I went to see my new psychiatric nurse practitioner today. I was referred to her by my T because of possible ADHD.

The session was 1 hour and was spent on evaluation. She's very nice and I had no problem talking to her. It was interesting how different this was from a therapy session. It was very clinical, talking all about my symptoms and then later, about drugs to treat them. I actually shared a lot of things with her that I have never told my T. Not that I was hiding them from him or anything, but when he and I get together, it is not so clinical. Also, I am realizing, maybe I didn't want to share certain stuff with him because I am somewhat embarrassed by my sometime dysfunctionality. (Does he really need to know it took me over 6 months to be able to go to the crowded cafeteria for lunch in my new building at work?) The PNP today talked some about the shame of having these symptoms, and I think for me that fits.

She's going to have me do some ADHD assessments, but isn't sure that is my problem. It could be Anxiety or Depression or a mix of all three. She says it takes a while to tease it out. In the meantime, she's going to start me first on Wellbutrin, an anti-depressant she says that often helps with ADHD too. She said it can help with anxiety too for some people but in others make it worse. I just have to try it. She said we could start with the stimulants for ADHD, but let's try this first, as she suspects ADHD may not really be the cause of my ADHD-like symptoms.

And now here is the really strange part. Five days ago I had a dream about our first session and in it, she prescribed me Wellbutrin! I even wrote about that here on PC in another thread so I'm not making that up.

That is just strange.... How could I have known? I was referred to her for ADHD, I would expect to dream about Adderall or Ritalin. I didn't tell her this dream. I can't just share a dream with a stranger. After all, it wasn't until my second or third session that I shared a dream with my T.

And here's some truly great news. My insurance reimburses 90% for her visits! They won't pay a cent for me to see T, but no problem going to get drugs from a PNP.