Psychiatrist that treats ADHD that is severe?

[Maryloucrazy]

I'm 45, and live in Pennsylvania. I have very severe ADHD. I actually lost my job because of it. I am not surprised because I had extensive metabolic testing and it stated that I need a lot more medication dosages than most. Does anyone know where they prescribe high doses of stimulants because I need more  because  I am treatement resistatnt apparently 120mg?

[specialmom]

That sounds really difficult to manage.  I think the issue that some doctors have with prescribing the higher end of ADD medications (the stimulant type) is that at those higher doses, a good amount of side effects can occur.  The benefit of the taking the medication then diminishes.  Do you see a psychiatrist? Without insurance, I am sure that is difficult.  A clinic setting my be available to you. But that is probably your best bet to be seen by a psychiatrist that you've either worked with in the past or a new one.  On the whole, they want you to be well managed.  

There are two types of drugs, amphetamine and  methylphenidate.  Have you tried a medication in both of these classes?  One may work better for you than the other.  Also, vitamin C and citric acid can interfere with absorption so should be avoided.  I also have read that sometimes the effect people are seeking doesn't match what the drug is actually supposed to do.  You should have just normal functioning and not an amped up feeling that people might expect or want.  How do you feel on the dose you they have prescribed for you thus far and what medication exactly have you tried?  

Here's an article that might help you.  https://www.additudemag.com/adhd-medication-11-steps-for-prescribing-it-effectively/

[Paxiled]

I just want to say, seeing a psychiatrist without insurance sounds more daunting than it usually is.  While a visit to a psychiatrist keeps getting ridiculously expensive considering how little they actually do at most visits, once you're established on your medication you only have to see your psychiatrist when you feel you need to or, if you're on a controlled substance, the number of times a year required by regulation.  If everything is fine and no changes are necessary, you don't have any need to see your psychiatrist.  It's when you see one on insurance that the insurance company might require a visit say every 3 months.  That 's because an insurance company wants to see the relationship end so they don't have to keep paying for it, but any0ne who has had to see psychiatrists regularly knows that the 15 minute appointments you get on insurance are useless.  In my area, most psychiatrists (and psychologists) no longer take insurance at all, because they can get patients without it.  The only ones who keep taking it are usually ones who aren't very good and therefore can't get their own clients, or who practice in low population areas, which isn't many of them but those usually have to take insurance because the population can't afford it.  My own experience was first on insurance, and then not on insurance.  I'm as poor as can be due to inability to work, thanks to a psychiatrist I was seeing on insurance, and so to find a really good one to see if the problem could be solved I had to turn to one who doesn't take insurance because, again, those who do are usually not very good or well informed.  They are assembly lines.  So while it costs a lot I only see a psychiatrist occasionally.  It's not like a psychologist you see every week, or a doctor who does really expensive procedures on you nobody can afford without insurance.  So I would say to everyone, you probably can afford to see a psychiatrist even without insurance, so don't give up because of that.  Peace, all.

[Paxiled]

All prescribing is done by doctors, so you have to talk to your doctor or psychiatrist.