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Doctor-prescribed videogame for ADHD

endeavorrx.com

101–110 of 243 posts

Re: Doctor-prescribed videogame for ADHD

#101

>The current cost for EndeavorRx is $99 for a 30 day prescription. Why is everything subscription based nowadays? Even without a subscription $99 would seem a lot to me. I guess because something something server costs and update development? Or is it just plain greed? PS: Programming is absolutely fantastic, too, when you have ADHD (an probably even if you don't have it). It also doesn't cost a dime and there is ple…

Pretty amusing. They make more money when you're worse at treating your ADHD since you'll be unable to actually cancel the subscription.

Re: Doctor-prescribed videogame for ADHD

#102
post #20

Earlier quoted context omitted.

Thanks for your perspective. I've known and lived with several people who have ADHD, and you've expressed exactly the perspective I expected to hear from them. "Games as treatment" are a new frontier of "selling bullshit". This happened before in education, and it's now making its way into health care. The problem, here, is that the users aren't any part of how these games are designed. Everything about them is just…

And let’s be honest they’re just torturing people with no positive outcome. The net effect is you have a poorer, more frustrated patient, who has this stupid game burned into their memories.

Here is their safety and warnings section disclosing that. It's really interesting because of how they're presumably required by law to make a CVS-receipt-length FDA medicine warning but all the dangers are for playing a video game. I think it's pretty cool to see how effective the FDA's procedures are at capturing your concerns, through forcing them to be transparent

# Indications: > EndeavorRx is a digital therapeutic indicated to improve attention function as measured by computer-based testing in children ages 8-17 years old with primarily inattentive or combined-type ADHD, who have a demonstrated attention issue. Patients who engage with EndeavorRx demonstrate improvements in a digitally assessed measure, Test of Variables of Attention (TOVA®), of sustained and selective attention and may not display benefits in typical behavioral symptoms, such as hyperactivity. EndeavorRx should be considered for use as part of a therapeutic program that may include clinician-directed therapy, medication, and/or educational programs, which further address symptoms of the disorder.

# Safety: > No serious adverse events were reported. Of 342 participants who received AKL-T01 in the two clinical trials supporting EndeavorRx authorization for age ranges 8-17, 17 participants (4.97%) experienced treatment-related adverse events (TE-ADE) (possible, probable, likely). TE-ADEs reported at greater than 1% across the studies include: frustration tolerance decreased (2.34%) and headache (1.17%). Other adverse events occurred less than 1% and included dizziness, emotional disorder, nausea, and aggression. All adverse events were transient and no events led to device discontinuation. Across other studies in children and adolescents with ADHD, rates of adverse events were similarly low (# Cautions: > Rx only: Federal law restricts this device to sale by or on the order of a licensed health care provider. EndeavorRx should only be used by the patient for whom the prescription was written. For medical questions, please contact your child’s healthcare provider. If you are experiencing a medical emergency, please dial 911. EndeavorRx is not intended to be used as a stand-alone therapeutic and is not a substitution for your child’s medication.

> If your child experiences frustration, emotional reaction, dizziness, nausea, headache, eye-strain, or joint pain while playing EndeavorRx pause the treatment. If the problem persists contact your child’s healthcare provider. If your child experiences a seizure stop the treatment and contact your child’s healthcare provider.

> EndeavorRx may not be appropriate for patients with photo-sensitive epilepsy, color blindness, or physical limitations that restrict use of a mobile device; parents should consult with their child’s healthcare provider.

> Please follow all of your mobile device manufacturer’s instructions for the safe operation of your mobile device. For example, this may include appropriate volume settings, proper battery charging, not operating the device if damaged, and proper device disposal. Contact your mobile device manufacturer for any questions or concerns that pertain to your device.

Re: Doctor-prescribed videogame for ADHD

#104
post #97

>The current cost for EndeavorRx is $99 for a 30 day prescription. Why is everything subscription based nowadays? Even without a subscription $99 would seem a lot to me. I guess because something something server costs and update development? Or is it just plain greed? PS: Programming is absolutely fantastic, too, when you have ADHD (an probably even if you don't have it). It also doesn't cost a dime and there is ple…

> 30 day prescription > Why is everything subscription based nowadays? It's a prescription (written note from the doctor) but this looks like a long term regimen so you could call it a subscription too. The reason is almost definitely profit. As a game there's no reason for it to be this expensive. As a medical treatment I doubt the R&D justifies the cost.

Oh woopsie, Thanks for the clarification.

Re: Doctor-prescribed videogame for ADHD

#106
post #82

Earlier quoted context omitted.

Nonstimulant medication is also very effective, but with the caveat that it takes longer to kick in. The second caveat is that it’s devoid of any recreational value during the startup period, which has an outsized effect on people’s perception of the medication “working”. Stimulant medication tends to be favorably accepted at first (for entirely unsurprising reasons, even though some people don’t experience quite the…

Could you share some sources on stimulants discontinuation? High discontinuation rate around stimulants aligns with my observations but I was wondering if that was only because of limited medication options where I am (not only for stimulants but in general).

Yeah, I would be surprised if it were to do with "not liking them" and not "consistently getting them is highly difficult for a person with ADHD" due to their controlled status in most countries. In the US, from what I've heard, it's particularly draconian, where you're only allowed to get a new prescription on the day the last one runs out, and then have to take a paper prescription to a pharmacy where they often don't have stock, so you have to try many pharmacies, all the while being treated as a possible drug seeker by staff.

Maybe this is based off of outlier reports, but it doesn't sound easy for someone with ADHD to keep up a regular supply of medication in the US, and the slightest lapse in medication supply to an individual can worsen that difficulty with their symptoms reappearing almost immediately.

Here in the UK it's a bit more relaxed, but still more difficult and under way more scrutiny and dumb rules than, say, an SSRI medication, which are plentiful and under no scrutiny at all, despite the fact that I had a much worse time on those with worrying side effects and extreme withdrawal symptoms.

Re: Doctor-prescribed videogame for ADHD

#107

>The current cost for EndeavorRx is $99 for a 30 day prescription. Why is everything subscription based nowadays? Even without a subscription $99 would seem a lot to me. I guess because something something server costs and update development? Or is it just plain greed? PS: Programming is absolutely fantastic, too, when you have ADHD (an probably even if you don't have it). It also doesn't cost a dime and there is ple…

Programming is not fantastic for ADHD. Especially when majority of people don’t have ADHD to begin with. They are looking for an excuse for their lack of ability to focus on a boring task.

It’s subscription and expensive because it’s another way to suck the money out of people who think they have ADHD.

Re: Doctor-prescribed videogame for ADHD

#108
post #10

I've been on this for about a month and a half now. The game itself isn't engaging at all. It was a struggle to get myself to actually play the game regularly, for the allotted time (30 minutes, 5 days a week). It feels like a pretty big flaw with the game - after all, one of the challenges that people with ADHD face is forcing themselves to do things they don't want to do. This game is a complete bore, and I can't i…

> The game itself isn't engaging at all

> It's also an incredibly frustrating game

I'm curious, is that intentional? As in, progressively learn to deal with those two aspects that are instant triggers for an ADHD mind to run away?

I mean, otherwise literally any other actually engaging and satisfying game would do.

Re: Doctor-prescribed videogame for ADHD

#109

Earlier quoted context omitted.

Nonstimulant medication is also very effective, but with the caveat that it takes longer to kick in. The second caveat is that it’s devoid of any recreational value during the startup period, which has an outsized effect on people’s perception of the medication “working”. Stimulant medication tends to be favorably accepted at first (for entirely unsurprising reasons, even though some people don’t experience quite the…

I would be surprised if even 10% of people taking therapeutic doses of stimulant ADHD meds experience euphoria. IME the noticeable effect of taking 10mg of methylphenidate was that I could stand in my open plan office and not have every word of a dozen conversations invade my consciousness constantly. If I was working in an environment designed to allow people to focus on their work, I probably would not have noticed…

I wouldn't call it euphoria, but the first 10mg of methylphenidate I took kept me running around the house at high gear for almost an entire day, doing all kinds of non-critical chores that ordinarily were too boring and/or difficult to get into. Subsequent doses did not have anywhere near as drastic effect :).

But, euphoria or not, on stimulants I can at least feel the change near-immediately. It's unlike pretty much any psychiatric drug out there, where in most cases you can spend months taking it and still have serious doubts if it's doing anything (same with therapy). Hell, I can't think of a non-psychiatric medication that works as fast and as clearly. Paracetamol and Ibuprofen come close when dealing with sharp pain.

Re: Doctor-prescribed videogame for ADHD

#110

>The current cost for EndeavorRx is $99 for a 30 day prescription. Why is everything subscription based nowadays? Even without a subscription $99 would seem a lot to me. I guess because something something server costs and update development? Or is it just plain greed? PS: Programming is absolutely fantastic, too, when you have ADHD (an probably even if you don't have it). It also doesn't cost a dime and there is ple…

Programming is not fantastic for ADHD. Especially when majority of people don’t have ADHD to begin with. They are looking for an excuse for their lack of ability to focus on a boring task. It’s subscription and expensive because it’s another way to suck the money out of people who think they have ADHD.

We're sentient beings who have been co-opted into becoming part of an edit-run-debug cycle serving people who think they are changing the world. And if we opt out - we starve. Is it any wonder that some turn to drugs to cope with this reality?
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