this post was submitted on 07 Jul 2023
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ADHD

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submitted 1 year ago* (last edited 1 year ago) by Binette to c/adhd
 

Hi everyone.

When I try to follow a schedule to eat, clean my room and do my homework, it feels good at the beginning, but as time goes on, it just doesn't feel good anymore.

I'm not even sure if I even feel trully happy about doing all of my responsibilities.

It doesn't feel as if a burden has been lifted of my shoulder.

It doesn't feel as if I were "refreshed" or more energetic after I do all of these.

I started slowly like my therapist recommended: I did a schedule to eat 3 times a day. It started rocky but then I manage to do it... but only for a while. Eating just didn't feel good either.

Every single time I finally clean my room, I don't feel any good: it just feels as though I wasted time because I don't feel any better.

Doing math homework is fun, philosophy to, but I don't like any of the other subjects I actually need to do homework for.

I know it might seem childish to only do things that feel good but I hate not being able to feel anything at all, especially when I do things that are supposed to help me but don't make me feel anybetter afterwards.

Has someone here went through anything similar? What do you do then, if so?

Edit: I have read all of your replies so far, but I don't know how to respond properly to them. All I can think of is to say thank you! I will try to change things (although slowly) today using your tips.

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[–] [email protected] 34 points 1 year ago* (last edited 1 year ago) (1 children)

One of the essential features of ADHD is the rapid attenuation of the reward system, leading to a biological resistance to the "dopamine rush" that neurotypical people feel. (For me, it manifests most clearly in the fact that I have never in my life felt anything like the "runner's high" after exercise, although every neurotypical person I've spoken to says they feel refreshed, rejuvinated and pleasantly tired afterwards.)

This stems from the fact that the built-in reward system (the positive emotional response to performing/completing a task) attenuates very quickly in people with ADHD. By that I mean that while the response happens, it very quickly drops back to zero. Much faster than for people without ADHD.

This, I suspect, is one of the fundamental aspects of ADHD and why it's characterized by attention deficit and hyperactivity. Hyperactivity happens because in order to maintain the effects of the reward system we have to do and do and go go go over and over and over again. And we have attention deficit because our interest in any given thing drops extremely quickly, since the reward of experiencing it goes away almost immediately.

[–] fatbeets 9 points 1 year ago

I also had never experienced runner's high until I added extremely light runs. My regular runs would usually leave me tired so I thought that I didn't experience them like other people. I don't remember exactly why, I think it was I need to hit a higher mileage threshold, so I started trying to get any extra miles in anytime I could, including a light jog anywhere I needed to go. That's when I finally experienced it. For me, key to the runner's high was the runs that got my heart rate into zone 2-3 (approx. 60-75% max HR) but importantly weren't long runs which would tire me out. Tiredness is a big trigger for me to feel shitty so I think that's why I never had the feel goods after the runs.

[–] [email protected] 24 points 1 year ago (1 children)

Everybody is saying how the goal of these things isn't to make you feel good, but here's the thing: people keep telling me how "you'll feel better once you've done it" for all kinds of shit as the ultimate reason to "just do it". And then I (somehow manage to) do it and I don't. That's messing with my head and I suspect OP's as well.

[–] [email protected] 13 points 1 year ago (1 children)

Yeah I don't understand at all people who make their bed in the morning because it nakes them feel good. Wtf. You just wasted a few minutes you'll never get back doing something that will just be undone in a few hours.

Like, I feel better with a clean house. I feel better when I've got big muscles and a low body fat percentage. But the act of cleaning or working out suuuuuuucks and I hate it. It's a massive time sink. And I don't feel accomplished after doing it. I just feel the wasted time that I could have spent doing something enjoyable.

[–] [email protected] 9 points 1 year ago (1 children)

People look at their made bed for the rest of the day and get a little dopamine hit every time.

Doing chores all over the house gives them a flood of dopamine hits whenever they go anywhere because it's so clean and organised. It's like leaving drugs all over the house for you to find whenever you do anything.

But if you are so inattentive that you don't notice the bed is made 10 more times that day there is no reward system.

[–] DrownedRats 6 points 1 year ago

I had literally no idea that's how most people feel after doing chores. Even when I've actually done something pretty big like cleaning my whole kitchen or tidying up an entire room, If I feel anything other than indifference each time I see it, it's usually along the lines of damn, that was a lot of work, not looking forward to doing that again.

[–] YourHuckleberry 19 points 1 year ago

If you don't do the important things in life you'll die. Your genes built the dopamine system to make sure you'll do those things. Your dopamine system doesn't function correctly. When you do a life sustaining thing, your broken dopamine system says, "meh, that was a waste of time, don't do that again or you'll die. Do something that does give dopamine."

Here's my hack. Give your brain dopamine. Figure out the things that engage you and make you feel good. If you're engaged and feeling good, it's because the dopamine is flowing. I like reading, video games, TV, and interesting complex problems. Right after I do a boring task, I reward myself with some dopamine. I play a game or I work on an interesting problem. I treat my brain like a labrador. Good boy have a treat. The bigger the task the bigger the reward.

Slightly less helpful but still good is affirmations. When you do something good, take a moment to recognize it, just to yourself. "I cleaned my room, which is good. I should feel good about it." It sounds corny, but it helps.

[–] [email protected] 14 points 1 year ago* (last edited 1 year ago) (1 children)

Here's the thing, you do these things more for self maintenance rather than for it to feel good. Brush your teeth and floss now so they don't rot when you're older. And that comes faster than you think. Like I was eating dinner at my neighbor's house on his 60th birthday and he was dealing with painful root canals. (But my sister had to deal with those in her teens)

Homework SUCKS, but it teaches you discipline for yourself. Doing parts you don't quite enjoy just to get the job done. Which is insanely important for every single work ethic you do in your future. I know so many 3d artists who are incredible, but have the attention span worse than rats. So they don't go anywhere and constantly need to be told to stay focused.

A clean room is a clean mind. Having a messy room to wake up to is fine at first. But it can tend to get worse and spread throughout the rest of the house over time and 1 small task each day turns into a mountainous multi-day cleanup. (My mother is a hoarder of projects and stuff. 2 rooms completely unusable in the house and she leaves her tools all over the place without making a habit of putting stuff back. I never know where anything is)

It's the same for food. You eat the damn vegetables now to get a palette for them or you will suffer obesity by fast food or whatever. Which leads to lack of energy and always feeling fatigued. (Which I'm currently dealing with and only now just got to liking Broccoli. I'm 29)

As someone who decided to only live for things that I actually care about and even made my own job as a 3d animator, maintenance and discipline show up in places you don't expect and you'll be thankful you built it up beforehand. The things that make me feel good are my choices in what I work on, the dream that I strive for, and the fact that I carry a sense of quality and discipline at some points to be able to be more ambitious than others because I will carry out tough tasks rather than avoid them even when they don't make me feel rewarded.

Lastly let's talk about the schedule. Super important to even have one despite friends being all, "Let's go out late at night til 4am". Let's see their attention span when they're older. Well the schedule helps you get food in your body that you might forget to do because you're so focused, or even overly eat. Sleep is incredibly important, but you know something is wrong when you wake up and already feel tired. You may break the schedule to however you want after school, which is really nice, but if you create your own job in art then you'll have to apply one to yourself or weeks or months will fly by and you're stuck on the same project without focus.

Also, take notes YOUR way. Forget standardized notes. Just write down whatever helps you remember things in the way you do. School usually forces tests without notes, but all work and even important conversations outside of school is all about taking notes and rereading them. Learn any way you can to enjoy that part! I have my own Discord server for all kinds of notes I take that get categorized. I also have a fast notes page in my phone's home screen because my memory is just bad. And that's OK, because I take great notes!

[–] Binette 3 points 1 year ago (2 children)

I understand. I think I lack self-discipline, because I don't do things that I know I won't like. I just thought that I would maybe feel happier after eating 3 meals a day for a week, but now that I think about it, maybe it's just to not feel bad later, right?

Do you have any tips to get self-discipline, or do I have to change the way I feel about responsibilities? If it's the latter, how do I go about it?

Thank you very much!

[–] [email protected] 5 points 1 year ago

Just try to find extra ways to extract enjoyment out of the tougher tasks. Turn it into a game AND REWARD yourself for getting through it.

[–] [email protected] 2 points 1 year ago

One of the things you realize at some point is that your brain craves structure. Maybe it's not true for everyone but that is my experience.

The hard part is, your brain wants to do the most rewarding thing in the moment. This is bad for building and maintaining structure.

So, what I might suggest is this:

  • Schedule the things you don't like doing. This could be anything. Showering, taking out the trash, doing homework, checking in on friends and family. Use your calendar, or an alarm on your phone, whatever will get your attention.
  • Get a white board if you can. The more physical real world items you can use to help you track stuff, the better (your phone is a trap!). My whiteboard is right next to my bathroom. Put it "in your way", a place where you can't help but see it. I track today's date, so I'm forced to update it every day (I don't always, but seeing just the old forces me to update it). I track a medication streak, to help me be aware of how consistent I'm being. Every Sunday I look at my calendar on my phone and write down the next week events, so I can prepare and not be surprised.
  • Find someone to help you initiate the important stuff or be there with you while you do the important stuff. Brushing my teeth regularly was almost impossible for most of my life. My SO would just do it at whatever time each day, and it seemed to come naturally. Long story short I asked her to do it with me every day. It was, embarrassing to admit at first, but now I feel weird NOT doing it.

You can't plan every moment of your life, but you can build a plan that applies every day. Stopping to plan for "tomorrow" every day is exhausting, but planning for the week is easier. Also, eliminate as much choice as you can. If you feel fine eating the same thing for breakfast and lunch every day because it's easier that way then do it. Don't let anyone make you feel shame over it.

I also like to reaffirm a montra that comes from addiction recovery that I think applies to people with ADHD. Instead of thinking, "I have to do these things forever", I think "I just have to do these things today". Don't worry about tomorrow, just work on today. If you're keeping track, you'll be surprised with how consistent you can really be, and it'll hurt less when you slip up.

[–] jeremoose 13 points 1 year ago (1 children)

Yup, thts my experience as well. I definitely dont get my dopamine hit from having completed the tasks i set out to do. I find i get my reward and satisfaction from "inspiration" from just being out and about. Like walking to the shops for groceries or on my commute to work. The "inspiration" doesnt usually lead anywhere which is why i put it in quotation marks but the satisfaction i feel in that moment is very real.

So i look for my rewards in those moments and not in achieving the tasks themselves. For me theyre purely coping mechanisms because im not naturally able to conform to the current societal norms. I.e. coping mechanisms for executive dysfunction.

[–] [email protected] 2 points 1 year ago

Loving the idea of Doing Stuff, 10/10.

[–] atempuser23 10 points 1 year ago (1 children)

Everything you are saying makes perfect sense. Many of the tasks we do are simply because they are necessary. You get a boost from the schedule when it is 'new' but as time goes on that fades. Habit is a powerful tool. Keep to the same things at the same time making things automatic.

It sounds like you may not just have adhd, but your mention of feeling 'nothing' sounds a bit like a depressive symptom. You may want to talk with a doctor. If it is depression there are medications that start to get you on the right track.

[–] [email protected] 6 points 1 year ago (1 children)

If it is depression there are medications that start to get you on the right track.

But also talk-therapy may be suitable to help. (I have both talk-therapy and an antidepressant. I'm not suggesting prescriptions aren't sometimes necessary, but it shouldn't be assumed.)

[–] atempuser23 2 points 1 year ago

very true, for me the medicine made a large impact. For others it's only part of the puzzle.

[–] [email protected] 8 points 1 year ago (2 children)

I’m not a neurologist, but my understanding is that ADHD is essentially caused by reduced reception to dopamine, the chemical the brain uses to signal feelings of pleasure or satisfaction. So while neurotypical folks might clean their room and have that “job well done” feeling, folks with ADHD may not get that reinforcement.

You’ve probably heard all that before, but I’m outlining it to set up the mechanics of the potential solution I’ll suggest: bribery! Find a simple reward that you can make contingent on completing your tasks. Whatever works best for you. Maybe when you finish your homework you can eat a piece of candy, or you can make an accomplishment chart like in preschool and fill it with the sparkliest stickers you can find. Personally I use an app called Habitica that reframes to-do lists as RPG-style quests; completing them gives you experience points and gold to level up your character and get them little outfits. It sounds silly, but those kinds of more-tangible rewards can sometimes be more effective at giving you that positive reinforcement.

Another thing I’ve found to be helpful is putting on music while I’m doing otherwise-boring tasks to make them more enjoyable.

Unfortunately it can take a lot of trial-and-error to find techniques that work for you, but hopefully these are helpful.

One other thing to note is that if you’re not enjoying the vast majority of activities, including things that you used to enjoy, then you might be experiencing anhedonia, which can be a symptom of depression. To be clear, I can’t diagnose you but if that sounds like what you’re feeling it’d be a good idea to bring it up to your therapist so they can evaluate you.

[–] MrPoopyButthole 2 points 1 year ago* (last edited 1 year ago)

This is a great reply. I'll add to it that if you have programmed yourself to get dopamine from something else other than your natural reward system (like weed or alcohol) then you're going to feel way less when you do things that regular people would feel good from. Sometimes ADHD does that all on its own but we can't diagnose you here, just give hints at possibilities.

[–] Binette 1 points 1 year ago

Thank you for the advice! I will try this aswell

[–] Acamon 7 points 1 year ago

Not sure it'll work for you, but I managed to keep going with some habits (after they stop being motivating themselves) by being excited about what I could do after, "as soon as I'm done with my shower I can lie in bed and watch a YouTube while I get dry" or "after I finish my lunch I can have some cake". It seems to trick me into dopamine anticipation, and it's easier to switch around what the motivating fun activity is than try to find ways of making chores exciting in themselves.

[–] [email protected] 4 points 1 year ago* (last edited 1 year ago) (2 children)

You don't do the necessary work because it feels good. You do the necessary work because it will pay you back in the future (you do your laundry today so that you can wear clean clothes tomorrow).

You do the things that feel good as a self-reward after doing the necessary work.

I'm not even sure if I even feel trully happy about doing all of my responsibilities.

It doesn't feel as if a burden has been lifted of my shoulder.

It doesn't feel as if I were "refreshed" or more energetic after I do all of these.

I think the expectation that it should feel good immediately is actually hurting you.

[–] [email protected] 4 points 1 year ago (1 children)

That's great except a lot of people actually do enjoy cleaning and they look down on those of us who don't.

[–] [email protected] 1 points 1 year ago (1 children)

This is kind of missing the point... doing the laundry was just one example of a task that many don't find immediately rewarding in an emotional sense.

Who cares what other people look down on? You should have your own standards that you try to meet.

The race is long, and in the end it's only with yourself.

[–] [email protected] 1 points 1 year ago

It just sucks is all.

[–] Binette 2 points 1 year ago

Ok, I think I understand. I just sorta assumed that's how it worked.

Thank you!

[–] [email protected] 4 points 1 year ago

If you've trained your brain to think that certain things are "rewarding", like social media, then it can take a LONG time to retrain otherwise. Addictive behaviors were designed to be addictive, in order to entrap people for the sake of selling their user stats to advertising platforms. And corporations such as Reddit, Twitter, YouTube and Facebook, plus whole entire industries of like gaming, magazines, cheap easy-to-write novels and so on, aren't going to change their ways just b/c it is literally hurting people - they have needs too! (their CEO would really like to buy a brand-new jet every year, one presumes)

Sometimes you gotta do something even if it is not fun, for a LONG while, before it starts to be rewarding. Other times it does not even need doing, and it can be rewarding then to take a break and NOT do it (the trap there being when to resume it?). Still other times you can find a way to MAKE it fun - like listening to music while cleaning? Yet still other times, the advice to do it is actually wrong to begin with, and you are better off not to - like iirc it is actually healthier to leave your bed exposed to the air when you wake up to allow it to dry and kill any tiny mites (they are impossible to eradicate completely, sorry if you don't want to think about it but they literally live on your skin and on all surfaces on planet earth, it's totally normal), rather than cover it up. Of course, some thing you simply MUST do or else face the consequences... fun or not, like keep your job, which provides money, which then you can spend on things that you enjoy. But what consequences are there to not vacuuming often, really? Maybe if built-up dust makes you sneeze? In that case, you would vacuum not b/c you enjoy it but b/c it helps you not suffer those symptoms later. Thinking through each such task and taking ownership of it, deciding whether you want to or not, and at what frequency, can be really enjoyable, b/c it is quite empowering.

In the meantime, I would say it is most important to be kind to yourself - it (life) is a process, and you gotta get through it, one day at a time. Also, when all else fails it may help to try to keep hold of just ONE thing - like brushing your teeth before bed, or even just flossing and skipping the rest - and if you can do that, that at least gives you a long-term satisfaction that it is SOMETHING, rather than nothing. And then find something that you can enjoy - like if you don't enjoy running on a treadmill, yet you want to exercise somehow, then maybe try a sport, perhaps playing with a friend? Piece by piece you can put those activities together to build up to something that you will be proud of, though you can never totally eliminate pain - it just does not work that way.

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