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Ask HN: Should I medicate my ADHD?

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Re: Ask HN: Should I medicate my ADHD?

#11
> I’ve always thought of my ADHD as a superpower, as I have the ability to intensely hyperfocus and get incredible amounts of work done.

This is the literal opposite of what AD(H)D is. You either don’t have ADHD or you have (arguably) ADHD primarily with hyperactivity.

ADHD drugs are stimulants— they don’t treat hyperactivity, they treat the attention issue… and as a side effect they are likely to worsen hyperactivity symptoms.

I can’t see any rationale for medication based on anything you’ve said.

(Disclaimer: everything I’ve said is based on inferences and incomplete information.)

Re: Ask HN: Should I medicate my ADHD?

#13
Are you already self-medicating with coffee (or other stimulants)? Is the caffeine contributing to sleep disorders or physical shakes? One little-mentioned aspect of meds is that they can replace the useful effects of caffeine without the negatives.

Re: Ask HN: Should I medicate my ADHD?

#14
Ive never been diagnosed for something like that, but I am inclined to say you should avoid that type of medication unless your condition is dibilitating.

It could be the case that you are working harder than you need to, im going to make an assumption about how you approach problems, hopefully its pertinent. I would recommend thinking critically about any given task before getting into the work. When assigned a task, I look it over and try to establish the plausability of its subcomponents first; think of this as reading the instructions and questions on a timed test before foolishly attempting to solve the first equation you see. I also try to think about who cares about that task, for what reason, and why; you can think about this as using the education you received leading up to the test, rather than using math you learned outside of the class and subverting the intent of the test.

I dont know what huristics and values will be most important to you, I dont know you; but I do think you could find an efficiency benefit from first evaluating a task based on that type of thought process, rather than immediately beginning the work.

Re: Ask HN: Should I medicate my ADHD?

#15
Nah don’t do it. From your description your ADHD isn’t a huge impediment (save for the overwork) and one’s brain chemistry isn’t something to be messed with lightly. I’d posit that you’ll miss the hyperfocus if that goes or diminishes, so I’d look for other strategies like meditation or forced timeout from working rather than medication.

Also think if you hadn’t been “diagnosed” with ADHD - you’d think this was just how you were and you wouldn’t look for a pharmaceutical alteration for your unique manifestation of the human condition.

Re: Ask HN: Should I medicate my ADHD?

#16
If you have a psychiatrist, do talk to them about that.

It might be the case that you have enough systems and mitigations set-up in life that really only the parts that feel like superpower remain. Some part of that could be some degree of self-medication, i.e. I assume that many people that live on coffee, nicotine and spite do in fact have undiagnosed ADHD and switching coffee to some sort of modern amphetamine prescription would improve quality of their life.

I did get medicated fairly recently. Spent a year really flailing at work, in a way that was not usual for me, but I got to a team with little structure and deadlines, with a team-lead where we often didn't understand each other but not to a degree he would care?

I figured I hav adhd-like symptoms (the innatentive-kind) for most of my life and that I might be at a point I actually need help, took me several months to find a psychiatrist, she agreed that I fit the diagnosis, and in my country I basically had the choice between Strattera, Ritalin and Concerta. Tried Ritalin in mornings for two months and wow, for that time, 4 hours every day I could do stuff ... piles of invoices I have usually been avoiding for weeks disapeared. For the first time in my life I had the experience of actually finishing some work I thought was completely pointless. But I didn't like that after lunch I literally needed to lie down for ~hour.

Changed to Concerta, which is ~slow release version of Ritalin, effect is not that big, but still noticeable, I am capable of creating piles of invoices on Concerta, but when I take it I don't scroll on tiktok for 15 minutes before I gear up to get out of the car and go to office and instead I can just ... go work, and I like that.

Re: Ask HN: Should I medicate my ADHD?

#17
While anecdotal advice can be useful to contextualise stuff like this I would strongly be to urge you not to base this decision on advice from semi-anonymous people, and get a proper psychiatric assessment of your ADHD if you are able to. If you were diagnosed as a child it’s entirely possible that the nature of your ADHD has evolved over time. It used to be thought people “grow out of it” but this seems less well supported clinically now.

However, the impact and nature of ADHD is very much down to the individual and it sounds like you have either developed strategies to harness your ADHD or you may have ADHD impulsive/hyperactive without significant attention deficit/distraction. There is not “one type” of ADHD and this means that two people diagnosed with ADHD can have very different experience of things.

Before starting medication you should get an adult ADHD assessment and in particular the Qb Test. For me the Qb Test was particularly useful in diagnosis.

Diagnosis of, and thinking around ADHD has come on significantly in the past couple of decades so it’s likely that reassessment as an adult could have upside for you - even if you don’t end up going down a medication route - by giving you greater insight into the specific nature of your ADHD.

FWIW I was undiagnosed as a child but the symptoms were very clear - very hyperactive, very inattentive in class but due to good levels of general intelligence, ability to recall texts in detail after reading, and ability to hyperfocus (writing essays last minute, cramming for exams the day before) got high marks throughout school and college - but at significant cost to my overall wellbeing.

I was then diagnosed as an adult and have significantly benefited from medication.

As someone who used to use hyperfocus as a “superpower” and used to be able to deliver huge pieces of work by using it I fooled myself into thinking there wasn’t a problem, even though I knew there was. I actually get more done with less need to hyperfocus and feel less stressed and less “backfooted” now that I take medication. I’ve not lost the ability to hyperfocus but am bale to combine it with the ability to manage and plan, something I did not used to be able to do.

Re: Ask HN: Should I medicate my ADHD?

#18
Give it a try, before your real life troubles start mounting.

I waited too long, until my wife and I were on verge of getting divorce, and I was struggling at my job. Medication put both back on track, but man do I wish I'd started earlier.

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