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.

Or live in a country with universal health care and stop being a second world country.