SzA has cognitive issues. There's a lot of times I have adhd symptoms and my pdoc ups my AP and that helps for a short time. Right now I'm in slow motion but my head's all over the place. The thing I've learned is to write symptoms down and just hand it to them. Their face says "oh no" but they help. Only one time I was sent IP because of it. I have a 7 page bullet point history That I bring to new psych appointments. Honestly I'm not a productive member of society but I'm slowly okay with that.