Present Perfect: “Have You Ever Been to (a Place)?”

This may have led to a greater proportion of adults seeking stimulant treatments to help them keep up with the demands of daily life. In addition, without access to in-person recreational spaces, the pandemic increasingly drove many people to spending more time on digital media. Relatable anecdotes of missing keys, procrastination, romantic mishaps and secret signs of ADHD began to flood the internet.

Stress of the COVID-19 pandemic

So, amid the growing online community of newly self-diagnosed people with ADHD, many probably did not actually have the condition. For some, cybochondria — or health-focused anxiety after online searching — may have been creeping in. Others may have mistaken ADHD for another condition, which is surprisingly easy to do. Still others may have had mild attentional issues that do not rise to the severity of ADHD. Most traditional ADHD providers such as psychiatrists, psychologists, mental health therapists and psychiatric nurse practitioners, had monthslong wait lists for new patients. People who were newly seeking help for ADHD found faster appointments with their primary care providers, who may or may not be comfortable diagnosing and treating adult ADHD. Since demand for ADHD care exceeded capacity, new options were needed to meet patient needs. Around that time, online ADHD care startups began to pop up, reaching prospective consumers with appealing digital ads like the ones I received.

Compared with traditional care, the startup models were reportedly using cost-cutting methods , such as favoring quick assessments and a low-cost workforce. The startups were also reported to be relying on a uniform care model that did not adequately personalize treatments, often prescribing stimulants over treatments that may have been better indicated. Some of these companies are now under investigation by the federal government. Although they were controversial in the medical community, these models may also have reduced barriers to ADHD care for many people. Until the CDC releases its and stimulant prescription data, researchers like me will not know whether the trends of increased prescribing to adults and high demand for ADHD medications will continue. If the trends stabilize, it may mean that patients who have been unable to access care may finally be getting the help they need. What is clear is that the current shortage of mental health care workers who feel comfortable diagnosing and treating ADHD in adults will continue to affect the ability of new patients to get proper diagnostic evaluation for ADHD.

Edition: Available editions Europe. Become an author Sign up as a reader Sign in. Margaret Sibley , University of Washington. But these advertisements were a striking new trend. Events More events.

Been or gone ? - Grammar - Cambridge Dictionary

Ill or sick? Imply or infer? In the way or on the way? Late or lately? Lay or lie? Lend or borrow? Less or fewer? Look at , see or watch? Low or short? Man , mankind or people? Maybe or may be? Maybe or perhaps? Nearest or next?

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Never or not … ever? Nice or sympathetic? No doubt or without doubt? No or not? Nowadays , these days or today? Open or opened? Opportunity or possibility? Opposite or in front of? Other , others , the other or another? Out or out of? Permit or permission? Person , persons or people? Pick or pick up? Play or game? Politics , political , politician or policy? Price or prize? Principal or principle? Quiet or quite? Raise or rise? Remember or remind? Right or rightly? Rob or steal? Say or tell? So that or in order that? Sometimes or sometime? Sound or noise? Speak or talk? Such or so? Towards or toward? Wait or wait for? Wake , wake up or awaken? Worth or worthwhile? Pronouns: possessive my , mine , your , yours , etc. Pronouns: reflexive myself , themselves , etc. Past simple or present perfect? Used to Past perfect simple I had worked Past perfect continuous I had been working Past perfect simple or past perfect continuous? Past perfect simple or past simple?

Past verb forms referring to the present Past: typical errors Present continuous I am working Present perfect continuous I have been working Present perfect simple I have worked Present perfect simple or present perfect continuous? Present perfect: typical errors Present simple I work Present simple or present continuous? Infinitives with and without to Infinitive: active or passive? Perfect infinitive with to to have worked Verbs: basic forms Verbs: formation Hate , like , love and prefer Hear , see , etc. Negation: emphasising Negation of think , believe , suppose , hope Questions: alternative questions Is it black or grey? Questions: two-step questions Questions: typical errors Questions: wh- questions Questions: yes-no questions Are you feeling cold? Joan has not yet returned from the shop.

English Grammar: "Have you ever (done something)?" | Present Perfect

Joan has returned from the shop. Test your vocabulary with our fun image quizzes. Image credits. Word of the Day child's play. Read More. July 31, To top. Adjectives and adverbs Easily confused words Nouns, pronouns and determiners Prepositions and particles Using English Verbs Words, sentences and clauses. Sign up for free and get access to exclusive content:. Free word lists and quizzes from Cambridge. Tools to create your own word lists and quizzes. Word lists shared by our community of dictionary fans. Sign up now or Log in. Dictionary Definitions Clear explanations of natural written and spoken English. Essential British English. Essential American English. Translations Click on the arrows to change the translation direction. Bilingual Dictionaries. English—Dutch Dutch—English. English—French French—English. English—German German—English. English—Indonesian Indonesian—English. English—Italian Italian—English. English—Japanese Japanese—English.

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Above or over?