These compounds mostly don’t work well to treat adult ADD/ADHD symptoms. I’m also sorry to say too that most people who started treatment within the last 15 years have probably been getting these illicitly compounded “stimulants” all along, so many may not even know the difference. So, if you’re wondering why your stimulant meds don’t work and feel the same like they used to? It could be that the formula has been changed without your knowledge or consent. It’s become a lot trickier to find a doctor who not only understands how pure stimulants really work for folks like us who have ADD and no co-morbid issues So, it’s important in this day and age to do some homework on medications and doctors first before seeking treatment. Just remember if the doctor has you sign a “Informed Consent” form for your stimulant meds, you have a right to know exactly what’s in your medicine. So, please do some research, and if it doesn’t feel right trust your gut, seek answers that make sense, and maybe even consider getting the drugs tested.

  • #134180

    AlmaGMiller
    Participant

    We are new to Blue Shield. So, I took my son to his new pediatrician (Dr. Wong) hoping that he could refer us a psychiatrist that could see my son and prescribe his meds. To my surprise, this doctor barged in the room without knocking, and he didn’t introduce himself. He didn’t give us a referral and refuse to be my son’s pediatrician. He told my son and I that he didn’t want to have anything to do with ADHD. I’ve never felt so humiliated and hurt! I was hurting for my son because he walked out crying because this doctor labeled him and discriminated him! I don’t what actions to take. But, I do know that I have to do something.

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