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Launch HN: Shimmer (YC S21) – ADHD coaching for adults

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Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#161
post #16

Earlier quoted context omitted.

Though I do agree with your point, the symptoms of adhd can be managed with lifestyle changes

Would be very happy to hear your lifestyle changes that manage (what does that mean?) the symptoms. Honestly if they work that would help me an others a lot. For me the symptoms are loosing around a few ten to hunderd of thousands of dollars a year (maybe even millions) in my work/career. How can my lifestyle changes manage that? No attack, really really curious.

I get it. I'm lucky enough that I can spend thousands a year to get the professional support I need but simply turning up to talk for an hour a week isn't going to achieve much, you have to put in the work to set up your life, your environment in a way that works for you to help slowly improve the chances that your have more good days than bad and not get drawn into a black hole of bad days that just sucks all your energy, motivation, will. Everyone is different but coaching should help you find the practical changes you can make to shift the needle towards more good days and less bad.

Here are two basic things that worked for me and I recommend to everyone.

1. A pill organiser. Medication helps a little, but not a lot for me, however if I don't take it I know I'm increasing my risks of having a bad day somehow. So I know I need to regularly take my pills. Problem was, I kept forgetting if I'd had a morning dose, or a lunch dose, or maybe if forgotten to fill my prescription on the weekend and ran out midweek, or forgot to pack my pill bottle. On Saturday mornings I fill a weekly pill organiser (7 removable plastic box things with 4 sections). This way I know if I need to top up at the pharmacy ahead of the work week. I also visually see if I've taken a particular dose. It's also more compact and easy to carry than bottles and blisters.

Sure it's not perfect. Last saturday night I filled it up then went to bed forgetting to take the actual dose for that night. I missed my antidepressants and the repercussions from withdrawal can last a couple of days. However, this was a much more common occurrence before I started doing this.

So that's a big change for managing my symptoms right there. Sure it might not be relevant for your situation but it's an example of a system/habit that helps manage symptoms

2. A translucent plastic water bottle with a built in straw. I'd hate to think what my kidneys look like. I've never been good at staying hydrated because (as I now know) my nervous system isn't very good at telling me about those sorts of things until it's dire. I'd easily go a whole work day without any fluids and not notice. I'd try jugs of water on my desk, or setting alarms. All to distracting. I'm also clumsy (dyspraxia como) so would end up spilling stuff everywhere, or dropping glasses.

Then someone suggested a water bottle with a straw. I was sceptical but it has changed my life and I know how stupid it sounds but I can't stress enough how much of positive impact it has had on my health and well-being.

I (and others) theorise that it's much easier to drink while still maintaining visual attention on what your doing. You don't need too engage as much hand eye coordination etc.

So there's another change.

I don't want to sound like some corny psa, but having simple systems to help support me in properly taking my medication and staying hydrated means I can take on the world freeze frame. cut to titles

But seriously. These have by no means "cured" me. But they really help. A lot.

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#162
post #106

A message to those diagnosed or not with ADHD. It's also ok to be yourself, and not try to 'fix' yourself. Shit at some aspects of life? All good. Good at some things? Great. Not saying treatment is bad, just that being yourself, with all its costs and benefits, is a completely legitimate option. Medicate always as a last resort

> It's also ok to be yourself, and not try to 'fix' yourself. Society is very clear that it is not okay with this. If I'm "just myself" then I wouldn't be able to hold down a job and survive. > Medicate always as a last resort We shouldn't be so hesitant to medicate. It can be extremely useful, especially in combination with other management techniques. This stigma against medication hurts people.

> If I’m “just myself” then I wouldn’t be able to hold down a job and survive.

this is the thing i don’t get: for someone who’s by nature not accustomed to doing things in the prescribed way, how can they be expected to resolve that via the prescribed way?

i.e. i have to meddle through insurance, appointments, specialists that cost $$ for an assessment which _might_ lead to something useful or might just tell me things i’ve already learned via other means while waiting 2 months in line (actual ADHD specialists are in high demand) and then follow through with monthly checkups and such. if part of my issue is “i just can’t do things that way”, how can the expected solution require me to overcome that before getting treatment? it’s circular; it’s a contradiction.

> We shouldn't be so hesitant to medicate. It can be extremely useful, especially in combination with other management techniques. This stigma against medication hurts people.

i have a lot of friends for whom others would label non neurotypical. i’d never use that word myself, because i’m in such a bubble that i literally don’t know what the word is supposed to mean. but they point out my habits enough that it’s clear “you should see about a diagnosis”.

of course i haven’t, for reasons you can infer from the earlier paragraph. but these friends did turn me onto some QoL improvements like alarms, journaling systems, etc, and i also found that some meds help. it’s better, but now i’m stuck in a situation where i ration meds because the only way to get them through a system i understand involves paying 10x what i’d pay if i could jump through hoops for the professional medical system.

someday i’ll get around to actual diagnosis, but, well, i’m very good at finding excuses not to. it would be nice if i could be allowed to pursue these things in my own way instead of people using the law to block off as many alternatives as they can. allow me options, let the knowledge be easy to find, and sure promote awareness so that i can understand sooner that and how my mental experiences differ from what is normal or healthy. and then let me try these different options and figure out what works best for me. why can’t i have this?

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#163

Earlier quoted context omitted.

Yeah. I mean if people cancel 20% of the time then you could pay the coaches either way and then charge 20% more for the service. At least that is what I am thinking. Maybe it wouldn’t bother the coaches as much if they’re going to get paid either way. Maybe with limits to how often this can occur without a penalty.

Hm, yes. I like it, having kind of a grace period for a certain amount of times per month. This is something I've added to our list of things to look into from today's comments. Thank you!!

Give your clients alerts. Send me a text message 15 minutes before the appointment, if its time and you've been waiting for 5 minutes call me.

Yes I know I can set up calendar alerts, but odds are I screwed that up somehow, and a call will get through.

Bonus points for telling me not to feel bad and stress too much if I'm late. If it's an hour appointment and I joined 30 minutes in, that should be okay. Yeah I've lost the unused time, but otherwise that would reduce my stress.

Also I'd rather have a change under 24 hours, be accommodated (if it's possible on your end )without an extra charge.

I can definitely see myself the day before "going wait can we move our 3:00 to 5:00 instead? And if that's not possible I may just want to keep 3:00, but if it works for everyone I'd rather have 5pm"

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#164
Oh look: another service that thinks ADHD is an inability to do scheduling or some other bullshit. ADHD is literally a neurological disorder that effects dopamine in the brain. It reduces wakefulness, concentration, the ability to filter out distractions, and the ability to motivate yourself. A software solution won't fix this. What ADHD people need isn't a normie couch to tell them to 'prioritize' differently or a bunch of shitty checkboxes to tick off. They need a licensed psychiatrist to prescribe stimulants which are effective for treating up to 85% of suffers. This service is exploitative, idiotic, uninformed, and deeming. I don't know why YC want anything to do with this. Maybe they thought people with ADHD were desperate marks and a startup could be build around exploiting them. Fuck off with that bullshit. You should be ashamed.

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#165

I like the site but it seems overpriced - a good therapist is cheaper and can do the same thing. A psychologist and psychiatrist can both clinically diagnose you and give you pharmaceuticals if needed at prices similar to the ones mentioned if you have insurance. Personally I would argue from working with some kids who have adhd in the past that more gamification and reasons to use their phone will exacerbate some of…

> I like the site but it seems overpriced - a good therapist is cheaper and can do the same thing. These ADHD coaching services come up a lot, and this is the general advice I give out: Always start with your insurance options first. Many people are surprised to learn that they can get therapy (for ADHD or otherwise) for as little as $10-20 per session through their normal health insurance. Telehealth has been normal…

My problem is finding a good ADHD focused therapist. That task seems hard, so I've never gotten around to it. I'll definitely thought in the past hey I should find an ADHD focused psych... But it never happened.

I just realized part of it is not knowing how to vet them, part is figuring out how to find availability for a psych, and then part is me not wanting to call in to set up my initial appointment.

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#166
post #42

I'm an adult with ADHD but this doesn't appeal to me because I've already found behavioral techniques that work really well for ~free. I'll try and describe one briefly: I use a free app called Virtual Motivaider[1] to make my phone vibrate every 2 to 6 minutes. I'll print a sheet[2] that has a table with two columns. Every row is the same: the first column has the text "Am I on Task?" and the second column has two c…

This sounds super useful, I'll give it a try. I definitely agree with reducing friction helping extensively, I only get so many attention points during the day.

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#167
post #163

Earlier quoted context omitted.

Hm, yes. I like it, having kind of a grace period for a certain amount of times per month. This is something I've added to our list of things to look into from today's comments. Thank you!!

Give your clients alerts. Send me a text message 15 minutes before the appointment, if its time and you've been waiting for 5 minutes call me. Yes I know I can set up calendar alerts, but odds are I screwed that up somehow, and a call will get through. Bonus points for telling me not to feel bad and stress too much if I'm late. If it's an hour appointment and I joined 30 minutes in, that should be okay. Yeah I've los…

Yes! We do 30 minutes before appointment, and coach messages once they're in the appointment! Affirming to hear your idea is similar.

We definitely have a huge culture of kindness, understanding, and non-judgemental-ness if someone misses or is late to an appointment.

Thank you for your ideas!

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#168

Earlier quoted context omitted.

Yes! Actually we kind of have a soft rule that in the first few weeks we always make sure you get your session, even if it means rescheduling last minute. This isn't of course the best scenario for our coaches who are waiting on the other end, but we're happy to invest in this to make sure our members get off on the right foot (the onboarding call is very important and must happen to start the coaching relationship).…

> We do want to set good examples and boundaries and have members practice this wherever possible, while of course being sensitive to ADHD accomodations. I would include the accommodations in the policy, then. Right now, you have a strict policy with accommodations being hidden and handed out arbitrarily instead of making them default and transparent while the vast majority of your clients will require the accomodati…

Good points. We will integrate this into the written policy.

And yes, we currently have a notification & text from the coach 30 minutes before appointment, and coach messages once they're in the appointment!

We also have a culture of being non-judgemental if someone misses or is late to an appointment. This is something several clients have cited as something refreshing and nice about Shimmer.

Mmm, yes. Totally understand. I think there's a few points I've noted today to better have our language to reflect our actual policies! Thank you for this.

Thank you for your ideas!

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#169

It's really great to see a service like this. I was diagnosed with ADHD at 30. It's shocking how much damage it can do in your life. On the outside you might see the lost jobs, career trouble and difficulty in relationships but the inner world of ADHD can be even worse. Frustration from unmet goals and shame from letting down those closest to you. Unfortunately, where I'm from insurance doesn't cover any kind of talk…

Thank you for your kind words, it goes a long way.

I was also diagnosed as an adult and unraveling the inner world is the hardest part! Then for me, is communication and understanding with people around me that I care most about.

Where are you from? I'd love to see if we can help support you (if you want)! hi@shimmer.care

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#170

Oh look: another service that thinks ADHD is an inability to do scheduling or some other bullshit. ADHD is literally a neurological disorder that effects dopamine in the brain. It reduces wakefulness, concentration, the ability to filter out distractions, and the ability to motivate yourself. A software solution won't fix this. What ADHD people need isn't a normie couch to tell them to 'prioritize' differently or a b…

Wooooaah. I don't know about this service, but I feel there would be a lot of value in having a person to bounce things off in real time / help with unblocking when things get challenging. Would that also be complete bullshit? Are prescribed stimulants the only thing that's not bullshit?
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