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Why is it so life changing to get help? What kind of help is there besides meds?
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Therapy, which (at least for me) has focused dually on adhd management strategies that can be very helpful (including, in particular, enhancing relevant social skills related to setting expectations and boundaries) and on identifying and modifying negative self-image issues and counterproductive learned behaviors (e.g. various forms of self-directed hostility that attempt to assert control over a neurophysiological issue).

It’s funny, I went to therapy a lot of times before I found someone I could stick with, and if I were to give my past self a list of what I’ve gotten from therapy, I think I would’ve been unimpressed. Nevertheless, I’ve noticed that I’m more confident and calmer, and it has definitely improved my relationships.

There’s a kind of virtuous cycle that happens where you replace a grumpy mindset where you’re always mad at yourself for not meeting other peoples’ expectations and always mad at other people for making your life hard, with a confident mindset where you understand yourself, are therefore comfortable relating to other people about your abilities and needs, and can focus on putting yourself in situations where you’ll be successful.

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lol, we’re all writing the same thing. I’ll give you one example, because I particularly liked it. My therapist always says this thing, “the person is not the problem, the problem is the problem,” and I never had any idea wtf he was talking about. And then he gave me this exercise where he was like, “let’s construct a narrative where this person’s eccentric personality makes them really good at something specific. Where would you expect a person like that to encounter friction and how would you manage it?”

It was sort of fun, we talked about how Arthur Schawlow (who co-invented the laser and won the Nobel prize) was banned from driving on Stanford campus and had to be chauffeured. And I finally understood what he was talking about; you can actually access this perspective for anybody by constructing such a narrative. One insight among many.

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If you pair meds with therapy and adjusting your life according to the things you learn about yourself through the lens of the diagnosis your quality of life can increase dramatically (at least it did for me).
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Imagine you spent your whole life crawling, and someone taught you to walk, but for your brain. It's hard to describe.

The medication unlocks your ability to learn the skills you need to cope with the problems you have, and therapy gives you the outside feedback you need to escape your own brain trying its hardest to mess things up and hide the mess.

Imagine if every 10 seconds this guy was in your body taking over your hands for a second or two: https://www.youtube.com/watch?v=GguQu5Iderg

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The thing is, the test is super quick and easy. And then they throw 50 procedurally complex and tedious tasks at someone who can definitionally not do that, and they know that. Kafkaesque.

Btw no criticism implied on my end, I'm just now constitutionally incapable of not telling people they should get screened. Hmmm I wonder why I have difficulty resisting that urge...

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I think I get your point. It's cruel to require Kafkaesque testing and that just makes it not worth it try. But too simple of a test can also misdiagnose.

The chance to be diagnosed with an appropriate gate varies greatly based on where you live and which doctor you can see and more. It can be anything from a 5 minute conversation, to 6 months of inconvenience, to no chance of even existing in your lifetime, to suck it up and don't ask because your career will end.

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Right let me be very explicit: TOVA or equivalent are basically "play video games for 10 minutes as a part of your diagnosis" like the OP, the kafkaesque part is getting the appointment, and getting them administered, getting the diagnosis confirmed, going through the records and getting the prescriptions, everything around it :) they're actually pretty sophisticated tests, despite their palatability - I think if they had better ones they'd obviously use them.
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"Sorry the psych is no longer available today. your appointment has been moved to the next available booking in 9 months time"
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Or even better, "We have one available psychologist and they kinda don't believe in ADHD, so they'll see you but not actually grade the test correctly, so you'll have to try again, and as a bonus get labeled medication seeking". Not my experience, but...
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" diagnosis during childhood so if you're 30 or 40 you might have no chance "

Huh? You don't have to be tested as-a-child, you don't have to call up your fourth grade teacher. You can self report your subjective experience.

"Did you have these problems as a child? Have you always had trouble doing your homework? Did stressing out about homework enable you to do the homework?"

They ask the question a few different ways typically.

I get it, perhaps it is different in your area, but I get the impression that an adult ADHD diagnosis is far from impossible.

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Only recently in aus did an adult diagnosis get support from the government PBS scheme. And even then it's because they're letting retroactive childhood diagnoses be considered for the subsidised medication options.
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In some countries it's almost impossible (I don't have any direct experience but I've heard tale that in e.g. aus/nz, east asia, south asia, etc people give up before getting diagnosed often), and my understanding is that in Europe it's virtually unheard of to have an adult diagnosis.

In the US, at least, it ranges from difficult to straightforward, but that's not true everywhere

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Europe here. I have several friends that got diagnosed with ADHD as adults.

If you try to do it through the public system it's very difficult to even get an appointment because there's months long waiting lists. Basically if you have a job and function somewhat OK in normal life you won't be diagnosed in the public system. If you do get through it can be a long process where they want to interview your parents etc to determine if you had symptoms as a child. But you can also get a diagnosis through private practitioners and some of them function almost like diagnosis mills. A couple of video interviews and tests and you are done.

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In NZ it's easy, and some GPs can do it as of earlier this year.
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IDK I'm just going by a friend moving there and not being able to get any of her existing medication prescribed, even though she's been diagnosed for literally 40 years.
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