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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?

#211
post #203
post #133

Earlier quoted context omitted.

Which raises another question: - How bad can it be, if it stays undiagnosed?

My wife was diagnosed with ADD (ADHD-I) at 20 (no points for H at all, literally none). When all stimuli hit you at the same level it's really tiring. Someone clicking their pen, bird chirping outside, someone coughing in the hallway or the classroom next to you, someone picking his nose in the corner of your eyes etc. She isn't able to filter them at all. I've come home to the place being flooded because she ran a b…

Thanks for the elaborate answer.

> If you're focusing on work, or just sitting around do you even register the things going on outside?

I actually do, and took me a while to realize that not everyone experiences surroundings as I do. Definitely can relate to this, and some of the other patterns you and others described here.

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

#213
post #87

Earlier quoted context omitted.

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 ro…

Stimulants do have an anti-depressant quality in a similar sense to SNRIs. They stimulate release of extracellular neural serotonin and norepinephrine (SNRIs block reuptake of serotonin and norepinephrine. Before the accidental discovery of the first front-line antidepressants in the 50s, they were prescribed for depression. However, for the reasons you mentioned, they aren’t very good antidepressants. It’s easy to m…

Stimulants including Adderall have been formally trialed for depression treatment. They don't work.

Don't confuse the molecular mechanism of a drug for its eventual outcome. There is far more to a medication than binding affinities.

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

#214
post #171

It saved my life. I went from always being clouds in the sky, never finish any project, always in my head, wasting days away on social media, both kind and loud and inconsiderate, and seriously depressed, to somebody I can face in the mirror. It's not a cure all and it took a lot of counselling and some time to find the right medication but it turned my life 180 degrees. I no longer feel like all my dreams are runnin…

What meds worked for you?

Keep in mind that different ADHD medication might have completely different effects for different patients, and that what works for me might not work for you and vice versa.

That being said, I started with two doses of Ritalin (Methylphenidate) with 30mg in the morning and another 20mg past noon. And then switched to Elvanse(Lisdexamfetamine) with a single 30mg for the entire day.

I'd describe the difference between the the two (personally, again, mechanisms of action and cause of illness differ between people), as my ADHD being like driving a car with flat tires. The Ritalin gave me a more powerful motor, so I could simply power through the flat tire, while the Elvanse is like a spare tire.

Also as a general note, I prefer to be slightly under-medicated than over-medicated. Ideally I'd take barely enough to make me overcome my inner barrier, and then work from there with taking breaks, going by my own timing, doing sports e.t.c. which then act as a compounding and self reinforcing positive feedback loop.

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

#215
post #107

Anyone reading this should be extremely skeptical of internet strangers recommending drugs that gave them "superpowers", changed their life, etc. Taking these drugs will make anyone feel more focused, motivated, etc because these drugs are strong stimulants that cause euphoria, focus, and bursts of energy. Anecdotally, I've seen a huge uptick in posts of the format "how an ADHD diagnosis changed my life" on Reddit, T…

I recommend discarding any anecdotes from people who recently started taking stimulants like Adderall, Vyvanse, or Ritalin. The parent comment is correct in that early stimulant usage is associated with euphoria and motivation that do not last.

If someone describes Adderall like the magic drug that Bradley Cooper takes in the movie Limitless, they probably haven't been taking it very long. Tolerance quickly builds to those effects.

People who have been taking Adderall since childhood or for a decade of adult life tend to have more mixed reviews. That's not to say it doesn't have a place in treatment of life-impacting ADHD disorders, but it should be noted that it's not a miracle drug that automatically turns you into a motivated, organized person. Even patients who take stimulants must make an effort to build good time management habits and self-discipline. Those who rely too heavily on the motivating effects of stimulant drugs can end up worse off when they inevitably build tolerance to the euphoric effects and still haven't learned how to manage their ADHD.

I've also noticed a huge uptick in ADHD misinformation in the form of overly broad diagnostic criteria. If you see infographics that describe ADHD symptoms as common behaviors like "have trouble remembering names of new people" or "I sometimes forget to do all of my tasks" then it's likely junk science. Don't confuse normal human behaviors for ADHD. ADHD is something far more debilitating.

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

#216
I was in a 6 figure job as the #2 in a sales office in my early/mid 20's when I got my diagnosis. It changed my life.

I don't take any medication for it. Never have. It felt a lot like when I started going to therapy. I was able to learn more about myself and point to some things that I do as ADHD related. It helped me understand why I am the way I am.

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

#217
post #133
post #100

Earlier quoted context omitted.

One hypothesis is that, in the country where you live, there is more stigma around ADHD in adults and it is more frequently ignored or dismissed. It is an easy condition to ignore —- adults with ADHD are frequently not very “hyperactive” because even if they were as children, they’ve learned to modulate that behavior through experience. The traits of inattentive-only ADHD are often written off as laziness when in rea…

Which raises another question: - How bad can it be, if it stays undiagnosed?

How bad can cancer be, if it stays undiagnosed?

There are lots of serious conditions that, if left undiagnosed, are quite damaging or fatal.

Plus, it's often especially difficult to see how psychological/psychiatric problems affect oneself. It's easy to misattribute causes or misunderstand conditions. There are posts in this very discussion that tell how damaging undiagnosed ADHD has been.

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

#218
My thoughts upon reading this are:

1. If your ADHD hasn't made your life (at least at moments) a living hell, it's probably not something that needs to be addressed very urgently.

2. If you don't think your ADHD is a problem but a therapist thinks it might be, well... That's an ADHD thing, and it might help to entertain the idea and openly explore it with therapy and loved ones.

ADHD, whatever it really is, has made my life very difficult at times. I won't describe why because I don't think our situations and symptoms would align well enough for it to be relevant. I will say though that I managed to make it to 30 as a reasonably introspective, thoughtful, and open person without really cluing in to the fact that I had some severe problems stemming from ADHD. I know that seems contradictory, but the trouble with ADHD is that it's something of a self defeating condition. Some of your internal senses are finely tuned while others are extremely dull, and they often work against each other to suppress and hide each other. It's dangerously compounding. The people around you may never notice this, too - this only works to exacerbate your blind spots in terms of self awareness. It's often true that only the people closest to us, like a spouse or other immediate family, will ever become attuned to our issues. I can say confidently even now that my closest friends had no idea I had ADHD, and some even insisted my diagnosis was an error. I had a good job, I was disciplined, I was a good parent. I used to believe those things too, haha.

All that is to say that if you do have ADHD and think it's fine, well... It might actually be awful for those around you, and that's worth inspecting. However, if it is benign, just let it be.

Others quickly jumped to saying meds changed their life. They changed my perspective of what my life could be, which was useful. I didn't find them useful beyond that. I disliked the side effects, and I found the soft, fleeting rewiring to feel like a mental flip-flopping that made it difficult to pin down which thoughts and actions where "real" or "generated" by drugs. Just as taking LSD in the pursuit of opening your mind leads to unearned wisdom, I felt as though amphetamines lead to an unearned, poorly understood, unsustainable source of focus and executive function.

At any rate, if you're here asking us, there must be some salience in your mind that's pushing you to explore the possibility. I say yes, explore it. But do it openly with a critical mind. Don't assume this ends in a prescription. Consider it self work which could benefit you and your loved ones. Most importantly, don't assume this is a bad thing. ADHD is another permutation of human genetics and environment. It's not an innate disability or disease. You're the same person with or without the diagnosis, and the ultimate goal is to be the best you can be regardless of which mind or body you inherited.

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

#219

Have been taking Strattera for a few months and wonder how many years of my life I would have not wasted if I had been diagnosed with ADHD earlier in my life. I just turned 40 and I never thought I had ADHD until recently. Before I just thought my lack of attention on things was just the price of being a 10X on productivity (and I was a little arrogant because of it). The reality was that I chose to put my time on ta…

Did you ever experiment with Adderall, Vyvanse or Ritalin? How did you end up with Strattera? I’m trying to triangulate a course for myself and still can’t pull the trigger on any of these for fear of side-effects or dependence.

For what it's worth, my psychiatrist friend who has ADHD and specializes in ADHD practice swears by non-stimulant medications for long-term treatment.

His personal preference is Intuniv (Guanfacine). He says the only reason it's not more popular is that the start-up side effects can be unpleasant for a while and proper dose titration takes more work on the provider's side to get it right.

Stimulants don't necessarily lead to dependence, but I have seen enough adults become dependent on stimulant medication or even fall into the trap of doubling up doses or seeking extra sources that it's wise to approach it with caution. Most patients seem to use as directed, but the people who go down the path of addiction and dose escalation aren't necessarily the ones you'd expect.

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

#220

Earlier quoted context omitted.

What does "10x on productivity" mean? I thought ADHD would lead to lower productivity.

This is a common misconception about ADHD. People with ADHD have a tendency to hyperfocus on things they enjoy, to the detriment of other things. ADHD is not a lack of focus, it is a lack of Executive Function. Sometimes the Executive Function looks easily distracted because it doesn't want to do chores so it bounces from room to room cleaning one single surface in each one. Sometimes the Executive Function looks lik…

It should be noted that "hyperfocus" is more of a fringe idea in ADHD science than a well-accepted feature.

Hyperfocus can also be a side effect of stimulant medication. It's not uncommon for newly diagnosed ADHD patients to take stimulants and end up hyperfocusing on the wrong thing, such as video games or other vices.

Be careful about interpreting something like increased focus as ADHD. The pop-culture definition of ADHD has become so blurry that nearly everyone could be considered ADHD under certain criteria. When focusing too much and focusing too little are both supposedly symptoms of the same disorder, it's easy to misconstrue normal behavior for disorders. It's best to leave the diagnosis to a professional.

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