a few months ago, i have decided, after a long (long) time of contemplation, to self-report my mental health concerns. honestly, this is my “normal;” this is what my whole life feels like (whatever this is) so i was convinced i’ll continue to live my life without putting a label on anything and i’ll be okay with it (it may just be a life thing, i thought) but the final straw for me to finally seek professional help is the fact that i started to have noticeable panic attacks at work due to my awareness that i was having difficulty paying attention or remembering anything or that my mind often feels like a bubble that would burst in the middle of me doing anything or talking with someone and my anxiety was heightened by this awareness. it was affecting my job and my job right now is my world. i couldn’t afford to let myself fall apart isolated in this tiny island away from my loved ones and my real support. killing myself was not an option. (i don’t think i actually have the guts to do it. like ever. for now.)
a month ago, i met with a psychologist for the first time ever. it felt like a lifetime dream of mine. that feeling when you’re finally facing that person who may be able to tell you what the hell has been wrong with you your whole life. that thought had a comforting promise. that day i took a comprehensive questionnaire about how my life/work is, do i want to kill myself, etc. after the questionnaire was face-to-face with a clinical psychologist to repeat some of the questions and some additional ones a real person would ask, and then the test. while i was in that office, there was instantaneous comfort as a patient and i also thought this is what i really want to pursue - to become a psychologist like this guy. my heart beats for it.
six days ago, i came back for a follow up and according to my test result, my psychologist has diagnosed me with a combined-type attention-deficit/hyperactivity disorder (adhd).
The DSM-V lists nine symptoms that suggest ADHD Primarily Inattentive, and nine that suggest ADHD Primarily Hyperactive-Impulsive.
To have ADHD Combined Type, an individual must meet the guidelines of both ADHD Primarily Inattentive and ADHD Primarily Hyperactive-Impulsive — that is, they must exhibit 6 of the 9 symptoms listed for each sub-type.
this diagnosis still seems surreal to me. it still doesn’t sink in that i now have a label for what i’m going through. there is some comfort but also some apprehension whether i will get better or worse in time upon finding out. i guess it will take time for me to reconcile since i’ve lived my whole life this way and now i’m suddenly looking at life with clearer lenses. not to be dramatic but i really do see my life so much differently since then and it’s mostly in a good way. and it’s making me feel uneasy a little bit. maybe some feeling of guilt too.
yesterday, i met with my provider (as a requirement whenever you see a specialist) to take about treatments. he also happens to be my department supervisor so he knows me a little bit better. we chatted. i expressed how i felt about the diagnosis and then right there i realized that it’s okay. that i wanted to feel normal. that maybe i can’t see something that they can see. i wanted to change something. and he said something that convinced me - treatment wouldn’t necessarily make me the most attentive person ever all of a sudden. but it’s there so that i won’t scar.
today is my day one of taking medication. i was prescribed concerta®. my doc suggests that i document how i respond to this treatment to see if i make progress with it. i’m still in the process of learning more about adhd and this medication (as well as the others that are out there). i’m currently taking 18 mg once a day every morning (extended release) and testing it out for 30 days to see if i need to change the dosage or the medication itself. so far, i feel great. i don’t feel much of a change but i do notice a shift somewhere in me even if it may be a really tinie, tiny change. placebo effect or not, it gave me hope. as a stimulant, i was expecting a more caffeine-like effect, more instantaneous, but the “relief” i was feeling was more relaxed and spread throughout the day. (although i still did notice myself slipping into the symptoms many, many times today, i was able to handle them with less anxiety.) if i’m not mistaken, there is usually a specific time frame where the medication will reach its full effect. i’m still learning all about it. today, i feel hopeful.