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That's absurd. What kind of loving test are they doing that they want to charge you $1000 for it? Most ADHD diagnosis is done based on an analysis of patient history, a questionnaire and maybe some sort of simple computer attention test. It's not like they can give you an MRI and tell you that you have it. This sounds like something your doctor is doing to milk money out of you/your insurance company.
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# ? Oct 8, 2014 22:49 |
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# ? May 10, 2024 01:27 |
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I took two one-hour long testing sessions and that was it. I have no idea what they would be doing with me for a whole day.
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# ? Oct 8, 2014 22:54 |
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Yeah, that's sketchy as gently caress.
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# ? Oct 8, 2014 23:28 |
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They told me to give me insurance company codes 96118 or 96119? Google tells me this for Central Nervous System Testing? Ugh... why does everything have to be so complicated?
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# ? Oct 8, 2014 23:32 |
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Huh. Sounds like they're planning to give you the whole routine, EEG and brain scans and all that jazz. Sounds a bit overkill.
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# ? Oct 8, 2014 23:36 |
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I actually did the whole brain scan thing when I was a kid getting diagnosed in the 90s but I thought they stopped doing that because it turns out it's not really diagnostic of anything. Edit: Even that wasn't a full day test.
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# ? Oct 9, 2014 00:04 |
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Tab8715 posted:Has anyone had to do ADHD re-testing? Technically over 60% of people "grow out" of Adhd, which is basically their brain catches up and it's all fine and dandy. There's still a huge portion of people who never do and require medication for life. If your doctor wants to test you then ask him to refer you to a trained psychologist who deals with Adhd. The whole testing stuff sounds like a scam (especially the EEG and brain scans). If your doc suspects you don't have Adhd or it's gotten more mild he can't make that call, only someone who's trained in psychology should.
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# ? Oct 9, 2014 00:07 |
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Tab8715 posted:Has anyone had to do ADHD re-testing? I recently got told that I needed to be retested. I went 5 years without insurance and not being able to afford the meds cash and now they want me to be retested. The first doctor I talked to wanted $130 session and refused to test me until the third session. Granted this is not as bad as the $1000 they want to charge you, but I am not going to spend 3 one hour sessions with a guy and pay him $390 out of pocket to be told something I already know.
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# ? Oct 9, 2014 14:27 |
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signalnoise posted:Any tips for killing caffeine addiction? Even with prescription stims I'm very very reliant on caffeine. Make sure you're drinking plenty of water. A coworker I know was dropping his caffeine habit a few months before the birth of his second kid (so his tolerance would go down), and had the normal headaches. He ended up in an ER on IV fluids for dehydration, which has similar symptoms. So make sure when you cut out your caffeinated drinks that you're still drinking something regularly.
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# ? Oct 9, 2014 14:51 |
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OssiansFolly posted:I recently got told that I needed to be retested. I went 5 years without insurance and not being able to afford the meds cash and now they want me to be retested. The first doctor I talked to wanted $130 session and refused to test me until the third session. Granted this is not as bad as the $1000 they want to charge you, but I am not going to spend 3 one hour sessions with a guy and pay him $390 out of pocket to be told something I already know. I went to get retested, but it was with a neurologist and cost $2000. It was a whole day and it was totally utterly pointless. Diagnosis: insufficient data to confirm diagnosis. Went to another guy, ADHD specialist this time, and he found like 10+ problems with the neurologists' report and methods. I did learn what my IQ is, but that ain't worth $2000! What a waste of money and time. My regular shrink just laughed at the neurologist's report. wilfredmerriweathr fucked around with this message at 17:57 on Oct 9, 2014 |
# ? Oct 9, 2014 17:54 |
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I don't see the point of going to a neurologist. Like, the difficulties you're experiencing are obviously real, and if medication helps with those difficulties, what's the issue? Also, isn't the neurological research on ADHD still in its infancy? "Well these tests say you don't actually have ADHD, so you should stop taking the medication that's allowing you to hold down a job and be a functional person."
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# ? Oct 9, 2014 17:56 |
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Yeah exactly. I only went because my university said I need to update my diagnosis and the only place their insurance paid for was this neurologist. I now know why that is; he probably doesn't diagnose anyone, which means that the insurance then doesn't have to pay $$$ for the patient's meds every month. They even said "Given wilfredmerriweathr's IQ and academic achievements, he should not have a problem succeeding in his career aspirations." in the report. Oh, you mean my academic achievements that occurred only once I went back on the medication I take for ADHD? After failing out of college and struggling to get my life together because I had stopped taking my meds in high school? I went to a ADHD specialist on my own dime and he confirmed that the neurologist appt was pointless. wilfredmerriweathr fucked around with this message at 18:02 on Oct 9, 2014 |
# ? Oct 9, 2014 17:58 |
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I had to pay 500 for my diagnosis but it was a full scale IQ test and poo poo
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# ? Oct 9, 2014 18:12 |
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It sounds like, I should do something differently instead like ask for a specialist but how do go about this exactly?
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# ? Oct 9, 2014 18:37 |
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It's super hard to find a good specialist, there are very few people that do adult ADD appointments. Best bet is to ask your physician or other people with ADHD.
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# ? Oct 9, 2014 18:41 |
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Tab8715 posted:Has anyone had to do ADHD re-testing? Studies are showing that the drug therapy is resulting in a cure after 10-20 years of treatment. This seems like a complete sham or an insurance/govt driven push. Ask where this 'rule' originates and if its practice policy tell him to gently caress off.
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# ? Oct 9, 2014 22:20 |
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I had to get retested a couple years back. Thankfully my post secondary school paid for it. Anyway, I got tested for one, 8 hour day. They had me do puzzles, write a story and all sort of things. This is in Ontario, Canada. Also, the school paid around 1K.
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# ? Oct 10, 2014 00:56 |
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signalnoise posted:I had to pay 500 for my diagnosis but it was a full scale IQ test and poo poo I had similar. Spent about half a day on it. And some of that wouldn't need to be repeated. I don't have my CPT codebook handy to reference, but 96118/96119 aren't billing for brain scans or EEGs or anything like that. They look like they are for basic testing that only requires a technician or psychiatrist but not any expensive equipment.
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# ? Oct 10, 2014 01:02 |
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DrNewton posted:I had to get retested a couple years back. Thankfully my post secondary school paid for it. Anyway, I got tested for one, 8 hour day. They had me do puzzles, write a story and all sort of things. This is in Ontario, Canada. Also, the school paid around 1K. This sounds like the testing my son had and a similar cost, though we got a steep discount from the university I go to. For the boy it was spread over two days. Some of the tests were to rule out oppositional defiant disorder and autism so that tacked on a few hours along with his general "this is stupid" attitude.
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# ? Oct 10, 2014 01:57 |
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Tests? I told my psychiatrist I had problems focusing and described how my brain fought me when I tried, then after trying antipsychotics for disassociation (they worked, no noticeable increase in attention span, though), he gave me Ritalin. America is weird.
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# ? Oct 10, 2014 13:34 |
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What kind of meds to you get for dissociation? Ritalin has been good about that whole focus thing, but it hasn't done much for my occasional dissociative feelings.
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# ? Oct 10, 2014 13:37 |
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For me, exercise is the only medication for dissociation. A 15 mile mtb ride on singletrack does wonders to solidify my grasp of reality.
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# ? Oct 10, 2014 14:03 |
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Cardiovorax posted:What kind of meds to you get for dissociation? Ritalin has been good about that whole focus thing, but it hasn't done much for my occasional dissociative feelings. I'm on an antipsychotic, aripiprazole (brand name's Abilify). I've got a diagnosis of BPD, though, plus suspected bipolar and previous delusion-type thoughts, so I'm not on it just for the disassociation.
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# ? Oct 10, 2014 14:09 |
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TheBigBad posted:Studies are showing that the drug therapy is resulting in a cure after 10-20 years of treatment. I can't find anything on this, do you have any links?
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# ? Oct 10, 2014 14:27 |
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Often when I write emails, a post on SA, paragraphs fill in themselves. I know the difference between there, their and they're but when I'm typing it just doesn't ever get implemented. Sometimes I just miss words and the first time I re-read what I wrote it looks great but the second or third time I'll notice that I'm missing a few things. I also have a unhealthy amount of unfinished projects and I have an incredibly low tolerance towards any kind of noise while I'm working. I also prefer public speaking as opposed to any kind of meeting. The second I leave any meeting I'll notice I missed a ton of little things I just missed or should have said. When I'm on the phone or with a group of people it's often confusing to me when it is or isn't my turn to speak. Is this ADD?
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# ? Oct 10, 2014 17:57 |
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Wouldn't amphetamines make any dissociation worse, or is it just at the non therapeutic doses that they cause dissociation?
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# ? Oct 10, 2014 17:59 |
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chthonic bell posted:I'm on an antipsychotic, aripiprazole (brand name's Abilify). I've got a diagnosis of BPD, though, plus suspected bipolar and previous delusion-type thoughts, so I'm not on it just for the disassociation. The Door Frame posted:Wouldn't amphetamines make any dissociation worse, or is it just at the non therapeutic doses that they cause dissociation?
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# ? Oct 10, 2014 18:02 |
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Cardiovorax posted:Occasional dissociative episodes are a part of ADHD's pathology, so for a lot of people stimulants at therapeutic doses help make them go away. Wait, really? So depersonalization, delusions and all of that stuff are related to ADHD? I thought I was just legit crazy. I guess that explains why I haven't noticed any of those weird, foggy, "am I actively doing this or am I watching myself do this" moments, where it feels like I don't belong in my own skin in the past few months. Or at least I hope that's why haha
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# ? Oct 10, 2014 18:17 |
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Sounds pretty loving crazy to me. Talk to your doctor.
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# ? Oct 10, 2014 18:18 |
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The Door Frame posted:Wait, really? So depersonalization, delusions and all of that stuff are related to ADHD? I thought I was just legit crazy. I guess that explains why I haven't noticed any of those weird, foggy, "am I actively doing this or am I watching myself do this" moments, where it feels like I don't belong in my own skin in the past few months. Or at least I hope that's why haha
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# ? Oct 10, 2014 18:20 |
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I dunno man, the other day I was tired as poo poo and basically had to envision a second self that I kept telling to do things, in order to get poo poo done. "PICK UP THAT BOX" *picks up box* "VACUUM THAT RUG" etc.. It was like I was a zombie controlled by a disembodied me. On the other hand maybe I'm just hosed up
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# ? Oct 10, 2014 18:21 |
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Freaky experience, isn't it? Every so often I'll just stare at my hands for a while being totally fascinated how they do stuff just by me thinking about it. Like a really wiggly remote control.
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# ? Oct 10, 2014 18:25 |
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As someone with abnormally long thumbs I've pondered hands quite a bit
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# ? Oct 10, 2014 18:27 |
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Cardiovorax posted:Freaky experience, isn't it? Every so often I'll just stare at my hands for a while being totally fascinated how they do stuff just by me thinking about it. Like a really wiggly remote control. Or how it feels like your body has its own separate will that is, more often than not, at odds with your own. I mean the delusions of grandeur were great, I loved the feeling of power that came from my ego furiously masturbating, but it wasn't worth the loss of control. I do still do the "talk to yourself as another person" thing to motivate myself sometimes, but I thought that one was normal
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# ? Oct 10, 2014 18:35 |
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Possibly e/n but has anyone else here done the disassociation thing to get through a traumatic experience that you did to accommodate the person you were with but hated the idea of doing so in order to get through it it became a living fantasy A little specific I know
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# ? Oct 10, 2014 18:42 |
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The Door Frame posted:Or how it feels like your body has its own separate will that is, more often than not, at odds with your own. signalnoise posted:Possibly e/n but has anyone else here done the disassociation thing to get through a traumatic experience that you did to accommodate the person you were with but hated the idea of doing so in order to get through it it became a living fantasy
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# ? Oct 10, 2014 18:51 |
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Cardiovorax posted:I don't get that sort of thing, to me it's more like the world suddenly turns 2D while I'm sitting inside a hollow shell looking out. Everything becomes really flat, sharply defined and distanced. That sounds terrifying at first, but really cool if you aren't doing something that requires depth perception. I didn't get anything close to that until I was on welbutrin, and that was some of the most terrible days I've ever lived through. Thank god that side effect went away signalnoise posted:Possibly e/n but has anyone else here done the disassociation thing to get through a traumatic experience that you did to accommodate the person you were with but hated the idea of doing so in order to get through it it became a living fantasy I honestly can't remember, I don't think so, but most of my past is really blurry. My family talks about things that happened before I was maybe 12 and nothing really stands out except broad events, but no specific interactions or anything like what they describe. Even stuff after 12 is mostly blur, but that stuff is significantly more clear than my childhood. I'm only 22, so probably by 30 I'll have next to no memory of being a child other than the 2 or 3 things that really stand out
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# ? Oct 10, 2014 19:07 |
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I actually have a freakishly good memory of stuff that happened when I was a kid. It's part of my ADD related problems, remembering random poo poo from days/weeks/years ago instead of what I actually need to be remembering *now*.
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# ? Oct 10, 2014 19:52 |
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The Door Frame posted:That sounds terrifying at first, but really cool if you aren't doing something that requires depth perception. I didn't get anything close to that until I was on welbutrin, and that was some of the most terrible days I've ever lived through. Thank god that side effect went away
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# ? Oct 10, 2014 20:51 |
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# ? May 10, 2024 01:27 |
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Honestly if you look at the world today and don't occasionally go "....Holy poo poo. What the gently caress is this all about? Who am I, who are we, and what the gently caress are we doing?" then you aren't paying attention.
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# ? Oct 10, 2014 21:21 |