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Aldous Huxley predicts Adderall and champions alternative therapies

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Re: Aldous Huxley predicts Adderall and champions alternative therapies

#181

Earlier quoted context omitted.

The title is perhaps a bit unfortunate. I don't believe this is specifically about ADHD. Adderall is a stimulant with the effects Huxley predicted. It also happens to treat ADHD. I believe it's being used here in the former capacity.

The thing is, when you have ADHD and you take stimulants you don't feel any sort of high or however it makes people with normally functioning dopamine receptors feel, you just feel normal.

Is this confirmed? Source? I've always heard this, anecdotally, but I'm skeptical of the claim. I have every ADHD symptom, and have received 3 seperate diagnoses for it.. But Aderrall straight up felt like a drug - I could literally feel the dopamine release from just doing mundane things. Is the implication that I just didn't have ADHD?

Re: Aldous Huxley predicts Adderall and champions alternative therapies

#182

Earlier quoted context omitted.

Amphetamines are safe, well-studied and non-addictive at prescribed doses. On the other hand, untreated ADHD VASTLY increases likelihood of addiction and many mental disorders. Definitely DO use this medication if you need it - it's the first medication your doctor will likely ask you to try precisely because an extensive body of research says it's the most effective way for treating ADHD.

The "if you need it" is important. 1. People take it as a study drug, without prescription. 2. There may be over medication. Doctors will sometimes feel pushed to prescribe (as is known to happen with antibiotics) 3. At an individual level that is true, but you may need it because of your society and environment. Both ADHD rates and treatment varies between countries (even between regions and states within countries)…

Not sure about over-medication. I think about all the people I used to work with that were absolutely addicted to caffeine, just to get through the day. And the work we were doing (software) didn't seem _that_ boring to me. Some of most hardcore caffeine addicts were from when I worked briefly in game dev (and that was my own peak usage too; now I can't drink coffee due to acid reflux, its also bad for my eyes because I have glaucoma now).

I think untreated attention issues (if not the rather narrowly defined condition labeled "ADHD") are rather widespread. And society doesn't help, just look at the checklist of things you need to do on an ongoing basis to just keep a vehicle running for transport in the US, which pretty much everybody outside a city needs, and even many city dwellers elect to procure as well.

Re: Aldous Huxley predicts Adderall and champions alternative therapies

#183
post #81

Earlier quoted context omitted.

Not true. CBT works pretty well for adhd, studies are clear on this. But medication seems even better, as does a combination of therapy and medication. ADHD isn't unusual as far as the effectiveness of therapy, it's unusual in how well the medication is proven to work.

CBT is effective in treating people whose problems mostly stem from an inaccurate view of themselves or the world around them, because CBT is training people to take a step back and reassess what they're seeing. If you're suffering from some forms of OCD for example it can be incredibly effective, it helps to reframe things. It is not effective, and I would argue actively worsens, situations where you're feeling bad…

Here's part of a meta analysis.

> Using a random effects model, we found that CBTs had medium-to-large effects from pre- to posttreatment (self-reported ADHD symptoms: g = 1.00; 95% confidence interval [CI: 0.84, 1.16]; self-reported functioning g = .73; 95% CI [0.46, 1.00]) and small-to-medium effects versus control (g = .65; 95% CI [0.44, 0.86] for symptoms, .51; 95% CI [0.23, 0.79] for functioning). Effect sizes were heterogeneous for most outcome measures. Studies with active control groups showed smaller effect sizes. Neither participant medication status nor treatment format moderated pre-to-post treatment effects, and longer treatments were not associated with better outcomes. Conclusions: Current CBTs for adult ADHD show comparable effect sizes to behavioral treatments for children with ADHD, which are considered well-established treatments. Future treatment development could focus on identifying empirically supported principles of treatment-related change for adults with ADHD. We encourage researchers to report future findings in a way that is amenable to meta-analytic review.

Yeah, it's better at making people feel better. Not great but certainly OK at improving behaviour.

As I said, the evidence seems to suggest medication is extremely effective which is I guess is why people are quoting the first thing I wrote and acting like they disagree with me (they get mad for suggesting that CBT works a bit because they feel judged for using the arguably superior treatment?).

Re: Aldous Huxley predicts Adderall and champions alternative therapies

#184

Earlier quoted context omitted.

You know, I'm with you on that one, actually. ADHD behavior is normal human behavior, because we're all human. And indeed, some quite reasonable accommodations and changes in the way the society functions and forms expectations of ourselves and others would go a long way towards making ADHD folks living fulfilling lives without pain. All that said, executive dysfunction is still a thing, and ADHD folks routinely find…

if you took an adhd cunt and threw him in the bush he would be fine ... but if you threw him into a cookie cutter hyper capitalist no-hope no-wife no-friends no-third-space doomscroll-to-death sealed box , that man wouldn't be fine! the man in question never changed , only his environment did. ergo , societal amphetamines are about as supportive as me handing you a set of crutches after i broke your legs. but trying…

I said settle down, ok?

Re: Aldous Huxley predicts Adderall and champions alternative therapies

#186

Earlier quoted context omitted.

The thing is, when you have ADHD and you take stimulants you don't feel any sort of high or however it makes people with normally functioning dopamine receptors feel, you just feel normal.

Is this confirmed? Source? I've always heard this, anecdotally, but I'm skeptical of the claim. I have every ADHD symptom, and have received 3 seperate diagnoses for it.. But Aderrall straight up felt like a drug - I could literally feel the dopamine release from just doing mundane things. Is the implication that I just didn't have ADHD?

"Dopamine release from just doing mundane things" is absolutely normal, more so after a lifetime of not being able to simply Do The Thing™.

One is supposed to feel good doing "normal" things. Completing tasks should feel good.

There can be many variables at play: maybe your dosage could be lowered, maybe Adderall isn't ideal for you, or maybe you're simply adjusting to the medication the first few times you take it, and it won't feel the way afterwards.

But most importantly: yes, you're absolutely going to feel like you've got a superpower the first time you take it. The euphoria you feel from being able to simply do things the way neurotypical people can just get up and do them is very much a part of the ADHD experience.

Also, neurotypical people don't do mundane things on Adderall. That's not what makes them feel particularly good. Because for them, doing things without friction and climbing the mental wall first is the normal experience.

They don't feel happiness experiencing it for the first time in their lives when they take Adderall. They've had that ability all along.

TL; DR: you feel that dopamine release from doing mundane things on Adderall because you have ADHD.

Re: Aldous Huxley predicts Adderall and champions alternative therapies

#188

Earlier quoted context omitted.

>Yes, there’s certainly research involved in getting an existing drug approved for a new condition. That’s not development. OK, I concede that point then. That's the information I intended to communicate. >The suggestion that Adderall would only benefit folks with ADHD diagnoses is also fundamentally weird Sure, let me rephrase. There is, as we both agree, research performed to establish that Adderall is something th…

I think we broadly agree, Adderall does not make anyone smarter. I would hazard to suggest that it can make many people much more productive though. This topic has been studied extensively since before anyone cared about ADHD, and the answer is broadly “yes, for some tasks”. > Nobody has really looked at these drugs used as work enhancers I would strongly disagree with this bit, this was one of the primary purposes p…

>I would hazard to suggest that it can make many people much more productive though

That suggestion is disproved by the research I linked, particularly when it comes to mental tasks.

>the answer is broadly “yes, for some tasks

For mindless tasks, like long-haul driving, where staying awake is pretty much all that's required ? Sure.

Anything else, citation needed.

>The historical and continued use by various militaries of stimulants seems to suggest that at least many very highly motivated big spenders seem to expect the same to apply to the general population.

Military use is more commonly to increase stamina (e.g. for pilots on 48 hour bombing missions), not efficiency.

And military scenarios simply don't transfer to civilian life.

Staying awake without sleep when you're a bomber pilot is a matter of life and death, so adverse health consequences and even decrease in mental capacity can be tolerated, because being dumb and awake is better than being smart and asleep in that context.

...to an extent. Until you end up shooting some Canadians dead [1].

Which is why the "historical" use by militaries is not continuous. It's been abandoned by militaries that tried it; particularly by the USAF after that incident.

As for use by the military in general, note that the average lifespan of a Russian soldier on the front line in the Ukraine war is measured in hours[2].

That's a very different context than anyone talking here is facing. And one where the ability to stay alert matters more than anything else.

That doesn't translate to efficient or productive in any normal sense. A solider is waiting most of the time. Then something happens, fast. Any delay in reaction, and you're dead.

We can discuss the effectiveness of amphetamines in such scenarios, but that has nothing to do with Huxley's description (or productivity, efficiency, etc).

As I said in my top comment: Adderall is for helping people act without delay. This translates well to military use.

Sometimes.

A delay would've saved those Canadians.

[1] https://www.theguardian.com/world/2003/jan/04/afghanistan.ri...

[2] https://www.yahoo.com/news/average-life-expectancy-front-lin...

Re: Aldous Huxley predicts Adderall and champions alternative therapies

#189
post #75
post #10

This article (and the title alone) is harmful. Adderall is not about increasing mental efficiency . What Adderall is about is: - helping with executive dysfunction for people who suffer from it. - allowing people with ADHD like me to function . To do the things that everyone else does, things that we want to do and need to do, but can't do because of the way our brains are wired. - increasing the lifespan of ADHD peo…

Adderall also treats excessive daytime sleepiness associated with narcolepsy and I'd be a shambolic zombie without it. It's downright insulting when people think pharmaceuticals are some kind of shortcut to avoid some more disciplined approach. It's medicine to treat illness. Any medicine can be abused or misused but some of us just really need it to correct dysfunction.

Thanks for the comment, and pointing this out!

>It's downright insulting when people think pharmaceuticals are some kind of shortcut to avoid some more disciplined approach.

That's the exact problem I have with the article and the title.

Nobody is talking about "championing alternatives" to antihistamines, the way this author (not Huxley! The title is misleading) talks about Adderall.

Re: Aldous Huxley predicts Adderall and champions alternative therapies

#190

Earlier quoted context omitted.

You know, I'm with you on that one, actually. ADHD behavior is normal human behavior, because we're all human. And indeed, some quite reasonable accommodations and changes in the way the society functions and forms expectations of ourselves and others would go a long way towards making ADHD folks living fulfilling lives without pain. All that said, executive dysfunction is still a thing, and ADHD folks routinely find…

if you took an adhd cunt and threw him in the bush he would be fine ... but if you threw him into a cookie cutter hyper capitalist no-hope no-wife no-friends no-third-space doomscroll-to-death sealed box , that man wouldn't be fine! the man in question never changed , only his environment did. ergo , societal amphetamines are about as supportive as me handing you a set of crutches after i broke your legs. but trying…

Take a person, put them somewhere near equator in January, they're fine. Take them to Finland, they're freezing.

The only thing that changed is the environment. The person is fine.

So all this "winter clothing" scam exists only to enrich clothes makers.

The world simply should be warm everywhere, then none of that stuff would be necessary.

Winter clothes aren't a solution to feeling cold, because they don't address the root problem of Finland being on the map.

People simply shouldn't be subjected to such conditions.

...see how you sound like?

======

>societal amphetamines are about as supportive as me handing you a set of crutches after i broke your legs

Well, the common ground here is that the crutches would indeed be helpful in this scenario.

>if you took an adhd cunt and threw him in the bush he would be fine

I get your point, but nobody would be fine like that. People are social animals.

Sure, the society sucks. But we literally can't live without it.

And while we're fixing it, well, we better have the meds.

> eg. maybe if we didn't get forced into a 9-5 schedule and instead had a bit more freedom , people would be more happy to devote energy to their work ...

100%.

> "here, take this speed and wreck your heart so that you fit better into the box we designed for you"

Counterpoint: stimulants are still useful and helpful even when you take the society away.

I can be living on my own and on my own terms, and still be upset that it took me literally 11 (eleven) years to mail a gift to a friend [1].

Sure, there could be ways mailing a package could be easier. But I really can't blame the 11 year delay on society trying to fit me in a box.

>the only way forward is to through honest questioning as to why adhd diagnoses are thousands of times greater in the west,

Citation needed. But availability and quality of mental healthcare is one big factor here in any cases.

Saying this as some born in the USSR.

My mother got an ADHD diagnosis in her 50s, long after moving to the US.

It's not like she didn't struggle with ADHD in the USSR, it just wasn't an option to get an ADHD diagnosis there.

[1] https://romankogan.net/adhd/#Eleven%20Years%20To%20Mail%20A%...

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