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Post by vagueandrandom on Oct 2, 2016 12:44:59 GMT
Hi gc7 . . the only specified conditions that would be exempt, and it must have been on a press-release because it's the same in every article I've read, are "severe Huntingdon's, autism and congenital heart disease" although a full list is yet to be drawn up. The reason that they're doing this is to save money. ESA and PIP have cost more than they were meant to save because of the cost of paying for constant assessments and the cost of all the appeals (most of which are won and back-payments made) Going back to the Adult Psychiatric Morbidity Survey 2014 that I posted on Friday. . The ASD data states that "There was no significant variation in the proportion of adults identified with autism according to whether they were employed, unemployed or economically inactive" Whereas in the ADHD data "Employment status was strongly associated with screening positive for ADHD. Unemployed people (14.6% of unemployed men and 14.5% of unemployed women) were about twice as likely as those in employment (7.3% of men and 6.7% of women) to screen positive for ADHD. The employment status associated with the highest rates however, particularly among men, was the ‘economically inactive’ group. This heterogeneous category included students, people looking after the home, those who were long-term sick or disabled, and those taking early retirement (the analysis was run on adults aged 16–64). One in four economically inactive men (23.8%) and one in seven economically inactive women (15.0%) screened positive for ADHD" and "Benefit status was looked at in relation to three groupings: being in receipt of any out-of-work benefit (including Jobseeker’s Allowance and Employment and Support Allowance (ESA)), receiving an out-of-work benefit specifically related to disability (specifically ESA), and living in a household that received housing benefit support with rent. Analysis by out-of-work benefits were based on those aged 16 to 64 years. Screening positive for ADHD was higher in each of these groups than in people not in receipt of the benefits. The strength of association was greatest among those receiving ESA. One in three people in this group (35.1% of men and 35.5% of women) screened positive for ADHD, compared with one in eleven (9.0% of men and 8.6% of women) not receiving an out-of-work disability benefit. " There was no Benefit status section in the ASD data.
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Post by vagueandrandom on Oct 2, 2016 15:28:57 GMT
gc7 . .that last link made me really angry! Firstly . ."ADHD is a psychiatric disorder with onset in childhood. ." I had to check what year it was written in! I only skimmed about half of it, but it seems only to relate to ADHD dx before the age of 7. I can understand why they came to such conclusions, but it hints at low SES being causal. . . I would suggest that low SES might be a reason why children were dx before age 7 . . Poverty, deprivation and lack of parental support might make ADHD more obvious at school resulting in early dx. I was brought up in a middle class educated family with a lot of structure. My parents weren't depressed and my mum was a bit of a hippie and made us eat brown everything cooked from scratch, with few sweets and hardly any fizzy drinks. . I now know that I've always had ADHD . . .and my upbringing had nothing to do with it's cause. . I could rant on and on about this too. . . And back to your previous post. . .of course it's political, to make the Tories look sympathetic. . but it's still really about saving money. . . I didn't read the ADHD employment data as implying causality. . I thought that it implied that people with ADHD were more likely to be out of work due to their condition. . The ASD employment data suggests that people with ASD are as likely to be in or out of employment as the general population . . . It seems that the way they gathered the data was to take a random sample of the general population and get them to do some self-assessment screening, so some people would already have a dx and others wouldn't . . .if they scored above a certain point they would be considered to have whatever the screening was for, although a certain amount of them wouldn't get a dx at a full assessment.
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Endymion
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Post by Endymion on Oct 12, 2016 9:48:04 GMT
Does anyone know how, in reality, it works in regards to a GP choosing which opinion and prognosis to prefer when they have a number of conflicting expert reports?
From a legal standpoint, any opinion the doctor receives has to be considered and weighed equally - unless there is some reason to favour one experts opinion over another i.e. more qualified/specialised in the field of medicine.
Given that the GP is facing prescribing unlicensed medication, I would think they are going to be under a lot of pressure in choosing which opinion to rely upon.
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Endymion
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Post by Endymion on Oct 12, 2016 16:43:25 GMT
Whilst I understand your concern at having a number of expert's conflicting opinions on your medical records on the same subject matter, no patient should ever be allowed to have those opinions removed from their records - unless they do not relate to you or are factually incorrect.
The precedent set if patients were allowed to remove records they didn't agree with, no matter how strong their disagreement, would be horrendous. Child abusers (or potential ones), patients with problems which could affect their ability to safely control a vehicle/machinery, convicted murderers seeking parole etc etc may be able to apply to have reports/opinions stricken from their records if this was the case.
Crap in your case, but absolutely necessary.
Going back to my original point, I was more concerned (apologies that this wasn't clearer - trying to do many things at once, as always) with the prescribing of the drugs. All of the adult ADHD drugs are unlicensed as far as I am aware - happy to be proven wrong - and so, from memory, there is absolutely no duty on the GP to prescribe them.
Being a lawyer for a couple of decades, I am acutely aware that litigation in general and clinical negligence cases have increased dramatically and there is now a reluctance by GPs to put themselves in a situation where there may be a potential claim for negligence and/or under greater scrutiny by the regulatory body(s) - not to mention the missive that they have to cut down on prescription/medication costs to the NHS.
So, where there are 2 or more conflicting opinions, I wonder how GP's (presuming that this is not the first time a privately funded diagnosis has been obtained after a negative NHS review) are dealing with the potential conflict and risks it poses to them to prescribe unlicensed medication? It will be very interesting to find out how your GP deals with this.
Apologies if you think this is hijacking your thread and feel free to get it shifted to it's own one if you want.
I really do hope you get the medication BTW.
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Post by vagueandrandom on Oct 12, 2016 22:37:40 GMT
Hi both gc7 and Endymion . . Ho hum . . .yeah so it's difficult. . . I was only dx last year and moved area .. mid-titration and it's been a nightmare. . . the area I moved to has no ADHD specialists, but they insist that they can provide adequate care within their secondary MH service. . . I've been told by their general consultant that it would not be of benefit to treat my ADHD until my emotional instability/personality issues/dysthymia have been addressed. . I have since been discharged to my GP. . and was put on a list for psychotherapy over 6 months ago. . still haven't heard. . . My GP applied for funding from the CCG to see a specialist out of area, but it's been turned down as they believe their MH service is adequate . . So I got pissed off and am pursuing a complaint. . meanwhile I've seen privately the specialist who runs the nearby NHS ADHD service who has confirmed my dx and is prescribing Elvanse. . .my last prescription was over £100 and I'm not in work. . Both my private Dr and my GP support my complaint to the CCG. . .
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Post by vagueandrandom on Oct 12, 2016 22:41:27 GMT
Oh. . My complaint to the CCG is that they said that I needed to demonstrate
clinical exceptionality . .ie that I should have more need than anyone else with the
same condition . . My argument is that I shouldn't have to as they have no provision
for anyone with ADHD. .
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Endymion
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Post by Endymion on Oct 13, 2016 8:09:53 GMT
Unfortunately, I was misdiagnosed in the 70's when I was a kid. Had driven my mother, quite literally, insane and so was referred to a child psychologist. I didn't 'fit' the defined criteria for it back then in the 70s and so just told I was just a bit bouncy etc and my mother should just be a bit better at parenting - after she had been released from the psychiatric unit where she had been sent after her nervous breakdown. Father was, I am told, an alcoholic and he split before I was a few months old. Never met him and probably the provider of my ADHD genes.
I am pretty sure that had I been correctly diagnosed I would not have had the rather car crash relationship issues, I would have a better career path and so on.
So I am acutely aware of the issues that many of us face.
I was diagnosed a couple of years ago when I was 42. My son had just been given a diagnosis and it brought it all back to me and made sense that I probably did have ADHD after all and was referred to a local psych by my GP, diagnosis straight away - I suspect in part due to the diagnosis of my son, and then passed back to my GP who is excellent and carried on prescribing me MPH without any quibble.
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Post by vagueandrandom on Oct 13, 2016 9:44:55 GMT
gc7 I've been awake since 5.30 . .only managed to have half an hour's doze with an anxiety dream about 8 . should have just got up! Anyway . . I forgot to mention a couple of things Medication . . Endymion mentioned that no meds are licensed. .it's not strictly true. mph, Strattera and dex are all licensed. .for children. . as far as I'm aware lisdexamfetamine (Elvanse) is the only one licensed for adults, although mph is recommended by NICE as the first line of treatment in adults. There's the added complication that the stims are controlled class B drugs and a lot of GPs don't like to prescribe them . . I got that with the first GP I saw when I moved . . I had a letter from my NHS SLaM consultant and she said "we don't prescribe that" I did check with my 'friendly' GP (I will also only see this Dr and it's hard to get an appointment) before I decided to go private that he would be prepared to do shared care. When I saw him on Monday I said that he should have got a letter from the private Dr, he found it, read it and saw that it confirmed my previous dx. . . I think that previously he wasn't convinced that ADHD was as 'disabling' as it is, in fact, when the general psych he sent me to said that he didn't think it would benefit me to be treated for ADHD by a specialist (and dx me with yet more mental illnesses) I got upset and he went down the usual Dr road of "we all have difficulties in our lives. . and having a label won't help that ". You will probably have noticed that I've not been on here much for a a few weeks. .I've been on Jury Service, which I found very interesting, but it took over all of my brain space. . .SO! Back on the campaign trail! The private consultant runs the NHS adult ADHD service in a nearby city (not in my CCG area) and said that he's seen a few people privately from my city and maybe we should get together to lobby the CCG . .he's also concerned about my ability to pay for treatment and I asked about adapted CBT. . .they offer it routinely in his NHS practice, but he doesn't know a private therapist. . we both agree that it would probably be beneficial to me. .when I told my GP this and that I've got a complaint in to the CCG he said that he hopes that if I get a positive outcome (out of area referral) that it might make a legal/procedural precedent . .ie they don't provide a specialist service for ADHD, so out of area referral should be automatic. .So now my mission is to find other people with ADHD in my area . .which will be difficult, but I have a few ideas (I've asked several times on here with no joy) and to get campaigning . .increase awareness of ADHD and the difficulties of getting treatment. I'm also up for more national awareness gc7 btw . .your tagging of @endymion isn't working when you type it in because he's changed his username since joining (the original one stays the same for a link) if you start typing it into the username box in the toolbar at the top (person with @ on their shoulder to the left of the big C) it will find the tag. I've been writing this for an hour and I really need to get the house clean before my mum arrives this afternoon.
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Endymion
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Post by Endymion on Oct 13, 2016 9:51:56 GMT
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Endymion
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Post by Endymion on Oct 13, 2016 12:42:57 GMT
Found this little nugget from the GMC website:
Doctors are often worried about prescribing unlicensed medicines as we say that they must take responsibility for the prescription, but of course we expect this whether the medicine is licensed or not. You are responsible for all prescriptions you sign and your decisions and actions when supplying and administering medicines and devices (or when they authorise or instruct others to do so).
Contrary to recent suggestions, GMC guidance does not include reference to any extra personal liability in relation to prescribing unlicensed medicines.
We expect you to carefully consider any treatment that you prescribe, and we expect you to be able to justify your decisions and actions when prescribing, administering and managing medicines regardless of whether they are licensed or unlicensed.
Importantly, prescribing unlicensed medicines will not put your registration at risk any more than other areas of practice covered by our guidance.
(my bold)
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Post by vagueandrandom on Oct 13, 2016 16:31:24 GMT
Endymion I'm in Hull. I go to the West Yorkshire support group in Wakefield and there's someone who comes from Sheffield. He says that his CCG only funded assessment/dx and won't fund meds. . .which he'd really like to try as he's been studying. I know quite a lot about prescribing ADHD meds as I used the NICE guidelines for prescribing to support my case for funding to see a specialist. They say that ONLY someone who is a specialist can prescribe and monitor meds. That includes specialist nurse prescribers. GPs, when they agree to shared care, prescribe only under instruction from the specialist. They shouldn't alter doses etc unless asked by the specialist. Meds should be reviewed annually by a specialist. Therefore, I should be seeing a specialist as I've been on meds for over a year without supervision. gc7 there's quite a lot of forum members from your area . . I can PM you with ones I can remember. One of my approaches is going to be via a social club for people predominantly with ASD, but also ADHD. They turned down my membership application because it's mainly under 25s and male, but they did ask what I would like from an over 40s group as they were considering setting one up. There used to be a parents group, but CAMHS has taken it over and it's mainly parenting advice and support, not campaigning.
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Post by vagueandrandom on Oct 19, 2016 10:40:08 GMT
Hi gc7 . . I've been doing a lot of reading about ADHD in the past couple of days because I've been unable to function due to the pressure put on me re:jobs and have been looking for a way to explain the mental paralysis I get when faced with too large a task. . .anyway, that's me . . One thing I read was that ADHDers can feel down or depressed after success because the stimulation/reward of working towards a goal is gone and the initial pleasure of success doesn't give sustained stimulation. . I find this. .with my skewed sense of time, a big achievement from a couple of days ago can feel like almost a distant memory and I need to get on with the next thing . . .
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Post by vagueandrandom on Oct 21, 2016 12:33:35 GMT
Too! I've resorted to hand delivering letters addressed to my preferred GP marked 'Private and Confidential' . .
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Post by vagueandrandom on Oct 24, 2016 10:18:55 GMT
Hi gc7 . . I'm putting off applying for PIP. . I promised my counsellor I would and I've looked at the questions and know how I'd answer. . it's horrible having to focus on the negative. . Think about the positives if you can. . you're determined and have fought to get dx, you live in a beautiful place with a loving husband and some of your traits are superpowers! I hope you have a more positive day.
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Post by vagueandrandom on Nov 3, 2016 9:07:00 GMT
gc7 I would check your prescription. .could be a typo and mean 18mg. Even if it recommends to titrate up to 108mg, this should be done slowly and you may find your ideal dose before you get that high. . it's all trial and error. . As Regards hair . . I have really thick hair and didn't notice any thinning on 36mg concerta. .that would be a reason for me to discontinue too!
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Post by vagueandrandom on Nov 3, 2016 10:07:53 GMT
((( gc7))) I had a day of overwhelm and tears yesterday, it's fine. . You don't have to titrate all the way to 108mg. I imagine that the Maudsley do it like that because you live such a long way away and it saves them having to communicate with your GP every time you go up a dose and set the highest dose to the highest they would recommend. I know people who are stabilised on as little as 27mg, although it's more usual around the 72mg mark, but then some take more. . It depends on how you metabolise. It's only a 6 week titration, so I'd recommend taking it all the way to 108mg, but stop if it's too unpleasant. From what I know about dosages it will probably be increasing every week (18, 27, 36, 54, 72, 108). Keep a diary of what time you take it, any positive and negative effects. If you experience a crash when it wears off, note the time and also if you experience rebound. .ie suddenly getting hyper late in the evening. I used to get headaches when I increased doses, but then they'd settle down. As you're titrating weekly, you might not have time to settle before the next increase, so I wouldn't stop unless you really can't stand side-effects. If you make notes on how you feel, at the end of titration you might find that you got most benefit at a particular dose on the way up and got more negative affects above and below. This would be the dose you should try for a longer period. . some side-effects calm down over time. I find that other people notice a difference in me on meds, even when I'm convinced they're doing nothing, so it would be helpful for your husband to let you know how he thinks you are and add it to your notes. I wish I had someone to do that for me. Above all, don't worry I know I've said that to note effects, but it's also important not to spend all your time overanalysing . . .do normal things and reflect afterwards. . Good luck!
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Post by marionk on Nov 3, 2016 12:02:05 GMT
Hi vagueandrandom It's definitely 108mg. He has recommended that I go from 18mg to 108mg over a 6 week period. He didn't mention dosage at the assessment appointment and I didn't think to ask. TBH I feel totally overwhelmed today. The doctor's appointment is in 20 minutes and I am sitting here with tears streaming down my face and feeling like crap. Sorry if that sounds very self-indulgent. It's just so difficult to get practical help from medical people and then you feel that you are left hanging in limbo. I had been pinning all my hopes on getting medication and finally getting my life back on track, but that doesn't look as though it is going to be as straightforward as I had anticipated. You don't have to go right up to that dose if you don't feel it's any better than a lower dose. The fact that they've left it up to you to work up to that dose means they trust you not to be silly about it, like going straight up to the max without checking that it's not going to cause problems first. If you need a bit more detail on how soon to increase the dose, or stay with the same, post on here. I'm sure you'll be fine though. Tears aren't bad, having a good cry about something, anything, often results in feeling a lot better later.
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Post by marionk on Nov 3, 2016 12:15:58 GMT
Oh God! hugs galore (((( gc7 )))) (I just skipped to your most recent post.) On a more positive note, ADHD meds aren't really likely to make you go psychotic. I had a 'ahem' 'midlife crisis', but if anything, mph has made me more grounded, not less. ETA, Errm, is it Concerta, Wellbutrin or Imipramine? I've never heard of Imipramine being used for ADHD.
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Post by vagueandrandom on Nov 3, 2016 12:27:29 GMT
gc7 I understand why you're wary of the concerta. A good thing to keep in mind is that it doesn't stay in your system for long, so if you don't like it, you'll be back to yourself in a few hours. And your genes aren't faulty, you're not faulty, just different. Be kind to yourself xx
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Post by marionk on Nov 4, 2016 9:15:27 GMT
Until you actually take it, no-one knows exactly how it will affect you, nor exactly how much you need to take to be effective.
The 108 milligrams isn't what you are expected to end up taking, and is not the aim either.
It's just the top limit.
There are multiple reasons for building up gradually, not just because there is a remote possibility of it causing a psychotic episode, your body might simply have a bit of a hard time adjusting to it, or it might raise your bp too much.
There can be side effects, but weirdly they seem to stop happening after a while. This is what a lot of people on here mean when they talk about tolerance. i.e. your body learns to tolerate it. In this context 'tolerance' is good.
Medically though, 'tolerance' means your body has adapted so that the drug is no longer effective, and is not good. This kind of tolerance is more likely to happen when you take more than you need.
This is why chasing the buzz is bad.
ADHDers benefit from pretty low doses, way lower than buzz chasers take.
Addiction/tolerance happens on high doses, and while we talk about 108mg being a high dose, it's only because most of us don't need that much, not because it actually is a high dose. All things are relative.
Also, despite docs seeming to be petrified of folks developing psychoses, I can only find information saying that it only happens at genuinely high doses.
Over the years, I have repeatedly realised that experts (not just doctors) don't always know what they are talking about, but somehow it took years to really sink in.
I think it's because, although they know a lot of stuff, they don't necessarily actually understand it. Also, a lot of people once they have 'learnt' something, will not accept that it was wrong, unless you show them absolutely masses of evidence to prove it, and even then they will hate you for knowing better than they did.
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Post by marionk on Nov 8, 2016 12:03:50 GMT
Until you actually take it, no-one knows exactly how it will affect you, nor exactly how much you need to take to be effective. The 108 milligrams isn't what you are expected to end up taking, and is not the aim either.
It's just the top limit.
There are multiple reasons for building up gradually, not just because there is a remote possibility of it causing a psychotic episode, your body might simply have a bit of a hard time adjusting to it, or it might raise your bp too much. There can be side effects, but weirdly they seem to stop happening after a while. This is what a lot of people on here mean when they talk about tolerance. i.e. your body learns to tolerate it. In this context 'tolerance' is good. Medically though, 'tolerance' means your body has adapted so that the drug is no longer effective, and is not good. This kind of tolerance is more likely to happen when you take more than you need. This is why chasing the buzz is bad. ADHDers benefit from pretty low doses, way lower than buzz chasers take. Addiction/tolerance happens on high doses, and while we talk about 108mg being a high dose, it's only because most of us don't need that much, not because it actually is a high dose. All things are relative.Also, despite docs seeming to be petrified of folks developing psychoses, I can only find information saying that it only happens at genuinely high doses. Over the years, I have repeatedly realised that experts (not just doctors) don't always know what they are talking about, but somehow it took years to really sink in. I think it's because, although they know a lot of stuff, they don't necessarily actually understand it. Also, a lot of people once they have 'learnt' something, will not accept that it was wrong, unless you show them absolutely masses of evidence to prove it, and even then they will hate you for knowing better than they did.
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Post by marionk on Nov 9, 2016 11:03:35 GMT
I've spotted quite a few interesting alternatives on my internet wanderings, but didn't mange to get the doc interested in prescribing any of them. I hope you have better luck than me.
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Post by vagueandrandom on Nov 10, 2016 15:59:20 GMT
In town today to pick up a few items of shopping, I noticed a stall set up by 'Healthwatch', an independent body that monitors (or attempts to monitor) the NHS. They were there to get the views of local people with regard to a programme of cuts taking place in our hospitals and health services, but spotting an opportunity to mention the complete lack of Adult ADHD service provision, I launched into an account of the difficulties I had experienced in getting assessment and treatment locally.
To her credit, the woman on the stall made notes and said that she would pass these on. However, I began to feel aware of the force of my untreated ADHD in full flow when I noticed that her face had assumed a similar expression to what you might expect to see if someone was standing in the way of a charging herd of cattle. At any rate, I think it was worth speaking to her; I also mentioned my concerns about other local NHS proposed cuts (which are going to put lives at risk).
On a different topic, isn't it a strange coincidence that most words that rhyme with Trump are quite unpleasant: frump; rump; dump; stump; bump; lump; grump.....
Healthwatch are great! They were the ones who put me onto the advocacy service for my complaint. I recommend them, although if you go onto their website they have loads of different regional branches all with their own page and offering slightly different services (like MIND)
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Post by vagueandrandom on Nov 14, 2016 14:03:35 GMT
gc7 I haven't read it, but I was talking about some of this today with the CEO of my local MIND (full report later, once I've processed it) 1. Overdiagnosis . .a general view, but obviously not in this country as it's so hard to get assessment. Living in London doesn't always mean that there's any specialist service within the CCG. Some areas have nothing and still require out of area funding to get help in a different part of the city. . and waiting lists are still very long. 2. Overmedication and misuse of meds . .perpetuates the belief that we only want to score some class Bs and we're all going to abuse them. I think misuse is very rare. From this forum, it's evident that a lot of people don't find meds that work for them, or get bad side-effects. Misunderstanding of how meds work. The CEO liked the way I explained how stims calm us down and help concentration, that by providing stimulation to the parts of the brain that are normally unstimulated, there's more room in your head to deal with important things. 3. Creativity. . I agree that ADHD is really good for creativity, but sometimes it's hard to follow through your brilliant ideas, or lose interest when you get another brilliant idea, which is what usually happens with me.
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Post by vagueandrandom on Nov 30, 2016 13:11:34 GMT
(((( gc7))))) yesterday sounds awful! I hope you can let it go. . there's nothing can be done until you hear back from them.. any news on meds?
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alien
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Post by alien on Dec 11, 2016 10:26:06 GMT
Hang on in there.
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Post by vagueandrandom on Apr 5, 2017 10:52:52 GMT
Hi gc7 Good to hear from you again I got no points in my PIP assessment, despite having physical disabilities too. . the 'health professional' cited similar things about communication. . I was in a quiet room talking to one person, I could understand and respond to questions. . they said I had no problems taking medication, when I said I did if it was several times a day and forgetting to eat and making up by stuffing myself at night is adequate, apparently. . I could also touch my hair !! I don't know what that was supposed to demonstrate. . anyway, it was over Xmas and I misplaced the letter and only found it after the month deadline for mandatory consideration was up . . I can't go through it all from the beginning again! I'm still fighting the CCG here . .got the ombudsman complaint off, written to MP, local council health scrutiny board, Healthwatch. . I'm in contact with a couple of people to start a national campaign. . There are grants available for ADHD coaching from Access to Work www.simplywellbeing.com/adhd-business-services/access-work-funding-adhd-coaching/but you need to be employed or self-employed to be eligible. I'm also trying to work out how to live with ADHD unmedicated and unsupported and am trying various self-help techniques with my friendly, but untrained counsellor. Keep on fighting!
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Post by vagueandrandom on May 10, 2017 13:03:16 GMT
Hi gc7 Great news for you and everyone in Cumbria Re: getting re-assessed, I think it's usual practice to be re-assessed when you go to a new specialist. I was re-assessed (much more brief than the original one) when I saw a private specialist. .they need to know exactly how ADHD affects YOU in order to provide support for your specific needs. My assessment in Hull was with a General Psychiatrist who accepted my previous dx, but didn't think it would be beneficial to treat my ADHD and dx me with a long list of other mental illnesses and possible personality disorder . . so I don't think you need to worry about re-assessment by a specialist consultant. I'm still where I was . .exhausted complaints to the CCG and complaint currently with the ombudsman. I'm currently exploring seeing an ADHD coach via Access to Work as I've just started a part time job and I think I've found one who's not too far away to travel to for face-to-face consultation as it just wouldn't work for me by phone/Skype.
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Post by roland on May 10, 2017 13:29:19 GMT
Hi gc7 thanks for letting us know about the new Adult ADHD service. That is good news! Have you got the exact address for referrals (I tried Googling it but didn't find it). You can pm it to me if you prefer. Regarding the appointment they've offered you, does the letter specifically say that you are going to be re-assessed? I'm asking because when I moved and was seen at a new clinic all the doc did was ask me how I was getting along, was I managing with the meds etc. Basically he accepted my previous diagnosis and the appointment was more of a get-to-know-me meeting instead of a re-assessment. I'm hoping that's what your appointment is for. I agree with you regarding the Rory Bremner programme especially since I was at a meeting the next day with a group of people some of whom had previously been sceptical of ADHD but this time they were asking me sensible questions and were clearly taking it seriously. So although it had seemed irritatingly simplistic to me at times it had a good impact on people who had not previously been interested in ADHD. Good Result Please do send me the address if you can.
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Post by roland on May 13, 2017 13:49:58 GMT
Hi gc7Thanks for the address! I'll amend our list of services so that others in Cumbria know it exist. I think you are right in assuming that access is via GP referral I've got my fingers crossed for both your appointments! And my congrats to vagueandrandom and fingers crossed that you get a good response from the Ombudsman! I'm sorry I'm late on the scene for those
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