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Mental illness, attention deficit disorder, and suffering

blog.plover.com

351–359 of 359 posts

Re: Mental illness, attention deficit disorder, and suffering

#351
post #343

Earlier quoted context omitted.

This might be the most relatable comment I've ever read on HN - it at least feels better to know I'm not alone in the experience.

You got me curious, so I read your other comments :) And yes, I totally can relate to " I frequently get completely engrossed for periods of a few weeks on a topic - beyond healthy levels of interest. But one day, it's just gone - vapid." This is coupled with a bit of a shopaholic tendency where I'll buy anything that would be useful for my new topic of interest (I didn't use to do this, but now I have disposable inc…

Yeah I have the same problem with purchasing stuff for projects - having high income makes it a little too justifiable. When it applies to work though it can be very useful.

Re: Mental illness, attention deficit disorder, and suffering

#352

Earlier quoted context omitted.

Getting a prescription is only half the battle. In the US, you can't have more than a month supply. Maybe you're lucky and your doctor realizes this so writes you a larger than necessary prescription, but for most vehicles (extended release) it's not an option. Many people horde a backup stash of pills. This means you have to get your prescription filled within a small window at the end of your previous supply if you…

> In the US, you can't have more than a month supply I've met one doctor before who believed it. But after switching to a few other ones (not due to that, but due to circumstances like me moving states or, later on, my doctor doing the same), I dont think that's true. Every single doctor I had since then was able to write prescriptions for 3 months supply (because they are required to evaluate the patient every 90 da…

Schedule II allows for multiple prescriptions for up to a 90 day supply, but in practice this is 3 prescriptions each for 30 days, and attached to each prescription is a start date.

So you're allowed to have 90 days worth of prescription, but pharmacies aren't supposed to fill more than 30 days at a time. Ultimately this means 12 trips to the pharmacy a year, if you're lucky.

Re: Mental illness, attention deficit disorder, and suffering

#353
post #50

Earlier quoted context omitted.

I am 30. I got diagnosed with ADHD a few months ago and I started treatment (adderall and lifestyle changes). Growing up, ADHD was my biggest enemy in life and I didn't even realize it. Once I began treatment, the change was almost overnight. I know I'm just one data point in a sea of data points, but I really just want to add that I'm on the other end of the parent comment and getting diagnosed, other than my marria…

I mean, anyone benefits from Adderall whether you have ADHD or not. How are you so sure you really have it?

I feel sleepy cause it so calm after I take it.

Re: Mental illness, attention deficit disorder, and suffering

#354
post #331

Earlier quoted context omitted.

Except humans are not primitive tools, and the brain is not a piece on a game board. Perhaps a concept like CPU/GPU binning would be a bit more helpful to consider, but even then, it reduces one’s entire experience into manufacturing terms. The worst CPUs are thrown in the trash. So are the broken hammers, and eventually the screwdriver misused as a hammer.

You are trying to reduce human mind to one bit: broken/working. Humans have strong general intelligence and therefore are capable of solving many different tasks. There are many different tasks in the world where different characteristics may be useful in addition to pounding nails (though if you are a hammer, it may be hard to imagine) The existence of screwdrivers shouldn't be considered a disorder.

> You are trying to reduce human mind to one bit: broken/working

Not at all! That’s why I mentioned CPU binning, which takes varying results of the manufacturing process, and categorizes each according to what it is capable of. I still think this is an imperfect analogy, but felt closer to the topic than wizards and fairly primitive tools.

> The existence of screwdrivers shouldn't be considered a disorder

I think I’ve lost you here - this analogy is stretched pretty far at this point.

But if the screwdriver is missing it’s handle, and the head of the screwdriver is deformed and unable to make contact with screws, a pretty good case could be made that this screwdriver has some serious problems.

Re: Mental illness, attention deficit disorder, and suffering

#355

Earlier quoted context omitted.

> In the US, you can't have more than a month supply I've met one doctor before who believed it. But after switching to a few other ones (not due to that, but due to circumstances like me moving states or, later on, my doctor doing the same), I dont think that's true. Every single doctor I had since then was able to write prescriptions for 3 months supply (because they are required to evaluate the patient every 90 da…

Schedule II allows for multiple prescriptions for up to a 90 day supply, but in practice this is 3 prescriptions each for 30 days, and attached to each prescription is a start date. So you're allowed to have 90 days worth of prescription, but pharmacies aren't supposed to fill more than 30 days at a time. Ultimately this means 12 trips to the pharmacy a year, if you're lucky.

I've heard of that rule before (explained to me in the exact same way you explained by one of my previous doctors), and it definitely worked in a similar way for me in the past too. But for the past few years, my process has been much easier and simpler.

My insurance provider (Premera) has their own mail order pharmacy (called Express Scripts[0]; technically independent, but Premera officially partnered with them), so i dont have to go at all. My doctor writes a prescription, sends it directly to the insurance, opting for the mail pharmacy option checkbox, and I get my meds in the mailbox. They arrive all at once, with a single pill bottle containing 90 days worth of medication.

Just in case it varies by state, that's how it works for me in WA.

0. https://www.premera.com/visitor/prescription-savings (the link talks about Express Scripts specifically on that page, it isn't just a generic Premera page)

Re: Mental illness, attention deficit disorder, and suffering

#356
post #331

Earlier quoted context omitted.

You are trying to reduce human mind to one bit: broken/working. Humans have strong general intelligence and therefore are capable of solving many different tasks. There are many different tasks in the world where different characteristics may be useful in addition to pounding nails (though if you are a hammer, it may be hard to imagine) The existence of screwdrivers shouldn't be considered a disorder.

> You are trying to reduce human mind to one bit: broken/working Not at all! That’s why I mentioned CPU binning, which takes varying results of the manufacturing process, and categorizes each according to what it is capable of. I still think this is an imperfect analogy, but felt closer to the topic than wizards and fairly primitive tools. > The existence of screwdrivers shouldn't be considered a disorder I think I’v…

CPU binning assumes just one axis: from 100% working (perfect) then various degree of broken to 0% (completely broken) which leads to the wrong attitude of thinking in terms of "disorder" (from perfect human to completely broken).

My examples tried (unsuccessfully) to show that there can be more than one axis: whether a tool is considered working/broken can depend on specific task you are trying to apply it to. Use the right tool for the job. It is not that the tool by itself is broken, it is the combination tool+job can be inadequate (but it doesn't mean that the tool by itself has a disorder):

    | tool        | job          | good fit |
    |-------------+--------------+----------|
    | hammer      | pound nails  | yes      |
    | hammer      | drive screws | no       |
    | screwdriver | pound nails  | no       |
    | screwdriver | drive screws | yes      |
There can be broken hammers, screwdrivers too that are not suitable for any job. There can be situations where you see only nails around you and you'll be having a hard time if you are a screwdriver. Screwdriver by itself is not broken.

Obviously, human minds/tasks people do have many many aspects to them and therefore different types of humans can find a good fit to their abilities despite the differences. The symptoms of ADHD can often be considered adaptive to their specific environment (and of course, they can be crippling too):

"How a gene associated with ADHD may have been adaptive: an example

About one-seventh of a Kenyan tribe, the Ariaal, have the long version of the DRD4 gene, which is associated with novelty-seeking. Pastoralists, some Ariaal still lead a nomadic life, moving from place to place, whereas others now have a more settled way of living. A study found that men with the novelty-seeking allele who lived a nomadic life were well nourished and healthy. In contrast, those with this same allele living a settled life were on average less well nourished (Reference Eisenberg, Campbell and GrayEisenberg 2008). It seems that having the ‘ADHD-inducing’ variant might well be a better option when living a less settled kind of life, and that different genetic variations aid survival or success in some environments but not others." https://www.cambridge.org/core/journals/bjpsych-advances/art... (most of the paper is psychobabble but the example stands by itself)

Re: Mental illness, attention deficit disorder, and suffering

#357

I think I might have ADD, but since I'm a straight A student, socially well adjusted and not hyperactive I can not get any healthcare professional to take my problems seriously. I cannot do things in time. Not even things that should be rewarding and fun. I cannot start tasks until it's too late, or in the rare event I start I cannot focus long enough on them to make a difference. I cannot really explain why. I know…

Don't trust a stranger on the internet, but that was me until a few months ago.

Until recently, my life has been a slow descent into an abyss of despair. Then I got diagnosed and since I've started medication, for the first time in my life I am actually proud of myself. Proud of all my talents and place in the world. There actually is hope and excitement for the future.

Here's my suggestion: do everything possible to talk with a psychiatrist. Get diagnosed. It might be something else, but if it's ADHD you'll be happy to learn that treatment is _very_ effective and often life changing. This is not hyperbole.

Re: Mental illness, attention deficit disorder, and suffering

#358
post #106
post #69

As usual the message is, I don't want to change amd adapt, everyone else should.

1. that's not the message of the linked post at all 2. adhd is a disability under the ada. do you ask people in wheelchairs to change as well?

I don't ask anyone to change, but if you have a problem I should be under no obligation to help you. I may help you but I'm not obliged to pander to your needs.

Re: Mental illness, attention deficit disorder, and suffering

#359

Earlier quoted context omitted.

Maladaptive learned behaviors change the physical structure of the brain.

That's like calling a malware infection a damaged hard drive. The way to fix them is at the same conceptual level you learned them from; we don't have offline brain editing tech.

We do have brain editing tech, it is called synaptic plasticity.

We are not a computer. Or we are one that can in fact change its own hardware.

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