Live data from Hacker News

How I Run a Company with ADHD

andrewaskins.com

481–490 of 515 posts

Re: How I Run a Company with ADHD

#481

Earlier quoted context omitted.

Ive been on vyvanse for 9 years and im warning you that it will eventually stop working and the side effects will get worse than the cure

So, work with your psychiatrist or GP and try something else. Vyvanse is not the only option. Even stimulants are not your only options.

At some point, you just can't fix it with more amphetamine because the side effects become stronger than the desired effect. See the post below for more info.

Re: How I Run a Company with ADHD

#482

Earlier quoted context omitted.

Ive been on vyvanse for 9 years and im warning you that it will eventually stop working and the side effects will get worse than the cure

Vyvanse specifically or all the various forms of amphetamine that are used to treat ADHD (e.g., Ritalin, Adderall, Concerta, ...)?

I believe it has to do with vyvanse and the enzymes required to break it down. I suspect its taxing on the liver and eventually it cant make the required amount of enzymes to activate it

Re: How I Run a Company with ADHD

#483

Earlier quoted context omitted.

Ive been on vyvanse for 9 years and im warning you that it will eventually stop working and the side effects will get worse than the cure

Define “eventually”. What’s your dosage history, etc? Do you take magnesium, zinc, or anything else to combat tolerance?

The main issue is that tolerance to all the effects of the drug doesn't increase uniformly. Originally I was on 70mg for about 5 years but started to notice that it wouldn't last the whole day anymore. My doctor gave me a booster which worked well for about a year but slowly I started to realize that the side effects were becoming worse than the desired effects.

My main issue was that originally it gave me a calm and relaxing feeling but over time I began to feel more an more anxiety. I'm not normally an anxious person, and the first time I an anxiety attack I thought I was having a heart attack and went to the ER. Magnesium, L-tyrosine, and good sleep can help but eventually, it would just make me feel jittery and unfocused. The anxiety also caused me to subconsciously swallow air and combined with the increased water I would drink it started to cause me stomach issues. I suspect the excess water diluted my stomach acid causing my stomach to make more. The swallowed air put pressure on my esophagus and eventually, I developed a hiatal hernia. This allowed my stomach acid to start damaging my esophagus and would result in constant burping / GERD.

The worst part is that the GERD was anxiety induced and things like Tums or even Zantac or Nexium did nothing. The only thing that worked was Xanax. However, Xanax is an incredibly powerful drug that can cause bizarre behavior because sometimes you speak without a normal filter. I didn't like the concept of having to take another powerful drug to counter the side effects of the first powerful drug, nor was I comfortable with medication effecting my personality. Furthermore, because of the stomach issues, I began to feel like I needed to make a change because it wasn't sustainable. I began a regiment to taper off by reducing the dosage and stopped taking it daily.

It wasn't as bad as I thought because what I realized is that the original effect that helped me just didn't work anymore and I really hadn't felt it in a long time. In many ways, that slow reduction of effect over time trained me to be able to do work without it. By the end, I was more productive without it because I wouldn't have the stomach/anxiety issues. Furthermore, my sleep has never been better.

Re: How I Run a Company with ADHD

#484
post #480

Earlier quoted context omitted.

Long term usage of those drugs will cause GERD. I know first hand

How long is long term? I have a friend that had problems with GERD until he started taking Adderall. It seems that he is not alone. Something about stimulants seem to help digestive problems for some people.

After about 5 years is when I started noticing the side effects got worse than the desired effect.

Re: How I Run a Company with ADHD

#485

Earlier quoted context omitted.

>> 4. Physical activities. Go for a 20 min run. It is boring, but reach the point of proper sweating and keep going for another 10-20 min. Long time skateboarder, hung up in a 9-5, knees are starting to shit the bed at 30, and don't skate much any more as a result. Realized, fairly recently, that over the years my mental state was declining/flatlining largely in part to not exercising. Skating is just fun, provides a…

I was in your spot 8 years ago. Long time surfer, skater, wakeboarder whose body started crapping out. This book changed my life: https://www.amazon.com/Starting-Strength-Basic-Barbell-Train... . Strength training with barbells fixed all those aches and pains in my knees and joints that braces and doctors and physical therapy couldn't. When I started squatting, I suddenly stopped being afraid to walk down stairs. My…

[deleted]

Re: How I Run a Company with ADHD

#486
post #422

Earlier quoted context omitted.

> Perhaps I should write about how I run(?) a family with ADD? It would make for a lot of laughs and a some sad stuff. Given how poignantly you expressed my own experience of living with ADHD Primarily Inattentive (what you called ADD above), and as someone on the cusp of becoming a father, I would appreciate this more than I can express.

As a random suggestion from someone who did manage to not get his children killed despite ADD... look into bullet journaling as an organizational system for parenting duties. Ignore the endless art-project nonsense on the internet, read the book, and focus on using it for task management and scheduling. As an adult with ADD, it was a miraculous new perspective on tracking all the things I used to fail to do. I so, so…

Thank you very much.

Using OrgMode for keeping my work-life in order has been a life-changer. But perhaps a bullet journal is more suited for keeping personal, and family life. I've never looked into them properly, but will definitely do so today.

Re: How I Run a Company with ADHD

#487

Earlier quoted context omitted.

I am not. I experience them and suffered the consequences. ADHD people suffer because we don't meet expectations. Either there is something wrong with us or something wrong with the expectations and I choose the latter and want to help fix it. Saying "something is wrong with me" and wanting to fit in, for me, is the problem. Constantly not meeting expectations is the problem but I deny that not meeting them is the fa…

Its not about other peoples expectations though, its also about our own. Maybe you are okay with never finishing any project you start. I am not. It feels awful to me to start 10 Projects a month and never finishing any. It feels awful to me to be very sensitive to rejection, even though I realize the other person did not mean it like that. > Saying ADHD is a disease is just as offensive to me as saying homosexuality…

There's some massive irony in him telling off others for treating ADHD as a disease, all because he doesn't like others imposing things on him...

Re: How I Run a Company with ADHD

#488
post #112

Earlier quoted context omitted.

I have ADHD. There are other serious neurological issues connected to ADHD. It's a very misunderstood disorder with a broad spectrum of identifiable symptoms that could indicate ADHD. If you are heavily medicating with caffeine, then that can be a signal. I was using Pseudoephedrine and caffeine to self medicate and stabilise my moods and behaviours. That was before I got prescribed Ritalin. But as the article says,…

How, as an adult, did you get a doctor to diagnose ADHD? Every time I've brought it up with a healthcare provider, I lay out my difficulties and coping mechanisms, and the conversation ends with them saying "Well, it sounds like it's not much trouble for you. Anything else?" I just don't know how to make them get it. I feel like I have so much potential for success, but I can't harness it.

"Well, it sounds like it's not much trouble for you. Anything else?"

Best advice I've heard here is that you need to talk less about how you're coping, and more about how it's still impairing you despite that.

After all, so the doctor reasons, if you've built coping skills that handle it without medication, then why not just stick with those? What you have to do is give them an answer to that unspoken question.

Re: How I Run a Company with ADHD

#489

Earlier quoted context omitted.

Looks like your dose is way too high...

Usually people take 20-30 mg pills. This happens anywhere after 10mg. I see lots of sleepless dudes in tech industry. All angry and intolerant :)

My prescription is 30mg of Elvanse daily, which corresponds to 12mg of Adderall _spread through the day_ (Elvanse/Vyvanse is an extended release form). Taking it all at once would surely lead to all that effects.

Re: How I Run a Company with ADHD

#490

It’s interesting to see how hard if is to separate ADD from ADHD by a description of traits or behaviors. I have ADD and pretty much recognize myself in a lot of this. It’s almost impossible to focus on anything that is not interesting “right now” and what is “interesting” changes in cycles spanning a few weeks. During a cycle I become completely absorbed, you know, not eat, not sleep and not being communicative, abs…

Could you please write about this! Sounds very interesting!
Post reply on HN