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Ask HN: How did an adult ADHD diagnosis help you?

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Re: Ask HN: How did an adult ADHD diagnosis help you?

#31
post #2

I've been on medication for about a week now and I've not thought about offing myself once since starting. That seems dramatic but honestly that used to be the default go-to answer for any problem that couldn't be resolved within a day or so. Seems a bit excessive of a response to problems now.. It really looks like my depression might be rooted in undiagnosed ADHD. I can also if not properly focus on tasks at least…

ADHD meds (psychostimulants) are fast-acting anti depressants. I hope the regiment works out regardless of the underlying condition they're helping you manage, but just another perspective.

ADHD meds are definitely not antidepressants.

A sense of euphoria can be a side effect of early treatment, but that's not to be confused with an actual anti-depressant effect.

Some (unfortunately many) users get stuck chasing that initial sense of euphoria with continued dose escalation requests, or by playing games to only take doses on certain days of the week or even by doubling up doses on some days. This is a road you don't want to go down.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#32
post #18

I'd recommend everyone who thinks he or she has ADHD to keep in mind that there are clinics who literally make money by diagnosing you. So make sure you don't go to one of those. This is a problem, even in the Netherlands https://www.trouw.nl/zorg/in-de-adhd-fabriek-is-de-diagnose-... I wish I could find a translated version for you. Anyways, Methlyphinidate (ritalin) should be your very LAST step. Before that, clean…

It sounds like you actually have ADHD but can control it with the perfect environment. Others are not so lucky; either lacking the ability to create the perfect ADHD haven or that haven only working for a while before they relapse.

> Anyways, what exactly do you think you have to gain by being "diagnosed" with ADHD? Except for an "excuse" for your problems?

Please don't dismiss mental illness this way.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#33
I am medicated for ADHD, and my goal is to one day get off the meds, maybe in 5-10 years. Sounds like you've been functioning pretty well without them, which is a great reason NOT to start.

Have you gotten any encouragement from people in your life to investigate ADHD, or is it just this therapist? I was encouraged by teachers and loved ones to look into it starting in grade 2, finally got a diagnosis about 5 years back.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#34
Before my diagnosis, ADHD was my kryptonite. I thought I was lazy, I couldn’t accomplish the things I needed to. It pushed me into depression and was quite hard.

After my diagnosis, I felt like ADHD became my superpower. I know how to play to my strengths rather than my weaknesses. I know if I have an interest in something, I can dive into it and produce great output, and for tasks that need doing which aren’t interesting, I have coping mechanisms and medication if necessary.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#35
post #12

So my take maybe isn't the healthiest on this, not sure. If you believe you have ADHD, and your therapist believes you have ADHD, BUT your life isn't negatively impacted by it , why start treatment now? Ask yourself if you have any negative impacts from ADHD. Ask your spouse. Personal relationships, professional work, all aspects. If the answer is no, then why bother? Source: ADHD treatments that left me a zombie whe…

I concur, and I think OP has the answer already. I went to a psychiatrist (diagnosed at age 34) because of significant problems that were getting in the way of life, but if that's not the case for you then there is no justification for the time and expense of treatment.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#36
I spoke to my doctor last year about this, was referred to a therapist, and was diagnosed (I’m a bit younger (32) and like you continue to grow, have a long-term stable marriage, good savings, great life. There were a lot of signs, but primarily I had trouble staying focused even for a few minutes. To have a productive morning and not get derailed, I would need to have an app like Routinery to walk me through what I needed to do step by step before work.

I decided against medication for a few reasons, but to deal with it is a daily exercise. I have to put up guardrails or I can lose hours / day with distracted activity. I find it’s tightly correlated to how much time I spend on technology.

Meditation, prayer, down time from technology (physical news paper and Economist in the mornings) all help to start the day focused. I’m considering re-arranging the house to have a room dedicated to technology and everything else in the house be low-tech, higher quality forms of recreation (books, musical instruments, board games, etc). That will, in theory, allow me to put time boundaries on how often I’m around technology. Another big thing I did was stop drinking. I did an A/B test at the start of 2020 - 2 months not drinking followed by 4 months of drinking, and by June I decided I was done. I still taste different things if my wife has one or I’m making drinks for others, but haven’t had a full drink since last June. NA beers have been great.

Books that helped me: make time, essentialism, digital minimalism, (an extreme but easy read recommended on here) - “better off”

Part of my hesitancy for medicine was that I didn’t want it rooted in self-improvement / optimization. I think there was some burn out mixed in and I was looking for the next step to optimization with medicine. I figured it would be better to fix the system rather than over-optimize for what I was doing. If I can’t naturally deal with it, then maybe I shouldn’t be running that hard.

If I get two-three hours of focus now per day it’s great.

Perfect is the enemy of the good, and I am generally happy and see no need for that much optimization. If it was really impacting my work and life, I’d reconsider medicine.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#37
post #12

So my take maybe isn't the healthiest on this, not sure. If you believe you have ADHD, and your therapist believes you have ADHD, BUT your life isn't negatively impacted by it , why start treatment now? Ask yourself if you have any negative impacts from ADHD. Ask your spouse. Personal relationships, professional work, all aspects. If the answer is no, then why bother? Source: ADHD treatments that left me a zombie whe…

That's the healthiest take. Severity of any disorder is a function of its effect on the person and the person's social and life function. If these are minimal and minimal, IMO pursuing medication is really not warranted.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#38
post #12

So my take maybe isn't the healthiest on this, not sure. If you believe you have ADHD, and your therapist believes you have ADHD, BUT your life isn't negatively impacted by it , why start treatment now? Ask yourself if you have any negative impacts from ADHD. Ask your spouse. Personal relationships, professional work, all aspects. If the answer is no, then why bother? Source: ADHD treatments that left me a zombie whe…

As someone who has found ADHD medication to be hugely beneficial, I completely agree with you. Treatment has its tradeoffs. In general, stimulants greatly improve my quality of life. But at the same time, they can wreck my appetite and make me prone to anxiety and irritability. And dealing with the bureaucracy of scheduled medications is a serious headache. If someone is happy with their life and their symptoms aren't negatively impacting them, then what's the point?

Re: Ask HN: How did an adult ADHD diagnosis help you?

#39
It's helped me understand the pros and cons of an ADHD diagnosis, it good to know that you're not alone in a sea of neurotypical people. It's helpful to understand ADHD and share your learning with people who are close to you. For me and it seems like you as well, the challenge hasn't been with work and life in general but more with relationships with people closest to me - read up on RSD. It's also fun to understand all those coping mechanisms you've developed over the years. Use it as an opportunity to learn and explore.

Re: Ask HN: How did an adult ADHD diagnosis help you?

#40
post #18

I'd recommend everyone who thinks he or she has ADHD to keep in mind that there are clinics who literally make money by diagnosing you. So make sure you don't go to one of those. This is a problem, even in the Netherlands https://www.trouw.nl/zorg/in-de-adhd-fabriek-is-de-diagnose-... I wish I could find a translated version for you. Anyways, Methlyphinidate (ritalin) should be your very LAST step. Before that, clean…

> Anyways, what exactly do you think you have to gain by being "diagnosed" with ADHD? Except for an "excuse" for your problems?

For me it helped me realize that I not normal.

I excel at certain things (creative thinking, handling unexpected situations) and I'm hopeless at others (following through on plans that doesn't have to be acted on daily).

I have decided to not use it as an excuse and told my wife so so she doesn't feel sorry for me.

I've decided to exploit my disability for all that it is worth: I deal with tricky customers at work because it is easy for me, I wake up before certain others goes to bed etc etc. I am different and I not only accept it but actively enjoy it and take advantage of it.

Also I know I speak out more easily than others so I accept that I should raise my treshold for when to speak out.

My life has become better after doing this.

Oh, and not a bad word about Ritalin, but be aware that for some it works wonders, for others it has nasty side effects (muscle tension, weight loss) and also the exact brand and capsules makes a difference (yes, they are supposed to be identical but I guess it is something about the microbiome because I have seen it too many times no so.)

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