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ADHD drug treatment and risk of negative events and outcomes

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471–480 of 537 posts

Re: ADHD drug treatment and risk of negative events and outcomes

#471

Earlier quoted context omitted.

I was on a 90 day prescription for ten years (vyvanse) when I told my doctor I was traveling abroad. Insurance doesn’t cover 90 day bottles so it was $300/mo but worth it. Nowadays there’s generic Vyvanse which is much cheaper so it probably makes 90 day prescriptions financially viable? I just moved back to the US and had to find a new local doctor who gives me 30 day scripts so I haven’t asked about 90 day yet. I i…

> I just moved back to the US and had to find a new local doctor who gives me 30 day scripts You may have difficultly getting a 90 day, both the doc and pharmacist have to agree to do it - 3x30 day with 'fill on dates' is more likely. When I had a long out of town trip I was able to get a 60 day script. When I came back the doc sent 60 day script again but the pharmacist wouldn't fill it and only allowed it because w…

This is why a friend of mine lies about their dosage. They claim they take 10mg twice a day when in reality they break the tablet into fourths and take 5mg total a day. Now they have a stockpile that gets them through frequent shortages and long trips. If their doctor asks why they haven't visited in a month and a half they say they don't take it on the weekends sometimes.

Re: ADHD drug treatment and risk of negative events and outcomes

#472

I was diagnosed with ADHD in my early 30s and prescribed Concerta to help manage it For a few years being medicated for ADHD was a godsend. I was finally able to be more productive and focus on work, my career took off in a huge way, I've literally tripled my income since I started medication Now I'm incredibly burned out, I've been having pretty severe memory problems, I'm on medical leave from my job to try and cou…

Had a similar experience with adderall. Worst decusion I ever made. Totally changed my personality. Made we eccentric, obsessive, hyper sexualized. Fucked my sleep schedule, gave me a weird kind of speech impediment occasionally, etc, etc, etc.

Also found out after I quit that it also probably contributed to an anuersym in my heart.

Highly recommend anyone to stay the hell away from amphetamines if at all possible.

Re: ADHD drug treatment and risk of negative events and outcomes

#473
post #216

The funny thing about this is sex actually does a good job at treating ADHD symptoms. Sad to see most doctors prescribing medication instead of helping kids get laid. Almost argue most adults are doing the opposite which makes me concerned for the population.

I'm confused and concerned. Are you suggesting that adults - doctors - should be... helping... children... get laid...?

No of course not. Doctors consider patients to be crops why would they give their crops any chance of being happy or running away?

Re: ADHD drug treatment and risk of negative events and outcomes

#474

Earlier quoted context omitted.

This is a common belief people have, especially those with mild ADHD or those who wish to be dismissive of the disorder. Unfortunately, in reality while there are some very limited advantages, as a whole ADHD is a whole-brain dysfunction where your neurons are literally incapable of maintaining their level of operation as long as in a healthy person, with ALL of your executive functions - all self-regulation, plannin…

It's copium. People don't want to think of themselves as of "diseased" or "disabled". So you get this strange phenomenon: people who are completely deaf, or lost an entire limb, and argue quite passionately that they're "not really disabled". Coping. ADHD screws with executive function, attention and impulse control. All three are incredibly important for a person to function in a modern society. A person with severe…

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Re: ADHD drug treatment and risk of negative events and outcomes

#475
post #345

Earlier quoted context omitted.

> a loose umbrella for what are actually disparate problems For me, the DSM-V & DIVA criteria are eerily accurate. I was diagnosed as an adult and it felt like a cruel cosmic joke reading through the psychiatrist report and realizing that most of my past and present issues were repeatedly-documented commonalities of a single condition. It was as if my life had just been playing out from a predetermined script. I full…

My criticism is not that the criteria don’t apply or that people don’t think they do - but that most people reading it seem to describe what you’re saying. It seems more like a horoscope to me - everyone can find themselves in the criteria. It’s an observable thing, I’m just not sure I buy its special distinction. People also used to make the claim that the stimulant drugs had special effects (or even opposite effect…

> It seems more like a horoscope to me - everyone can find themselves in the criteria. It’s an observable thing, I’m just not sure I buy its special distinction

Do you think the same about conditions like Autism or OCD?

People often say they "are a little bit" OCD or autistic, but it's the degree to which those traits are experienced which is the differentiation. There is also no objective test, it's all "soft" science.

> People also used to make the claim that the stimulant drugs had special effects (or even opposite effects) on those with ADHD vs. the non ADHD population

This is my experience, but I understand that anecdotes aren't good evidence.

Re: ADHD drug treatment and risk of negative events and outcomes

#476

Earlier quoted context omitted.

I bought a new-to-me car that supports Comma.ai. It's not full self driving, but it handles the boring parts sitting on the freeway for me. it's the best purchase I've made in recent memory because holy shit sitting there on the freeway forever is the worst.

I tried this, not with comma.ai, but had a VW with lane keeping, adaptive cruise, etc. The first time I did a 6 hour drive with it, it felt like magic. I was essentially on one road the whole time, there was very little traffic, and I didn’t touch the pedals, or really even steer much for 95% of the drive. Just at the start and end when off the expressway. However, as I made that drive more, it got worse. Traffic was…

That seems like a you problem, tbh. If you don't trust it to handle drivers coming into your lane so you couldn't use it and you couldn't rest, neither I, nor the manufacturer can do anything about that. To be fair, given VW's other transgressions, I don't blame you, but I don't have a VW, so I'm don't have to dig into VW's org chart and trust my life in understand how good they [are/aren't] at writing software.

Re: ADHD drug treatment and risk of negative events and outcomes

#477

As someone from Nigeria who's self-diagnosed with ADHD (my brain switches gears on the spectrum, and I've learned to cope without formal help), reading this thread hits different. Here, access to stimulants like Adderall or alternatives are expensive to be viable to the average household (if there is fore-knowledge, which is undocumented), doctors rarely diagnose ADHD in adults (that kind of access is on the premium…

From the West here, but anyway. > But the cultural stigma? Folks just call it laziness or blame "village people" (supernatural enemies). Funny, my daughter just stops my explanations after circa one minute, abruptly, saying that her brain just does not listen anymore and there is no reason for me to continue. Which is blunt, but kind. I understand and stop talking, that's that. We can do that since we know our limits…

> From the West here, but anyway.

@isodude no surprises; Emphasizes my point. It's thoughtful and resonates a lot.

> Funny, my daughter just stops my explanations after circa one minute...

I'm really glad to hear about your daughter and the strong, understanding relationship you've built with her. Explaining ADHD to her early on and helping her navigate it is awesome; being truly seen and validated by family can make all the difference in reinforcing one's self-knowledge and building resilience. It must be rewarding to see her thrive despite the challenges.

This reminds me of chats with my sister. I've tried helping her understand why I am the way I am; the distractions, the hyperfocus bursts, the whole spectrum, but she'd always say "don't accept it" and to just "pray it away." I usually laugh it off and say "Amen," because I know she's coming from a place of deep love and concern, rooted in our cultural lens. It's not dismissal; it's her way of wanting the best for me.

Isn't it fascinating how vast and varied the human psyche is? Almost no two people are exactly alike in how their minds work. I read somewhere that some folks don't even have an internal monologue, they think purely in pictures, without any inner voice or words. Blows my mind every time I think about it.

> ...I would assume that Africa in general is more attuned to accepting people as they are?

Spot-on! Nigeria/Africa in general embrace/reject people as they are, rarely pathologizing differences. We're not huge on formal psychology or therapists here [0], so spiritual and religious leaders [1] often step in to fill that gap - counseling couples, mediating family disputes, and offering guidance on some personal struggles. Mostly with a spiritual/cultural lens. In my opinion, it's better than nothing. Sometimes being heard alone helps untangle some deeply rooted misalignment.

> [2] (about the same bike)

Saw the bike picture, nice setup! I try to get in walks when I can for that mental reset, though it's been rare these days with everything piling up. Quick question: Is it the same color? I'm a black, purple, and blue person at heart now, but red was my jam growing up.

[3] adhd-diet

I went ahead and converted that ADHD diet page [3] to PDF and Markdown to stash in my knowledge pile; super helpful read.

What's striking is how individualized it all is; what works for one person can be the absolute opposite for another. Caffeine, for instance, is a game-changer for me as it helps me cope, prime myself, and zone in without the jitters, but the article calls it "complicated," noting side effects for some (especially on meds). Never been on meds so I cannot relate. I had no idea about white flour falling under those simple carbs to minimize, but sugar I've already been keeping low-key for energy stability.

Anyway, I truly appreciate you sharing. It's validating to connect on this across contexts. Cheers to you and your daughter; keep crushing it.

[0] though sensitization and awareness are gradually picking up, which is encouraging - partly thanks to the new wave of local movies and skits being produced around the subject:

Skits: Brain Jotter, Craze Clown, House21 TV, MC Lively, ...

Movies: Mind Work (2025), At Ease(2024), Vanity(2024), Oga John(2023), ...

[1] Pastors, Imams, Chieftains, etc.

[2] https://i.ebayimg.com/images/g/NxQAAeSwpg1odZbS/s-l1600.jpg

[3] https://add.org/adhd-diet/

Re: ADHD drug treatment and risk of negative events and outcomes

#478

Earlier quoted context omitted.

QbTest [ https://www.qbtech.com/adhd-tests/qbtest/ ] It measures your ability to focus your attention quite objectively and there's statistically significant differences between neurotypical and adhd performance. This test was used during my own diagnosis.

There is no doubt some differences in people who experienced mental problems, and sought or were given a diagnosis, and the general population. QbTest was retroactively designed specifically to target this subjectively diagnosed ADHD group. This may be evidence that an ADHD diagnosis does differentiate populations based on some criteria, but it says nothing to this differentiation being caused by a singular disorder/…

I think if you look hard enough there will always be fuzzy boundaries and overlaps in all the forms of neurodivergence. And yet, stereotypes and categories exist for a reason. Just because diagnosis is not perfect, doesn't mean it isn't good enough to do more good than harm in the world.

To your point 1, that's true. When there's ample motivation/inspiration, which is fickle and as far as I can tell not really up for conscious mutation, hyperfocus can occur in people with ADHD.

2: The test was actually quite long. In my unmedicated graph my attention was pretty high at first, but then I apparently got slowly distracted or disengaged. During the test I didn't feel distracted or disengaged however, and yet it showed quite clearly. Might it be harder than you think for people to "fake" this in a convincing way?

Anyway I do look forward to a better understanding of ADHD rather than "not enough dopamine" which seems to be the leading explanation. And I'm curious how much of a bimodal distribution that spectrum of dopamine deficiency is for humanity, or whether it is even bimodal at all.

Re: ADHD drug treatment and risk of negative events and outcomes

#479
There are 202 DSM conditions identified to be contributory to as having ADHD; problem is that no expert can agree on a definitive set of DSMs, so around 4 DSMs were myopically selected there.

While this study is the largest to date, it found substantial risk reductions with ADHD medication: 38% for suicidal behaviors, 30% for substance misuse, 28% for criminality, and 20% for transport accidents - with even stronger effects for recurrent events.

Small problem of potential conflict of interest with pharmaceutical for all authors involved. … persist.

Study did however show major problem with dispensing heavily abused set of ADHD Rx, lack of reaction time test (gamers’ and career-performists’ hyperfocus), and exclusion of large group out of the ~148,000 ADHD-diagnosed subjects of this study.

I am reminded of numerous studies that carve out a large portion of cigarette users thus neatly giving the “evil” tobacco-perpetuators/“scientists” a carveout (4 out of 202 DSMs) to “continue” as safe for medical use.

Re: ADHD drug treatment and risk of negative events and outcomes

#480

Earlier quoted context omitted.

I literally did the thing you’re not supposed to do. my psych kept giving me everything by Adderall. So I went to one of those online doctors and got Adderall through her. Then I just told my psychiatrist that I have Adderall prescription and she took it over. For the record, she’s actually really reasonable and I like her but very conservative about the stimulants. Which when I finally got them were a revelation. Me…

The DEA put Adderall on its list of the most abused medication, and limits production of it and investigates doctors who prescribe too much of it. This is a response to the problems with the abuse of legal opiates a decade ago- the DEA now takes potential abuse of legal drugs much more seriously and adderall (an amphetamine- it's a cousin of meth) is at a high risk of abuse. Your psychiatrist is trying to deal with t…

The DEA is a runaway paperclip maximizer[1]. Their directive is "prevent drug abuse", and they will continue to pursue that goal to the detriment of everything else. There is ZERO feedback loop here. You need to build that feedback loop of you want one. It's your government, shape it how you want it.

[1] - https://hackernoon.com/the-parable-of-the-paperclip-maximize...

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