Adderall and Ritalin Trial Doses from a Psychiatrist

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Had a psychiatrist prescribe me trial doses of adderall and then ritalin (one week with elevating dose strength to find the right level) after very brief evaluations. I responded very badly to the medication, as my productivity issues were really just a consequence of some external stressors. I have not experienced any ADHD symptoms since I was given the trial medications in October of 2024. I do not believe the prescriptions were written with a "formal" diagnosis. I have reached out to the Psychiatrist about that question--he has yet to return my calls. I recently changed PCP (Pediatrician from childhood to adult Primary Care), but I believe my new provider can attest to my level of cognitive stability. I have demonstrated stability as well as strong performance in University and job all throughout. I have never been on any other medications.

What would be the best path going forward to obtain a first-class medical? Is it possible, given my circumstances, to go through the fast-track? Should I go ahead and contact a AME or do I need to see a HIMS neuropsych? How long would the first-class process take in worst-case scenario?

Thank you all for your time
 
I’m far from an expert (as you can see I have a post down below) so take what I’m saying with a grain of salt.

If you have every taken any medication used to treat ADHD for any reason it’s going to be a battle.

Fast track allows more than 4 years with no symptoms/treatment but there is a clause in there (I am talking to somebody else going through this) that if there is another mental health diagnosis GAD or MDD, it disqualifies and they are going to force you down the most expensive and comprehensive route they can of expensive tests and evaluations.

The person I have been talking to online who is going through the mental health nightmare that is the FAA, has GAD (off SSRI) but there was a prescription on the record for 4 years ago for a 30 day supply of the generic Ritalin. This was all because a nurse practitioner issued an ADHD diagnosis based off of a conversation regarding how the pandemic is making him/her so anxious it’s hard to focus at work. No tests, evaluations, nothing just a prescription and an NP saying ADHD. So now he/she is stuck even though a board certificated MD wrote up a letter indicating the symptoms where infact not ADHD, the focus issues where related to the anxiety, they need a cognitive screens, evaluations, etc.

That is where they get you is with the pharmacy record. I thought I had a fighting chance with my SSRI reconsideration but on my pharm record there is a prescription for oxy and trazadone for a procedure I had to have done on my leg following an injury. It was reported, and they didn’t ask any questions about it, but wait until they see those meds. So it seems once they see that, it’s no longer going to be about the SSRI, but about that and a round and around we go.

So from my research and talking with this John/Jane Doe from Reddit, there is a possibility but no guarantee. But as stated I’m fairly certain being that it was so recent, even though there is no diagnosis they are going to give you the hardest and most expensive route they can. There are far more qualified experts in the thread that will chime in, but I feel for you dude and wish you all the best.
 
GAAA.. you hit every tripwire for the full evaluation.
It is now on record that somebody with a license thought you were cognitively abnormal and needed cognitive support.
Now you have the difficulty of showing that the stressor was a one time one off and not recurrent andiety disorder.

DON'T be trial-ing psych meds!!!


:(
 
Last edited:
TaxiOut said:
If you have every taken any medication used to treat ADHD for any reason it’s going to be a battle.
Click to expand...
It's not necessarily the meds, it's the diagnosis. The OP needs to know what's in his record. What he was diagnosed with. Old meds don't have to be disclosed, but whatever diagnosis he got that justified the meds does. Of course if that diagnosis requires medical records to be submitted, then the meds will out.
 
If the doc gives the patient drugs from his stash of samples that the drug company reps hand out, there may not be an attached diagnosis? OTOH such samples may not be legal with controlled substances?
 
Any company distributng schedule 2 meds as samples....well to my knowledge not even Purdue Pharma did that.
 
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