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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

#231

Post by sadhd »

annie_muss wrote: post #203
sdwr wrote: post #186

Earlier quoted context omitted.

ADHD and stimulants are codefined. That doesn't prove anything, it's a circular definition. The people who got exercise, slept well and kept meaning in their life avoided falling down the hole. They aren't in the study in the first place.

> The people who got exercise, slept well and kept meaning in their life avoided falling down the hole. They aren't in the study in the first place. The people who kept up with a well planned exercise routine, slept well instead of trying to catch up with work at 2am in a mad rush, and had meaning in their life because they didn't push their friends away with uncontrolled emotional outbursts? Perhaps they aren't in t…

They almost assuredly do not have adhd. Please folks, stop pushing this crap. Exercise and diet all require expenditure of executive function you don't have. Barkley explains it best. Yes, physical activity and diet improve your executive function like properly inflating your tires improve your gas mileage. At the end of the day you have a physiological disorder that needs a coordinated treatment of both stimulants and cognitive behavioral therapy along with compassionate people surrounding you. Start with your GP and if you hear the "muh, you don't need drugs" "just get more discipline" bullshit, find another gp and make sure they help you get a referral to an adhd expert who knows what executive function disorder means.

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

#232

Post by sadhd »

SOLAR_FIELDS wrote: post #196
sdwr wrote: post #186

Earlier quoted context omitted.

ADHD and stimulants are codefined. That doesn't prove anything, it's a circular definition. The people who got exercise, slept well and kept meaning in their life avoided falling down the hole. They aren't in the study in the first place.

My problem with this comment is that the other argument is well demonstrated with a litany of scientific literature - whereas this argument is at best interpretation unprovable.

*If you are talking about the exercise and diet fixes adhd research...A litany of scientific literature with studies that closely follow and ensure compliance with protocol? Or perhaps incorrectly select cohorts because those with adhd are not going to be compliant without being cornered and forced?

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

#233

Post by sadhd »

LocalH wrote: post #208
annie_muss wrote: post #203

Earlier quoted context omitted.

> The people who got exercise, slept well and kept meaning in their life avoided falling down the hole. They aren't in the study in the first place. The people who kept up with a well planned exercise routine, slept well instead of trying to catch up with work at 2am in a mad rush, and had meaning in their life because they didn't push their friends away with uncontrolled emotional outbursts? Perhaps they aren't in t…

Perhaps those also absent from the study are those with ADHD, but whose family accepted and nurtured it instead of projecting onto them and never listening. Those people don't usually need to mask and don't end up mentally underdeveloped because the people entrusted with their care actually cared about them , rather than trying to "mold" them into something they're not. Seriously, why does ADHD and other neurodiverge…

My family loves and accepts me and my sons. They still push the same bullshit here. You can't jog your way out of adhd and "you just lack discipline" is literally "telling a woman they deserve it for looking like a slut" level of being totally off the mark and clueless. I even have a significant amount of multi-discipline training and actual professional research under my belt and they ignore me and the experts I seek for help.

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

#234

Post by sadhd »

sadhd wrote: post #232
SOLAR_FIELDS wrote: post #196

Earlier quoted context omitted.

My problem with this comment is that the other argument is well demonstrated with a litany of scientific literature - whereas this argument is at best interpretation unprovable.

*If you are talking about the exercise and diet fixes adhd research...A litany of scientific literature with studies that closely follow and ensure compliance with protocol? Or perhaps incorrectly select cohorts because those with adhd are not going to be compliant without being cornered and forced?

*HN is hard to follow. Do you mean "research supports stimulant first" or "research on people who self identify with adhd and are fitness nuts shows"

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

#235

Post by sadhd »

tsol wrote: post #187
Uptrenda wrote: post #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 b…

Stimulants don't work for everyone. Or like for me, they stop working after some time.

This is an unfortunate truth. The physiology of how methylphenidate and dextroamphetamine work in the mid brain allows the brain to "correct" for the solution, sadly. You will need to work with experts to properly manage your medicines. I have used ritalin/Concerta and tried Strattera, catapres, SSRIs, etc. Only stimulants worked. The hardest part is that the government forces you to not use drug holidays--Yay government....so helpful.

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

#236

Post by sadhd »

TurkishPoptart wrote: post #223
Uptrenda wrote: post #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 b…

I work with a psych and take the stimulants, and still struggle. Medication is only half the battle. I would recommend checking out Andrew Huberman's podcast episode on ADHD. Basically, as I understand, the medication "smooths out" the pathways that are "blocked" in the dopamine system. Once medicated, I think a treatment plan like this would be very helpful for me and for others.

Have you watched Dr. Russell Barkleys series? https://youtu.be/sPFmKu2S5XY. I have actually done professional research into executive function and working memory--not a PhD but have one masters and nearly through another. His explanation lines up with the physiological psychology that I have learned.

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

#237

Post by sadhd »

treeman79 wrote: post #220
Uptrenda wrote: post #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 b…

Your correct. But some of us can’t tolerate the medication.

I hear you. I had very bad reactions to some of the medicine used for adhd. SSRIs, Strattera, catapres/clonidine. And I refuse to use amphetamines although my sister has success with them.

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

#238

Post by sadhd »

cauthon wrote: post #2

Why do you describe your product as "coaching", and not "therapy"? Is this a marketing decision because of a perceived stigma around the term "therapy"? (The re-branding of CBT/ACT to "coaching" and "training" instead of "therapy" strikes me as odd, I don't understand the emphasis on avoiding the term.) Will your company be accepting medical insurance? $350/mo (~$90/session) is roughly half of what billed-to-insuranc…

Coaching probably does not require part 21 compliance. It's like "this is not intended to treat any disorder..." disclaimers on supplements. FDA compliance is exhausting and very difficult/expensive. They might have gone through it. Don't know.

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

#239

Post by sadhd »

jotm wrote: post #191
Uptrenda wrote: post #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 b…

This is what I would've thought not even a year ago. Having tried pretty much all the stimulants (oh DNMs how I love you) and currently taking one, I almost can't believe I have to say medication alone is not enough.

Yup. You will also need to externalise your executive function and working memory. Get a fitbit to buzz for all alarms so that you don't miss meetings, etc because you silenced your phone and turned off buzz.

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

#240

Post by sadhd »

curiousgal wrote: post #184
Uptrenda wrote: post #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 b…

I am curious, how do you explain the chasm in ADHD diagnosis between the US and Europe (or anywhere else really)? Surely if it's a purely neurological disorder, it should be somewhat "uniformly" detected across the globe, no?

Europe maybe doesn't hire beautiful people to push drugs on prescribing doctors? Maybe Europe has better surveillance?
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