hi aaj, i'm danielle and i agree with what ade1971 says but may add a little on to it. i always try to go the route the insurance company would recommend, so when i decided i couldn't take it anymore and wanted to look into getting help for what i felt was very likely ADD/ADHD (i was 40 and suspicious for 20 years at that point, lol) - so i made an appt with my primary family doctor first, and he actually gave me the name of a psychiatry practice in a city near me, where they have a couple of doctors, several therapists, and a couple of Psychiatric Nurse Practioners. i then called to make an appt and they have a very specific protocol they follow. I was told i would meet with a Psychiatric nurse who specializes in evaluating adolescents and adults for a multitude of pschiatric disorders, including add/adhd. i came in for my appt with the nurse and spent about 2 hours with her.
she had a ton of questions for me, and for the questions that required elaborating, she was scribbling pretty furiously, which made me nervous and of course she knew that because she was watching me (see where i'm going with this? lol)... they do ask that you are honest with them about your history. i can only speak for myself, and maybe because i am a full fledge (i think, most days) adult, i really wanted the right help and gave full disclosure, depression, anxiety, alcoholism, attempted suicide at 19, dysfunctional house growing up, etc. etc.she took me on so she was in charge of any psych meds from that point going forward. ade1971 is right about all of the many kinds of available meds, but i believe most practices keep it simple starting off and the standard initial indication for adhd will almost always be adderall, in the IR formula, to get u started... i was started on a 10 mg dose of generic adderall IR (it was the generic brand Sandoz, which some people love, and other people love the Barr generic brand, it is only the 2 brands of the generic IR adderall, in 10, 20 and 30 mg tablets. i didn't know if i was going to be able to stick with the adderall. it freaked me out at first a little because my body was very sensitive to that kind of stimulant medication as I'd never taken anything like that before. i had a nice stretch of time off that i'd requested because i was told it was going to take time to adjust to the meds and i would likely have trouble sleeping and i certainly did. some people can't take stimulants at all and there are several non-stim meds, but if you don't have a problem taking the stimulant, you'll be fine with the adderall and likely not take anything but the adderall, but i would definitely recommend the adderall xr after you've been on the med for a while. i find it a lot smoother, and i take it very early in the morning and only once in a while do I feel the crash from it, and i have the IR for "as needed", those days when for whatever reasons, my body feels the depletion and i still have too much of the day left, and then the IR, 20 mg, sometimes 10 mg, is a great add-on when you need it. I'm sure you know adderall is a controlled substance and abused by many (i personally find it abuse even for the people who are prescribed it, but take it for speed and weight loss purposes, but that's just my opinion... ) i wish i had this medication back in the 80s when i struggled my last 2 years of highschool. after i hit puberty at around 14-15, man oh man did i hit a wall, and my attention span virtually disappeared and i watched my grades plummet.
sorry i went on so much, i do still struggle with finding a way to say things with less words, but its a work in progress ; ) u definitely want to see an HCP who specializes in adult add/adhd... preferably, he or she is an MD and can also write scripts, or as in my case, a nurse practioner of psychiatry... very best of luck to you... be as honest as u can be and don't be afraid to let the doctor know what is working and what is not working... oh, one more thing, the starting dose is quickly titrated up as your body adjusts to it. dont let people tell u what u should or shouldn't be taking dosage wise, it's different for everybody. some people have a very high tolerance and take more because their body metabolizes it quickly (like me, and i have a Psychiatrist, MD now because the nurse wouldn't prescribe beyond 60 mg a day and i hit a wall on that dosage)... i take 60 mg XR every morning and some days thats all, other times i need an IR in the afternoon and that is 20 mg. good luck to u!!