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Ask HN: Should I medicate my ADHD?

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Re: Ask HN: Should I medicate my ADHD?

#81

Earlier quoted context omitted.

Are you being serious? By smoking I think you mean pot? Is it a viable solution?

Strangely, yes. I can't find a good source for you at present but I've known people who self-medicated this way and it seemed to work for them. But GP probably meant nicotine.

TBH I’ve smoked weed everyday all day long for over 20 years. Maybe that’s how I’ve gotten by but I’m wondering if there is a better and healthier alternative.

Re: Ask HN: Should I medicate my ADHD?

#82
I was diagnosed with ADHD in my 40s. I had pretty good coping mechanisms and like you I was fairly successful.

I always thought the hyper focus that comes with inattentive ADHD was my superpower. And I was a successful troubleshooter, because I was good in a crisis. I could easily detach from whatever else was going on to solve the puzzle in front of me.

But I had challenges, poor credit record, hard time paying bills on-time (or overpaying), filing taxes, performing many life maintenance tasks,and of course the attendant self-esteem, clinical depression and imposter syndrome issues.

I worked with a psychiatrist and my general doctor, mostly to edducate myself and to learn why my symptoms worked the way they did.

I started taking medicine for it 10 years ago. It has a very short half-life so you don't have to take it every day. And if you don't like it you can quit cold turkey and try a different therapy.

My credit score is excellent now (more than 200 points improvement), I'm more successful and productive at work (even when I'm bored), my depression is basically gone. I still sometimes feel like I'm a fraud about to get caught. And it's still damn near impossible for me to do things like timesheets or expense reports.

But I think for my experience, the combination of medical and psychological therapy has improved my quality of life immeasurably (except for the above measurable improvements).

Re: Ask HN: Should I medicate my ADHD?

#83
post #72

Earlier quoted context omitted.

Just because you don't like what I'm saying does not mean that it's not true. ADHD is very misunderstood. This review is almost a decade old, but it should help correct some common misconceptions: https://sci-hub.se/10.1038/nrdp.2015.20

Thanks! It looks like OP is described on page 9 of this document. So if anyone said that OP's self-reported ability to expend extreme effort to accomplish his work was indicative of him having the opposite of ADHD, I would certainly direct that person to read this document.

> OP's self-reported ability to expend extreme effort to accomplish his work

This is not the same thing OP reports. OP reports having the ability to laser-focus, and page 9 talks about an impairment on this level.

---

FTA (page 9):

> a university student with ADHD might need to work twice as hard as peers with the same aptitude to focus attention or to organize school work

This means that the ability to focus is impaired, because achieving the same result requires more effort.

---

From OP:

> 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

Unless OP meant something different than what they literally wrote, this is the opposite. This means OP believes their ADHD helps them focus intensely somehow. In reality ADHD would have the complete opposite effect.

Re: Ask HN: Should I medicate my ADHD?

#84
post #83

Earlier quoted context omitted.

Thanks! It looks like OP is described on page 9 of this document. So if anyone said that OP's self-reported ability to expend extreme effort to accomplish his work was indicative of him having the opposite of ADHD, I would certainly direct that person to read this document.

> OP's self-reported ability to expend extreme effort to accomplish his work This is not the same thing OP reports. OP reports having the ability to laser-focus, and page 9 talks about an impairment on this level. --- FTA (page 9): > a university student with ADHD might need to work twice as hard as peers with the same aptitude to focus attention or to organize school work This means that the ability to focus is impa…

Here's the OP (the user, replying, not writing the opening post) to clear this up for us.

> It just takes a lot out of me physically, emotionally and mentally. Wondering if I need to be spending that much of myself. I feel like I work twice as hard as everyone else.

Re: Ask HN: Should I medicate my ADHD?

#85
post #83

Earlier quoted context omitted.

> OP's self-reported ability to expend extreme effort to accomplish his work This is not the same thing OP reports. OP reports having the ability to laser-focus, and page 9 talks about an impairment on this level. --- FTA (page 9): > a university student with ADHD might need to work twice as hard as peers with the same aptitude to focus attention or to organize school work This means that the ability to focus is impa…

Here's the OP (the user, replying, not writing the opening post) to clear this up for us. > It just takes a lot out of me physically, emotionally and mentally. Wondering if I need to be spending that much of myself. I feel like I work twice as hard as everyone else.

Thank you, this is information I did not have when I wrote my comment.

I was responding to the main prompt, and I did write this:

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

Re: Ask HN: Should I medicate my ADHD?

#86

I was diagnosed with ADHD in my 40s. I had pretty good coping mechanisms and like you I was fairly successful. I always thought the hyper focus that comes with inattentive ADHD was my superpower. And I was a successful troubleshooter, because I was good in a crisis. I could easily detach from whatever else was going on to solve the puzzle in front of me. But I had challenges, poor credit record, hard time paying bill…

If I may ask, which meds is this with the short half-life? I've heard some ADHD meds take a lot to wear off and thus, result in sleep difficulties.

Re: Ask HN: Should I medicate my ADHD?

#87
1. Attention Deficit Disorder is a misleading name for the condition. It is primarily a disorder of executive functioning; problems with attention are secondary. People can have problems maintaining attention for many different reasons; sleep deficit is a common culprit for impaired attention.

2. ADD/ADHD (Attention Deficit Disorder/ Attention Deficit Disorder with Hyperactivity) are frequently misdiagnosed, often over diagnosed. A clinical interview with or without a screening tool is insufficient for a valid diagnosis. Yet, it is the most common form of diagnosis for ADD/ADHD. A comprehensive neuropsychological exam is needed for a valid diagnosis.

3. Exercise works as well as meds for treatment of ADD/ADHD. However, exercise is shorter acting than medication. https://nutritionfacts.org/video/treating-adhd-without-stimu...>

Re: Ask HN: Should I medicate my ADHD?

#88

Are you smoking? if so, you are already medicating yourself

Are you being serious? By smoking I think you mean pot? Is it a viable solution?

Yes I am serious and I meant nicotine. Many ADHD people are already addicts usually the worst form of it: cigarettes. It is a nootropic with a big health tradeoff. So don't consider yourself unmedicated if you are a user.

In my case, cigars help me a lot, much more than dopamine stimulants. I think acetylcholine stimulation should be studied more by the pharma.

Re: Ask HN: Should I medicate my ADHD?

#89
One thing to think about - if you ever want to be a pilot, the FAA makes things incredibly hard if you’re on ADHD meds.

(It’s hard if you have a diagnosis, but child diagnosis is a different story than taking meds as an adult).

Maybe not a factor, but too many people are blindsided by it when they try to get their medical.

Re: Ask HN: Should I medicate my ADHD?

#90
YN is about the last place for medical advice of any sort, especially around ADHD. Just look at the comments, A LOT of weirdos getting out of their basements. Or anything covid related.

Being mildly competent in tech doesn't translate into medicine, but you have a loooot of inflated egos around here.

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