Anyone who has an ADHD diagnosis should also look into ASD. Comorbidity rate data range between 33% and 80% between ADHD and ASD. I’ve only discovered that recently after 10 years as an adult with ADHD. Since then I’ve been looking into the past and recalling things like toe walking as a child, intense sensory issues, painful social interactions, and speech issues. As I’ve done so I’ve also connected with a lot of su…
My ADHD founder toolbox
251–260 of 413 posts
Re: My ADHD founder toolbox
#252Earlier quoted context omitted.
I don't care about stigma, but comparing a drug to a wheel chair is just ridiculous. I don't want to get addicted to another thing in my life, here in Europe we're quite familiar with (ab)using speed (amphetamine paste) and the idea of being on speed every single day seems pretty bad. I don't feel "more like myself" on speed and I seriously doubt most positive effect would persist after a year of using and rising tol…
> I don't care about stigma, but comparing a drug to a wheel chair is just ridiculous. Why? Just because it comes in a pill form, instead of being conspicuous, doesn't make it any less of a help for a medical condition. > I don't want to get addicted to another thing in my life, The point of this comparison is that "being addicted to" ADHD meds is not in the category of "being addicted to heroine" - it's in the categ…
Seems pretty strange that I should take your sourceless claims as gospel over theirs.
>Stimulant medication aren't speed, they're like "1/100 speed".
These are literally two identical substances with almost identical effects (the only difference is the ration of amph salts). Difference is dosage.
Can't understand why would you claim what you say, when Adderall is used and abused in the same exact manner as amphetamine paste is in Europe. Anecdotally I hear in USA they throw it at you like candy.
>But comparing them to speed is just wrong and irresponsible,
I stand by what I said, if you saw the numbers of amphetamine addicts on the street in USA the same way you see opoid addicts, you would have a different national perspective on these drugs.
>it makes people afraid of trying what could be effective treatment
Yes, they should be cautions in my opinion.
I personally am not taking any new chances with addiction, even though I'm sure I would have benefits, at least short term.
I'll just hobble along. Using crutches can make physical rehabilitation impossible.
Re: My ADHD founder toolbox
#253I diagnosed when I was like... 8 years old. From then to 17 I was on various meds, finally gave them all up. So for about 22 years I've coped with ADHD without meds. I am a Staff Engineer and make a good living, respected in my field. Regardless of anything else, I think the key thing to remember about ADHD is that you do not need to be a high-performing human being, at all, in life. You will forget things and get di…
This.
Everyone has their own genius. Go find it. It might be
Re: My ADHD founder toolbox
#254I diagnosed when I was like... 8 years old. From then to 17 I was on various meds, finally gave them all up. So for about 22 years I've coped with ADHD without meds. I am a Staff Engineer and make a good living, respected in my field. Regardless of anything else, I think the key thing to remember about ADHD is that you do not need to be a high-performing human being, at all, in life. You will forget things and get di…
Quoted post unavailable.
Re: My ADHD founder toolbox
#255As someone who is also battling ADHD, I feel super anxious reading the comments here all talking about X and Y medicine, which I am super not wanting to do. I used to do therapy but I found my therapist was making videos on Facebook about a few things I told him (though I was never named but I felt this was a huge breach of trust). I exercise quite a bit. (lots of cardio and core exercises, I particularly enjoy barbe…
I have existed with ADHD all my life without knowing. I knew something was different though.
I have a mini version of myself who has it a bit more severe which is where I finally worked it out and got a diagnosis. I am however only on the cusp and there are somethings that the Dr is 'confused' about.
I haven't 'needed' meds however IF i was growing up now I probably would be prescribed.
My personality (and if impulsive ADHD creates my personality, who knows) has led me down a tremendously exciting life. Curiosity kills the cat (but that is why a cat has nine lives).
I would encourage everyone to not use their ADHD on ADHD. So meta. Get Hyper Focus on it. I would encourage those to use it to find what they are about. What they like and interest in life.
Yes, its an absolute ball ache at times (procrastination) but there is magnificence out there and it unfolds when we look (in my opinion).
So, balance it. Know what is going to be good for you (sleep, exercise, healthy living) but also know that you can fuck around in life. It is a perfectly acceptable pastime and your internal guide will show you the way.
Do what you want in life. This is independent of ADHD.
How is that for woooo-hoooy?
Re: My ADHD founder toolbox
#256This short scene from Malcolm in the Middle is the best explanation I've found of ADHD as an adult: https://www.youtube.com/watch?v=AbSehcT19u0 He tries to turn on the light, the bulb is dead, unscrews it, then as he's getting the bulb the shelf in the cabinet it's in is loose. He gets a screwdriver to fix the cabinet, but the rails on the drawer the screwdriver's in are squeaky. He gets some WD-40 to fix that, but t…
Also known as Yak Shaving in our industry :) Still, the reference to ADHD is definitely valid!
It would be if she came home and he's repairing his circular saw or something. Why is he doing that? It's because the ladder's broken, and you need the ladder to reach the light bulb, and to fix the ladder you need the saw.
So, a seemingly unrelated task that an outsider observing you might be surprised that you're engaged in, but which is required to allow you to solve the problem at hand. That's "Yak shaving".
Whereas he doesn't actually need to fix the shelf, or lubricate the drawer, or fix the car.
The only thing that would make it better is if he'd somehow managed to misplace the lightbulbs along the way, with Lois's looking annoyed over a forced candlelight dinner.
Re: My ADHD founder toolbox
#257Earlier quoted context omitted.
The graveyards filled with former hobbies that many with ADHD can attest to tell a different story. One where perseverance through frustration is not only relevant to one’s career, but possibly also one’s happiness. Sure, acceptance of the limited arc of concentration and limited frustration tolerance is essential. But that doesn’t preclude people being happier when they become able to actually stick to things for a…
The issue with your reasoning is that what you describe is not ADHD. It's not a decease. It's nothing wrong. It's normal. It's human. It's pathetic to read about how people take drugs or want to take drugs because they have difficulties to focus on reading a book or focusing on a hobby or a boring job. Sure there are people who really have issues and really have ADHD, but in those cases it's pretty obvious. People wa…
Knowingly starting taking mind-altering substances because you have a problem is NOT easy. That’s as simplistic as saying that “women who abort are just looking to have fun without consequences”. They usually do it because they are desperate and have exhausted all other options.
Here’s what went through my head when I put that first pill in my hand: “I might need to take this expensive drug every day for the rest of my life”, “I hope I don’t get nausea like with the previous one”, “How much will this change me? Will I still be me?”, “I am doing this for my family”.
Re: My ADHD founder toolbox
#258Earlier quoted context omitted.
It’s not on you. An enormous amount of stigma surrounds the use of stimulant medication, even if it’s one of the oldest and most studied psychiatric meds there is. And the stigma is continuously reinforced by all the people who don’t need it abusing the meds. Sure, there’s also some risk for patients using them properly, but for them it does not compare to the sheer benefits provided by the meds.
You are not deficient in stimulants. So using them is not the answer. Instead, look to nutrition. https://pubmed.ncbi.nlm.nih.gov/24321736/
However there's a general understanding of ADHD (and related disorders such as ASD) as a spectrum of conditions with multiple contributing factors. Depending on the person ADHD will manifest with more or less hyperactivity, distractability, working memory issues, and lacking emotional regulation (among other things). Different causes combine to give a somewhat amorphous disorder with a range of common symptoms.
So adding a new treatment with fewer downsides (because stimulants can have a few) is great, especially as it might treat aspects of the disorder that aren't treated by stimulants. But this doesn't mean stimulants won't still be relevant in the future.
There's there's also plenty of research showing specific dopamine receptor dysregulations as contributing to ADHD. See for example https://www.researchgate.net/publication/364120700_Dopamine_...
So unless the research also shows that this is caused by pyridoxine metabolism problems, these hypotheses can both hold at the same time.
Picking some paper that talks about different causes doesn't mean other causes aren't still relevant. It will probably be decades before we can definitively rule out contributing factors.
PS It's generalizations like yours that are very stigmatizing towards stimulant use. We already know many people benefit from them enormously and significant numbers are not getting or taking them due to stigma.
Re: My ADHD founder toolbox
#259Regarding meds, are people willing to share what kind of doses they are on? I take 27mg of Concerta, and I remember talking to someone taking like... 5x that? And being quite shocked, but there's always that curiosity about what dosages makes sense.
A combination of factors made me decide to stop taking Vyvanse: a probably unrelated health issue, 40 mg of dextroamphetamine per day gave me unpleasant physical side effects, and my realization that 5 years of medication had profoundly hanged my habits and self-concept. I decided to see if I could go off meds and sustain the benefits. So I tapered off (no dependence!) and for 6 years I relied on habits, strategies, exercise, nutrition, healthy sleep and meditation.
But I am now taking Vyvanse again and there is no doubt in my mind now that no amount healthy living can do what Vyvanse does.
My current dosing: on a day to day basis, I take 0, 15, 30 or 45 mg of Vyvanse depending on what I need to get done, my energy level, and my habituation. I drink coffee with it because I find that caffeine helps me keep the Vyvanse dose lower. I organize my life to maximize the value of my medicated time. I experience a clear step function in executive functioning between "slightly too little" and "enough" Vyvanse and I can feel the gears shift in my head, takes about 5 seconds, as the drug concentration in my body crosses the threshold. I move the dose up and down in 15 mg steps and when reducing my dose I spend 2-3 days at each level to avoid crashing. I take Vyvanse holidays two to six weeks long, two or three times a year to reset my habituation and fix any sleep deficit. After a holiday I get the full therapeutic effect from 15 mg. My goal is to generate enough high-quality executive function hours to fulfil my responsibilities, but keep my dose as low as possible. It seems to be working so far.
Re: My ADHD founder toolbox
#260Earlier quoted context omitted.
I think your question is pretty rude. Different people are different.
GP has a good point in that there's an overall stigma against medication, particularly psychiatric medication, in our society. People say, medication is an aid, a crutch. Well guess what, when your leg is broken, you kind of need that crutch to move around. There's no shame in using a crutch. And if you lost your leg, or happened to be born without one, then guess what, using crutch for the rest of your life is not a…
If, for example, you've been taught to walk without your leg (or if you have three legs, all left feet, whatever), using a crutch doesn't make much sense.
We can't safely poke someone's head and test their dopamine levels. So we aren't good at differentiating what could potentially be learned cognitive behaviors | brain structure | genetics from hormonal neurology. Hell, these could all be the same thing on so many levels, but it takes only one to mark a meaningful difference.
Point is, different people are different. And it's rude to think you know someone's experience well enough to liken it to "punching yourself in the face".