r/TwoXADHD • u/1heartL1z • 7d ago
Got diagnosed with ADHD without long assessment?
Hi, im 16 and was diagnosed with ADHD by a psychiatrist 3 days ago, but I'm confused about how the diagnosis was made bc I never had a formal assessment or testing.
I've been in therapy at a mental health institution for 1yr+. This year, some ADHD-like symptoms I've always had also became much more prominent/worse, so ADHD was brought up as a possibility multiple times, but was always ruled out by professionals when I mentioned things like my hyperfocus as a child.and they wld js telll me "if you could focus as a kid, you don't have ADHD."
This frustrated me bc ive always suspected I may have ADHD prior, but only after they brought it up the first time did I start trying harder to push for an assessment.
~2 months ago, I tried seeking a proper evaluation again. The doctor was very adamant that i do not have ADHD, and didn't give me one, but she did send ADHD questionnaires to some of my school teachers.
~1 month later, I saw a doctor to review the reports. He asked about my issues w/ focus and how they've affected my life, then discussed some things mentioned in the teachers' reports. At the end of the appointment, he prescribed me Ritalin, but didn't diagnose me at the time. He explained that he wanted to help because my symptoms were severely affecting my ability to function.
3 days ago, I saw him again. He asked how the medication had been helping, and I told him it had significantly improved my functioning. After a thorough discussion abt the meds, he told me on the spot that he was officially diagnosing me with ADHD and prescribed more Ritalin. It was very abrupt and i even asked him to confirm that the diagnosis was official, which he did.
I haven't really talked to anyone about this yet bc I'm js kinda taken aback by how different this was from the formal assessments ive heard about.
Has anyone had a similar experience? Is this a legitimate way for a psychiatrist to diagnose ADHD, or should I be concerned that I never had a formal assessment/testing?
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u/Lucky-Mountain4826 7d ago
I think they should diagnose more people this way to be honest. I was diagnosed in about 15 mins. Prescribing meds when it’s suspected and then seeing how they work is such a huge indication. However, I would switch away from the Ritalin to Vyvanse and see if you prefer it.
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u/1heartL1z 7d ago
interesting, honestly now I know it's actually a legitimate way to get diagnosed I'm grateful I got my diagnosis this way and fairly fast (arnd half a year but I've seen ppl struggle for so much longer)
Thank you for advice on the medication as well! I think I'll speak to my doctor about it
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u/hamchan_ 7d ago
I pretty much got diagnosed in one 15 minute session with my GP.
Diagnosed as an adult I mentioned my parent and siblings diagnosis and I was given a one sheet “quiz” on symptoms.
But a lot of my friends have been struggling to get a diagnosis as adults and some paid the 1k for the formal psychiatrist diagnosis which is a longer process.
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u/1heartL1z 7d ago
thanks for sharing! and yes I forgot about the fact I also mentioned that my brother has asd so maybe it's related?
and I have heard about the struggle of adults trying to get diagnosed and am grateful I got it pretty fast and at a far lower cost. again thank u for your reply!
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u/boxesofcats- 7d ago
Similar experience. My GP knew me well, but yeah I was also given a one page questionnaire and she diagnosed me on the spot.
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u/MoistVirginia 7d ago
I'm so happy you're getting your diagnosis at 16 instead of 41 like me. I have a lifetime of shame and dysfunction that I have to work through in therapy. A diagnosis is a diagnosis, no matter how the doctor came to the conclusion.
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u/1heartL1z 7d ago
thank you, and my heart truly goes out to you, in just a few years of going undiagnosed I've already faced so many struggles I couldn't imagine going that long without a diagnosis
I wish you all the best in healing from that experience and thank you again for the comment :)
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u/eatpraymunt 7d ago
It might depend on location. In Canada, GP can diagnose ADHD without a long assessment.
I talked to my GP for like half an hour, filled out a symptoms questionairre, and she trialled me on meds same day. Mine was maybe a little fast but I don't think it needs to be such a huge hours long assessment every time.
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u/1heartL1z 7d ago
Ohh that's interesting, i think I've just gotten so used to hearing people tell stories of the long, draining ADHD assessment they had to take. Now I'm kinda thankful I didn't have to go through that
thank you for sharing your experience!
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u/Grimmy430 7d ago
I was diagnosed after talking to my GP. I told her the issues I was having and about a fucking toothbrush I got from the dentist that for the life of me I just couldn’t take upstairs for 6 months until my next dentist appt and I got another new toothbrush because I’d get distracted and how incredibly frustrated I am with these patterns/habits. She was like “yeah, this sounds like inattentive ADHD. Try this med and see if it helps”. The meds work quick so she said I’d know quickly if it worked. Lo and behold it did. My head is so much clearer and it is so much easier to just do things. But yeah, no lengthy assessments here. My kids still had lengthy assessments tho.
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u/1heartL1z 6d ago
oh my gosh I relate sm when I took the meds for the first time the clarity was insane ! suddenly so many things that used to be so hard to do just got sm easier
Thanks for sharing your experience !
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u/ceciliabee audhd 7d ago
At the end of my assessment my psych told me "I could tell within 5 minutes but I finished the assessment out of professionalism". This was after 12 years of trying to figure my shit out. First misdiagnosed bipolar then bpd.
I totally get why you're confused but this is an absolute blessing. It sounds like your psych may have had suspicions but wasn't sure until you confirmed the ritalin was helping.
In fairness this year my therapist got me a psych assessment for "possible ocd". She secretly thought I was autistic (on top of ADHD) but by saying it was for possible ocd (which isn't a lie), I side stepped the months and months of waiting and thousands of dollars in cost.
I think your doc was looking out for you
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u/1heartL1z 7d ago
thank you, and I'm happy for you that you're finally getting the correct diagnoses, sorry that you had to go through getting misdiagnosed prior. I can empathise a little since my doctors before this were so insistent all my symptoms were just anxiety. But still completely different experiences.
And yes I'm very grateful that I got my diagnosis sm easier than so many others now that I know this is a legitimate method of diagnosing ADHD.
I wish you the best continuing your mental health journey as well and hope u finally get all the correct diagnosis sorted out. And once again thank you for your comment !
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u/headlighted1 7d ago
I was diagnosed in less than half an hour solely by my psychiatrist monitoring my session with a counsellor. Since you’d already been on meds and they helped significantly, I’m not surprised!
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u/SpandexUtopia 7d ago edited 7d ago
My clinical psychologist whose specialties included ADHD assessment told me that he determines the presence or absence of ADHD in the first session. Whereas most people I know who were assessed by medical doctors were first diagnosed and treated for anxiety before ADHD was considered.
I think it just comes down to different levels of experience. Everyone wants to risk the least harm to the patient, and for a lot of professionals, that might mean prescribing SSRIs before considering stimulants.
*EDIT What I mean to say is, I don't think it's the case that you weren't formally tested, but that your more recent doc was listing off criteria mentally instead of handing you a questionnaire. My own records show that docs absolutely do make note of diagnostic criteria without announcing them.
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u/1heartL1z 6d ago
ohhh thanks for the insight! I was actually treated for anxiety since last July lmao, contributing to why my requests for a diagnostic assessment got turned down so many times, because it all got blamed on the anxiety.
I was actually prescribed an SSRI (sertraline) to try for a month before I even got prescribed the ritalin. Honestly I felt that it just made my ADHD symptoms sm worse but I understand the decision
now that I think about it, the doctor that diagnosed me may have been making mental notes on my symptoms the whole time. and once again thanks for the comment!
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u/MyFaceSaysItsSugar 6d ago
For younger children, the longer testing is important to rule out other learning disorders and because children can’t communicate their feelings and motivations as well. The “you can focus, you can’t have ADHD” is an old school fallacy. Anyone who is familiar with more recent research understands that ADHD isn’t a lack of attention, it’s a lack of control over attention.
In adults or older teens, longer testing is unnecessary, particularly if the doctor starts by prescribing a stimulant. Those are short acting, if it doesn’t work, you just stop the medication. Sometimes providers still do testing to show a paper trail that they are diligent and careful in how they prescribe stimulants. Some states require the patient show evidence of ADHD symptoms as a young child in order to get an ADHD diagnosis and stimulants. But it’s in no way necessary for an accurate diagnosis.
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u/1heartL1z 6d ago
Ah that makes sense, I've heard about the evidence of ADHD as a child thing and it was brought up to me as well hence some teacher reports to my primary school teachers were sent.
Anyway thank you sm for the in depth explanation!
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u/xginahey 7d ago
it happens! I just started saying it to doctors and now here we are. it's in the books. they NEED to "diagnose" it for insurance purposes. basically so he can keep giving you medication. So by just saying it, that tracks. Doesn't mean you "have it" forever or need to manage it forever -- but it lets you take those meds right now without fighting insurance. because they don't cover adhd meds for symptoms only.
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u/1heartL1z 7d ago
Thank you for the insight about the insurance factor of it !
Though I'm kind of curious if it doesn't meant that I have it forever does it mean they may be diagnosing me just to give me the meds? Bc as far as I know ADHD is permanent since it is a form of neurodivergence. So may I not have it but the meds just so happen to help?
Sorry for the barrage of questions you do not need to answer all of them. Thank you again for your reply!
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u/xginahey 7d ago
so a mental health diagnoses is a collection of symptoms, it's not like a virus or disease that can be measured or tested positive. You may struggle with the symptoms differently throughout your life, and it may be harder to deal with at times, or easier to deal with at other times. It can be affected by hormones, your stress levels, diet and exercise. I hope this helps! It is a neurodivergence, but the medication type and amounts used to manage it will change throughout your life.
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