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Hacking ADHD: Strategies for the modern developer

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Re: Hacking ADHD: Strategies for the modern developer

#321

I used to think I had some ADHD symptoms: growing up I never did any revision for any of my school exams until a couple of days before, all my coursework and projects were done last minute in a week of intense focus, I've had issues with drugs in the past etc. Then I met someone who actually has ADHD and saw them before they'd taken their stimulant drugs. They were completely nonfunctional in any sense of the word, t…

Sourced from https://news.ycombinator.com/item?id=38162133

>Self diagnoses (and diagnoses over the internet) are pretty harmful

Self-diagnoses can be legitimate or not - depends on the person doing them. They are often a necessity, in an environment where a professional diagnosis takes thousands of dollars or years in waiting (and is often done badly, by ill-informed professionals, like the many-decades prevailing myth that women/girls "can't be autistic", or that "ADD and autism can't coincide").

As (in this case) they are also based not on bloodwork or some physical indicators, but on a subjective assessment of a person's way of thinking, the person having the actual experience is often more qualified than the professional. Same to how you don't really need a doctor to tell you you're gay.

>One might even argue that the labeling aspect of a certain disorder (particularly a mental one) by a "professional" to not be particularly helpful too in addressing ones problems

One might argue that the false dichotomy between professionals and laymen, where the former is supposed to hold all the keys to knowledge and the latter to passively consult and follow the advice of the former, is a problem in itself.

And a little outdated in modern societies where the "laymen" are not some mud dwelling peasants who never went to school and only know farm work, but univercity-educated (even over-educated) in their own right, and libraries are not confined to the rich or the scholars, but every book ever written is a click away.

In any case, a self-diagnosis doesn't give you the required paperwork to get drugs, or to get benefits, or specific accomondations, or anything like that. So it's not like it hurts society by taking resources from "legitimate" diagnoses.

Last, but not least, pointing that X symptoms is "quite common to ADD/ADHD" is not self-diagnosis, it's not even diagnosing. It's a suggestion hinting to a possible condition. It could very well be used for seeking a professional diagnosis.

Or do you think people with ADD/ADHD just go to the doctor to get diagnosed out of the blue, and not because of some similar suspicion, spotting some unexplained symptoms or themselves, or identification with some symptoms they've read about?

Re: Hacking ADHD: Strategies for the modern developer

#322

Earlier quoted context omitted.

For a while there I thought I had ADHD, and started looking for avenues to get diagnosed. But when I talked more with some friends who have serious cases of it, I started to doubt. Instead of going for the medication, I removed distracting apps from my phone and logged out of socials. It took a few weeks to settle into the routine, but now my focus/attention problems are all but gone. Go figure!

I have diagnosed ADHD and I do not have social media (besides HN), distracting apps or anything. I just have stock GrapheneOS on my phone, no extra distractions. This helps tremendously but doesn't really affect the core issues of adhd, which are a lack of focus when that is needed. Note that it's not a general lack of focus and not a lack of discipline. People with ADHD often fall into depression because they cannot…

Exactly. I came to the conclusion that for me it was an environment/discipline issue because (among other things) my severe-ADHD friends would try the same tactics with 0 effect. If I can manage attention issues with lifestyle changes alone, it’s probably not a brain chemistry problem.

I do think it’s a testament though to how brain-rotting the always-on socials/apps/notifications can be. They messed me up so bad I literally thought I had a medical condition! Yikes.

Re: Hacking ADHD: Strategies for the modern developer

#323
post #199
post #39

Earlier quoted context omitted.

I have been personally diagnosed with ADHD and have benefited from medication but it doesn't come without its costs. My wife was diagnosed when she was very young and we've had a lot of time to run self experiments and discuss ideas. I don't think people want to hear this but I believe so many people think they have ADHD because of a lack of discipline. Even people with ADHD will understand what I'm talking about. So…

I dislike this post because medication is only a (meaningfully large part) of managing adhd. It’s not a magic pill that solves it and if the patient doesn’t have a holistic approach that includes mindfulness, exercise, diet, managing other mental health issues, and structure - then they’re still likely to fail. I’d encourage you to read more about adhd because a huge symptom of it is lack of long term perspective in…

I think you missed my point. I'm mostly talking about the litany of people on social media that believe they have ADHD without brain scans or any formal diagnosis.

Almost everyone suffers from some lack of discipline and some mistake it for being neurodivergent. People with ADHD can also lack it. Your point of taking a holistic approach is correct and I wasn't trying to single out medication. People with ADHD don't get a free pass on building discipline. In fact, to your point they require more of it to overcome their struggles. Medication, mindfulness, exercise, diet, and structure all take a lot of effort and consistency. It requires you to be more disciplined.

Re: Hacking ADHD: Strategies for the modern developer

#324
post #33

This hits home. I think we need to really take a hard look at today's world of tech and how we communicate and collaborate. I find that, if time allows, I get a massive productivity boost after 4:30pm and everyone is either winding down or leaving. All the sudden, the walls flatten, the horizon deepens and I enter a deep state of flow. Around 10 AM, after an elongated "stand up", I should be ready to go... And yet it…

At my company, we have daily standups and they throw off my whole morning. I only really work effectively when I am left to it and so have outlook/slack/messages turned off during periods where I am trying to focus - has got me in trouble with management a few times but I am not sure what else i can do. The piece was a good read but its so personal to me that it doesn't really help sadly.

Depends on where you are, but you can often get by, ignoring directives from management, if you are an active communicator and you’re completing assigned tasks.

It’s still better to state your problem. I like to use the “non-violent communication” as a template. Something like, “When we have the standup, I have a hard time refocusing on work afterwards. I’m concerned about the impact this has on my productivity. Can I send status updates via Slack?”

I’m not gonna pretend that this is a solution to your problem; I just want to sympathize and have a conversation about some of the strategies that we can use to fix problems with management that interfere with technical work.

Re: Hacking ADHD: Strategies for the modern developer

#325
post #3

I've been in the diagnostic process for ADHD twice. First time I ended up losing all the paperwork, and getting kicked out of it. In the time between the first and second attempt, I developed PTSD which essentially stalled the second diagnostic as they could not cleanly differentiate between the two. For some reason, getting a diagnosis has been nearly impossible for me, despite each diagnostician saying "ADHD is hig…

The fact you lost the paperwork should be a pretty damn good indicator and this part made me laugh out loud. I'm glad to have been simply diagnosed by someone who just accepted my story as true. All this talk about diagnosis is just bizarre. It's not a 0-1 sort of thing, they have to trust you. Unfortunately you have to be confident and assertive because they will gas-light you in the name of being 'careful'. Sports…

Now do remembering to fill your medicine when you're off your medicine :) you need extreme executive loading to argue with insurance and RXs especially with the supply chain issues.

Re: Hacking ADHD: Strategies for the modern developer

#326

One of the more interesting things about ADHD is that some of the things ADHD sufferers call "coping strategies" (using calendars, writing documentation) are actually just really good ideas for anyone. The twin demons of diminishing returns and hyperbolic discounting mean that people who don't need to have these systems in place for the current demands of their lives, usually don't have them in place. ADHD sufferers…

Getting things done was written by someone with adhd, the entire system is one big coping strategy for not having a functioning working memory.

I think the number of items that any given office worker in today's environment has to juggle far, far exceeds working memory, never mind that using working memory to maintain a running list of tasks precludes or at least contends with using it to actually think about the individual task at hand.

I haven't used the Getting Things Done method explicitly, but at a glance it looks like a more formalized version of what most of the people I know who are well-organized and have good time management skills seem to gravitate to naturally.

I don't think I know a single person who I'd consider "very on top of things" who doesn't have some mechanism, formal or informal, of noting/organizing/prioritizing thoughts and tasks. The idea that they are in fact coping with something and "regular" people just keep everything in their heads doesn't make any sense to me.

Re: Hacking ADHD: Strategies for the modern developer

#327
post #118

Earlier quoted context omitted.

Intriguing. Wonder if sound would work also.

Try Endel! Works great for this type of stuff IMO.

Does seem good. I laid it on top of some typing sounds, and it's a bit elevator muzak but that might be why it works.

Re: Hacking ADHD: Strategies for the modern developer

#328
post #3

I've been in the diagnostic process for ADHD twice. First time I ended up losing all the paperwork, and getting kicked out of it. In the time between the first and second attempt, I developed PTSD which essentially stalled the second diagnostic as they could not cleanly differentiate between the two. For some reason, getting a diagnosis has been nearly impossible for me, despite each diagnostician saying "ADHD is hig…

If you want to take one more shot at it, try any online pill mill, the diagnostic process is much easier post-covid and may be as simple as a brief in-person interview with a non-MD practitioner.

You still need cognitive behavioral therapy. Stimulants are a blunt instrument.

Re: Hacking ADHD: Strategies for the modern developer

#329

"Coping Mechanisms: Over the years, adults develop various coping strategies that can mask ADHD symptoms. For instance, someone might excessively rely on calendars, to-do lists, or alarms to compensate for forgetfulness." You're goddamn right I do

In my case I have to say that is only half true. As an adult-diagnosed ADHD sufferer I cannot say that I developed coping strategies on which I relied excessively that masked my symptoms. Rather, I used to try [0] to develop coping strategies, only for me to eventually drop them for unexplainable reasons at the slightest routine-messing incident or event, regardless of how effective the strategy was being or how good…

Honestly no coping strategy worked until I got medicated. Then it all became so simple and easy to do.

Re: Hacking ADHD: Strategies for the modern developer

#330
post #17

I swear that every time I read an article by somebody who claims they've been diagnosed with ADHD, it is the same formula: "when I was a child...", "I didn't know what it was", ..., "I was finally diagnosed with ADHD", then finally "I have super powers no one else has so I will use them to my advantage". I would love to see an ADHD version of the horoscope/personality tests administered by Stagner and Forer. I predic…

I read a book once decades ago about ADHD, and it said lots of children are misdiagnosed with it. One of the very common causes is that kids who don't eat regularly (or eat sugar then crash) will encounter low blood sugar. The body reacts to this by dumping adrenaline in the bloodstream and ... voila ... an excitable kid with little focus.

It's both under- and over-diagnosed because the funnel for children is teachers who have basically been trained to refer the "problem children" for diagnosis.

I have a son who has extreme anxiety, and kept getting referred by teachers for ADHD. Hyper-vigilance for danger can make it hard to focus on arithmetic, particularly in an elementary school classroom. The psychiatrist ended up putting a note in his file because this was happening.

Meanwhile, I also have a daughter who is so obviously ADHD: she forgets to turn in her homework; there were 6 of her jackets in the lost and found in October; she will go to school without her eyeglasses; &c. But, she doesn't disrupt the classroom and is otherwise seen as a "good kid" so she was never referred by a teacher.

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