u/Honest_Direction7792

I got an ADHD assessment through Klarity years ago (it was the most accessible route for me) and was prescribed adderall. It seemed to help a lot with procrastination, studying (I was in nursing school at the time) actually STARTING tasks instead of sitting and letting myself get overwhelmed with all of the steps, responding to emails and texts, etc. The only downside I had was that when it wore off at the end of the day, I experienced some mild dysphoria. But the pros of being on it MAJORLY outweighed the cons.

About 4 months into being on adderall I had a sicide attempt (2nd one in my life). I had a lot of personal things going on and have struggled with depression all my life. I was hospitalized for a week, then discharged with outpatient follow up. The psychiatrist I saw outpatient, at the first appointment we had started asking about my adhd, how long I’ve been on adderall. He kind of rolled his eyes when I said I had an online assessment done, and said “I’m going to discontinue the adderall. We need to treat your anxiety first. I think the adderall contributed to your s*icide attempt.” I didn’t put up a fight at all but was kind of surprised that anxiety and ADHD can’t be treated simultaneously? I mean, I feel like my ADHD causes a lot of my anxiety?

Anyways, I see a new psychiatrist now (that I’ve been seeing for over a year), and I asked her for an ADHD assessment which is in a few weeks. I just feel like I’m back to struggling with all of the things I mentioned earlier. I’m curious what her thoughts are/if she’ll even think I have ADHD? Idk what to think anymore.

For context, I’m an ED nurse so things can get pretty chaotic/handoff is not always the best. I was in the middle of a hot mess in a pt room when a coworker told me she was bringing me over a pt that needed Q1 vitals/Q2 neuros. I told her sounds good, no worries I can read the chart (so I didn’t get much of a report at all, in hindsight that was a bad move. But I knew this coworker was at end of her shift and charge asked her to move this patient last minute/I didn’t want her to have to wait until I got done in the room I was in to give report, so I was trying to be accommodating).

Anyways, I got out of the room I was in and went in to do my initial assessment on the patient she brought over: pt was A&Ox4, pupils round and reactive, vitals stable, but had no grasp strength bilaterally, couldn’t lift L arm, could lift R arm but had drift, could not lift BLE. Had mild numbness/tingling on all extremities. I took a quick look at the triage note, all it said was she was transferred from another hospital for new onset weakness and abnormal CT findings. Pt had gotten admitted the same night so I didn’t have much in the chart yet to review. I took a look at the last nurse’s neuro assessment and it looked similar to what I was finding, but some components of the neuro exam were missing + I just felt like I didn’t have enough info to confidently say that her neuro exam was unchanged from prior. And I felt her neuro exam was very concerning if these were new changes, so I paged the covering MD (we do have the option to secure chat). He called me right away, he was very nice but basically said yeah that’s why she’s here, she has discitis and a c spine abscess, needs to go to OR. I apologized and explained that pt was new to me and I didn’t get much of a report and he understood, but I felt kind of dumb for paging since it sounded like my neuro assessment wasn’t any different from his.

I guess my question is, in this situation would you have been annoyed at receiving a page? Or was this appropriate?

And yes, I made sure to give a very thorough report to the nurse I was handing off to on my assessment findings, lol