>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.
Yeah, merits of subscriptions in general aside, targeting subscriptions specifically to people with ADHD is a next level of underhanded business.
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.
> As in, progressively learn to deal with those two aspects that are instant triggers for an ADHD mind to run away?
Regular life will do that to you anyway; not sure how a game is going to help.
If anything, particularly when aimed at kids, it's main effect is likely exhausting the video game time budget parents allotted to the kid, possibly souring the whole class of entertainment to them. Which I guess may look like a win to outsiders if the kid happens to use videogames to cope with ADHD. Not sure if it's a win for the kid.
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 do…
> you're only allowed to get a new prescription on the day the last one runs out
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…
Thanks for sharing.
Reading your comment though, did I understand correctly that the irritation faded over time? Wouldn't that be an improvement?
Not that I think that inability to focus on boring BS is something that needs to be fixed, but it still might be doing something positive.
>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.
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 therapeu…
I wish these texts were written with the intent to inform rather than cover their asses legally, it's barely readable to me.
Here's a video of a doctor playing the game along with sort of an explanation of how it works and is meant to do. I'd be curious to know how much this costs for patients. I'm guessing it's some type of a subscription model. https://youtube.com/watch?v=qkhSLr6DlWc
Watching the video, it's not really clear how this game is substantially different than a normal mobile game. What is the actual mechanism here for treating ADHD?
If the gameplay amounts to what's in the video, it seems to be based on a poor or at least vastly simplified understanding of what ADHD is, seems to be training some a simple kind of multimodal attention and context switching between simultaneous things, but pretty much any complex video game will do that. Being designed around that premise seems to be taking the name "attention deficit" a bit too literally given the wide array of symptoms that have little to do with that kind of skill. Anecdotally, as someone with ADHD, I seem to be naturally better at that kind of "doing 2 things at once" skill than my peers anyway. Perhaps we're just seeing a tiny slice of the game and there's a lot more to it, but my experience of healthcare software and startup culture makes me think no, that's probably the entirety of the game, dressed up in some technobabble and references to medical journals/papers without much actual evidence-based efficacy.
Which non-stimulant medication do you have in mind?
Likely guanfacine: https://en.wikipedia.org/wiki/Guanfacine Looks really promising for people who don't like stimulants or can't take them for other reasons, slowly gaining popularity as well. Unfortunately not yet approved for adults in Europe, or I would have tried it. I'm fine with stimulants, but I'm a little wary of the effects on heart health over decades and I would like my appetite back. I also dislike that w…
I dunno about the EU, but guanfacine has been approved in Norway for a couple years now, and AFAIK our approval process is fairly tied to the EU one, though I can't speak to the details.
There's also clonidine which has roughly the same mechanism of action as guanfacine and has been used for ADHD for a long time.
The results footnoted on the web site are underwhelming. Kids report they can pay better attention? If you weren’t trying to sell a product you would make up a better metric. Maybe the real papers are more legit.
ADHD and other neurodevelopmental disorders are all typically assessed based on self report (via standardised questionnaires).