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Insane Max said:
I've been diagnosed for almost two years now with ADHD (Combined Type), and in that time, I've discovered how much ignorance there is out there.

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I strongly agree with this statement. I feel just in the past 9 months, I have become more knowledgeable about ADHD than my general physician and the supposed expert he referred me to. My new GP is a very competent and detail oriented doctor. He seemed very upset during my latest appointment when I shared my opinion of the quality of care I felt I received from the neurologist he referred me to. I basically told him that I was going to continue seeing him intermittently for medication refills, but that in my opinion he was nothing more than a sugar daddy to me. Obviously I didn't say it in those exact words. My GP was going to investigate ADHD further to find me a better specialist to be followed by. In my personal experience the way in which the ADHD diagnosis was made and my medication dosage was determined was nothing short of trial and error. His suggestion to try doubling up on taking the 30 MG XR Adderall and then giving me 4 separate Rx papers so I could get monthly refills without coming back to the office makes me wonder about all the regulations on schedule II drugs. If I was an addict, I could easily have gotten myself double the Rx that I currently have.

If you really think you would like to be treated with a stimulant medication, then simply see another physician. Eventually you will find someone who will be willing to write the script.

If on the other hand, you want to find someone who is really interested in evaluating your symptoms, determining if you actually do have ADHD, and then is willing to provide the best comprehensive health care for this condition factoring in your co-morbidities...GOOD LUCK. My experience has been that we are on our own. You need to educate yourself and be honest with yourself about your intentions for seeking pharmacological intervention. The ED is a real problem for you. Honestly as much as you hate the fact that it my be limiting your treatment options, it is good that you have a physician interested enough in you to raise the caution flag. For me, I think my psychologist serves as a place for me to check my motivations for using the Adderall.

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PsyChris Said:
Anyone that tells the physician what to give them is going to come under the looking glass.

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I agree. I had made the false assumption with the GP who treated me for 15 years. For other health issues he seemed to appreciate my intelligence and respected my opinion. This was not the case with ADHD. Despite the fact that I was well informed and had no previous history of addiction or ED, he still refused to hear me regarding my ADHD and the course of treatment I wanted to try. There was no exchange or debate on this matter. This angered me a great deal and I took his closed-mindedness as an insult and a sign of disrespect. I left his practice as a result. I learned a lot from this experience and when I presented my case to my new GP, I was a lot better prepared and he was a lot more receptive.