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There is no such elephant in the room. Your abject dismissal of the real harms and problems that people struggle with as a result of this real and well-established disease is harmful, hateful, bigoted, ignorant, and shameful.
Show HN: Shimmer – ADHD coaching for adults, now on web
161–170 of 283 posts
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#162Earlier quoted context omitted.
Hi yes, I am still here. (1) We currently only have self reported symptom reduction (83% state symptom reduction within 6 weeks) that we've been using as a proxy so far, but we know we need more. (2) We are actually in the process of designing a more formal pilot with our Clinical Advisor Dr. Anil Chacko. We will launch this in the next 2 months, which we're very excited by. We're just tying up the loose ends in term…
Ok (1) is paper thin. Self-reported can be anything. (2) makes me laugh because these things don’t take 2 fucking months. An initial protocol for a study, maybe. In reality such studies take years and years - I’ve done it with surgical skill development training program validation. My advice would be to conform your thing to an existing body of knowledge and build your arguments on that - that’s what we did. Congrats…
What do you mean by "these things" in the sentence "these things don't take 2 fucking months"? Getting their new pilot for effectiveness measurement from it's current state to launch? Where do you think it's at now, and why do you think two months isn't long enough to get to launch?
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#163> Our pricing: $115/mo. for Essentials plan (15-min weekly sessions), $230/mo. for Standard plan (30-min weekly sessions), $345/mo. for Immersive plan (45-min weekly sessions); all plans additional 30% off first month, HSA/FSA-eligible. Please please put a link to this information on the main site. Anything I'm half interested in using I do a cmd+F "Pricing" and if there aren't results I usually bail. Also when I hit…
"Please please put a link to this information on the main site. Anything I'm half interested in using I do a cmd+F "Pricing" and if there aren't results I usually bail." That's a pretty specific thing to measure folks on
I'm the same - I don't want to get invested in a service, hand over my email address and other details, etc., only to later find that the price is too high for me, once the free trial has expired.
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#164It seems like so much of the confusion and distrust just comes from using the term "ADHD". Why not just talk about "focus", "motivation", etc.? You can still SEO the shit out of your product with more terms like "ADHD", "dopamine", "discipline", etc. and not have to wade through all this vitriol associated with insinuating licensed treatment of a medical disorder as a hook / marketing ploy.
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#165Earlier quoted context omitted.
Maybe there's just overlap between CPTSD symptoms and ADHD, not that they're literally the same thing.
Both PTSD and ADHD (and any other mental "disorder") are _defined as_ a list of symptoms, and do not imply different root causes. see e.g. "The hidden links between mental disorders" https://doi.org/10.1038/d41586-020-00922-8 available on sci-hub "Since the 1950s, psychiatrists have used an exhaustive volume called the Diagnostic and Statistical Manual of Mental Disorders, currently in its fifth edition. It lists all…
Yes, they do imply different root causes. PTSD requires a root cause of experiencing trauma. ADHD is not PTSD because it is not caused by trauma, and therefore therapy to deal with childhood trauma will not benefit people with ADHD.
It is, however, very true that they can look the same. I work with kids who have been through trauma and it is only on the order of years since people started recognizing that in these kids, many ADHD symptoms were caused by trauma and could be reduced or go away entirely with trauma-specific therapy.
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#166Earlier quoted context omitted.
Is my golf coach a physical therapist or a physical movement coach? He's been helping me improve my swing around an injury I had dirt biking.
My grandma once helped me with my math homework, was she a mathematician? You might get lucky with your golf coach. There are people that went to medical school for that though. Your choice.
She was able to help you though.
You don't need a PhD in mathematics to be able to answer some math questions.
Positive human interaction goes a long way.
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#167Earlier quoted context omitted.
> we changed the language so it didn't seem like they were providing medical services at all You are providing medical services, trying to claim you aren't is absurd. Changing the wording to claim you aren't to avoid legal liability is exactly the kind of deception people are calling you out on.
Hey maybe take it down a bit? It’s not absurd that they aren’t providing medical services. Right now it feels like you just want to shit on them as much as possible and your responses quickly shifted from “feedback” to “fuck you”.
Tone policing is not really the best move here, especially considering all the hubbub is specifically around a medical term that seems to have been inserted as a hook instead of as a meaningful signifier of the kinds of services the company purports to provide. If tone policing were appropriate anywhere it would be in the marketing lingo and copy of the company in question.
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#168Earlier quoted context omitted.
But honestly, that can be a win. A good process (with a person you resonate with) can go further than a medical degree. Personal opinion, based on lots of experience.
Thanks for this comment—you've nailed it. The service we're providing in it's very nature is not medical and instead encompasses support functions like accountability, celebration of the member, helping the member feel "seen and heard", etc. Many of our members have not got that from their doctors, nor do they expect it given the doctors role. We advocate for layering the services you need together (e.g. I have a doc…
Providing "not a medical service" but advertising it using explicitly medical terminology appears to be the root of the problem, don't you think?
If a fitness trainer started throwing around things like "clients reported reduction of sciatica symptoms" you would of course assume they are licensed physical therapists and that you are treating sciatica. They could just as easily say "pain management through exercise" and not get caught in that kind of credential limbo.
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#169I feel like I may have it, but I am so down in a hole I just want others to do the boring shit like cooking and cleaning and billing for me and I can just work & play. I have tried for years alredy. Is there a solution for that?
There is. (Assuming USA Tech Salary, and willingness to use money to fix problems.) 1. Clean up your place JUST enough to get some cleaning people in. (Yes, you can hire people to clean the apartment. Even if you are SITTING IN IT.) 2. Cooking: Find a meal service you like, and order. Honestly there's many good ones, we've been using Top Chef. 3. Get all your bills on auto-pay against your credit card. This will also…
> Money is merely potential energy.
That's a neat way to put it!
Re: Show HN: Shimmer – ADHD coaching for adults, now on web
#170Earlier quoted context omitted.
This. I got meds with 37. Did a degree in CS and was successfully self-employed for years until that. Everything worked out okay-ish, but meds are a game changer. It really felt like I was playing "life" on hard mode until then.
Can I ask which meds did you get?
Vyvanse