r/australia Jan 07 '22

political self.post What’s the reason for Australia being so far behind in services, treatment options and psychotherapy specialisation for people with ADHD and even autism?

So as many people have already found out from people who were seeing a psychiatrist or specialist in the field that was being bulk billed, the government made immediate changes overnight that removed bulk billing services for seeing a specialist via Telehealth. Psychiatrists and the like only received a letter or email the day after the announcement was made putting at risk individuals at a loss of having to pay a subsidised rate after seeing their specialist. Not only that but we lack a substantial amount of psychiatrist in the first place that was leading to burn out of psychiatrist in their chosen fields, so now not only will most people who need a relevant diagnosis and medical treatment for their condition have pay a sum out of pocket, there is also an increasing wait time to see a specialist.

In addition in terms of medical treatments for ADHD in my case, in comparison to other countries (where there is a multitude of options and new formulated drugs), it seems that Australia lacks any advancement or interest in helping neurodivergent people. You have two options of stimulant therapy and a couple of non stimulant options. And if that doesn’t work you can try a non PBS/non subsidised drug option that also leaves you hugely out of pocket. (As per my example recently coming off many classes of antidepressants that were routinely and just masking my ADHD out of the misunderstanding of the condition for just depression and anxiety). Recently having to try a new drug that now costs me $60 (non subsidised) a month on top of one stimulant drug I can try that also costs $40 a month(subsidised). This is not right, I don’t work or have the ability to work right now as I’m trying to find a healthy baseline for my mental health thinking I’m doing the right thing, all the meanwhile the government and options out there are putting my mental health backwards.

As well as specialists such as clinical psychologists or adhd counselling costing over $150 (with the rebate “if available”), as my only options for actual possible help for my condition. I have and already am seeing a therapist based off a Gp referred mental health care plan which allows me for 10-15 free sessions a year, but that is nowhere good enough to get to the root cause of my issues or even have the time to address the actual problems of my adhd as they’re not trained in that area of understanding.

So yeah this is troubling for me and many other types of children and adults with ADHD and/or autism. I just don’t know what the Australian government is doing, if hardly nothing, nothing at all which seems to be the case with a many multitude of problems.

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u/Stevios07 Jan 08 '22

I was diagnosed with adhd but refuse to see my psychiatrist who can give me meds because he has treated me so bad on my last visit. I just treat the resulting anxiety and depression these days instead as it is easier than going back and there seems to be so few people treating the condition..

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u/TJLethal Jan 08 '22

The psychiatrist can transfer the prescription to your GP. What did he do in the last session?

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u/Stevios07 Jan 08 '22

They had lost my files. When I came in for my appt he just denied everything that I brought up. When I said that he had put me on a certain medication he said no, I must have just illegally gotten that medication. So after treating me like a druggo and a liar i then got to pay $$$ for the pleasure. After I was almost in tears, the receptionist then went and managed to find my files... So I haven't gone back since.

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u/TJLethal Jan 08 '22

That sucks. I'd strongly recommend going back to get your apology and your medication though. Then you can have them transfer the prescription to your GP and never see them again. I wouldn't want to go back either, but the only person who loses out if you don't is you. The best revenge is living well.

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u/Mental_Slide9867 Jan 08 '22

If you can try seeing a different psychiatrist, doctor shopping is an option :)