Every now and again a certain disorder becomes more culturally prominent and psychiatrists get a wave of patients interested in being screened. The unfortunate part is this is what's happening with ADHD at the moment. Mostly outside of America it was always hard to get a diagnosis because ADHD is treated by 'drugs of abuse' (which really sketches doctors out.) It's a very common experience for people to try get a diagnosis only to have a doctor that either believes ADHD is BS or that the patient is just after getting high. But now there's a new stigma too: doctors who believe the condition is being massively over-diagnosed.

I think in America you should still be able to get access to meds fast. But trying to chase local doctors means all the slowness that comes from a local economy (you really want an ADHD specialist because of stigma.) I would be trying to find telehealth options if they're there. I do agree with you about the behavioral approaches. The best option IMO is pharmaceutical. Stimulants are ~70-80% effective for people with ADHD.