Dual/triple/quadruple(?) diagnoses

I’m seeing my psychiatrist today. I’m going to ask him to give me Strattera and possibly Latuda, both of which I can get through patient assistance, since I’m uninsured and essentially destitute. I’m just not sure he’ll go for it.

My therapist suggested I might have ADHD, without any prompting from me, just based on my behavior in session. I’ve thought for a while now that I probably do have it, but when I’ve tried to get the meds for it in the past, most doctors wouldn’t even entertain it. I had one tell me that there was no way I could possibly have a mental disability because I graduated with a BA at 20. (Self medicating, anyone?) Another refused to treat me for that until I got my depression and eating disorder under control.

I get it, to some degree. They don’t want to prescribe stimulants to someone who doesn’t need them, and I was in graduate school at the time. Lots of students were pushing to get legit Addy scripts. This was about the same time a lot of places started cracking down on prescribing benzos and about the same time as when a psydoc took me off Klonopin cold turkey, resulting in severe withdrawal and a near death experience.

Anyway, I’m game to use an amphetamine-based drug instead of Strattera, like Vyvanse, which can also be acquired though PAP, but given my bipolar disorder, I’m supposing my psychiatrist might be more amenable to a non-amphetamine, such as Strattera. But if ten years of swapping in and out medications has taught me anything, it’s that you just don’t know until you try.

The concern is that an amphetamine might be more likely to induce a manic episode. It’s possible, but it really depends on the person, as far as I can tell. At any rate, it isn’t contraindicated.

And then the clinic where I go for therapy and med management is basically trying to extort money from me for my medical records. They know I’ve got no income and no assets, and when I went to ask for my records last week, they said they wanted a dollar per page and that it could be in excess of 30 or 40 pages.

I can understand, you know, charging $0.10 or something per page. Maybe even a quarter. A dollar per page is just ridiculous. Just one more way the process of trying to get disability is, ironically, extremely ableist and classist.


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