6 ms·

The comments to this article mainly focus on the medical benefits and side effects of Adderall. I don't want a larger truth to get lost here... While I've bee

The comments to this article mainly focus on the medical benefits and side effects of Adderall. I don't want a larger truth to get lost here... While I've been prescribed Adderall for part of my adult life, and feel Adderall has benefited me, I'd like to say that there's far more to successful ADHD treatment than medication: - Proper environment - Getting enough exercise - Getting enough sleep - Support and understanding from loved ones - Strategies/systems that allow frictionless organization While nobody here is explicitly characterizing it as such, please... nobody fall into the common trap of thinking that successful ADHD treatment is just a bunch of pill-popping. (Unfortunately, many psychiatrists do treat ADHD treatment as nothing but pill-popping. Mine does. There's a good chance yours will. If you're seeking ADHD treatment I'd urge you to do your own homework and read up on ADHD life strategies and consider seeing a therapist in addition to a psychiatrist. Whether or not you decide to go the medication route, those strategies will really benefit you. Good luck!)

espeed 14y ago
You're absolutely right. John Ratey (http://en.wikipedia.org/wiki/John_Ratey http://en.wikipedia.org/wiki/John_Ratey), the professor of psychiatry at Harvard Medical School who wrote Driven to Distration, recently published a book called Spark: The Revolutionary New Science of Exercise and the Brain (http://www.amazon.com/Spark-Revolutionary-Science-Exercise-Brain/dp/0316113506 http://www.amazon.com/Spark-Revolutionary-Science-Exercise-B...). Spark details how high-intensity cardio (like sprints or interval training) put your brain chemicals in balance in part by generating BDNF (http://en.wikipedia.org/wiki/Brain-derived_neurotrophic_factor http://en.wikipedia.org/wiki/Brain-derived_neurotrophic_fact...), which as Ratey describes, it's like "Miracle-gro" for the brain. Last year my stress levels were getting out of control from working too much. At the time I was running at least two miles every day so it's not like I wasn't exercising. But then one day I changed from running a couple miles to running 50-yard sprints, as fast and as hard as I could push myself. The first day I only ran four sprints, but I felt euphoric the rest of the day -- the best I had felt in years. So I tried it again a couple days later, and sure enough it worked again -- I felt amazing. So then I had to find out why this worked -- why a few sprints were so much more effective than running several miles. I started Googling and eventually found Ratey's book -- it explains the entire biochemical process of what's going on and why sprinting works. It's an eye-opening read. Each chapter covers how high-intensity cardio affects things like stress, anxiety, depression, ADHD. I have ADHD but haven't taken anything for it in years (since I was in college), and I can attest that sprints not only fixed by stress levels, but my ADHD symptoms were almost non existent. Here's a key point that Ratey makes throughout the book that completely changed my perspective on things -- he says that instead of thinking of exercise as something you should do to look good and build a healthy body, you should instead think of exercise as the key to building a healthy brain: "We all know that exercise makes us feel better, but most of us have no idea why. We assume it’s because we’re burning off stress or reducing muscle tension or boosting endorphins, and we leave it at that. But the real reason we feel so good when we get our blood pumping is that it makes the brain function at its best" (http://www.sparkinglife.org http://www.sparkinglife.org). In the book's introduction he goes on to say, "Building muscles and conditioning the heart and lungs are essentially side effects. I often tell my patients that the point of exercise is to build and condition the brain." In fact the brain exercise routine he recommends is similar to a weight workout routine, in that you have to push yourself hard one day, and then take a day off to let your brain recover, just like in weight training. Another key is when you sprint, always put everything you have into it. Run as fast and as hard as you can so you are constantly pushing your body and your brain past their limitations -- this is the key to growth.
- dworrad 14y ago
  I have for many years realised the benefits of high intensity (hit) exercise and it does work... but like anything it has it's downside... illness and injury can become very common if diet and rest aren't factored in. I find the problem is that most people exercise in what I call the grey zone - not easy and long enough... or not hard and short enough. Most recreational runners fall into this category.... if you can balance easy and long (<140bpm) workouts with short and hard (20 minutes) you will gain many benefits. But you can't build an aerobic base without long easy workouts imho.
- scott_s 14y ago
  Nitpick: "high intensity cardio" is kind of an oxymoron. "Cardio" is used to mean training which mainly uses the aerobic system. That is, longer term, lower intensity, training that you can sustain over a long period of time because you are going at a pace that your body can turn carbohydrates into all the energy you need. Sprinting is anaerobic training, as is most strength training. It's high intensity, you can't sustain it over a long period of time, and it makes different energy demands on your body than aerobic training does. http://en.wikipedia.org/wiki/Aerobic_exercise#Aerobic_versus_anaerobic_exercise http://en.wikipedia.org/wiki/Aerobic_exercise#Aerobic_versus... With that said, I much prefer anaerobic training. It's more fun, for me. And if you do intervals over a long enough time, you're also increasing your aerobic capacity.
  - dworrad 14y ago
    It won't increase your aerobic capacity... It will raise your lactate threshold. The only way to increase your aerobic capacity is to spend a large amount of time exercising at an aerobic heart rate.
    - scott_s 14y ago
      It depends on how much rest you're getting inbetween your intervals. If the rest is short enough that your heart rate never goes back down to normal, then you're also working your aerobic capacity. When I train jiu-jitsu, I do several rounds of live rolling. Usually something like 4 6-minute rounds with a minute rest inbetween. The hard part of live rolling is the anaerobic part: quick spurts of high intensity. How fast you can recover from them, and how often you can sustain doing them over time determines how well, athletically, you will do. But this is also a 30 minute period with an elevated heart-rate, and you never are fully rested inbetween your anaerobic bursts. So, it is also an aerobic workout. Despite not doing much explicit cardio training, I still have the cardio capacity to run decent distances with decent times, on the rare occasions I do. That's because I am training my aerobic system even though most of the exercises are anaerobic. (I once went on a 9 mile run having not gone on a run in over 6 months, having only done jiu-jitsu training and conditioning during that time. My lungs were fine. My legs were not.)
carlisle_ 14y ago
I would highly recommend people interested in learning more about ADHD itself to read Delivered from Distraction: http://www.amazon.com/Delivered-Distraction-Getting-Attention-Disorder/dp/0345442318 http://www.amazon.com/Delivered-Distraction-Getting-Attentio... It's a fantastic book that explains the condition extremely well and has tons of useful information on not only how to cope with the condition, but for how family members and relatives of somebody with ADHD to best support them.
lsc 14y ago
what I find interesting is that when I use the ADD medication, I'm far more likely to go to bed and get up at a semi-reasonable time. Unsurprisingly, (as it's a stimulant) it also makes it far more likely that I'll work out. But yeah. Frictionless organization. and don't hesitate to hire things out. I mean, think about what you want to do yourself and what you want to hire out, but don't think about it from a cultural acceptability standpoint. Think about it from the perspective of "how do I get a reasonable return for my time?" A whole lot of my coping consists of changing my lifestyle to fit how I act (which is shockingly easy compared to changing how I act.) When I'm not medicated, I simply have to plan my life so that what needs to get done gets done in fewer hours of effort. I'm going to screw off some of the time; medication aside, I haven't figured out how to change that. So, do I clean out the office? or do I pay someone else to do that? cleaning out the office will take just as much effort on my part (well, really, rather more effort) than configuring the routing and scheduling downtime for the move to the new datacenter.) The other thing I've found is that I'm way better at context switches and unexpected emergencies than most people. I mean, it's not so much that I do well during those situations as that I don't do any worse than I normally do in those situations. I mean, I'm distracted as-is, right? so the pager going off isn't really that big of a deal. (and, well, the 'emergency rush' is one way to get non-medicated me off my ass.) So yeah; I mean, if I was in a McDonalds kind of situation, where peak performance didn't matter... where I just had to perform at a minimal level, but show up on time and always meet that minimal standard? I would really, really struggle, no matter what tricks or drugs I used. So I spend a lot of effort trying to construct a lifestyle and a workstyle where my weak points don't hurt me so much, and where my strong points really help.
- JohnBooty 14y ago
  So yeah; I mean, if I was in a McDonalds kind of situation, where peak performance didn't matter... where I just had to perform at a minimal level, but show up on time and always meet that minimal standard? I would really, really struggle, no matter what tricks or drugs I used. Haha. In high school and college, I struggled at some hilariously menial jobs before I became a professional developer! At one job, all I had to do was make toast on Sundays at a busy diner... the owner and I still laugh about the fact that I still sometimes managed to screw it up!

espeed 14y ago

You're absolutely right. John Ratey (http://en.wikipedia.org/wiki/John_Ratey http://en.wikipedia.org/wiki/John_Ratey), the professor of psychiatry at Harvard Medical School who wrote Driven to Distration, recently published a book called Spark: The Revolutionary New Science of Exercise and the Brain (http://www.amazon.com/Spark-Revolutionary-Science-Exercise-Brain/dp/0316113506 http://www.amazon.com/Spark-Revolutionary-Science-Exercise-B...). Spark details how high-intensity cardio (like sprints or interval training) put your brain chemicals in balance in part by generating BDNF (http://en.wikipedia.org/wiki/Brain-derived_neurotrophic_factor http://en.wikipedia.org/wiki/Brain-derived_neurotrophic_fact...), which as Ratey describes, it's like "Miracle-gro" for the brain. Last year my stress levels were getting out of control from working too much. At the time I was running at least two miles every day so it's not like I wasn't exercising. But then one day I changed from running a couple miles to running 50-yard sprints, as fast and as hard as I could push myself. The first day I only ran four sprints, but I felt euphoric the rest of the day -- the best I had felt in years. So I tried it again a couple days later, and sure enough it worked again -- I felt amazing. So then I had to find out why this worked -- why a few sprints were so much more effective than running several miles. I started Googling and eventually found Ratey's book -- it explains the entire biochemical process of what's going on and why sprinting works. It's an eye-opening read. Each chapter covers how high-intensity cardio affects things like stress, anxiety, depression, ADHD. I have ADHD but haven't taken anything for it in years (since I was in college), and I can attest that sprints not only fixed by stress levels, but my ADHD symptoms were almost non existent. Here's a key point that Ratey makes throughout the book that completely changed my perspective on things -- he says that instead of thinking of exercise as something you should do to look good and build a healthy body, you should instead think of exercise as the key to building a healthy brain: "We all know that exercise makes us feel better, but most of us have no idea why. We assume it’s because we’re burning off stress or reducing muscle tension or boosting endorphins, and we leave it at that. But the real reason we feel so good when we get our blood pumping is that it makes the brain function at its best" (http://www.sparkinglife.org http://www.sparkinglife.org). In the book's introduction he goes on to say, "Building muscles and conditioning the heart and lungs are essentially side effects. I often tell my patients that the point of exercise is to build and condition the brain." In fact the brain exercise routine he recommends is similar to a weight workout routine, in that you have to push yourself hard one day, and then take a day off to let your brain recover, just like in weight training. Another key is when you sprint, always put everything you have into it. Run as fast and as hard as you can so you are constantly pushing your body and your brain past their limitations -- this is the key to growth.

dworrad 14y ago
I have for many years realised the benefits of high intensity (hit) exercise and it does work... but like anything it has it's downside... illness and injury can become very common if diet and rest aren't factored in. I find the problem is that most people exercise in what I call the grey zone - not easy and long enough... or not hard and short enough. Most recreational runners fall into this category.... if you can balance easy and long (<140bpm) workouts with short and hard (20 minutes) you will gain many benefits. But you can't build an aerobic base without long easy workouts imho.
scott_s 14y ago
Nitpick: "high intensity cardio" is kind of an oxymoron. "Cardio" is used to mean training which mainly uses the aerobic system. That is, longer term, lower intensity, training that you can sustain over a long period of time because you are going at a pace that your body can turn carbohydrates into all the energy you need. Sprinting is anaerobic training, as is most strength training. It's high intensity, you can't sustain it over a long period of time, and it makes different energy demands on your body than aerobic training does. http://en.wikipedia.org/wiki/Aerobic_exercise#Aerobic_versus_anaerobic_exercise http://en.wikipedia.org/wiki/Aerobic_exercise#Aerobic_versus... With that said, I much prefer anaerobic training. It's more fun, for me. And if you do intervals over a long enough time, you're also increasing your aerobic capacity.
- dworrad 14y ago
  It won't increase your aerobic capacity... It will raise your lactate threshold. The only way to increase your aerobic capacity is to spend a large amount of time exercising at an aerobic heart rate.
  - scott_s 14y ago
    It depends on how much rest you're getting inbetween your intervals. If the rest is short enough that your heart rate never goes back down to normal, then you're also working your aerobic capacity. When I train jiu-jitsu, I do several rounds of live rolling. Usually something like 4 6-minute rounds with a minute rest inbetween. The hard part of live rolling is the anaerobic part: quick spurts of high intensity. How fast you can recover from them, and how often you can sustain doing them over time determines how well, athletically, you will do. But this is also a 30 minute period with an elevated heart-rate, and you never are fully rested inbetween your anaerobic bursts. So, it is also an aerobic workout. Despite not doing much explicit cardio training, I still have the cardio capacity to run decent distances with decent times, on the rare occasions I do. That's because I am training my aerobic system even though most of the exercises are anaerobic. (I once went on a 9 mile run having not gone on a run in over 6 months, having only done jiu-jitsu training and conditioning during that time. My lungs were fine. My legs were not.)

carlisle_ 14y ago

I would highly recommend people interested in learning more about ADHD itself to read Delivered from Distraction: http://www.amazon.com/Delivered-Distraction-Getting-Attention-Disorder/dp/0345442318 http://www.amazon.com/Delivered-Distraction-Getting-Attentio... It's a fantastic book that explains the condition extremely well and has tons of useful information on not only how to cope with the condition, but for how family members and relatives of somebody with ADHD to best support them.

lsc 14y ago

what I find interesting is that when I use the ADD medication, I'm far more likely to go to bed and get up at a semi-reasonable time. Unsurprisingly, (as it's a stimulant) it also makes it far more likely that I'll work out. But yeah. Frictionless organization. and don't hesitate to hire things out. I mean, think about what you want to do yourself and what you want to hire out, but don't think about it from a cultural acceptability standpoint. Think about it from the perspective of "how do I get a reasonable return for my time?" A whole lot of my coping consists of changing my lifestyle to fit how I act (which is shockingly easy compared to changing how I act.) When I'm not medicated, I simply have to plan my life so that what needs to get done gets done in fewer hours of effort. I'm going to screw off some of the time; medication aside, I haven't figured out how to change that. So, do I clean out the office? or do I pay someone else to do that? cleaning out the office will take just as much effort on my part (well, really, rather more effort) than configuring the routing and scheduling downtime for the move to the new datacenter.) The other thing I've found is that I'm way better at context switches and unexpected emergencies than most people. I mean, it's not so much that I do well during those situations as that I don't do any worse than I normally do in those situations. I mean, I'm distracted as-is, right? so the pager going off isn't really that big of a deal. (and, well, the 'emergency rush' is one way to get non-medicated me off my ass.) So yeah; I mean, if I was in a McDonalds kind of situation, where peak performance didn't matter... where I just had to perform at a minimal level, but show up on time and always meet that minimal standard? I would really, really struggle, no matter what tricks or drugs I used. So I spend a lot of effort trying to construct a lifestyle and a workstyle where my weak points don't hurt me so much, and where my strong points really help.

JohnBooty 14y ago
So yeah; I mean, if I was in a McDonalds kind of situation, where peak performance didn't matter... where I just had to perform at a minimal level, but show up on time and always meet that minimal standard? I would really, really struggle, no matter what tricks or drugs I used. Haha. In high school and college, I struggled at some hilariously menial jobs before I became a professional developer! At one job, all I had to do was make toast on Sundays at a busy diner... the owner and I still laugh about the fact that I still sometimes managed to screw it up!