I can’t remember the specific examples (surprising nobody), but I have had at least a couple occasions where I found traces of something I’d done that showed me I did actually react that exact same way some while previously and forgot about it entirely. In one case, a friend stopped mid conversation to say, “Wait. Haven’t we had this exact conversation before?,” and I while it wasn’t as concrete as finding my own evidence, I was pretty sure he was right.

It’s almost like a coping mechanism, even if I don’t do it intentionally. My life is a book, but at any given moment I might not know what happened on the last page or three. So I have to just figure it out and act how I would act even when I’m clueless.

Just to add: education and diagnosis is getting better, but there are still a lot of psychologists and psychiatrists who have little to no education on adult ADHD. They can use the diagnostic criteria meant for children and often get it wrong. You may find a provider who has updated their education, but the best chance of an accurate diagnosis is to look for somebody that specializes in diagnosing adult ADHD specifically. If the diagnosis involves a detailed history and several appointments with multiple tests, that’s a good sign. If it’s just regular 30-60 minute meetings where you talk and they say you don’t have it, get a second opinion from someone who specializes in this.

You would probably get some good tips from an ADHD community, though the tips here have been good too.

I think you’re overwhelmed, which is probably obvious but it may help to state it plainly. When I’m overwhelmed, it helps if I give myself permission to just drop everything for a bit. Whatever stuff I think I need to get done isn’t going to get done anyway and stressing about it isn’t helping, so I take a breather. Then I start with just basic self care, however much I can manage. I can’t stand going without a shower so that’s a first. Eating might wait if it’s really bad, but I have some meal replacement shakes for emergencies when I really can’t do anything else. I’ll probably isolate and ignore people for a little bit, but if I do it right I start to feel up to talking before too many days go by. But by dropping everything and then adding it back one thing at a time, I stop feeling so overwhelmed.

The world finds a way to keep on going even as we sit still and catch our breath. Trauma and anxiety just make us feel like we might die if we don’t do the things, even though it’s almost never that dire. We have very intense feelings - and it is important to give yourself space to feel and process them - but they are just temporary feelings and you do not have to believe them.

Thank you. I really do appreciate it. I know I’ll get there in the end because it’s the right diagnosis. But help like this gets me there a lot faster.

I appreciate the reassurance at least. I still think the results will be skewed from what they would be if I didn’t have that level of familiarity and practice, but I can at least hope it won’t be significant enough to matter. Or, better yet, that more weight will be placed on the human elements like actually talking with me. I guess mostly it’s just wanting to actually feel heard and understood instead of having my concerns and experiences dismissed yet again. We wouldn’t still be undiagnosed in our forties if people listened.

Yeah, any kind of electronic or reaction based test concerns me a little because I’ve been a gamer my entire life, so my experience doing similar activities is going to affect my results when compared against a control that hasn’t spent almost 40 years practicing. Fucking up on purpose doesn’t seem great either, but it’s definitely something I’ve thought about if I found myself in that situation. It would be really nice if I didn’t need to, but that’s wishful thinking.

I’m well set up for telehealth and I really appreciate the info! I’ll definitely take a look. If I can find a local place that accepts insurance, that would be a big help financially, but I’m glad to have somewhere to look if that doesn’t pan out for any number of reasons.

I’m interested if it’s not too much trouble. My current plan is to try and find any local resources or recommendations for doctors specializing in adult ADHD specifically. I was going to get around to that after the holidays. For sure. Probably.

So I’m always down for more info and more possible avenues I can explore. Especially since I don’t know if I’ll find what I’m looking for. Or when.

What kind of help are you offering? I’m 42 and recent events have pushed me to seek the official diagnosis, but my last attempt was a blatant waste of time. The psychiatrist wasn’t even interested in the possibility.

I’m in this boat now. After years of the wrong diagnoses, I’m finally figuring out it’s been ADHD this whole time. But I keep running into issues getting a proper diagnosis and treatment. The last guy decided it was depression after one meeting with zero tests and it’s just so frustrating. If he actually knew anything, he’d know it’s more complicated than that. He also didn’t listen at all.

Look up DoctorRamani on YouTube. Her videos were informative and validating when I was trying to escape my abusive narcissist ex. I also found journaling to help. I put all my thoughts and feelings about the relationship down in a journaling app, which helped clarify my thoughts, work through the emotions, and it served as a record against her attempts at gaslighting. I could also go back and refresh my memory, and I was surprised how deeply unhappy I was all the time. I knew there were problems and that I was struggling while trying to get her to be better, but I had this general sense that things were kind of okay. They were not, and it was really clear when I read it back.

Best of luck to you getting and maintaining as much distance as you can. It’s hard now, but you will heal. Once the effect of the abuse starts to wear off, it’ll get a lot easier.

wtf, meds by the day and weekly piss tests? Damn that’s brutal. Is it because of where you live or do they know about your drug history and just treat you like shit because of that?

That’s what really gets me: they’ll vilify someone using a harmless medicine in moderation for treatment purposes, but completely overlook people who get totally fucked up on alcohol on the regular. It’s so backwards. I avoided weed for decades until it was prescribed to me because “drugs are bad” and it didn’t take long after trying it to figure out what a ridiculous lie that is. Not all drugs are equal, and alcohol is worse than at least a few.

Lots of not accepting new patients and places that never end up calling me back even after multiple tries. Websites which specifically said they had availability were not accepting new patients when called. It’s exhausting.

If you are also in the US, I suspect the reason why is the looming threat from the DEA. Even if you are not a telemedicine patient, if your doctor’s office offers it as an option then they’re probably applying a blanket policy to everybody regardless. I hope they don’t treat you as badly as they did me. Depending on the doctor, they could still elect to allow your marijuana use. It just means if they get audited, they have to justify why they’re prescribing stimulants to a marijuana user. There is no reason not to and you have a long history of benefitting from the medication, so it should be clear cut. But the doctor may still decide it’s not worth the hassle or risk, like mine did.

Had I known ahead of time it might be a problem, I would have abstained as long as possible before the test (preferably over two weeks) and looked into detox drinks and other fast detox tricks. Worst that happens is I fail anyway and wind up right where I am now: needing to find a new doctor. But it could have saved me the trouble of needing to switch so soon. Maybe it can buy you some time.

I have a friend that helps me with some basic stuff, but in recent years they’ve gotten busier and more stressed, and I’m always going to have them put themselves first. They still help a lot, but it has gotten harder when they can’t help and I don’t get my own shit together. I’m embarrassed to admit how long it takes me to find a new doctor or therapist. I’ve never looked into an advocate, though. I don’t think I’d qualify, but I’ll definitely take a look, thanks!

I don’t think it’s a medical reason. If my cardiovascular health were at risk, stimulants alone would be a bad idea. I’m healthy enough and my usage is minimal. He tossed out some BS about working memory, but if I go down that rabbit hole this comment will get 5x as long.

The benefit of the doubt here is he’s covering his own ass. The DEA has been threatening to crack down on stimulant prescribers for a while, especially over telemedicine (which this was). If he gets audited and has to justify why he’s prescribing stimulants to a drug user, he could lose his medical license - or he may just not want to deal with the research and extra work needed to write up that justification.

To that end, it fucking sucks, but I can’t really blame him. I just wish he had been more honest and up front with me like I was with him. We could have waited a month to take the drug test and I’d have passed it, then this whole thing could have been avoided. Instead he looks down on me and repeatedly hasn’t truly listened to what I’ve told him. I won’t pass judgment on him the same way he did to me, but I will say his style is incompatible with me as a patient. I’m an active participant in my own care and I need a doctor who will form a collaborative relationship with me, not dictate treatment decisions.

Thankfully it’s not my GP, but yeah it’s time to find another provider and start all over again. I went looking for a psychiatrist to manage my meds for a different reason a month or two ago and struck out half a dozen times before running out of steam, so it’s a little easier said than done. I’ll get there eventually, just … it’s weirdly difficult to get help and executive dysfunction can be a real bitch. I won’t miss this provider though, so that’s some motivation!

Yes, I brought up that we already discussed the edibles. Given how long after use you can still test positive I told him the results probably wouldn’t change, and he straight up said that if I don’t stop using it entirely then he doesn’t want me as a patient. It felt so judgmental, and that part of it really upsets me too. I promise I’m not that exciting lol

Sorry about your medication mix up. Every time they have me update my info it has a list of all the meds I’m taking and I’m supposed to correct any dosages that have changed or cross them out if I no longer take them. Every time I cross out the same ones and re-correct the dosages again. My file has a totally different picture from reality - it’s kinda scary.

The term narcissist is somewhat overused, though there are also a lot of them these days. To echo a bit of what others said, thinking average high schoolers are dumb is not a sign of narcissism. Average high schoolers are notoriously foolish. Even if you feel like it’s more than that and it’s a serious problem, that alone does not make a narcissist.

Actual narcissists are unstable. They need the adoration of others to feel good about themselves. They’re prone to fits of rage when anything damages their ego, and they can take just about anything as criticism then decide to fly off the handle.

If that is you, get help from a professional who specializes in it. If anyone reading this knows a person like that, read up and find a way to save yourself.

Steins;Gate. It starts slow, but once it picks up it’s amazing and puts all that slow build up to good use. Not sure if it technically counts though. Visual novels are a weird middle ground that aren’t really book or game, but there are some really good ones. Definitely the way to go if you’re in more of a reading mood but want some art and music to go with it.

Seconding Etymotic. And if you wanted to upgrade later, you can get custom ear molds from an audiologist and use those instead of the included foam or rubber tips. It’s among the best sound isolation you can get. I’ve also always had excellent experiences with their customer service.