"I think people at the severe end of ADHD are the ones who should be prioritised; they're the people who are most likely to benefit, and where benefits are more likely to outweigh risks.

... What we're not hearing about is psychological advanced therapies, for example, or environmental strategies that people could implement."

, 2024

rnz.co.nz/news/in-depth/534328

Are they funded in the public system, and as easy to access as medication?

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@adhd

@RedRobyn
> I guess that's a rhetorical question?

No, genuinely curious. But I certainly wasn't offered anything but meds after my diagnosis, by either the disguising psychiatrist or my GP. So if there are funded services out there, they certainly need to be better integrated into the overall care system. As well as protected from the claws and teeth of the NatACTs and their healthcare corporatisation agenda.

@strypey
I don't think there's anything in my area, either youth or adult services for anyone who is not spectacularly failing to "cope"
School age children should get support from an educational psychologist through the ministry of Education. Can't say how that would go, the kid I know who should have been getting help wasn't referred by the school before they finished, despite repeated requests for help through group teacher, dean and guidance counselor. Adults with an existing diagnosis on record can get meds through HP, previously they might have been lucky enough to get an appointment with psych to have special authority renewed. Otherwise they are looking at private for psychologist, counsellor or ADHD coach.
I'm not sure how spectacularly you have to fail at life skills to get help. Anecdotally again there's nothing in prisons. I guess if you were sectioned?
@RedRobyn
> an appointment with psych to have special authority renewed

AFAIK this dopey requirement was dropped a while back. Due to the obvious fact that neurodivergent people don't magically become neurotypical after getting a diagnosis by a psychiatrist.

> they are looking at private for psychologist, counsellor or ADHD coach

Pretty much what I've observed too, with my ADHD whānau across the motu. Funnily enough it's always services that get cut by austerity, not drugs. Wonder why ...

@strypey
Yes, it's now dropped, which is why I said previously. The lucky part is because unless you were already under the "care" of the community mental health team it wasn't certain they would accept a referral.

The school in the case I know of was particularly slack, but it's pretty telling that the dean and group teacher had no idea what was available for newly diagnosed kids, but at the same time the youth mental.health services were clear that although a psychologist's support was necessary all they could offer was meds and the rest had to come through education

@RedRobyn the classic 12 Tasks of Asterix experience 🤦‍♂️ On reflection, "overall care system" is more of an aspiration than a reality in Aotearoa these days (outside of kaupapa Māori services). Contrast this with both China and the NHS in the Uk, where my then-wife received better care as a foreign resident/ tourist than we've had in our health system here for decades.
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And in ...

"GPs and specialist nurses will soon be able to diagnose and prescribe medication for ADHD."

, 2025

rnz.co.nz/national/programmes/

Halle-f'n-lujah! About time. The simplest way to confirm ADHD is to try the meds. Neurotypicals will report totally different experiences.

to Chlöe Swarbrick who has been chopping away at this for years now, including within a cross-party working group on mental health, that she helped to set up.

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@adhd

Clearly they've been listening to ADHD specialists, who will tell you concerns about meds leading to addiction have it exactly backwards. If people with undiagnosed and untreated ADHD try illicit stimulants like meth and cocaine, and feel more functional than ever before in their life, they're going to be pretty motivated to self-medicate from dodgy sources.

As McBride mentions in the RNZ interview,

"I work in addiction service. [ADHD is] highly represented within addiction services."

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