Man. I hate to shill, but…

I faced many of those same issues, and after a year and a half of failing to set up testing, my doctor told me to go to adhdonline.com - they offer online testing for $180, and give you results back in like a week. She’d already given me an ADHD testing referral, and she suggested that my insurer would probably reimburse me for the cost, but I have ADHD, so I never bothered with it.

It took me about 4 hours to do the test (but I did it while I was sitting through a day-long virtual meeting where I had to be present, but not ‘present’. So like, it probably won’t take focused people that long.)

And - yeah. Morally, it sucks. It’s feeding into the commodification of someone’s job and is morally kind of like using Uber or AirBNB. It’s convenient and maybe cheaper. Maybe it upsets a system that could use a little upsetting, but will likely upset it too much and have unforeseen impacts.
But it worked for me.

$5k?! A doctor's visit is $250 for me (insurance doesn't cover anything until I never reach the deductible). Also there were only like 2 tests totalling 20-ish questions. The hardest part was making an appointment, which I never would have done if I wasn't also making appointments for other pressing health issues.

I literally got my diagnosis in one day at my PCP as he went through the DSM 5 criteria and asked some questions about my childhood. It took 30 min and he was not a pill pusher. He does not ever prescribe stimulants. I tried his nonstimulant medication recommendations after feeling the need to have some intervention and they were terrible. When I asked to try a different treatment, he referred me to an in network psychiatrist and things were smooth sailing. The same was true for my two brothers who were also diagnosed as adults and one was diagnosed in another state also at his PCP.

All that being said, I think people make the jump to a psychiatrist too early when they can seek screening at a PCP first. I had to answer a few more questions for onboarding at my psychiatrist, but I never ran into any issues. I also did not have to pay for an ADHD screening because I had already been diagnosed at my PCP.

Ahhahhha... I'm trying for 3 years now to get the diagnostics done. I'm in europe with government regulated healthcare and still pay my medications out of pocket, because its only covered with a formal diagnosis which I can't get anywhere.

Yeah, but if you're disabled and broke you get free healthcare in America...

Source: That's why I'm not dead.

I had messaged my doctor's office sometime in Aug last year, they said to call and schedule an apt with my doc. So I went to my physical some months later, December maybe, and they brought it up. I confirmed, we talked, and they said they would refer me to a local place that does screenings, but it would probably be a few months wait. A few months later I go in to my doctor for a shoulder injury, and followed up about having never received contact from that other place. They looked into it and the referral never got made and sent. Not ideal, but I've been at it for 30+ years so what's another couple of months. It has also now been more than a few months and I still don't have a call back.

I enjoy my doctor and the office, but I think it's time to find a new doctor's office.

I'm 53 now and was considering getting an official diagnosis a few years ago, I even had the initial appointments set up.

I canceled it, because there was too much going on in my life at that moment (even got a notification I could reschedule for later)

All that made me think about what I was hoping for from diagnosis. In the end it was just having something in writing that would help me with self-acceptance.

Around that time I also was in a group psychotherapy so I talked about that and that part is now solved.

Regarding meds - I don't want to try them now as my other coping strategies are good enough at the moment and I'm a bit wary of side effects as I need to take a handful of. medicine every day, anyways.

In the end you need to decide why you want a diagnosis. If you want to try meds I'd go for it. (My son "inherited" it from me and had meds for a time, which really helped him).

In a case like mine where I didn't expect any new strategies out of it or didn't want meds - it was probably the right decision to skip it.