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Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

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Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#71
post #32

I got on meds for ADHD and they objectively didn’t help that much. I also felt like my pulse and emotions were greatly elevated in confrontational situations to an uncomfortable extent (though caffiene was involved). The other aspect was that it was almost $300/month for a prescription. In social situations they did help a bit. Any impact on productivity was minor. I’d also say right after the meds kicked in I would…

Is it possible that you don't have ADHD? I am not an expert, but it is my understanding that the medications affect those with and without ADHD totally differently. In reponse to the original post, I don't think psychiatrists are really the ones who should be diagnosing ADHD. It is again my understanding that neuropsychologists should be the ones administering the tests and diagnosis, where psychiatrists will then ma…

It’s possible, but I’ve been diagnosed multiple times by multiple psychiatrists who said there was no doubt in their mind. This also included a questionnaire to my parents that showed I had it as a child. It’s also been mentioned to me by coworkers or even commented on by strangers.

I do have a free floating anxiety and that was something the meds helped with.

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#72

I got on meds for ADHD and they objectively didn’t help that much. I also felt like my pulse and emotions were greatly elevated in confrontational situations to an uncomfortable extent (though caffiene was involved). The other aspect was that it was almost $300/month for a prescription. In social situations they did help a bit. Any impact on productivity was minor. I’d also say right after the meds kicked in I would…

There are multiple types of medication for ADHD and as part of working with a psychiatrist they should be trying different options for you. It took me 3 different tries before finding one that worked for me.

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#73

Do we all have ADHD or are stimulants just good? Seriously. Pretty soon all of us will be on legal meth and we sit back and go "hey this is fun I get this from my doctor it's good" and yet as a society we judge meth, crack and cocaine addicts. Nearly anyone will respond well to a stimulant.

The difference is a person with ADHD will be calmed by a stimulant rather than amped up by it. The ADHD brain can't focus because it doesn't produce enough dopamine to reward the neural circuits for maintaining focus. So there's this paradoxical effect where something that in typical brains would lead to hyperactivity leads to calmness and clarity in an ADHD brain. It's qualitatively different.

[deleted]

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#74
post #40

Good for you, unfortunately some of us with ADHD want to fly airplanes, and soon enough, realize that the FAA still lives in the early 1900s, where you have to "man up" and "deal with it". So we just silently suffer, every single day.

As a former pilot with a late-in-life diagnosis of ADHD - I'd not want to be a commercial pilot. I'm legitimately concerned of a loss of concentration during landing. Looking back, I saw a few of those happen in my training and in my solo flights.

It's a risk v reward decision, one which I fell on the "nope" category. :)

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#75
I brought up here on HN in a similar ADHD thread just a couple of months ago that I was going through an investigation with my therapist for ADHD.

Yesterday we finalised it and I got the diagnosis, I have ADHD. When reading through resources like this: https://invisibleup.com/articles/27/ I could relate to an extreme extent to a lot written there. Both in the blog post as in some of the further resources linked in the end.

I've gone downhill since the pandemic started, it was bad before but I've definitely tumbled down (and hence why I also started searching why I was like that). Initially I thought it was just some bad behaviour: being lazy, being tired and/or that my anxiety was getting worse due to the pandemic. I never had major issues with anxiety before but it runs in my family and I started feeling it physically.

Yesterday I finally understood myself better. I've felt guilt and shame through my whole life for simply not being able to perform with the same work ethic as my peers. Guilt and shame for feeling overwhelmed when I have tons of messages from friends and family to answer. Guilt and shame for procrastinating seemingly mundane tasks, being a time optimist when planning my day, not being able to organise myself with to-do lists and long-term planning, etc.

I did very well in school but could never do homework, or any kind of school project I wasn't interested in the subject. Just sheer pressure from stress could move me to do the minimum to get a decent grade. On the other hand, the projects I had an interest about the topic were always a breeze, I'd go above-and-beyond the assignment because I had so much fun with it.

I collected many hobbies and always thought that was fun and exciting, lately I've been more overwhelmed by the feeling of never actually finishing a project or getting as good as I would like to in some skill/hobby.

At work I've always been productive in the end. I've always delivered the projects I've worked on but I learned strategies to do it. If it's boring work I'd fiddle around, with bouts between procrastination and discovery work, to find exactly why something was requested, how that ties to a larger vision. Then I'd develop a personal vision for the project matching the "why"s of requests/plans with my overarching story and view of a codebase or product, just so I could have a thread that made sense to me and kept me interested. When I found those I enter a hyperfocus state and just work until the vision I created in my head is achieved, I've been very good in finding ways to match my visions to the overall business needs, and also being able to pushback on things that I believe don't make sense when considering all the constraints and needs. This ability to pushback has been praised multiple times in my career.

I think the near future holds for me a slow discovery of many facets of myself, facets that I always treated and viewed with shame and guilt for feeling inadequate and not living up to expectations, not being able to just do work on boring tasks that others seemingly do with a breeze without caring too much.

Just sharing my experience as it's extremely fresh in my mind and life, I'm still going through the acceptance that I might just have a brain that works in a different way. It's a little bit refreshing and relaxing while at the same time still making me think that I'm just faking it. That I'm actually just lazy, disorganised, etc. It's a strange feeling, like I'm gaslighting myself.

Only doing this investigation I discovered that my parents and siblings always saw these behaviours in me, my therapist interviewed them and the way they talk about me as a child ticked so many boxes. I might not be the cliche rowdy boy that never keeps quiet or stays put but I've always seek stimuli, I've never had a moment in my life where my mind was actually quiet.

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#77
> and it got worse due to a more demanding lifestyle.

Thanks so much for posting this! I went through a similar journey about a year ago. I was told I had been able to work around my executive dysfunction until I had kids. But even “working around” it, ADHD was holding me back. A manager at one point described me as being “stuck in second gear”. I may not be in fifth yet, but I’m definitely moving faster.

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#78

Do we all have ADHD or are stimulants just good? Seriously. Pretty soon all of us will be on legal meth and we sit back and go "hey this is fun I get this from my doctor it's good" and yet as a society we judge meth, crack and cocaine addicts. Nearly anyone will respond well to a stimulant.

Ever heard of Executive Dysfunction? It's when your brain says "turn off that lightswitch", and the part of your brain responsible for implementing the commands can't find the lightswitch.

It's very real, and it's a royal pain in the ass. It's also an exceptionally common issue for those with ADHD. And yes, meds help with it.

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#79

Earlier quoted context omitted.

The difference is a person with ADHD will be calmed by a stimulant rather than amped up by it. The ADHD brain can't focus because it doesn't produce enough dopamine to reward the neural circuits for maintaining focus. So there's this paradoxical effect where something that in typical brains would lead to hyperactivity leads to calmness and clarity in an ADHD brain. It's qualitatively different.

I don't think the way you've phrased it can possibly be true. I would assume whether you have ADHD or not an amphetamine is going to raise your heart rate.

Not at ADHD clinical doses.

And not all ADHD meds are stimulants.

Re: Tell HN: If you have trouble focusing on projects/meetings, see a psychatrist

#80

Be careful. 1 month is not enough to make a judgement. I hope it'll work for you long term and not create any side effects. I'm worried for you in terms of medication you mentioned. As an extreme example taking cocaine/amphetamines for 1 month would probably make you best dad ever, best coworker and best husband straight away - but would fuck you up totally longer term.

> As an extreme example taking cocaine/amphetamines for 1 month would probably make you best dad ever, best coworker and best husband straight away

It most definitely wouldn't. After just a couple of days/a week, the negative effects would be noticeable, at least if we're talking about recreational dosage every day.

Long-term prescribed medicine doesn't have nearly the same effect as stimulants people use recreationally, although you could for sure use prescribed medicine above the prescription dosage and end up with stronger effects.

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