ADHD

Curious to hear what others think, as this definitely aligns with my own experiences.

The original study is behind a paywall, but I'm trying to see if I can get a hold of the full text somehow. For now, here's the abstract.

Abstract

Objectives: Recent studies report a fluctuating course of attention-deficit/ hyperactivity disorder (ADHD) across development characterized by intermittent periods of remission and recurrence. In the Multimodal Treatment of ADHD (MTA) study, we investigated fluctuating ADHD including clinical expression over time, childhood predictors, and between- and within-person associations with factors hypothesized as relevant to remission and recurrence.

Methods: Children with DSM-5 ADHD, combined type (N = 483), participating in the MTA adult follow-up were assessed 9 times from baseline (mean age = 8.46) to 16-year follow-up (mean age = 25.12). The fluctuating subgroup (63.8% of sample) was compared to other MTA subgroups on variables of interest over time.

Results: The fluctuating subgroup experienced multiple fluctuations over 16 years (mean = 3.58, SD = 1.36) with a 6- to 7-symptom within-person difference between peaks and troughs. Remission periods typically first occurred in adolescence and were associated with higher environmental demands (both between- and within-person), particularly at younger ages. Compared to other groups, the fluctuating subgroup demonstrated moderate clinical severity. In contrast, the stable persistent group (10.8%) was specifically associated with early and lasting risk for mood disorders, substance use problems in adolescence/ young adulthood, low medication utilization, and poorer response to childhood treatment. Protective factors were detected in the recovery group (9.1%; very low parental psychopathology) and the partial remission group (15.6%; higher rates of comorbid anxiety).

Conclusions: In the absence of specific risk or protective factors, individuals with ADHD demonstrated meaningful within-individual fluctuations across development. Clinicians should communicate this expectation and monitor fluctuations to trigger as-needed return to care. During remission periods, individuals with ADHD successfully manage increased demands and responsibilities.

Hi all,

I've been on 30mg Vyvanse for approx. 3 years now. I'd say it's been a resounding improvement, though there have been some minor downsides.

Unfortunately I have some trauma in my past, and when I'm particularly in the peak of the drug it can kick in my fight or flight a bit under certain circumstances, becoming hyper vigilant and all that good stuff. It is a stimulant, it's only fair. Oddly enough though this seems to only happen after long periods of taking the drug. I've tried 20mg for a period, and it wasn't really effective, so going down a dose isn't a practical option.

I am wondering if maybe I should be taking small drug holidays when the paranoia etc starts to kick in. I feel like it steadily gets stronger the more days I take Vyvanse in a row. I've done some searching that says it shouldn't get stronger, which is why I'm wondering if anyone else has had the same experience, and if anything worked for you?

https://my.clevelandclinic.org/health/diseases/24099-rejection-sensitive-dysphoria-rsd

I always had this thing where randomly certain types of criticism, even small ones or ones where in hindsight it wasn't really against me, WRECKED me. Like was all I could think about for days, where I wasn't able to sleep that night at all, just overwhelmed with negative emotions. I still remember the overwhelming feeling of sadness and frustration I got once because I got a question marked wrong in like the 4th grade because I didn't "show my work" properly even though I got the answer right.

When I was younger this was a fun combination, because I was undiagnosed ADHD sufferer school was a place I got a good amount of criticism. So yeah I got called a crybaby a good amount. Which of course... more criticism. Yay.

I grew out of the crying (as any man should, I was told), but never grew out of random insults hitting me as hard as if someone I love just died. There were hobbies/games/communities I adored that I quit suddenly because a single snide comment for some reason filled me with such negative emotions I couldn't do said thing without thinking about it all the time.

But now as I just got my ADHD diagnosis and learning that RSD is a symptom that goes along with it, it makes SO MUCH SENSE, and is now something I can work with my counselors on.

But yeah, just curious if the cry baby thing was a shared experience.

Hello, ADD-"enjoyer" here.

I think I am not alone when, typically, I am constantly overwhelmed. Too many thoughts and impulses. So I don't make a lot of decisions; I usually respond to other people's decisions or I let me guide by suggestions from the people around me.

Now I am in the situation that some things are changing at my work. I have actual influence this time, I could say "next year I want to work on X" and X might actually be my new job.

I have some ideas where to start thinking (start writing down random thoughts and see if I can make a list), but as I am always overwhelmed I am having trouble to "find the right mood". I always get distracted by other thoughts and I always end up doing things entirely unrelated (currently I am baking bread, collecting documents for my insurance, and I am almost ready to pick a new e-mail provider)

Does this feel familiar to anyone? Probably ;-)

I feel like I need the right circumstances. Should I start with some mindfulness-excercises? Walk for a bit? Find an empty room with no distractions? Find some good background music?

How do you deal with this? What works for you?

Thanks for your input :-)

The Two Articles from the Economist:

Researchers are questioning if ADHD should be seen as a disorder. The Economist, October 30, 2024. https://archive.is/a4xbu

ADHD should not be treated as a disorder. The Economist, October 30, 2024. https://archive.is/hNPIQ#selection-97...

Hi, I am taking part in a research project and for that I need to conduct a very small survey. It is about the daily challenges faced by parents raising children who struggle with ADHD and aggressive behavior. My goal is to better understand the specific difficulties families encounter, so we can identify and develop more effective resources and support.

We are currently in the very early phase where we conduct this survey and later, me and my team will be working towards creating a technical solution (most likely an app) for emotional fitness and mental health for this.

Thanks in advance for taking the time in filling out the survey.

Here are the questions:

1. What are the most challenging moments or behaviors you encounter with your child on a typical day?

2. How does your child's ADHD and aggression impact their relationships with you, their siblings, friends, or classmates?

3. What strategies or methods have you tried to manage your child's aggressive behavior, and how effective have they been?

4. How does your child's condition affect your personal life, mental health, and/or relationships with others?

5. What resources, support systems, or information do you feel would help you most in managing your child's challenges?

Keep in mind that, it is obviously anonymous and you don't have to answer all the questions, just as much as you can answer. So no pressure!

cross-posted from: https://lemmy.zip/post/26080110

Research into psychology of people in US and UK suggests it is better to submit work on time rather than perfecting it through procrastination

Study: https://www.sciencedirect.com/science/article/abs/pii/S0749597824000578

I wonder whether that is an ADHD thing or whether I'm also an idiot: When a website has more than 1 clear menu and one content area, I don't get it.

E. g. a site is quite overloaded with distributed buttons for print, profile etc. When I gradually resize it, they suddenly "disappear" and a hamburger menu appears. I just stand there baffled where the buttons went.

Consoles work great for me, though. I have to remember a few commands, look the rest up as needed, and it's no problem.

A HUGE breakthrough for me was when operating systems and applications started this trend that you just type part of what you want and it searches everything for you. Started with OSX Tiger & Windows Vista, iirc. But now they enshittified the start menu with web searches and all sorts of things.

Basically the same as when I stand in the supermarket and can't find an item, even when looking at the correct shelf. Or the expiration date on food. Damn, could we make a law that the expiration date must be at least the same font size and be as prominently placed as the title?

So is it ADHD, or am I also an idiot?

So I've suspected I have ADHD for a while now. The symptoms just fit plus both my mom and brother have it so I've got a pretty strong family history.

I finally got in to see a psychiatrist and they agree that I likely have ADHD. They had me take an online test called MOXO. I won't be seeing my psych for about another week and a half and I'm assuming that's when I get my actual results. But it feels like I did way too well on it.

Has anyone here taken that test and how did you feel you did on it when you took it?

Howdy folks! I'm new to ADHD spaces, still in the process of getting a diagnosis, but I've been doing some thinking about how I handle energy for tasks, and I was wondering if it would resonate with anyone else.

My partner and I have cats, which means we have to clean their litter box regularly. I struggle a lot with executive dysfunction, and so does she, so sometimes that's challenging. Recently though, we cat sat for a friend that had a Litter Genie. I have to say, I love this thing. We bought one immediately. It's basically just a little trashcan, but it automatically bags and stores dirty litter to be disposed of later.

For me, this was a game changer. I don't know why, but not having to deal with throwing out the litter at the same time makes it so much easier. Individually, cleaning the litter boxes, and taking out the trash, are easy, one spoon tasks. But only with the Litter Genie. If I have to worry about taking out the trash too, it becomes so much more than just one spoon more expensive. That's what made me think of sporks.

Because throwing away the cat litter after cleaning the litter box is really nothing. It's just the fact that I have to think about it that makes it harder. It's the complexity, not the amount, so it's not more spoons really, it's a different spoon, a spork. I think I'm going to start using this terminology with my partner. When discussing chores, we'll be able to mention spork tasks, for things we might need a little help with, or that we could use some brainstorming on how to tackle.

Do you have any simple things that feel like sporks to you? If so, do you have ways you break them down to make them easier? I'd especially love something for dishes lol

As a byproduct of this, if you have the way to view various time periods as context, you will always have your yearly as well as monthly and weekly and daily objectives staring back at you for you to be aware of and reinforced every time you engage in this already downright edifying habit

Hello everyone,

Firstly I would like to thank everyone for their advice and encouragment during this troubled time it really helped me get out a bit of the hole I'm in and made me feel supported thanks a lot really you're all amazing people.

Now, the update. Yesterday I went to her place to talk about the situation she was sleeping but she let me in and actually fell asleep myself, once we both were awake I asked her right away why she was just shutting down from me and walking away, she didn't want to argue or talk at the moment she wasn't aggressive to be completely honest but she didn't say anything either she was being normal with me in front of her family and all but well myself I'm weary still. I proposed her to go out for dinner this Friday, but I'm not sure if that was a smart idea since I think it could be awkward to have a conversation like that while eating so I was thinking afterwards have something to drink and try to have a civilized conversation about everything.

In anycase I already have all your input in case everything falls apart which must likely that's going to be the outcome of this but at least in my head once I have an answer I'm able to rest since I don't have to think if she wants anything serious with me or not and I can finally have my grievance time in peace.

If it is not much to ask, how would you go thru this conversation without being to soft? Like I think I have to impose myself but I struggle to do so since usually when I feel anger I explode and actually I had to go thru anger management so nowadays I cannot even scream at people when I get frustrated which I think is a good thing but also I don't fight back now in fears to harm people.

Thanks once more everyone.

Hi everyone, I'm currently going thru a breakup with someone that seems to be a narcissist (no diagnosis but their behaviour seems to point that she is) and I think is the first time I dealt with someone like that.

We had a fallout after she had an argument with her family and friends during a party that I attended to at her place, she stormed out of her place completely drunk and left me there in a weird position, her friends where bitter and told me things about her and it matched with things I saw by myself but wasn't sure so I didn't make a big fuss about them and that broke me completely since I'm deeply in love with her.

Her friends and I just stopped talking to her after her rude behavior and actually expected her to apologize to me or give me an explanation but she didn't budge and just kept on partying and not talking at all to me for almost a week and whene she did talk was to tell me that how did I dare to distrust her.

She has been on and off with me and calls me in the middle of the night piss drunk to tell me she loves me and that she misses me and then she'll go cold again, we'll spend a night together and then cold again and that's driving me mad since I already tend to overthink everything or day dream a lot and is literally torture in my brain I cannot take the thoughts out of my head since I'm hyper focusing on that only and is making me feel a lot of pain and solitude.

Have you ever dealt with a situation like this? Are narcissists attracted to ADHD folk? Do you have any ideas or strategies that have worked for your to bring yourself back to a more normal state?

Thanks in advance for your responses

Edit: I wanted to ad as well that she's a transgender woman and I had a crush on her since I was a teenager (she's kinda popular on social media in my country) she actually made me realize that I liked trans girls and somehow we bumped into each other again now that I'm an adult but now I'm having these thoughts that I might not find someone that understands me and she made me feel like an outcast again, I introduced her to my family and made it clear that I fell in love of her goofy moments in privacy and her eyes it was never a sexual thing like really was pure but now I'm totally shattered I've been drinking every weekend in order to catch some sleep and it's scaring me a lot

my new psychiatrist gradually took me off of ritalin+venlafaxin and introduced bupropion, first 150mg while cutting the venlafaxin dosage in half, and now 300mg of bup alone, completely removing venlafaxin

it's been 4 days i think since this last update and it's been fucking rough. i'm not sure if it's just the venlafaxin withdrawal or if the bupropion is contributing to it, but i feel like shit, i'm getting constant brain zaps unless i remain completely still with as little stimulation as possible, been having nightmares every single day, am extremely irritable and im not even sure the bupropion is even helping at all

is anyone else under the same treatment? it feels like a fringe/experimental treatment, but id like to confirm this from other adhders

thanks

edit: thank you so much for all the answers! they helped me to calm down and reassured me a bit. the symptoms are starting to wear off, so that also halped.

I'm

quitting soda and replacing it with a healthier, slighlty pricier beverage

less addicting and doesn't harm my health, in fact it will save me money long term in dental problems and costs. Its at least >= 1%

Feel free to be a little loose with the quantifying ;)

Just realized this while trying to quit soda for the unpteenth time. There's a certain drink thats way healthier but more expensive by the carton that has basically no sugar and is much better for me. I'm going to stop fretting about buying it because irs replacing something crappier that makes me feel worse and destroys my teeth which I will pay for at some point anyway.

Don't just quit things, give yourself a nourishing, replenishing, life-giving alternative. Its not nice to present or future you to smash your crutches when its already so hard to stand and move about totally raw and unmediated in this life

So my entire life has been extreme boredom, followed by finding a book/videogame/hobby I find interesting, doing nothing but that for awhile, then never touching it again.

I'm debating maybe trying to make a rule of not doing something two days in a row. Like I just found a video game I liked and played it all day yesterday and today, and while I still wanna play I already feel its shininess wearing off.

Curious if anyone else has tried to space out their dopamine buttons and if it helped. So maybe like instead of just playing the same game tomorrow, I'll need to try other games, or maybe try to find a new book series to hyper focus on...

1. This applies mostly to accounts you use to set aside for different expense areas creating an implicit metric you can look at the end of each month to determine how far off the mark things worked out

2. Once you get everything on schedule, build some redundancy to it by having an "overdraft" amount on each account that is added to the necessary monthly balance and always replenish it so it is available in a pinch.

Sorry if this is the wrong place, I just really need to vent somewhere.

I had a followup today to discuss the next steps since neither guanfacine nor atomoxetine worked out. I've been waiting for this because I know stimulants are the first line treatment and I've had nothing but awful experiences with the other meds. He had me take a drug test ahead of time - to make sure I wasn't already taking stimulants, he said. I've been open about everything I'm on and he said it would be fine. That was a lie.

I tested positive for a bit of weed, which I told him about. It's legal in my state. Despite saying it was fine before (I asked, specifically), now he changed his tune and said he's going to keep testing me and if I test positive three times he won't prescribe me any stimulants.

The kicker? I even have a prescription for it, because I worry about exactly things like this. It's for chronic pain, but tbh helps my depression and anxiety too. I don't even use much - about $150 in edibles over the last year. But if I spent that much on alcohol every weekend, that would be no barrier to getting a prescription.

I went in for help and was nothing but honest, and I left feeling attacked over prescription medicine that's been helping me. What the fuck. I'm so frustrated and angry I just want to cry. Why is it so hard to get help?

Not sure how helpful this may be, but for anyone that is looking for a testing resource in the Pittsburgh PA area, I did my evaluation yesterday with The Psychology Loft in Fox Chapel with Dr Williams (https://thepsychologyloft.com). Finding anywhere that takes adults for evaluations is tough, and Pittsburgh has few options I found generally. But I was able to get an appointment very quickly (about a month and a half out from when I contacted them) and everything’s been easy to navigate. Dr. Williams has been great so far and I am nervously awaiting my feedback session next week where I’ll get results and discuss next steps.

Don’t let the difficulties in finding appointments for adults keep you from getting evaluated. Clinics do exist and there are doctors that want to help.

I'm getting tested in a bit over two weeks and today was the pre-exam via video call.

The assistant dude that did the interview asked how fiddly/hyperactive I see myself as, and I was like "eh, a bit but not that far above average" Apparently I had been rotating back and forth in my desk chair for the entirety of the preceding 10 mins, which he did point out :|

Apparently it's also not called "Girl math", but "Impulsive over-spending". SMH my head

On an upside though, he also owns reptiles and was happy to indulge an unreasonable amount of questions about his chameleon!!

I have used Modafinil before occasionally, and it helped quite a bit, but the strong side effects forced me to save it for emergencies.

6 days ago first Elvanse. Within about 30 minutes of the first dose, many problems were gone completely! No mental effort to do what's needed, be it laundry or a subtask at work. It feels like my brain is a little butler whom I can just order around without doing it myself. Many things just happen, e. g. I put garbage in the bin, carry dishes back to the kitchen as I go anyway, without thinking about it. Complete instant fix. Also a constant feeling like a hundred bucks, better than many recreational drugs.

Almost feeling bad when gaming at the end of the day, keeping it brief, doing extra work hours right before bed. The effect has somewhat worn off by then, but the no-effort-to-do-things is still there.

I always did feel better when checking things off my todo-list, even untreated, but now I get a lot more done, since there is no pain to just do it.

I can also work out until the body just physically gives in; there is no mental barrier to fight like "ONE MORE REP!!!". It might have been a mistake to exploit that in the first few days, leading to exhaustion and more difficulty to judge the right dose / side effects. When I saw someone who was very buff, I used to think: He may not look like it, but he has fantastic discipline, focus and willpower. Now I wonder if some of these people are just normal, lol

This is a completely different life, and slightly better than Modafinil! I am a little worried about when the effect wears off and I need a break, but I've been there before: A lot can get done with just about 50 "super-days" per year.

What did not improve one bit is my forgetfulness and other cognitive problems. Just as stupid as before, e. g. packing a suitcase, putting things next to it to stash something else and then forgetting them. Leaving my phone in insane places. Barely able to use the self-checkout at a supermarket. It's always an adventure, looking confused between the card screen and the items screen, often needing an employee, forgetting my card there and not realising before the next day etc. Problems with web UIs & pop-ups. That's what my GP wanted checked out 1 1/2 years ago, but no appointments.

cross-posted from: https://lemmy.world/post/21148286

I was kicked off Medicaid at the start of this year and subsequently lost access to my ADHD and depression medication. In February, I moved to a new area and got a new job, but had to wait several months until I qualified for health insurance through it.

After that point, I had to wait for a weekday when I wasn't working and when I had the mental capacity to tolerate back-to-back disappointing phone calls... all without medication that would make the process significantly easier to tolerate. These are only the calls I've made today.

Finally, FINALLY, I have an intake appointment scheduled.

It's absolutely shameful how much a struggling person is expected to do in order to access basic mental health care.

I was diagnosed with ADHD in adolescence. Since then it has always taken an enormous amount of pressure and energy for me to perform tasks that require focused attention. However, recently I was diagnosed with sleep apnea and started CPAP treatment. To my surprise, my ADHD symptoms greatly improved. I wish I had gotten a sleep study decades ago.

I’m sure the causes of ADHD are varied and complex so this won’t work for everyone, but just in case, you might want to get a sleep study.

Edit: I originally wrote that I “developed ADHD in adolescence”. I changed it because I had not intended to comment on whether ADHD is innate or acquired. I also changed “my ADHD went away” to “my ADHD symptoms greatly improved” for the same reason.

Note: Maybe it will be helpful if I give some context about what “ADHD” means to me. I’ve always thought of it as my brain working differently than most people. The most obvious characteristic has been that things most people consider “easy” like doing the dishes were entirely impossible for me to do in a timely fashion. I also struggled in school because I couldn’t get my homework done and I couldn’t study.

People, including my parents and teachers would all say things like “you’re not trying hard enough” or “you’re not applying yourself”. I tried, and failed, to explain that there was no amount of effort I could summon that could switch my brain into this steady productivity mode that other people could seemingly just turn on at will.

When I was a little kid, no one outside of maybe some academics had ever heard of ADHD, so my struggles were misunderstood and “my fault”. In my case, the hyperactivity symptoms were less prevalent, but I sometimes did annoying, obnoxious things.

I first heard of ADHD (just called ADD at the time) when I was a teenager. But there was still a big stigma around it and most people didn’t think it was a real condition, so I didn’t get treatment.

When I was a young adult, I finally got treated and prescribed stimulant medication. The medication made it possible for me to switch my brain into that steady productive mode, but it also had a lot of side effects.

Now, in middle age, my doctor suggested I have a sleep study due to some other symptoms I was having. So I did and they diagnosed me with sleep apnea with hypoxemia and prescribed CPAP treatment. After starting treatment I began to notice that I was able to switch my brain into that steady productive state even without medication. I began to wonder if sleep apnea (or perhaps more precisely nocturnal hypoxemia) had been the underlying cause of my symptoms all along.

Today, I saw an ADHD meme from another community and that prompted me to look up this community and share in case someone else could benefit from similar treatment. It had never occurred to me that there could be a connection between sleep apnea and ADHD symptoms until I tried the CPAP.

Like I said, I don’t suspect this will help everyone, but if there’s one person like me out there who it does help, I think it’s worth sharing.

cross-posted from: https://lemmy.world/post/20910910

https://www.instagram.com/sarahandersencomics/?hl=en