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Mental illness, attention deficit disorder, and suffering

blog.plover.com

221–230 of 359 posts

Re: Mental illness, attention deficit disorder, and suffering

#221

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…

I think he's definitely talking about natural hyperfocus - for one thing the author is in his 50s and I don't think you could get ADHD drugs as easily in 1985.

It is hard to control, but it can help you do one thing as long as you're willing to abandon all other parts of your life, like eating/sleeping.

Re: Mental illness, attention deficit disorder, and suffering

#222
ADHD itself didn't give me superpowers

But going undiagnosed, it did force me to cope in creative ways.

I'd zone out in class and forget about tests. Only to inhale all the info in the dopamine-induced panic of the night before.

Long, wordy explanations bored me to tears. Which gave me deep sensitivity when explaining things to others.

And to keep myself sane during endless school days, I'd bend over backwards to try and "real-time edit" topics to be more interesting.

Finally, in my senior year of high-school, I read a blog post summarizing the classic ADHD memoir "Driven to Distraction". For the first time ever, I asked my parents to take me to a doctor. I was diagnosed basically on the spot.

The change was immediate. I went from serial coaster to rampant bookworm. Within a month, I tracked up in all my classes. I finished out high school with a bang (though it didn't matter much to college admissions).

There's always been a slight pang wondering what might have been had I read that blog post sooner. I certainly had the scholastic chops to excel, and could've landed at a much "better" school (and maybe even a "better" career).

But then I remember the blessing in disguise my alma mater, Queens College actually was. Few students cared to take advantage of the (surprisingly) excellent faculty, so I had their undivided attention. Also, the relatively lax workload gave me the space to split my time between class and internships.

And then I think about the weird, rewarding professional path those internships led me down. Where I inhale large amounts of information quickly. Find the shortest, sweetest way to explain it. And "real-time edit" the subject to make it as interesting as possible.

These aren't super-powers. These were talents I was forced to discover and lean on to cope with those that I lacked.

Re: Mental illness, attention deficit disorder, and suffering

#223
post #73

Earlier quoted context omitted.

I understand why you're asking. I have often felt that way myself and it's why I put off getting treatment for so long. I was worried I would just end up being some 30 year old tech dude addicted to adderall who didn't actually need it. I want to address those questions in others since getting a diagnosis was so helpful for me. I want to educate around it. The short answer is that I was diagnosed independently by 2 p…

> Since starting: I'm less angry. I'm less annoyed. I have the ability to listen to my spouse talk to me. I'm not jittery or jumpy any more. THIS! Absolutely this. Bit crazy that these are also the symptoms of someone on withdrawal from amphetamines and other stimulants†, huh? But wait a sec... we had these before going anywhere near medication? Could it possibly be we've been living a life of dopamine withdrawal? †…

Since not all ADHD medicines are dopaminergic, people would have to be short on norepinephrine and… whatever it is Intuniv/Tenex does as well.

I'm not very keen on the "everyone needs a dopamine break" hypothesis because I'm not sure those are actually the symptoms of amphetamine withdrawal. I mean, for me when it crashes it just makes me unable to get off the couch or go home from work because I forget to do it.

Re: Mental illness, attention deficit disorder, and suffering

#224

Earlier quoted context omitted.

> "I mean, anyone benefits from Adderall whether you have ADHD or not." What benefits of Adderall are you referring to? Drugs like Adderall can have distinct adverse effects, like cardiac arrythmias, increased blood pressure, jitteriness, insomnia, anxiety. And drug misuse/dependence is a major problem with stimulant-class agents. So for sure it's not true that everyone benefits from Adderall. Widely abused on colleg…

I think you’re purposely pretending like you don’t know what I’m talking about. Adderall gives you euphoria, focus, and energy whether you have ADHD or not. For people without ADHD it’s kind of like a strong cup of coffee.

A strong cup of coffee (or anything above the low Vyvanse dose I usually take) actually makes me so jittery I concentrate even less. Though at least if you took too much Adderall IR, at least it'd wear off in 3-4 hours instead of 12.

Re: Mental illness, attention deficit disorder, and suffering

#225
post #159

Earlier quoted context omitted.

Adderall has been one of the most popular recreational drugs since the 01960s, despite causing multi-organ failure in common recreational doses, which are higher than the therapeutic doses. If it didn't work on neurotypical brains, it wouldn't be popular.

I think you're purposefully misrepresenting what "works" means in this context. ADHD people can think a lot more clearly with it. The effect of stimulants is completely different on a brain like ours compared to a normal person as it helps regulates brain function in a way that ours can't. For normal people it just gets you euphoric and agitated, we get CALMER cause we live in a state of constant agitation.

It really isn't completely different. It does all these things in all people, the difference just being which dose is right for you.

I think this was made up to stop it from getting banned entirely like it is in Asia.

Re: Mental illness, attention deficit disorder, and suffering

#226
post #119
post #34

Earlier quoted context omitted.

The "neurodiversity" viewpoint here is that what we call "ADHD" is part of the natural variation in how human brains work, and that it's a category error to think of it as a malfunction to be repaired, but rather as a difference to be accommodated. That accommodation may or may not be via medication and therapy, but that shouldn't necessarily mean that the underlying neurological state is a diseased one. A good analo…

But than the logical conclusion is there are no disorders only a failure to accommodate? If someone is psychotic and disconnected with reality are we just applying our neurotypical filter? Should we just accommodate people who hear voices?

Those people can be useful as shamans if you're lucky.

Re: Mental illness, attention deficit disorder, and suffering

#227
post #110

Earlier quoted context omitted.

> The DSM-5 defines a mental disorder as a syndrome that causes significant disturbance in behavior, emotion, and cognition. These disorders are also usually accompanied by significant distress that affects a person's work, school, and social relationships.

> causes significant disturbance in behavior, emotion, and cognition According to other people. What if I think my behavior or emotions are appropriate or justified? The people that are not like me get to tell me how I should be? Seems kind of sick to me. What about the opposite? Are the people that lack disturbances in behavior, emotion, and cognition really that much better off? Regardless, they are definitely acce…

> To me, it seems like ADHD is basically a diagnosis in which one lacks the proper neurological components of being a good little worker-drone in a capitalistic machine.

No, this is dumb. ADHD doesn't affect work exclusively, it affects your entire life equally and prevents you from having fun, starting a family, cleaning your house. Actually, your work is probably the last to go as you spend the most effort on it.

> Who cares about the longterm effects of taking amphetamines everyday.

We know them; they're positive. It's neuroprotective and it reduces the chance of abusing other drugs (like alcohol) quite a lot. At most you want to make sure to get magnesium in your diet to prevent tolerance.

Re: Mental illness, attention deficit disorder, and suffering

#228

Earlier quoted context omitted.

ADHD is a physical condition, not a mental illness. You can still have it an not be negatively affected by it.

All mental illnesses are physical conditions.

Personality disorders aren't physical conditions anymore than the number 2 is a physical object. They're maladaptive learned behaviors.

Re: Mental illness, attention deficit disorder, and suffering

#229

Earlier quoted context omitted.

ADHD is a physical condition, not a mental illness. You can still have it an not be negatively affected by it.

> 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.)

Isn't that just because they're expensive and we don't know how to do it well enough?

Re: Mental illness, attention deficit disorder, and suffering

#230
post #191
post #70

Earlier quoted context omitted.

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…

Why wear it at all? I was diagnosed last year and there are 3 people irl who know about it. Not because I'm ashamed or anything, but because I don't identify myself by it. These are my personal struggles and if something goes wrong, it's on me, not whatever illness I might have.

I also think it's irrelevant that in some perfect (historical) society ADD would be perfectly suited, because I don't live in that society. I live in the modern one and I want to be a productive part of it.

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