in my personal experience, it moreso depends on if your doctor is a good one or not. with my doctor, i straight up simply expressed to her i think i might have adhd, explained that my father acts pretty similar too, and legitimately the next time i saw her, she went “i have three adhd testing options for you depending on your insurance and what youre comfortable with”, and then Tadaaaaaa i was diagnosed with adhd and some other stuff i wasn’t expecting lmao.
aka, as long as you articulate your thought process and explain everything, if they’re a good doctor you shouldn’t have any worries. if they dismiss you, well, time to get a new doctor because that one sucks
also, i totally relate to how anti psychotics and anti depressants didn’t do much for you except bad side effects - i’m also bipolar but have a wicked high drug resistance and nothing ever really worked for me except reeaaally bad side effects which sucked. ngl, most of the time i don’t even think my adhd meds (adderall) are doing much for me lmao
Honestly, I was given a school evaluation on my behavioral issues and mental health along with academics twice. One for when I was nine then another at twelve. I given another years later at seventeen, but I didn’t mention that one since I wasn’t viewed as having ADHD.
So, I the age nine, it was confirmed that I had ADHD with mild hyperactivity and a learning disability. Then at the age twelve it was mentioned once more then stopped when I was seventeen out of nowhere.
From seventeen to the age I am now, I had taken meds and therapy for bipolar depression and nothing worked for me.
It wasn’t even “oh, you’re not trying hard enough” or “give it some time to do it’s thing”, I tried my hardest and again nothing worked for me.
At that point, I couldn’t state if I had ADHD till years later which is now.
I just wasn’t sure back then, but I am definitely certain that it goes deeper.
Also, I feel like if I was started on medication and a proper therapy at nine and again at twelve, things would have most likely been different.
Sorry, for bombarding you with this.
I am just tired of not knowing what the hell is wrong with me and going in constant circles along with believing in lies I was told.
Since both have been diagnosed, stimulants used in ADHD may not be offered as treatment due to fear of triggering manic episodes in the Bipolar. So they may start with non-stimulants.
" Treatment is a question that has been looked at in the research as the overlapping symptoms that cause issues and distress to the patient may be worsened by traditional ADHD treatment of stimulants. There is concern that the use of stimulants may worsen mania and psychosis and further debilitate the patient . A study performed by Galanter et al. suggests that youth treated with stimulants did not have an increase in mania or psychotic symptoms . Furthermore, children in the first month of treatment who had ADHD symptoms and manic symptoms had a more robust response to stimulant treatment. However, the studies in adults are less promising. In a review of three cases, the use of stimulants increased psychosis in patients . The authors concluded that patients need to be monitored for adverse responses to treatment. In the next section, the review will look at the clinical studies regarding the overlap of ADHD and BD."
I just read as much as I can with of that and it makes sense.
Like, when I was nine and then at the age twelve, I could have gotten medication and therapy, but didn’t get it till I was seventeen years old and it was for bipolar disorder with depression.
So, I took it as, my parents didn’t want their child taking medication and therapy because of the stigma it brings along with doctors not giving my parents the option to try something just to see if it works in order to better help me mentally.
The thing is when you disagree with professional help and it’s seen as something “crazy”, they have a harder time listen and hearing unmedicated you.
(Bipolar can hear voices like Schizophrenic patients can. I was introduced to that about 5 years back. It’s also one of the many things that wouldn’t get me labeled bipolar because I’m not prone to seeing or hearing things that aren’t there.)
So, if you can show that ADHD is more consistent an issue and the medication for bipolar never worked, then you’re in a good position to push for ADHD treatment and reassessing the bipolar diagnosis. If you can get the latter refuted, you won’t have to worry as much about what happens over time and having to switch doctors, whatnot.
possibly, some medications just don’t play well with each other. i think strattera is like a less intense adderall? can’t really remember, since adderall is the only thing i’ve taken for adhd. hopefully your doctors take you seriously, and whatever they choose to put you on, it works!
also, just wanna chime in my personal experience that as someone with both bipolar and adhd, those diagnosis’ never conflicted. my doctors personally never thrust bipolar on me over adhd or vice versa, i legitimately just have both and they were able to separately diagnose them with no issue. though, it probably helped that bipolar runs in my family, so there was a verifiable pattern of it. anyway, point is, if you find yourself being diagnosed with both and need help with both, i just wanna suggest Latuda. it actually did work for me, in both good and bad ways, my doctor accidentally switched me to a higher and i mean REALLY HIGH dosage and the side effects were god awful, i thought i was dying. but the smaller dosages were fine and it was fine with my adderall. also worked fantastic for me whenever i had sudden manic episodes, it calmed me back down. since you also seem to not be super receptive to many medications, i just wanted to throw in that recommendation since it worked for me :]