Live data from Hacker News

Doctor-prescribed videogame for ADHD

endeavorrx.com

31–40 of 243 posts

Re: Doctor-prescribed videogame for ADHD

#33

Stimulant medication for ADHD has the highest effect size in all of psychiatry. ADHD is highly treatable, when people are properly treated. This just feels like something that somebody made for the parents who are pathologically drug averse at the expense of their children. Of course, the parents don’t realize that their kids don’t get that development time back, so the longer they wait, the harder things can get for…

Our stupid phobia of stimulants is a major blocker too.

Making it hard to get ADD drugs does nothing to address abuse of street drugs like meth. Unlike opiates there is no evidence they lead people toward street drugs.

I’m personally in favor of OTC availability of some kind of safe abuse resistant mild stimulant. Sure there are a few people who would try to get high with it but hard liquor and weed are legal.

Re: Doctor-prescribed videogame for ADHD

#34

Stimulant medication for ADHD has the highest effect size in all of psychiatry. ADHD is highly treatable, when people are properly treated. This just feels like something that somebody made for the parents who are pathologically drug averse at the expense of their children. Of course, the parents don’t realize that their kids don’t get that development time back, so the longer they wait, the harder things can get for…

is the idea this is used instead of medication or in addition to medication?

Re: Doctor-prescribed videogame for ADHD

#35
post #12

You know when they don't say actual numbers that it doesn't work much better than a placebo.

They include some clinical research info at the end of the usage instructions PDF[0]. One says results were not statistically significant and the other has a warning that it may be placebo effect since they didn’t have a “sham control group”. (I don't have enough stats knowledge to know what any of this actually means though.) 0: https://www.endeavorrx.com/wp-content/uploads/2024/01/Endeav... (pdf)

As a person who did study statistics, they found absolutely nothing useful, for the most part, if what you say is correct.

(Basically, everything they found can be attributed to random chance, and there’s no proof their game is anything special compared to other games)

Re: Doctor-prescribed videogame for ADHD

#37
post #15

$99 a month subscription, because they're FDA or whatever approved. Is there corruption with these kind of things, or did they just hit jackpot?

FDA did not approve it, that is the highest level and requires proof that it is more effective than placebo I believe. The FDA only looked for adverse events in the data and granted authorization to market it as they determined it is very low risk for adverse events. But people will be mislead by the FDA-authorized status as some kind of FDA blessing that it works: https://www.fda.gov/news-events/press-announcements/…

This is false. The FDA does not grant approval to market anything solely on the basis of "low risk for adverse events." The game makers had to run studies demonstrating that it improved ADHD measures. The link you provided says that as well:

"The FDA reviewed data from multiple studies in more than 600 children, including studies that evaluated, among other things, whether participants demonstrated improvements in attention function, as measured by the Test of Variables of Attention (TOVA), academic performance measures, and other assessment tools."

Re: Doctor-prescribed videogame for ADHD

#38
Base building, collectathons, grand strategy, delivery simulators there’s plenty out there to get ADHD kids into a flow state where their brains start wiring towards sustaining focus. While avoiding hyper focus through gameplay mechanics. This, at $99 a month being more expensive than anything else, doesn’t seem to do any of that.

Re: Doctor-prescribed videogame for ADHD

#39

Stimulant medication for ADHD has the highest effect size in all of psychiatry. ADHD is highly treatable, when people are properly treated. This just feels like something that somebody made for the parents who are pathologically drug averse at the expense of their children. Of course, the parents don’t realize that their kids don’t get that development time back, so the longer they wait, the harder things can get for…

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 same euphoria) but it actually has a high discontinuation rate. The number of people who start stimulants, think they’re the best thing ever, then slowly decline into generally disliking them is far higher than you’d ever imagine if you only ever read short anecdotes on Reddit from people writing glowing reviews after their first dose.

Obligatory: I’m not taking about everyone and I don’t need to hear 10 different anecdotes about people who still like their medications. I’m talking about macro level phenomenon. Stimulant prescriptions are a hot topic on TikTok right now and a lot of people who aren't really ADHD are getting into prescriptions without a full picture of what they’re signing up for.

Re: Doctor-prescribed videogame for ADHD

#40
post #33

Stimulant medication for ADHD has the highest effect size in all of psychiatry. ADHD is highly treatable, when people are properly treated. This just feels like something that somebody made for the parents who are pathologically drug averse at the expense of their children. Of course, the parents don’t realize that their kids don’t get that development time back, so the longer they wait, the harder things can get for…

Our stupid phobia of stimulants is a major blocker too. Making it hard to get ADD drugs does nothing to address abuse of street drugs like meth. Unlike opiates there is no evidence they lead people toward street drugs. I’m personally in favor of OTC availability of some kind of safe abuse resistant mild stimulant. Sure there are a few people who would try to get high with it but hard liquor and weed are legal.

>I’m personally in favor of OTC availability of some kind of safe abuse resistant mild stimulant. Sure there are a few people who would try to get high with it but hard liquor and weed are legal.

Like caffeine?

Post reply on HN