The public system that we all pay for is failing people, so they go private…
doctor6 on
I know of one clinic who demands €200 just to get on the waiting list
smashedspuds on
Every second person now is trying to get a diagnosis for something and go on about it. We’re all trying to figure out who we are at the end of the day but having a diagnosis doesn’t make you have anything more figured out or make yourself more interesting
Same_Investment9163 on
ADHD care involves a huge amount of work. The assessment is long and multistage. ADHD medication is frequently a controlled substance and requires regular review including physical health and Sue effect monitoring. One of the reasons that public health providers are completely swamped with referrals is that once someone is assessed, the ongoing treatment is not insubstantial and also it’s likely long term, which means that discharge is unlikely. This means that the system gets clogged up really fast and the potential to take on new assessments is limited, leading to spiralling waiting lists. I do think that the system was completely unprepared for the increased demand in recent years and there has to be better, more efficient ways that ongoing adhd care could be managed. However the current level of resourcing/system design feels like it will never meet the demand and it can feel like everything is just getting swallowed up into a black hole.
significantrisk on
I’d love to see publicly available audits of how many people the private shops say *don’t* have ADHD after taking their money.
Ed_the_Led_Man on
Private market in healthcare is being taken up more.
it’s almost like they design it so the private trumps public model economics of FFG can be a self fulfilling prophecy… But they’d never do that…….
hippihippo on
We had to get a private psychologist and psychiatrist report for our little lad. Doctors and health professionals all could see the issues. They all said we couldn’t even get looked at until he was 8 so he couldn’t even go on a waiting list for 3 years. Paid about 2k and he got seen and medicated and is thriving. It’s terrifying that he may have struggled for another 4 or even 5 years before anything could be done.
If we could afford this his and our lives would have been infinitely more difficult and dysfunctional
aholo on
Back when I was small there was no such thing as adhd or autism etc.
We were just called lazy or chatty, or distracted, or emotional or given a hiding by our parents for not being able to do our homework.
We were unable to stick at things and left college, self medicated with drugs, took impulsive risks and had no real friends. We grew up permanently exhausted as we thought the 24/7 inner monologue was normal.
Until we hit our late 40’s and are so burnt out from masking that we cannot get out of bed to even mop a floor or look after our kids.
You know something is wrong but it couldn’t possibly be adhd could it?
That’s for kids sure, hyper little boys bouncing off walls. The only thing hyper in my life is my brain.
I for one am so grateful for these services and this is where I got help. Yes it is expensive but there is literally no other option here.
I personally feel (and the psychiatrist said) there is a flood of late in life diagnosis, particularly in women, who are masters at masking it, as it was not known back in our day.
A lot are looking at their recently diagnosed kids and seeing the same in them and the penny is dropping.
It is simply when kids, menopause, life, stress and overwhelming mental load piles up, the ability to mask no longer exists.
I encourage anyone feeling like this to seek a diagnosis. There is no shame in it. We were simply missed as kids and were pros at adapting and compensating all these years.
ianeyanio on
As someone recently diagnosed with ADHD through one of these clinics… It hurts everyone when there’s a lack of credibility.
My diagnosis is tainted by perceived bad practice. People assume I’m following a trend, rather than finally confronting something I’ve battled with for 30+ years.
However – public services for ADHD are severely lacking. I wasn’t in a position to wait 2 years for an appointment.
Pointlessillism on
>“I lost 20kgs in those three months of taking Tyvense, but that was okay for me because I can manage it, but I did think like, what would this be like for someone who struggles with this? It really suppresses your appetite,” he said of the drug’s side effects.
WTF
>For people with ADHD, medication is at the bottom of your pyramid of needs,
This is not correct at all. Loads of ADHDers manage without amphetamines and any responsible doctor will try to give you coping techniques to try before going there as a last resort.
This is classic The Journal journalism failure tbh. Decent editors at the big broadsheets would not let you end with random civilians making wild claims without getting quotes and fact checking from real doctors (not pill-mill private clinicians, but the HSE experts).
HotReflection8944 on
Studied in the Netherlands and was diagnosed there as an adult. Cost me nothing, was very thorough assessment, only reason it took a while was because they wanted to rule out other possible causes of my symptoms.
There’s also just generally a different attitude towards it over there. I feel like in Ireland it’s seen by many as an excuse for misbehaving children.
11 commenti
The public system that we all pay for is failing people, so they go private…
I know of one clinic who demands €200 just to get on the waiting list
Every second person now is trying to get a diagnosis for something and go on about it. We’re all trying to figure out who we are at the end of the day but having a diagnosis doesn’t make you have anything more figured out or make yourself more interesting
ADHD care involves a huge amount of work. The assessment is long and multistage. ADHD medication is frequently a controlled substance and requires regular review including physical health and Sue effect monitoring. One of the reasons that public health providers are completely swamped with referrals is that once someone is assessed, the ongoing treatment is not insubstantial and also it’s likely long term, which means that discharge is unlikely. This means that the system gets clogged up really fast and the potential to take on new assessments is limited, leading to spiralling waiting lists. I do think that the system was completely unprepared for the increased demand in recent years and there has to be better, more efficient ways that ongoing adhd care could be managed. However the current level of resourcing/system design feels like it will never meet the demand and it can feel like everything is just getting swallowed up into a black hole.
I’d love to see publicly available audits of how many people the private shops say *don’t* have ADHD after taking their money.
Private market in healthcare is being taken up more.
it’s almost like they design it so the private trumps public model economics of FFG can be a self fulfilling prophecy… But they’d never do that…….
We had to get a private psychologist and psychiatrist report for our little lad. Doctors and health professionals all could see the issues. They all said we couldn’t even get looked at until he was 8 so he couldn’t even go on a waiting list for 3 years. Paid about 2k and he got seen and medicated and is thriving. It’s terrifying that he may have struggled for another 4 or even 5 years before anything could be done.
If we could afford this his and our lives would have been infinitely more difficult and dysfunctional
Back when I was small there was no such thing as adhd or autism etc.
We were just called lazy or chatty, or distracted, or emotional or given a hiding by our parents for not being able to do our homework.
We were unable to stick at things and left college, self medicated with drugs, took impulsive risks and had no real friends. We grew up permanently exhausted as we thought the 24/7 inner monologue was normal.
Until we hit our late 40’s and are so burnt out from masking that we cannot get out of bed to even mop a floor or look after our kids.
You know something is wrong but it couldn’t possibly be adhd could it?
That’s for kids sure, hyper little boys bouncing off walls. The only thing hyper in my life is my brain.
I for one am so grateful for these services and this is where I got help. Yes it is expensive but there is literally no other option here.
I personally feel (and the psychiatrist said) there is a flood of late in life diagnosis, particularly in women, who are masters at masking it, as it was not known back in our day.
A lot are looking at their recently diagnosed kids and seeing the same in them and the penny is dropping.
It is simply when kids, menopause, life, stress and overwhelming mental load piles up, the ability to mask no longer exists.
I encourage anyone feeling like this to seek a diagnosis. There is no shame in it. We were simply missed as kids and were pros at adapting and compensating all these years.
As someone recently diagnosed with ADHD through one of these clinics… It hurts everyone when there’s a lack of credibility.
My diagnosis is tainted by perceived bad practice. People assume I’m following a trend, rather than finally confronting something I’ve battled with for 30+ years.
However – public services for ADHD are severely lacking. I wasn’t in a position to wait 2 years for an appointment.
>“I lost 20kgs in those three months of taking Tyvense, but that was okay for me because I can manage it, but I did think like, what would this be like for someone who struggles with this? It really suppresses your appetite,” he said of the drug’s side effects.
WTF
>For people with ADHD, medication is at the bottom of your pyramid of needs,
This is not correct at all. Loads of ADHDers manage without amphetamines and any responsible doctor will try to give you coping techniques to try before going there as a last resort.
This is classic The Journal journalism failure tbh. Decent editors at the big broadsheets would not let you end with random civilians making wild claims without getting quotes and fact checking from real doctors (not pill-mill private clinicians, but the HSE experts).
Studied in the Netherlands and was diagnosed there as an adult. Cost me nothing, was very thorough assessment, only reason it took a while was because they wanted to rule out other possible causes of my symptoms.
There’s also just generally a different attitude towards it over there. I feel like in Ireland it’s seen by many as an excuse for misbehaving children.