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.

I am from the US and am living in malaysia at the moment and have traveled throughout South East Asia. I think the issue is not that our homes are built I efficiently, but that we just do not tolerate heat the same way that those in South East Asia do. We could open our windows and doors like they do in asia to create a draft and cool down, but it would still be warmer than we would like. Living in Asia is warmer than we would like in general.