ADHD Medication and Military Service: What You Need to Know - Psychiatry

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Do individuals with ADHD who are on medication need to serve in the military?


Hello, doctor.
I am currently a high school freshman with average to above-average grades.
I started visiting a mental health clinic for medication around the time I was in the eighth grade, but the doctor did not provide any assessment scales; they only had a half-hour discussion with me and my parents before prescribing medication.
Is this the correct approach? Additionally, my parents are concerned that my medical records will affect insurance premiums, so we have been opting for out-of-pocket payments.
Will insurance companies really raise premiums because of this? Lastly, do individuals with ADHD still need to serve in the military?

Shengdan Laogonggong, 10~19 year old female. Ask Date: 2021/06/16

Dr. Liang Sunyuan reply Psychiatry


Hello: The physician's assessment should always be based on professional considerations.
If there are any doubts, it is advisable to discuss them with the physician during the follow-up visit.
The relationship between mental health treatment and insurance may need to be inquired about with each insurance company, as their regulations may vary.
If it is solely ADHD without any other comorbidities, one can still serve in the military.

Reply Date: 2021/06/16

More Info


When it comes to ADHD (Attention Deficit Hyperactivity Disorder) treatment and its implications for military service, there are several important considerations to keep in mind. First, regarding your experience with diagnosis and treatment, it is not uncommon for healthcare providers to conduct a brief assessment before prescribing medication, especially in cases where symptoms are evident. However, comprehensive evaluation tools, such as standardized ADHD rating scales, are typically recommended to ensure an accurate diagnosis. These tools help in understanding the severity and impact of symptoms on daily functioning. If you have concerns about the adequacy of your assessment, it is advisable to discuss this with your healthcare provider during your next visit.

As for your parents' concerns about medical records affecting insurance premiums, this is a valid issue. In many cases, insurance companies can consider pre-existing conditions when determining coverage and premiums. However, the specifics can vary significantly between different insurance providers and policies. It is essential for your parents to consult directly with their insurance company to understand how ADHD treatment might impact their premiums. Some companies may not raise premiums based solely on a diagnosis like ADHD, especially if it is managed effectively.

Regarding military service, having ADHD does not automatically disqualify someone from serving. The military typically assesses individuals on a case-by-case basis. If ADHD symptoms are well-managed and do not significantly impair functioning, individuals may still be eligible for service. However, it is crucial to disclose any medical history during the enlistment process, as failure to do so can lead to complications later on. The military may require documentation from your healthcare provider regarding your diagnosis and treatment history.

In summary, while your initial treatment approach may have been somewhat limited, it is essential to ensure that you receive a thorough evaluation. Open communication with your healthcare provider about your concerns is vital. Additionally, understanding the implications of your medical history on insurance and military service is crucial. If you have further questions or need clarification, consider seeking a second opinion from a specialist in ADHD, particularly one who has experience with adult patients. This can provide you with a clearer understanding of your condition and the best path forward for treatment and any potential military service.

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