4 ms·

however, it might be that someone who would actually benefit from such remediations hasn't thought of it seriously or recently (very, very common with ADHD). St

however, it might be that someone who would actually benefit from such remediations hasn't thought of it seriously or recently (very, very common with ADHD). Stories about such things working could be useful to these folks and aren't necessarily meant to undermine the difficulties you mention.

Kye 4y ago
There are some newer medications that show promise for people who've had little/no effect or bad side effects from the usual stuff, or who had trouble accessing Adderall. Suggesting that could help. Yet another "Ritalin? Therapy?" floating in the void will not.
- machinawhite 4y ago
  Will the person who downvoted explain? Ritalin must be the worst stimulant I have ever taken, worse than caffeine, and amphetamines work ok but that's just speed and has bad side effects. Doctors here are not aware of other medications and so I just smoke weed by the truckload :-)
  - erinaceousjones 4y ago
    Ritalin is one form of methylphenidate - a short-active version. Formulations with longer dose/release profiles exist - Concerta XR and Elvanse/Vyvanse are the same active stimulant (methylphenidate), but spread over the course of ~12 hours. Personally I've found that Concerta has a ramping up and ramping down, with peak effects kicking in around 4 hours, whereas Elvanse kicked in relatively quickly at the same constant level. Having to take ritalin (and adderall) multiple times a day with the risk of crashing in between sounds like a nightmare, and I'm glad at least here in the UK one of the first thing psychiatrists suggest trying is low dosages of the longer-acting methylphenidate derivatives. It takes a lot of messing around with different meds and formulations to find one that works for you. It's like incredibly individual/personal; people seem to have wildly different responses to the different families of stimulants, different dosages, different delivery methods, different times of day etc etc. Takes a lot of educated effort. It really sucks how it's so damn variable between countries or even within countries - national policies on ADHD meds and amount of knowledge your average doctor has in each country on those meds. Wildly and unhelpfully variable.
    - machinawhite 4y ago
      Elvanse is lisdexamphetamine no? That's speed, the good stuff :-)) I've had Concerta, Medikinet and plain Methylphenidate and they all feel the same to me, it's the same chemical after all. Feels horribly nasty and I didn't find all the variables to make much of a difference unfortunately.

Kye 4y ago

There are some newer medications that show promise for people who've had little/no effect or bad side effects from the usual stuff, or who had trouble accessing Adderall. Suggesting that could help. Yet another "Ritalin? Therapy?" floating in the void will not.

machinawhite 4y ago
Will the person who downvoted explain? Ritalin must be the worst stimulant I have ever taken, worse than caffeine, and amphetamines work ok but that's just speed and has bad side effects. Doctors here are not aware of other medications and so I just smoke weed by the truckload :-)
- erinaceousjones 4y ago
  Ritalin is one form of methylphenidate - a short-active version. Formulations with longer dose/release profiles exist - Concerta XR and Elvanse/Vyvanse are the same active stimulant (methylphenidate), but spread over the course of ~12 hours. Personally I've found that Concerta has a ramping up and ramping down, with peak effects kicking in around 4 hours, whereas Elvanse kicked in relatively quickly at the same constant level. Having to take ritalin (and adderall) multiple times a day with the risk of crashing in between sounds like a nightmare, and I'm glad at least here in the UK one of the first thing psychiatrists suggest trying is low dosages of the longer-acting methylphenidate derivatives. It takes a lot of messing around with different meds and formulations to find one that works for you. It's like incredibly individual/personal; people seem to have wildly different responses to the different families of stimulants, different dosages, different delivery methods, different times of day etc etc. Takes a lot of educated effort. It really sucks how it's so damn variable between countries or even within countries - national policies on ADHD meds and amount of knowledge your average doctor has in each country on those meds. Wildly and unhelpfully variable.
  - machinawhite 4y ago
    Elvanse is lisdexamphetamine no? That's speed, the good stuff :-)) I've had Concerta, Medikinet and plain Methylphenidate and they all feel the same to me, it's the same chemical after all. Feels horribly nasty and I didn't find all the variables to make much of a difference unfortunately.