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PSA for people that believe they are somewhat smart, have cool ideas yet seemingly no power whatsoever to actually work on them. If you believe you are chronica
by sph 3y ago
PSA for people that believe they are somewhat smart, have cool ideas yet seemingly no power whatsoever to actually work on them. If you believe you are chronically lazy and feel it is causing issues in your life. If you feel you are living at 10% your true potential:
Get tested for ADHD. If that is your problem, know that the chemical fix for it is extremely effective.
It's taken me 30+ years of self-hate, a suggestion en passant from someone that I might have ADHD, diagnosis, medication and my life has completely turned around in ways unimaginable before (3 years and counting).
Email's in the profile if you wanna chat about it.
EDIT: I did write a post last year about my experience and research on the topic: https://combo.cc/adhd/ https://combo.cc/adhd/
- BOOSTERHIDROGEN 3y agoWhat would be the safest drugs to consume ?
- toolz 3y agoConsidering there's no biological measurement being used to diagnose or correct ADHD, it's more of an "art" than a science. I presume you're looking for the safest drug that's also effective, because the safest would be not taking any drugs and optimizing for general health and lifestyle. I've heard of people achieving modest success with modafinil. Also with l-thyeanine/caffeine combos. Both of which have very well understood safety profiles. In the states you'll be unlikely to get a modafinil prescription as psychiatrists here have some perverse relationship with more potent and more harmful (dextro)amphetamines.
- Rewrap3643 3y agoPsychs won't prescribe it because it's a wakefulness promoting agent, not a typical stimulant. There's insufficient evidence to prescribe it as a first-line treatment for ADHD. Insurance companies are also unlikely to pay for it in absence of a diagnosed sleep disorder. Methylphenidate is the clinically correct alternative to amphetamines.
- toolz 3y agoSo we should first-line treat people with addictive, known long-term harmful medicines rather than try things that have a known long-term safe profile simply because it's understood to be less likely to work? That's just bonkers to me. I'll try every single safe potential treatment before resorting to higher evidenced unsafe treatment. Also this "wakefulness" doesn't mean much. It's much like ADHD doesn't mean much - we're just describing symptoms. If we decided to describe the symptoms of taking modafinil as increasing concentration (which being more awake does) then it would be just as accurate. There is no chemical being measured when we diagnose these medications and there is no chemical being measured when we clinically determine a successful treatment. It's all symptoms and entirely subjective. Which is exactly why we should tell people safe things work and allow the science of suggestion alongside medicine help treat people more safely.
- hirvi74 3y agoIf Modafinil is truly effective, then why is it not commonly used? The fact that is less commonly used seems to point two potential reasons: 1. It's safety profile is actually not that much better the what is commonly used for ADHD. 2. Its efficacy is significantly worse than what is commonly used, and thus, there is no point in using it. > There is no chemical being measured when we diagnose these medications and there is no chemical being measured when we clinically determine a successful treatment. I'll give you that one. I have personally always been bothered by this too. I just cannot understand why so many psychs have to go through a rigorous and scientifically based education program only to discount much of it in practice.
- toolz 3y ago> 1. It's safety profile is actually not that much better the what is commonly used for ADHD. Modafinil is sold over the counter in many countries. Your claim does not reflect modern research findings. It's really not even close. > 2. Its efficacy is significantly worse than what is commonly used, and thus, there is no point in using it. efficacy for whom? ADHD isn't an infection that is treated with specific antibiotics. It's symptoms that arise in individuals with potentially drastically different root causes. For some people modafinil is effective for treating ADHD symptoms. Speaking of other countries, Japan won't prescribe methylphenidate for ADHD - only issues prescriptions for sleep disorders. Most ADHD medications aren't even legal to bring into Japan, much less get prescriptions for them. I think you'll find there isn't some global consensus on ADHD and medications and there's a good reason for that. ADHD treatment is barely science.
- sph 3y agoSafety is a spectrum. I take dexamfetamine, which is the most researched and effective (if you can tolerate it). It has addictive potential, but in my experience, treating it with the respect it deserved, I would say it's nothing compared to caffeine. I can easily skip meds from an entire week (which I will spend scrolling HN), yet every single day there is a voice in the back of my head telling me that a cup of coffee would be a fine thing to have right now.
- hirvi74 3y agoI'm on the same medicine, but coffee is significantly easier to quit for me. If I take a single day off meds, then I feel it, and that feeling compounds for about a week. The withdrawals, in my opinion, while not particularly painful in a physical sense, and still fucking brutal. I'm on a child's dosage too, which is crazy. Yeah yeah, I know everyone is different and all that, but I can see why this drug is a Schedule II Controlled Substance in the US. I am not sure how addicting it is from a psychological point of view at therapeutic dosages, but it's damn easy to build a dependence in my experience.
- sebastiangula 3y agoPhysical dependence and addiction is a very different thing. If you’re physically dependent then you’ll just plan accordingly (taper if necessary) and ride it out, but if you’re addicted then you won’t be capable of doing that and 90% (or more) of the attempts will fail because of the behavioral overrides. This can turn something that could be tapered in couple months into multi-year struggle. I’ve learned this the hard way.
- hirvi74 3y agoBased on that description, maybe I am addicted lol. I can technically go without, but what I crave more than the feeling of the meds is the ability to be semi-functional. I do not respond super positively to the meds to begin with, but they are definitely better than nothing... and perhaps sometimes detrimental (focus on the wrong thing). I always try to take breaks when I can, but life rarely allows for me to do such anymore. On weekends now, I typically just half-dose or take a day off. Seems to be enough to help with the burnout.
- Jensson 3y agoNote that those pills fixes focus, not motivation. Even with pills you will fail if your motivation falters, just like regular people. I think the main tell of ADHD is if you feel you lack motivation to complete simple but tedious tasks that has high rewards that you really care about. In that case you don't lack motivation, you really care about the reward, you don't lack confidence since the task is simple, you just lack the ability to focus on simple tasks. Having a hard time doing tasks you don't care about or tasks you are afraid of failing isn't ADHD, that is just normal. That includes schoolwork if you don't care about grades or feel you will fail anyway, and so on.
- hasbot 3y agoThis recent study finds that amphetamines do help with motivation: https://www.jneurosci.org/content/43/41/6898 https://www.jneurosci.org/content/43/41/6898 > I think the main tell of ADHD is if you feel you lack motivation to complete simple but tedious tasks that has high rewards that you really care about. You might be right, but, at least for me, the number of tasks that meet that criteria is too low to a useful metric.
- Jensson 3y agoThey measure motivation by how hard the person works at achieving that goal, of course if you measure it that way the pills will "increase motivation". ADHD isn't a failure of motivation, it is a failure to put in effort doing stuff you are motivated to do. It doesn't magically make you motivated to do stuff you don't care about. > You might be right, but, at least for me, the number of tasks that meet that criteria is too low to a useful metric. Do you file taxes? Pay your bills? Those are simple and high reward tasks, every persons life is filled with such things.
- hasbot 3y agoDoing taxes and bills are not what I consider high reward more like moderate penalty. And, no, I don't pay my bills: everything is auto-pay.
- reuben364 3y agoOn medication for ADHD, it helps in the short term, but I still struggle to commit to working on things in the long term. I either get bored or forget or find a new shiny. My job involves static analysis and I have an interest in PLT, so I've found some papers (Abstracting Abstract Machines) that I'll read through and get a rough idea. But to truly understand things I have to implement the ideas, but the scope of what I want to do expands so fast that I get demotivated and eventually move on. Categories for the working mathematician, Software Foundations, contributing to mathlib are all things that I sort of start working towards and cannot force myself to get to any meaningful conclusion. At the same time starting so many things is how I slowly accumulated the foundations necessary to even approach these things. It doesn't help that I also have PDA autism, which leads any sort of structure I try to impose on myself eventually becoming too stressful. I feel like I've reached the extent that modern medicine (I'm just short of max dosage of XR Ritalin) and therapy I can afford can help me.
- Jensson 3y ago> But to truly understand things I have to implement the ideas, but the scope of what I want to do expands so fast that I get demotivated and eventually move on. This is your motivation doing its job, instead of wasting your time on such low reward per effort tasks it tells you to do other things, this is how motivation works for regular people. Pills doesn't change this, so unless your motivation loves to learn and understand new topics the pills really wont help you get there.
- diggan 3y ago> On medication for ADHD, it helps in the short term, but I still struggle to commit to working on things in the long term. I either get bored or forget or find a new shiny. Could just be that you're a "scanner" rather than you having some condition. Barbara Sher wrote multiple books about the subject of "I want to do everything, what's wrong with me?" and while the book I read ("Refuse to chose") is filled with lots of empty platitudes and overly positive language, I think the core idea discussed in the book is reasonable. A somewhat neutral/borderline negative (but realistic) review of the book can be found here: https://shkspr.mobi/blog/2024/01/book-review-refuse-to-choose-a-revolutionary-program-for-doing-everything-that-you-love-barbara-sher/ https://shkspr.mobi/blog/2024/01/book-review-refuse-to-choos... I'm not saying it'll solve the problem, but maybe there are "issues" that shouldn't be considered issues, related to you getting bored and so on.
- GeoAtreides 3y agoPSA: take a look at CDC's symptoms for ADHD: https://www.cdc.gov/ncbddd/adhd/diagnosis.html https://www.cdc.gov/ncbddd/adhd/diagnosis.html No motivation to start cool new projects is not among them... Actually, reading all those symptoms really puts into the light the 'disorder' part in the ADHD. And here's a philosophical question to ponder: should we change[1] to fit society's expectations or should society adjust itself to our needs? Should we take drugs so that we can be 100%, not even one percent less, productive 9-5 because that's what we're supposed to do? [1] literally microdosing amphetamine
- hasbot 3y agoI don't care about society's expectations. I just want a fulfilling life. My procrastination and lack of motivation is a detriment. If microdosing amphetamine will get me there, I'm all for it.
- ajb 3y agoMaybe this is a throwaway remark, but FYI there is some evidence that microdosing amphetamine and possibly some other stimulants is more dangerous than a normal dose, in that it can have permanent undesirable effects: https://www.reddit.com/r/Stims/comments/3mbp3n/be_very_careful_with_low_doses_of_stimulants/ https://www.reddit.com/r/Stims/comments/3mbp3n/be_very_caref...
- Rewrap3643 3y agoThis has no bearing in reality. Furthermore, the others in this thread are referring to therapeutic doses of amphetamine, not microdosing literally. The level of nonsense perpetuated on that site based on rat studies is absurd.
- the-chitmonger 3y agoSince receiving an ADHD diagnosis and being medicated, your latter point was something that constantly had me putting away my meds for weeks/months at a time. My heart rate has been permanently elevated and I'm watching my diet with a microscope so my blood pressure doesn't skyrocket. It honestly feels sick that I take this drug not to necessarily feel better (though I will concede that I can handle more of my passion projects on Adderall) but in order to best fit a standard established by business magnates like Henry Ford.
- willcipriano 3y agoAlso consider that the thing you are trying to do is boring and you are probably made to do something else.
- JeremyNT 3y ago> PSA for people that believe they are somewhat smart, have cool ideas yet seemingly no power whatsoever to actually work on them. Well, in some organizations it's pretty easy to feel like you have no power. The org structure almost seems built for it. Related to the OP here, I'm a huge fan of the phrase "it's easier to ask permission than forgiveness." The rules as you think you understand them are almost never the real limits of the possibility space. Figuring out the right rules to break is a hell of a skill.
- jdblair 3y agoThank you for posting this. I can confirm, and there are new forms of stimulant medication (like lisdexamfetamine) that work better (at least for me) than Adderal (dexamphetamine + amphetamine) and Ritalin (methylphenidate). The hard part: getting mental health support as an adult requires good executive function! Unless you are lucky, you will encounter suspicion, gatekeeping, and just general bureaucracy. ADHD's symptoms make it hard to actually get treated.
- matheusmoreira 3y agoI have attention deficit disorder and I agree with you. I got diagnosed as an adult and treatment changed my life. It felt like my brain's features had finally been unlocked. The effect of the medication got less pronounced over time but it is still very noticeable. The effect also proved to be long lasting: significant improvements in my cognitive functions remained even without the medication.
- thebiss 3y agoI have a hard time with this advice. Is it for teens? My daughter has severe ADHD and is a disaster without medication. One of her current doctors asked which parent has similar traits, and my wife says it is me. My daughter's academic and behavioral track record is shamefully like mine. So I've been to two psychologists and my GP, and all three say that ADHD doesn't exist in adults, it's something kids grow out of.
- hirvi74 3y ago> So I've been to two psychologists and my GP, and all three say that ADHD doesn't exist in adults, it's something kids grow out of. I recommend you go see someone who has at least read research from their field in the last 20 years.
- ilikegreen 3y agoThis is heartbreaking. It's possible you might not have it, but that response is so inadequate – and from three doctors! If you want to read more on the condition, Gabor Maté's Scattered Minds is a good introduction to ADHD (he's apparently very good at conveying what it feels like, which might be helpful to you at this point). All the best!
- hirvi74 3y ago> know that the chemical fix for it is extremely effective. Only for a short time in my experience. Eventually, ADHD always wins in the end.