this post was submitted on 08 Aug 2023
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ADHD
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FWIW it mostly depends on if you have anything else going on behind the scenes besides the ADHD.
The biggest thing you can do is be completely honest with your GP and get a referral to a psychiatrist. I've always had great actual coping mechanisms for when shit really hits the fan. CBT was something I had already looked into myself and worked on. I've always been the person to have my life and shit together, but it took waaaay more effort than anyone realized since I mask -relatively- easily.
It was pretty much immediately start medicine and go from there. Yeah, the antidepressants (SNRI/SSRIs) sucked ass and I'm no longer on 1st lines which is honestly the biggest issue people have with meds. I actually asked for Ritalin first since I heard about Adderall abuse, but Adderall >>>> Ritalin.
I've pretty much always known I had it, my mom said teachers and my school said I had it, she refused to medicate anyway due to the 80/90s OVERMEDICATING CHILDREN hysteria. Wonders why I always had issues finishing stuff that wasn't games. Oh hey, executive dysfunction is a thing!
Got diagnosed as an adult @ ~30. Took about 2 years to get a decent medicine regiment since we were also treating some panic disorder due to being a functional alcoholic too. Mild-Moderate depression mostly manifesting in numb/stoicism with some GAD. FWIW Naltrexone OP for the booze. It's cut my habit down by an extra $100/mo.
No joke though, amphetamines are like day and night for me. Similar to Leilys above, the tiredness I used to feel from morning to night basically vanishes. While I do take ~6 pills, the only real ones I take for ADHD is a pretty high dose of Adderall or Vyvanse (generic please hurry the fuck up) and Clonidine for fidgeting and offlabel to help sleep. A huge part of the high dose was due to the alcoholism and a regular cocaine habit so I process it pretty quickly compared to most lol. Oh yeah, Naltrexone helped for that too. Haven't had white in like a year?
Medication really made a huge difference in my quality of performance in life. No more embarrassement about being unable to help dozing off in meetings and looking like a fool. I've microslept at the wheel several times before and medications completely eliminated that. It's the only way I'd reasonably trust myself to do long outstation drives.
Although, I do have a story about the first small road trip I did with my partner after being prescribed. 3h drive both ways, and both times I only remembered that I was supposed to take my medication (on an empty stomach) halfway into my meals. I still made the drive with support, but it was a lot tougher than it needed to be, lol.
I make a lot of jokes about medication since I take it now but I do have an underlying fear of developing substance addictions, so I'd like to look into psychotherapy to develop even more unmedicated life management skills when I can afford it.
Gosh, I can relate with the depression though. I think struggling with symptoms of ADHD pushed me into depression. I used to have outbursts and crying meltdowns as a teenager, but it stopped when I went into university and met supportive friends. But my mood cycles and occasionally I can get very fixated on negative thoughts that will just drain me and ruin my day. Been considering medication, talked to my psychiatrist (who also has ADHD and understands) about it, but haven't started yet.
Honestly that 80/90s scare did a doozy on most GenX/Millenial underlying mentals on how they treat or medicate. Medicine is literally medicine. Not a crutch, not something to be scared of. If you're not scared of the literal food you eat or the water you drink, then you shouldn't for meds either. It's a necessary thing for us mostly because of scumbag genetics and probably some environmental conditions. I do hope you're actually happy with either route you take.
Yeah I'd still say I'm fairly stoic/quiet, but I at least have all my emotions now. I'm confident I used stoicism as a counter for the ADHD as a crutch for focusing. Unfortunately it was very much like going through life like the scene in Fight Club where the Narrator could barely hear his boss lol. Sure things mattered, I did stuff, but I didn't really feel much of anything when going through the motions. I had good empathy for others, but not for myself. I just didn't care about shit. However, I was never suicidal and never will be probably. Too scared of death and FOMO.
These days? Have a toddler, another on the way sooner than later. I leak all the time watching shit lol.
I've heard a good analogy before that so many of our emotions are like a filled glass of water. Someone with depression like mine always had the glass half full so unless some CRAZY amounts of stuff happened, the glass would never overflow. Others, it's ALWAYS about to spill over. For most healthy people, it's filled, but there's still space at the top. Sad stuff should be able to make you sad and poignant things cry. Mad things shouldn't let you be a dormat forever, but they shouldn't instantly make you pop either. That glass has felt APPROPRIATELY full after meds.
I'm sorry to hear about a lot of this. There are other things going on in the background, yes (who doesn't have baggage, right?). All I can say is long term therapy does wonders and fortunately I'm in the best place that I've ever been in.
I'll have the conversation with my GP, but at the moment I don't think I want to be on medication if I can avoid it. I've just shaken the SSRIs and I'm not super keen for any more weird side effects!