I completely agree. You do need to see your doc ASAP as well as your school counselor. While speaking with your counselor, ask him/her to help you speak with your instructor again. You need your instructor working "with you" on this. As Purplemania pointed out, your instructor has a dual responsibility: to help you learn, but also to maintain patient safety. Not only do you need to learn the nursing skills and organization, but you also must learn to successfully manage your ADD. While the school may be able to accommodate your learning needs now, you need to use this time to learn how to manage the situation. Once you are an RN, you MUST be able to keep your attention focused in situations from receiving report when 3 other people are talking to you, to taking phone orders from physicians to passing meds in a code. You must be able to filter out the chaos around you and focus on the essentials. I know of people with ADD who manage this successfully, but they work on it everyday. Hang in there, but go get the help you need. "Not wanting your instructors to know" will only complicate the situation.