Reality Check 2 Posted November 6, 2015 Share Posted November 6, 2015 Morning Folks! For those of us in FP and IM - how are you diagnosing ADD and ADHD in adults and starting meds? I inherited a retiring docs practice and have more adults than I expected to see on stimulant drugs for clinical ADD. The doc did not request any neurobehavioral testing and used clinical judgment based on history to start meds - 100% stimulant meds. With kids I ALWAYS get neurobehavioral testing so we can look for other issues such as dyslexia, learning issues, auditory processing etc and the kids can get an educational plan outlined by the PhD and counselors for the school to abide by. My preference would be that everyone get neurobehavioral testing to outline their needs AND get some counseling on behavior modification and activities to harness their abilities and have better success at work and in life. So far, 95% of the adults I have seen do not have tachycardia, appetite loss or sleeplessness but - again - I have no baseline for them and they never went through any testing or counseling. It feels weird signing a controlled substance script on someone who was seen 1-2 times, gave a clinical history and was just given drugs and set loose. Kind of my same problem with anxiety and benzos - counseling and behavior mod are the gold standard - not benzos. Your experiences and input would be greatly appreciated. Link to comment Share on other sites More sharing options...
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