Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.
I do not doubt that you have many symptoms of ADHD, but to be fully diagnosed as having the disorder you must also show "clear evidence of clinically significant impairment ins social, academic, or occupational functioning."
[DSM-IV TR psychiatric diagnostic manual]
You may have many diagnostic criteria for ADHD, but you do not have the essential one of impairment or dysfunctionality.
Nevertheless, you may be putting out a tremendous effort to do your job, and that shows a remarkable strength and ability.
There is a two-tier approach to Adult ADHD.
I believe that you have already did
for yourself what the psychotherapy and psycho-education approach would do: to struggle to bring order into your life. You probably have an organized calendar, sticky notes, special places for keys, purse, etc., and lists. I do the same, without ADHD and it is a great help. Psychotherapy can help.
If you plan to take medication, you may notice changes in your life that you will have to get used to, losing some impulsivity and risk taking, while increasing your self-image, and psychotherapy can help you adapt.
You could continue to do what you are doing or you could turn yourself over to the pharmaceutical/medical industry and try one of their potions.
The drugs can be addictive, and they can interfere with certain medical conditions (heart condition). The ones you would consider are:
- -Amphetamine-dextroamphetamine extended release (Adderall XR)
- -Methylphenidate extended release (Concerta)
- -Lisdexamfetamine dimesylate (Vyvanse)
- -Atomoxetine (Strattera)
- -Dexmethylphenidate extended release (Focalin XR)
Your best move if you feel you could use some improvement would be to see a psychiatrist that you have a good feeling of trust with. I would not let a GP manage my psychotropic medications.
Talk this over with your psychiatrist and reach a conclusion with his assistance and counsel.
I wish you great success, and I congratulate you for doing so well on your own. You must decide if you prefer to do what you have been successful at or try something new.
I wish you great wisdom in moving forward.
Elliott Sewell, LPCC, NCC, CCMHC