Forum topic: Please Help! Need a Referral and Advice!!

I received an ADD diagnosis three years ago while being evaluated for an ADD study. I saw an advertisement for the study and decided to sign up because so many of the ADD symptoms seemed to apply to me. The study was a double-blind study using Concerta as a medication. I seemed to get some benefit from the Concert ( I found out later that I was indeed on actual Concerta, not the placebo ). Anyway, to make a long story short, I had to leave the study before its conclusion because of my work. Since that time I have not been on any medication for my ADD. Recently though, I seem to notice once all over again how much ADD has had a debilitating effect on my work and personal life.

        Well prior to being diagnosed with ADD for that study, I was treated for depression. I tried many different ant-depressants, including Zoloft (or sertraline), Proza, Wellbutrin, and Paxil . Of course at the time I did not realize that I had ADD, and my doctor did not recognize it either. All the anti-depressants I tried made me extremely groggy and want to sleep all the time. In addition, I gained weight and my productivity plummeted. I did feel less depressed, but the sleepy-headedness I experienced made staying on the meds untenable. I stopped taking them and just tried to take a lot of fish oil and exercise a lot more. That helped a little-- and at least I was able to stay awake-- but recently a friend told me that there are good meds available for people with my kind of ADD.

      Basically, I have problems with forgetfulness like constantly leaving rooms without items I brought in with me, leaving rooms with lights/TV/computer on, etc. In addition, a major problem is my spacing out during conversations and reading. I do not really have so much of a problem with hyperactivity, risk-taking or poor social skills, I just really need something that will help with my forgetfulness and spacing out. Ideally, I'd like a medication that will let me sleep at night, and, lastly, I'd like not to have to keep taking pills every 4 hours during the day. Any suggestions? I may need a med that also helps my depression but even if I could just get a drug for my forgetfulness and inattention I would be thrilled! Have folks noticed that they have really seen improvement by taking meds for forgetfulness and inattention?  Have the meds proven to be more than a short-term solution?     

           The next thing I need help with, and this is very important, is a recommendation on a good doctor who takes MassHealth. I am presently out of work and it is vital that I find a doctor who accepts MassHealth insurance. I live in the Beverly ( MA ) area but am willing to travel if necessary. Money is an important consideration these days, but I also need a doctor who specializes in working with adult ADD. I simply can not afford to go to The Halowell Center.

        I really appreciate any one who makes the effort to help me out. I am so compromised in my day to day life that I am extremely depressed about my future. Thanks very much for your help!

Comments

The best ways to find a good ADHD doc in your area are to contact CHADD, ADDA and your local school district special ed resources group. They can all be a good source of names. You would then have to match those names up to your insurance. Or, you could go the other direction, and call the insurance company and ask them for a list of docs with ADHD expertise. If they don't have that, start with psychiatrists. There are a number of meds that come in long acting forms - you only take them in the morning. Some find they augment these with a short acting med around 2pm to take them to bed time. Talk with your doc and insist that you take a long acting med. Try taking fish oil to help with the memory - 2500 -5000 mg a day (work up to that amount). Check with a doctor if you are taking any other meds. THere are some brain training programs you can try that focus on memory. One good one is NeuroActive Memory and Multitasking booster. It sells for less than $100, and takes about 5 weeks (every day for a short period) to complete. Won't hurt - could help a lot. As for spacing out in conversations. Learn to say to whomever you are speaking with "I'm sorry, I just spaced out there for a second. Can you repeat what you were saying?" If it's your spouse, you'll be able to set up a system quickly whereby she just repeats what she just said and moves on, with no hard feelings or embarassment. Best of luck with it.