ADHD Diagnosis and Medication Management in Adults - Psychiatry

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ADHD Prescription


Hello, doctor.
Recently, I was diagnosed by a pediatric psychiatrist at a medical center in the southern region, and psychological testing indicated that I have symptoms of ADHD.
The doctor prescribed me 14 tablets of Adderall 10 mg and advised me to start monitoring the side effects of the medication and practice identifying when I need to take it.
Since I had not been diagnosed with this condition before adulthood, the doctor mentioned that they could not prescribe Strattera.
I would also like to ask if, now that I have a confirmed diagnosis, I can switch to a nearby regional hospital to obtain my medication, or will I need to go through the diagnosis, testing, and confirmation process again at the regional hospital to get a prescription? Thank you.

SS, 20~29 year old female. Ask Date: 2017/06/01

Dr. Liang Sunyuan reply Psychiatry


Hello, prescriptions can only be issued after an in-person evaluation by a physician.
It is recommended that you bring copies of past assessment results, medical records, and other relevant information for the consulting physician's reference, which should help reduce unnecessary repeat examinations.

Reply Date: 2017/06/01

More Info


Hello! Thank you for reaching out with your questions regarding ADHD diagnosis and medication management in adults. It’s great to hear that you’ve taken the initiative to seek help and understand your condition better. ADHD, or Attention-Deficit/Hyperactivity Disorder, is a neurodevelopmental disorder that can persist into adulthood, and it’s important to manage it effectively to improve your quality of life.

Based on your situation, it seems you have already undergone an evaluation by a child psychiatrist and received a diagnosis of ADHD. The medication prescribed, Adderall (which is the brand name for amphetamine), is commonly used to treat ADHD symptoms. It’s important to monitor how you respond to this medication, as everyone’s reaction can vary significantly. The initial dosage is often conservative to assess tolerance and effectiveness, which is a standard practice in medication management.

Regarding your question about transferring your care to a local hospital or clinic, you typically can do so without needing to undergo the entire diagnostic process again. However, it is advisable to bring any previous evaluations, test results, and your medical history to your new healthcare provider. This documentation can help them understand your situation better and may reduce the need for repeat assessments. In many cases, if you have a clear diagnosis and treatment plan from a specialist, the new provider can continue your treatment based on that information.

It’s also worth noting that while stimulant medications like Adderall are often first-line treatments for ADHD, there are non-stimulant options available as well, such as Strattera (atomoxetine) or certain antidepressants. If you experience side effects or feel that the medication is not effective, discussing these concerns with your new provider is crucial. They can adjust your treatment plan accordingly, whether that means changing the medication, adjusting the dosage, or exploring additional therapeutic options.

In addition to medication, many adults with ADHD benefit from behavioral therapies, cognitive-behavioral therapy (CBT), and skills training. These approaches can help you develop coping strategies, improve organizational skills, and manage time effectively. Since you mentioned that you had not previously sought treatment for ADHD, it might be beneficial to explore these options as part of your overall management plan.

Lastly, it’s essential to maintain open communication with your healthcare provider about any side effects you experience or concerns you have regarding your treatment. This collaboration is key to finding the most effective management strategy for your ADHD.

In summary, you can transfer your care to a local hospital or clinic without needing to repeat the entire diagnostic process, provided you bring your previous records. Keep an open dialogue with your new provider about your medication and any side effects, and consider incorporating behavioral therapies into your treatment plan for a more comprehensive approach to managing ADHD. Best of luck on your journey to better understanding and managing your ADHD!

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