Second session and some ideas

I didn't have enough reason to start over again, so I went to my second session with the same person to explore my challenges. When I mentioned my reasons for wanting to consider ADD still and doubts of her dismissing it, she explained that she hadn't ruled it out, but wanted to leave addressing it until after we've tried more conventional ways to help with my work. The idea there is that if it works, then ADD isn't enough of a problem to attack directly, but if it fails, then we need to explore other approaches and causes.

Her technique idea was sound: make a very short list each morning of what to work on that absolutely has to be done that day, and one thing to work on in the evening(s) toward my personal goals (i.e., the house project). For the weekend, it can be one or two things for personal productivity, but not too many, being sure to leave time for my own well-being. I'll give that a try. I think the reason I'm still hesitant about her approach is that I'm about problem solving at a systems level, and finding out the cause and as many details as possible about the problem. Maybe after the third session, I'll look into seeing a psychologist instead of a social worker, with the idea that psychologists are more versed in the analytical approach I'm expecting.

She also talked about the difference in cost through my insurance of seeing in-network and out-of-network providers, and she's not on the provider network. Next visit, I hope to clear up the options I have as to seeing her or someone else after this with my insurance. My wife wisely caught on to the fact that I was stressed out about that, obsessing over being able to be diagnosed partly because I felt I needed that ASAP in order to be able to continue care, and not "dead end" before getting somewhere meaningful. I have another reason to crave a diagnosis too though: my own root-cause technical approach. I was trying to think of the part about stressing on the diagnosis for insurance reasons during the session and couldn't remember it when it was my turn to talk, and she said I could leave her a voicemail when I thought of it. I don't think it's necessary though, since we can address that at the next visit along with the billing details she was going to provide.