i have a lot going on in terms of my mental health, but one thing that is really destroying my life right now seems to be executive dysfunction. i’m well into middle age now and never got assessed, but i’d like to be evaluated and treated if possible. i really don’t know where to start. i don’t have insurance as i’m unemployed (u.s.). what sort of professional should i see who can help me? any thoughts on what to expect along the way? any advice would be most appreciated!
Formal eval is generally gonna be expensive; you should look towards figuring out what public programs you qualify for, and then work towards getting diagnosed after you have coverage.
Instead, what you can do in the short term is go to a primary care doctor, tell them exactly what you put in your post body, and ask if they would be willing to prescribe any non-stimulant medications to help manage your cognitive symptoms while you work towards getting coverage and specialist care. Very few will say no, but if they do, it’s a reflection of what they consider their wheelhouse rather than you asking anything untoward.
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they provide assessments and/or therapy fully online and the pricing is hugely discounted compared to many in-person mental health providers. for example, for my state, psychologytoday.com provider directory is about double the price on avg of those in Prosper.
if your state has health care coverage for low/no income people, the cost could potentially be reduced to almost zero out-of-pocket. as with everything, proceed cautiously, YMMV
edit: do not confuse with https://prosperhealth.ca/ (a Canadian rehab center)
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Prosper was how I got my autism diagnosis!
Though, I was under the impression OP was wanting ADHD diagnosis and not autism diagnosis (question mark?)
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Best of luck to you! It felt very validating to be able to put a name to the struggles I’ve been experiencing my entire life.
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I found a psychiatrist who not only had experience with ADHD but also had it. He pointed it out to me in my late 30s and before that I didn’t really ever consider it.
If you want medication, you’ll need a psychiatrist. But if you just want evaluation and therapy then a therapist is enough (and a little cheaper if no insurance). I will say mental health providers are generally spread pretty thin these days, so expect a waiting list to get in with a good one.
Anyway, make sure it’s one who has experience with ADHD because a lot do not and tend to discount it or default to assuming people are just trying to get drugs.
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Quick note. Without insurance in the US, the meds can get a bit pricey. I’d be looking at roughly $14 a day without it. $0.80 with. A general perscription discount card will probably help.
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