Resuming treatment for Adult ADD after taking a(n unofficial) break?
June 28, 2011 7:53 AM Subscribe
What is the best way to resume treatment of Adult ADD, after an extended break due to my own flakiness?
posted by anonymous to Health & Fitness (5 answers total)
Background:In elementary school, I was diagnosed with ADD, and treated with Ritalin through 8th grade. I don't really remember it making much of a difference, but my parents say that it did. In high school, I was taken off of the ritalin to see if I 'grew out of it'. I remained off medication throughout high school and a hitch in the armed forces with less than stellar results, especially in the stressful environment of the military and ended up near suicidal because of it.After my contract ended and I landed a job with health insurance, I got help in the form of a prescription for an SSRI from my GP and a referral to a therapist. Through the course of treatment, my history with ADD came up and I got tested for it again (clicking button when a computer beeped or a symbol flashed on the screen), and got what was described to me as a 'borderline positive' score. The shrink then referred me to a psychiatrist in the same office who prescribed some ritalin.Sometime (6? 9? months, I hadn't had too many refills of the ritalin, so I realize it's possible the dosage hadn't been worked out) later I missed an appointment with the shrink, that was rescheduled and then also missed. Since that happened about 3 years ago, I haven't been back to either the shrink or the psychiatrist mostly due to my embarrassment at missing the appointments and never really 'clicking' with the shrink (I never felt like I had the words to talk to him. he'd ask a question and 99% of the time the only answer I could come up with was "I don't know"). I have no real explaination on why I missed the appointments, other than I forgot I had them that day. I have been doing "ok" without any treatment other than lots of coffee since then, but in the last few months I've been having more trouble with staying on task at work. This came to a head today when I was verbally reprimanded for the second time in as many weeks for fucking around on the computer when I shouldn't have been.tl;dr: I was in the beginning stages of treatment for ADD 3 years ago, flaked out on some appointments and never went back, now I'm having some problems at work.Question: What is the best way to go about restarting treatment for ADD in this situation? Talking to my GP? calling the psychiatrists office to see if they still work there and will see me? I'm especially concerned about being seen as not serious about treatment since I quit going with no warning. I live in a city of 20,000 people in a low-population midwestern state so my options on providers within realistic distances are limited.Throw-away email: email@example.com