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Mental illness, attention deficit disorder, and suffering

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191–200 of 359 posts

Re: Mental illness, attention deficit disorder, and suffering

#191
post #70
post #12

Earlier quoted context omitted.

Similar. I don’t understand wearing it with pride. There is no pride in it. It’s not an accomplishment. When people do this, it looks like a pre-emotive cop-out. “I’m saying to everyone I have ADHD so that if something goes wrong, I have something to blame and can also blame you if you are the authority for not giving me a pass”.

I think you're right, over the last couple years i've noticed ADHD as becoming like a hobby mental disorder. Lot's of people claim it as like something to be proud of. If you really have ADHD then you know it's an absolute miserable experience and the right medication can change you're life. I wasn't properly diagnosed until my very early 30s and I bounced around different medicine until i found the right one and dos…

I have it, have had it since I was a kid, and it's moderately treatment resistant to boot, so I'm acutely aware of how much it sucks, and I wear it with pride. I don't take pride in my depression and mood disorders.

I think the big distinction, and what TFA is getting at, is ADHD actually is more like a true neurodiverty than a disorder. The dysfunction largely manifests due to the constraints in the modern world. I love making things but I hate "adulting" - bills, paperwork, keeping 9 million small things in order. Were I living in a hunter-gatherer or early agrarian society, things would be different.

I'm able to offset bad prioritization skills by being really good at breadth-first search and having a huge knowledge base from curiosity driven rabbit holes when I should be doing my "real" work. It feels much more balanced than depression, which just sucks the life out of me and reduces all aspects of quality of life across the board.

Re: Mental illness, attention deficit disorder, and suffering

#192
post #131

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Imagine your skin has a different from your neighbors color. Would it be sensible to consider it a disorder? Even if it may happen that it negatively affects your every day life, and it may be maladaptation in the region where you live but it may be a considerable advantage if you had lived on different latitude. Or consider a game where different character classes exist e.g., Necromancer (can raise an army with no r…

Does someone with dementia have a disorder? Does someone with congenital heart failure have a disorder? I'm not suggesting that ADHD is on par with congenital heart failure, but neither are skin color or one's propensity towards wizardry on par with ADHD.

The point is that we shouldn't consider screwdrivers to be demented hammers even If you are a hammer like most in your surroundings.

If a game map is small (there is not much time for development before you are destroyed) and/or resource-poor then being Wizard is certainly a disadvantage compared to Necromancer (it is a "disorder", wizards are "demented" from the Necromancer's point of you).

Re: Mental illness, attention deficit disorder, and suffering

#193

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> ADHD is a physical condition It sure is not handled like one. If that is the case, then I find it odd that most people get treated by psychiatrist and not neurologist. Also, why are fMRI and other neurological scans not used to diagnosis the illness? It seems to be merely symptom based diagnostics coupled with psychological evaluations. (I am not saying there are not structural neurological differences.)

Agree! How many times have I been hospitalized (psychiatric) and have not even had a single blood test? Six. I had an MRI for hearing problems and they found flares around my occipital horns. They still did nothing. Mental illnesses are the most medically stigmatized disorders.

Do you ever feel like they are just weird manifestations of the accumulations of various stressors in life? Perhaps, there is nothing /neurologically/ different -- at least not to a significant enough degree? What then?

I am not trying to be all woo-woo about this, but we live in a time where technology, and not just recent technology, has propelled us far further than we ready for?

I had trouble sitting still and learning in school, but I was able to fake it enough to learn quickly enough to make it through undiagnosed. However, I still caused various other problems i.e. class clown with good enough grades to not get in trouble. Still, I always found school to be tortuous and stressful (I still would if I had to go back).

However, I like to take a step back when things that bothered me like what I mentioned above start to creep back into my mind -- If I were born 100, 200, ... , 9900, 10000 years ago, how much disorder would I have likely faced? I wouldn't have had trouble focusing in classrooms when there were no classrooms for the below average to average person like myself. How would my life have been? Would I have been 'normal?' If so, then maybe... I'm 'normal,' now?

I cannot speak for mental disorders, but I hope my fellows can find peace. We didn't choose this system, and this system doesn't care about us, but when the sun goes down, the moon comes out. I feel like I have a duty to myself to enjoy life, normal or not, because really... It's not like anything life matters anyway.

Re: Mental illness, attention deficit disorder, and suffering

#194

Earlier quoted context omitted.

That’s a major reason why Dr. Russell Barkley refers to it as Executive Function Disorder. We actually don’t have a problem with attention; we have a problem prioritizing what we attend to. Everyone with ADHD is familiar with the hyperfocus phenomenon. We can pay attention (even sustained, abnormally intense attention) to activities that provide a healthy dopamine payout, but we don’t really control what those activi…

Yes! I've been slowly getting into his work on the various executive functions, not just the intellectual/thinking one... emotional regulation is a big thing too!

Honestly, the emotional regulation component is one of the biggest things for me, as anyone who has ridden with me driving could tell you…

But learning to see it as an executive function disorder that really touches on a whole host of other cognitive functions beyond just attention has been a real game-changer for me in terms of conceptualizing the disorder. It makes it more overwhelming on some level, but it also helps to explain many of the struggles I have beyond just paying attention (which, as we know, often isn’t the major problem we face).

Re: Mental illness, attention deficit disorder, and suffering

#195
post #24

> I want a word for this part of my brain chemistry that does not presume, axiomatically, that it is an illness. Aurora Holtzman coined "intensity" for this context, it works pretty well. https://eggshelltherapy.com/podcast-blog/2020/02/13/aurora-h...

Thanks for sharing! This is incredibly relatable. One of my hallmarks has always been intensity. I rarely half-ass anything, and when I do, it's almost astonishingly mediocre. But normally it rockets between obsession and extreme apathy. Emotional reactions to anything are always 200%.

Re: Mental illness, attention deficit disorder, and suffering

#196
post #86

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I agree that some people could choose to see the positive aspects of adhd because it's less painful, but it doesn't mean they are deluding themselves. As a startup founder I think adhd worked both for and against me. Hyperfocus, the ability to perceive constant emergencies as fun, mania, etc. Downsides were very real too; dropping out of college because it was too boring, not opening my mail on time, being late with…

for me, it's the lateral thinking that really comes in handy. I can catch weird bugs a lot quicker, and my tenancy to yak shave has led to a pretty awesome kit of tools for every occasion. I've managed to fix a lot of the organizational problems with a multi pronged sleep / exercise / med regimen, too. All in all, I'd call it net positive.

I can see it from that perspective as well. I’m not trying to be cynical either; I don’t doubt that in many cases, with the right support and personal growth it can absolutely be a net positive. Perhaps over time it’ll be a net positive for me as well.

Re: Mental illness, attention deficit disorder, and suffering

#197

As someone diagnosed with ADHD later in life, a lot of these ADHD superpowers are just the result of taking dopaminergic stimulants. Especially the hyper focus and feeling superior to people staring out the window or failing to heads-down work for several hours straight. Yes you can hyperfocus even without stimulants, but the real superpower is having access to them so you can channel that consistently. I personally…

Thanks for sharing, I really appreciated the last half. Good thoughts generally One downside I think after reading here is that there is some wacko in the first half of the post that I feel compelled to comment on a few things.

Hyperfocus is a symptom of ADHD proper. Stimulants can also make you feel hyperfocused. However, the general reported effects of stimulants are a feeling of "normalcy", not hyperfocus as a result of stimulants. Many people taking stimulants are still symptomatic, albeit managed, meditation long term is generally an excruciatingly (if excruciating) adjunct to stimulants.

Second, Adderall often gives the feeling of superfocus and speed to neurotypical individuals but has been statistically shown to give little gain in practice in terms of certain raw metrics. A very strong dopaminergic placebo, as it were. I'd suspect the reason for it being considered effective is that it keeps you glued on tasks for significantly longer than otherwise . It's not propaganda, it's science, you can look at the studies yourself, it's pretty drastic. However there may be another layer on top of that that that could be propagandizing what is otherwise a valid scientific distinction.

Much agreed in the last half, I've seen a lot of subclinical dissociative like disorders fall into ADHD, or DPDR, when really there is probably a core condition and several other families lumped in. Such is always the curse of dimensionality reduction. A more root-cause preserving descriptive language set that doesn't rely on the anchor of billing codes would open up the scientific fields a lot. Language determines nomenclature, which determines assumed avenues of exploration. A dimension reduced model of mental health along symptomatic axes will almost always destroy symptom and condition "root cause" linkage. Additionally like you noted anxiety and depression are more symptoms of traumatic disorders and less actual disorders in and of themselves. My pet theory is that's one reason why "depression" is so hard to cure, imagine trying to generically cure "fever" instead of making vaccines, etc.

Ramble over! I think (especially later on) we think pretty similarly!

Re: Mental illness, attention deficit disorder, and suffering

#198
post #149

Earlier quoted context omitted.

> Are the people that lack disturbances in behavior, emotion, and cognition really that much better off? Yes.

I'll never know, but I have always been of the mentality that everyone has "something." Whether it has a diagnostic label or not. I guess, in a more terse sense -- life ain't easy for anyone.

If you have ADHD, you can know with medication. It's my understanding that modern ADHD medication is remarkably effective and well studied.

Re: Mental illness, attention deficit disorder, and suffering

#199

Earlier quoted context omitted.

Exactly. I can point to specific ways in which my (at the time, undiagnosed) ADHD has negatively impacted my life: I never finished my PhD because I couldn’t execute a dissertation. The coping mechanisms that had served me reasonably well during my young adulthood suddenly stopped working during the pandemic. So, I became unable to motivate myself to a deadline, which had generally been a powerful force to motivate m…

High five, fellow PhD dropout. :( > The coping mechanisms that had served me reasonably well during my young adulthood suddenly stopped working during the pandemic. So, I became unable to motivate myself to a deadline, which had generally been a powerful force to motivate my attention and efforts. I have experienced the exact same situation (but with work)... always been motivated by well-planned deadlines, but it ju…

> High five, fellow PhD dropout. :(

High five back to you. No shame in that game. I’m mostly just glad to have learned that my issues weren’t just because I was “lazy” but because my brain just doesn’t work that way. I learned something about myself, even if it cost me a few years to learn it!

And I wish you all the best. When those coping mechanisms run out, they run out hard. My wife is an attorney, and one of her best friends at work clearly has undiagnosed ADHD. We both keep pushing her to talk to someone about it because I know the day is coming when she’s going to hit that wall, and I seriously don’t wish it on anyone. It’s bad. When it happened to me, I had no idea what was going on. I’d always been able to just get things done (albeit in absolute panic mode), and then suddenly I just wasn’t able to. Keep fighting, my friend.

Re: Mental illness, attention deficit disorder, and suffering

#200

As someone diagnosed with ADHD later in life, a lot of these ADHD superpowers are just the result of taking dopaminergic stimulants. Especially the hyper focus and feeling superior to people staring out the window or failing to heads-down work for several hours straight. Yes you can hyperfocus even without stimulants, but the real superpower is having access to them so you can channel that consistently. I personally…

> As someone diagnosed with ADHD later in life, a lot of these ADHD superpowers are just the result of taking dopaminergic stimulants.

I experienced them before I was aware of my issues, before had ever tried any medication.

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