Some former, mostly latter. I greatly appreciate patients telling me what they believe is going on with them. That's one of my first questions. I have very smart patients that save me time and them money through very thorough self diagnosing. "These are the symptoms, my mom and brother had similar symptoms and now these same symptoms are starting to show up." They tell me what meds work and don't work for their family. I'll usually try a med they reported works if everything seems to fit and the med is appropriate. And it'll usually work. This, however, is pretty rare.
What I don't like are patients rolling in, telling me about always being neurodivergent but undiagnosed, then telling me their symptoms like they're reading right out of the DSM. Then when they do not get the med they want on the first appointment, they'll argue that a 30 second video of someone that may or may not be an actual expert knows them better than a verifiable expert spending an hour gathering extensive history through specialized interviewing.
There's a subreddit (that I've read) and I'm sure tiktok vids that detail exactly what to say to a provider to get any number of prescriptions. And they're very accurate. Even details contingencies if the provider decides to start in a different direction.
I rarely prescribe stims or benzos on the first intake. But I have. One I can recall was a telehealth visit. Whole interview, guy was walking around the house. He was showing me stuff he was working on. He probably had 15 simultaneous projects going on. Told me he used to have ADHD but hasn't had it since moving locally a few years ago, but feels like he needs to be back on it. He told me what doctor he saw in what city he lived in. I googled the doc, everything looked legit. If he was bullshitting me, he did such a phenomenal job that I wouldn't even be that mad.