Q&A_ ADHD

manjalara_01

Salam semua..

Ok to date manja dah mula jumpe Dr Pakar kat PPUM utk diagnose for ADHD.Skrg manja ade a few questions harap korang bleh tlg sbb i clueless sgt psl ni.

1- Slalunye berapa sesi yg perlu kite hadir sblum Dr Pakar confirmkan jenis sakit kite tu (Dr kata i might have ADHD & Anxiety)
2- Bile dah confirm dgn ADHD korang kena mkn ubatkan? Berkesan ke x?
3- Ubat utk ADHD ni mmg mahal yea?
4- Ade ape2 kesan side effect x?

Tujuan utama manja nak get diagnose utk mendapat kepastian saje, sbb selama ni mmg byk la yg i kena struggle especially kat tempat keje. Manja mmg stress & x bleh nak buat keje dgn baik jadi x bleh nak dpt keje tetap asyik lompat2...& mcm2 lagi...So after dah google a lot and kumpul maklumat..i decided to get screening.

Cume skrg ni x brape puas hati & x selesa dgn Dr i, kite panggil Dr S..sbb:
1- Bile i berckp dgn die..die tgk screen computer die nak rushing je nak cepat je..hardly any eye contact
2- Die ni mcm pushy sgt...belum lagi complete diagnose baru first session dlm 15 minit je..dh mintak i pegi hospital gov semata utk beli ubat(sbb medication free kat sana cause i ade masalah kewangan) HELLO! Tp kalau diagnose x complete lagi mcm mana u nak bg perscription ubat ape? Ntah ape2 la.. Die kata pegi skali je kat sana..So means skali sesi terus diagnose dpt ubat terus..? Betul ke mcm ni? I dah kira2 duit transport masa same je dgn harga ubat kalau gi sana..Tu utk skali je la..Kalau kena dtg lagi..mmg x berbaloi..
3- The other Dr, Dr I kata utk diagnose perlu dlm 8 to 10 sessions baru die org bleh officially diagnose. After that baru tgk situasi sama ada i need treatment with medication or just sessions with therapist or what not.
4- Cume Dr I ni bukan Dr manja die take over skali tu saje sbb Dr S xde..Kalau i nak wait for Dr I, bulan December tahun ni baru i bleh dpt die..
5- Skrg ni kalau stick dgn Dr S..sampai bile2 la dgn die, nnt lepas mkn ubat follow up blah2..i would rather not..

Tadi I baru jumpe Dr S, i x jadi gi hos gov sbb jauh from my home. So die terkejut la sbb die nak sgt i dptkan ubat tu..dulu..I kata xpe la i nak teruskan kat PPUM cause more convenient..Ok die kata next week i need to bring my mom cause die nak ask questions about my childhood dulu mcm mana...Nampak? This is 2nd session dah..blum complete diagnose..X tau brape sessi lagi nak kena gi..Kata 1 or 2 dah cukup...bleh diagnose terus dpt ubat..?? ..

Masalahnye sesi2 gini, is for me can be quite emotional cause they will ask very personal questions. Dr I bile i cite pd die i rs sgt selesa, eye contact is there die tenang, empathetic & x pushy or tergesa2 mcm Dr S ni...That is why i selesa dgn Dr I..i rs i bleh berbincang, bertanye soklan & berunding xde masalah..

For now to je nak citer...Sorry sgt pjg..karangan i ni . Harap korang bleh tlg jawab list soklan manja kat atas tu...& sama ade nak teruskan dgn Dr S atau wait for Dr I..??

ipes2

waalaikumussalam,
sorry tak perasan your posting.


1) bergantung kepada keadaan; kekadanag asthma pun mengambil beberapa session utk didaignose (asthma byk jugak jenis nya)
2) biasa nya psychaitrist dan neurologists yg treat ADHD in adults.. they will be very afmiliar dgn meds nyer and will decide samaada u need this or that or combi
3) ha nnt u dapat nama ubat nya bagi tau
4) ha sama lah..pelbagai ubat ada. bukak BNF nnt pening kita sdlm tu sbb byk sgt

ipes2

pasal diffoculty in workplace tu very nonspecific manja, u kena define yourself, what type of worker you are, whta type of person u are etc. tapi, sebenarnya, most people takde lah buat kerja yg ''100%' sesuai'' dgn jiwa atau citarasa mereka. ramai people hanya tolerate dan hadap je, dan after a while, these people get used to their job dan jadi ok.

tak caya cuba manja buat survey dalam bod kesihatan ni: tanya samada u all semua mmg buat keje yg betul betul kena dgn citarasa ke tak.

manjalara_01

ipes2 replied at 14-8-2017 12:25 AM
waalaikumussalam,
sorry tak perasan your posting.

It's ok Doc..

1- Info yg i dpt pulak, depends pd doctor tu, ade yg 1 or 2 sessions saje dh bleh diagnose tp xde la 15min je..tp 1 1/2 to 2 hours punye session

Actually i x kisah la psl ni cume Dr S tu yg buat i keliru, stress suke desak2..

2- Ape tugas neurologis tu yea?

3- Ok sure

4- Ok...tu la kan..Harap sgt i x perlu mkn ubat..Ahahhaha..yea2 je...

manjalara_01

ipes2 replied at 14-8-2017 12:28 AM
pasal diffoculty in workplace tu very nonspecific manja, u kena define yourself, what type of worker ...

Ok gini sbenarnye difficulty in the work place bg kategori org yg ade ADHD...

Manja pun sbenarnye baru je nak "kenal" ADHD tu mcm mana. So far ape yg i tahu
1- ADHD ade mcm2 sympton & kateogri, bukannye 1 fit all..
2- Bukan hanya kanak2 yg ade org dewasa pun ade. Sbb masa kecik dulu x diagnose jadi sampai ke dewasa baru dpt tahu..
3- Ia suatu disorder yg selamanye ade dgn kite..kira ujian la kan..
4- Bg sseorg yg menghidap ADHD ia akan mempengaruhi:

a) Work Life
b) Social Life
c) Marriage Life
d) Emotional, mental, psychological & physical self....

Bile i kata i struggle in work life tu bukan maknanye i memilih ke ape, tu org lain yg normal pun ade masalah tu..Kira nak job yg sesuai dgn minat & personality type masing2 lebih kurang mcm tu kan? Tp ni kategori struggle khasnye utk spesis yg ade ADHD. Paling komen sbb x bleh nak fokus/ pay attention/careless masa tgh buat keje & lembab.

I bg kisah sorg wanita yg i bc kat tenet semlm la lagi menarik utk nak cite & similar jgk dgn kisah i. Die ni school drop out mengandung anak 2 org masa remaja. So her life it self tunggang langgang sejak dari dulu. Bile masuk zaman keje pulak pun sambung jgk huru hara tu ..Mula keje kat nursing home jaga org2 tua. Alih2 die tersilap bg ubat ..Kena fire la..kan..lepas tu. Then try nak keje bahagian finance pulak pun fail. Mula2 bos bg peluang utk die cube improve tp die kata it's ok baik la boss fire sbb die sndiri dah sedar she can't kira duit.

Lepas kena diagnose dlm umur 30s..Masuk 40s baru akhirnye die dpt keje dlm keadaan yg stabil. Ni contoh kisah sorg dewasa yg didianose ADHD masa dewasa yg sblum tu teruk kena berhempas pulas dlm pekerjaan.. tp akhirnye tetap kecundang..

Symptom paling UTAMA ADHD , x bleh nak fokus..bile gituw..mcm kes die ni, bg ubat pun bleh tersilap...kira duit pun x tepat, salah...So i punye struggle lebih kurang mcm die punye jgk..

Yea la kan..x semua org yg talented mcm Adam Levine or Michelle Rodriguez..atau brainy mcm Alber Eisntein.. Some are just ordinary people like me without any special talent..but got stuck with ADHD too...

Ape2 pun i rs lepas dah diagnose betul2 nnt i akan come back here..insyaallah..

puccafan

Interesting topic. Pucca ada baca2 jugak pasal adhd in adult. Tapi tak penah baca real case. Nanti rajin2  la update ye. Mana Tau orang lain ada problem yg sama. Tapi segan nak dapatkan rawatan or sebenarnya dia taktau pon tu adhd

manjalara_01

puccafan replied at 19-8-2017 07:33 PM
Interesting topic. Pucca ada baca2 jugak pasal adhd in adult. Tapi tak penah baca real case. Nanti r ...

Insyallah bleh...
1- U might feel and experience as adult or your whole life, mmg dari kecik u rs u x same dgn org lain..mcm outcast/weirdo gituww..

U know there is something "wrong" with u but u don't know what it is...so u akan rs lost..

Tu pengalaman i..sndiri & lepas google other ADHD adults pun alami those thoughts and feelings..


2- Dari segi fizikal pulak..u rs badan u x sekuat or cergas org lain/your peers

U cepat rs lemah, kurang bertenaga. After google mmg gituww la for ADHD people. Sbb having ADHD ni is a big struggle & VERY STRESSFUL

All the negative energy from feeling frustrated, down, anger etc semua beri effect pd badan u, sbb tu badan u jadi lemah...Everyday is a struggle..


3- Most adults yg jumpe doctor mmg x tau yg die org ade ADHD, cume sbb tgh hadapi masalah yg serius dlm work/social/personal life..That's why they all rujuk pd doctor.

manjalara_01

As kids pulak usually yg senang nak detect boys sbb most of the time boys yg ade symptom hyper active ni. Whereas girls pulak are shy & quiet (that's me).  But it could go either way. Parents need to be aware of that la..i rs..

ipes2

manjalara_01 replied at 14-8-2017 11:44 AM
It's ok Doc..

1- Info yg i dpt pulak, depends pd doctor tu, ade yg 1 or 2 sessions saje dh bleh ...

neurologist, sebagai pakar saraf, boleh monitor ubat yg diguna.
sesetengah uabt yg diguna adakalanya adalah ubat yg neurologists yg prescribed kan.

ipes2

manjalara_01 replied at 14-8-2017 12:06 PM
Ok gini sbenarnye difficulty in the work place bg kategori org yg ade ADHD...

Manja pun sbenarn ...

good info manja,

manjalara_01

ipes2 replied at 21-8-2017 07:23 PM
good info manja,

Thanks Doc...

Tadi first time jumpe Dr M, die prescribekan i ubat
1- Fluoxetine/Prozac 20mg (prozac kan doc? name glamour & senang nak ingat )
2- take for 1 month..

Previously Dr S (under Dr M /Psy pelatih) diagnose i ade
1- ADHD
2- Anxiety

Dr M pulak kata i ade
1- Anxiety
2- Depression...

Die deny terus kata i xde ADHD....I was like.......I stress betul la..Sbb patutnye tadi i terus debate dgn die...Tp u know org yg ade ADHD ni lambat proses info so lambat la tindak balas...i dah balik rumah...baru i was like...AArrrrrgghh!!!...Patutnye i should answer like this and this..

He said...
1- Kalau i ade ADHD dari kecik..sure parents notice & dh send i gi diagnose masa kecik dulu
2- Die kata masalah i ni more pd low self-esteem...anxiety & depression...tp bukan tahap chronic...
3- Skrg ni nak tgk sama ada ubat tu berkesan ke x...yes , ubat ni bleh bantu i jadi fokus...4- Diagnose u ADHD ke depression ke Anxiety tu semua x penting....Sbb nnt diagnose tu akan berubah2...

I SEPATUTNYE JAWAB kat die MCM ni...
1- Dr...Lepas Dr S suspect saya ade ADHD....saya google..and yes!! Hampir 20 simpton2 ADHD tu tepat semuanye saya ade...dari dulu..dari kecik lagi
2- Semua ni ambik masa Doc..utk saya recall segala pengalaman...pahit...bla2.....& then baru bleh connect the dots!!.....
3- Hello?...Dulu2..mana ade parents didedahkan dgn segala mak nenek MENTAL DISORDERs ni...BETUL X??...Korang setuju x?...Parents zaman baby boomers dulu...x tau psl benda ni semua...parents generasi X,Y, skrg ni..je AWARENESS tu..ade SBB dpt byk pendedahan....BETUL X DOC??..
And yes..girls yg ade ADHD ni mostly SHY & QUIET...betul la info yg i google ni..i was like this..Bukan jenis hyper bola...Kalau hyper pun kurang sbb Arwah Bapak i dulu sgt tegas...x pernah bg me & siblings lari sana sini...buat perangai mcm budak2 skrg...
4- Kalau diagnose tu x penting..Habis tu SUKE2 hati la bg kejap ubat utk depression..lepas tu mungkin rs mcm ADHD ok tukar pulak dgn ubat ADHD?? What THE HECK? Mcm tu ke?....

I explain kat mak i sndiri ADHD tu ape...die x pernah dengar pun psl ADHD tu...nak nangis tau nak explain kat die...ADHD tu mcm mana

I siap bwk mak i jumpe Dr S..Sbb Dr S nak jumpe, nak tahu masa umur i kecik2..dulu..i Mcm mana?...mak i kata masa umur i dlm 1 1/2 tahun die letak i kat Baby chair utk mkn..i x bleh duduk diam...nampak benda atas lantai terus nak gabai sampai jatuh kerusi...siblings i yg lain x mcm tu pun..Semua duk diam2...
*********************************************************************************************************************
Honestly..i rs mcm malas nak go through this. Baik lah i akan citer knp, sbb sblum ni for the past 10 years,  i terpaksa FIGHT dgn SANTAU/SIHIR.....Skrg ni fasa i nak pulihkan balik semangat what not...Tp tu la..kan..sblum i kena santau ni i hadap problems dlm work,social life ni semua..la...So know kalau i start keje balik i kena face same nonsense..Struggle...mcm dulu...kat work place...

Rasa mcm De javu..Sbb masa mula2 start berubat nak cari punca sakit..ape tu..kena hadap2 mcm2 perawat...ade yg kata kena ganggu kat rumah, ade kata kena sampuk, ade yg kata sakit fizikal..mcm2 lagi la..Serabutnye kepala Ya Allah..masa tu..sbb dah sakit..lepas tu kena hadap all this..Last officially 2 perawat at same pusat rawatan confirm santau..(Doctor pun jumpe jgk yea...Sejak sakit tu..PPUM ni dah mcm rumah kedua..utk i..)

Skrg ni rasa mcm benda same pulak kena hadap2 sekor2 Doctor...Dr ni kata tu Dr tu kata ni (maafkan la bahasa i..ni....yg kasar..i xde niat nak kata mcm tu..but all this is making my life so difficult)
I x nafikan Dr M kata i ade depression & anxiety. Tp ikutkan simptom2 ni semua..I rs the CORE yg utama mcm ADHD tu 80%, yg lain tu Anxiety & Depression...

manjalara_01

Manja harap Doc & sesiape pakar atau yg ade pengalaman didiagnose..dgn mental disorder (especially ADHD+Depression+Anxiety) bleh kongsi pengalaman & info kat sini yea...

manjalara_01

Hey guys..

Esok my follow up appointment. Nak buat mcm mana yea ? Doc i suruh beli ubat tu & mkn utk 1 bulan tp i x beli pun . Why? Cause:

1- Cuak side effect mkn ubat
Nak pendekkan cite baru tahun lepas i sembuh dari sakit
(Sakit punca dari kena santau selama 9 tahun) Masih trauma skrg ni..

2- Ubat mahal...

3- Terasa nak keje balik..(part time je la)

4- ADHD or NOT? (sejujurnye mmg i rs i ade ADHD tp belum final diagnose lagi so dunno yet)

So esok Doc M mesti akan tanye knp x mkn ubat? Die tahu i ade anxiety pun tp i rs mungkin elok jgk i explain pasal sakit i kena santau sblum ni...At least die malay..harap die paham...kalau x phm pun lantak die la..Better i luahkan je...

Kalau bleh nak final diagonose dulu...baru buat keputusan rawatan mcm mana...Tp x selesa la bile Doc asyik nak PUSH2 utk mkn ubat ni...

manjalara_01

So smlm i dah jumpe Doc M....manja x tau la nak cite mcm mana...Cite point penting je..la..

Dr M : manja ape khabar?
Manja: i'm good...tp Doc saya  x ambik ubat pun hari tu..
Dr M : jadi u dah ok tanpa mkn ubat? bgs la mcm tu...ni mesti placebo effect sbb hari tu dah byk cite and luahkan...

Manja: ha?...(otak blank sbb seriously kalau i ok..i x kan jejak kaki kat sini or buang duit i sesuka hati )

Manja: Saya ok buat masa ni la Doc, yea la...saya tgh cari keje (suam2 kuku je) Tp saya risau nnt bile dah keje masalah2 same berulang balik...Jadi mcm mana tu Doc? Saya nak tahu jgk kalau saya makan ubat ni depression & anxiety saya bleh sembuh x? Ape punca depression & anxiety saya?

Dr M: Punca? Kan saya dah sebut hari tu? Persekitaran atau genetik. (i'm forgetful and a bad listener, common ADHD simpton)

Dr M: Nak sembuh tu x la..tp ubat tu membantu mengurangkan depression dah anxiety..
Manja: Doc, hari tu kata saya ade depression & anxiety, Doc S pulak kata suspect saya ade ADHD & anxiety? So mcm mana tu Doc? Saya dah baca beberape kisah org dewasa yg baru saje didiagnose dgn ADHD tetapi telah mengidap sejak kecil. Ni la kali pertama seumur hidup saya, saya bleh relate dgn kisah2 mereka. Selama ni saya rs mcm alien & sgt lost...

Dr M: Mesti kamu kelirukan sbb lain Doc kata lain? Sebenarnye manja saya bleh saje kata yg kamu ade ADHD, tu x jadi masalah pun skrg ni. Tp kalau saya ambil keputusan tersebut saya perlu bg kamu ubat ADHD. Ubat ni sgt berbeza dgn antidepressen sbb ia bleh menyebabkan ketagihan. Dlm masa yg sama utk memulakan treatment medication ni saya mulakan dgn dose yg kecil & ubat yg x memberi kesan side effect yg serius berbanding ubat ADHD. Mmg mcm tu kite merawat kat sini.

Manja: Owwwwhhh......Kalau mcm tu Doc next week saya dtg utk ambik ubat la.
Doc M: Prescription tu u x bleh pakai dah. Skrg ni u nak saya prescripe ke x? Saya ade meeting ni kejap lagi?

Manja : (krik krik krik)

Doc M: Mcm ni la....bile kamu dah ready nak mkn..ubat call seminggu lebih awal utk buat appoint, nnt saya akan buat prescription yg baru.

Manja : Ok Doc. Thanks Doc...

manjalara_01

Buat masa ni manja dlm dilemma sbb
1- Takut nak makan ubat
2- Kalau dah start medication utk sebulan nnt bleh mengantuk, jadi mcm mana nak drive keta gi keje kalau dah dpt keje nnt?
3- Nak cube cara lain dulu mcm psychotherapy tp rs mcm payah sgt sbb x tau ape2..rs xde semangat la start from zero...letih...
4- Nak cube psychotherapy ke ape benda at least xde side effect pd masa same x ganggu kalau ade keje part time nnt...
5- Kalau i byk duit lame dah gi private...sbb Doc M pun rekomen kalau nak cube cara lain..

Kalau google yg kat Amerika ke UK semua ade complete...tp kalau nak cari perkhidmatan yg kat malaysia sgt susah...Kat PPUM pun xde psychotherapy or whatsoever.....

https://adaa.org/finding-help/treatment#Types of Therapy