26 ms·

The author doesn’t mention it, so it seems appropriate to suggest asking a doctor for attention deficit disorder screening. The cultural forces in play encourag

The author doesn’t mention it, so it seems appropriate to suggest asking a doctor for attention deficit disorder screening. The cultural forces in play encouraging us to flit and switch constantly are a perfect distraction from the possibility one’s own brain is complicit.

RugnirViking 2mo ago
I would caution a little against the prevailing wisdom of diagnosis-as-panacea. I've had a diagnosis for most of my life, but never seen stimulants as worth it (admittedly I've not tried them long term, but that's because after reading a whole lot about it I don't want it in my body). I don't think the diagnosis changes anything for me other than that. It's very much a case of "now what". I suppose some people find a great weight lifted from their shoulders at the idea others struggle with the same thing, or that their struggles aren't due to a personal failing. But I can't escape the next step which is that you still have to do go out and do all the same stuff anyway...
- ruthvik947 2mo ago
  I feel similarly. I have a lot of tendencies characteristic of ADHD, but I'm undiagnosed, and I don't think I'll seek out the diagnosis either. I don't intend to take any stimulants, and the particular identity of having ADHD means little to me, so the diagnosis wouldn't change much. As you say, I'd still need to figure out how to live this life in these conditions anyway.
- tenacious_tuna 2mo ago
  I went through a similar loop around my own diagnosis as well ("great, that'd be one more thing to deal with,") but stimulants have had a significantly positive impact on my life. > But I can't escape the next step which is that you still have to do go out and do all the same stuff anyway That's exactly what I was afraid of, but it turns out that actually getting dopamine for completing tasks goes a long way to blunting the existential dread of there being yet more tasks. Consistently now whenever I feel crappy it correlates back to either (a) crap sleep or (b) forgot to take my meds. Just my 2c, YMMV, everyone's different, etc. I had a hard time really understanding the anecdotes I got from medicated friends myself, but I'd encourage others who suspect they have ADHD to try even a very low dose of something for ~3 weeks and see how they feel after. I'm at the lowest "clinically effective" dose of my prescription and the effect is still significant.
kuerbel 2mo ago
ADHD isn't something you suddenly develop at 30 or 40. You can get diagnosed later, but the signs are meant to have been there since childhood.
- Shoue 2mo ago
  Symptoms become more obvious as you age, which can feel like it came on later. As part of an assessment they do go through your childhood - if you had trouble in school for example that's a classic ADHD symptom, but there's a lot more to consider. It's not always obvious and I've met plenty of people in their 30s, 40s, 50s who only just realized they had it this year and got assessed. Glyphack's experience definitely mirrors my own and I just got diagnosed with ADHD this year and medication absolutely helps my focus. If you're wondering if you have ADHD this is basically the pre-assessment GPs use in the UK (which then continues to triage and then a full assessment): https://adhduk.co.uk/adult-adhd-screening-survey/ https://adhduk.co.uk/adult-adhd-screening-survey/
  - tenacious_tuna 2mo ago
    > if you had trouble in school for example that's a classic ADHD symptom or if you excelled at some topics which you found interesting but did middlingly or poorly at others... I watched the skepticism form then evaporate in my psychiatrist as I explained that I did relatively well in school overall... except for the three or four classes I thought were boring, and how I consistently procrastinated but managed to pull off decent work right before hand. (I got diagnosed after 30, though apparently my elementary school wanted to screen me.)
- dofm 2mo ago
  ADHD is something you can rapidly develop an inability to manage at that age, though — after trauma or burnout. Or maybe following RTO after a couple of years of a more peaceful WFH environment. You can get through school without failing, you can get through university and early jobs with hyperfocus, you can be known for being the person who gets bored easily but can do incredible things. Maybe you are late paying bills, never get round to doing certain big tasks, rent when you should be looking to buy a house, all that. Maybe you have friendships that never quite develop into romantic relationships, maybe you are untidy, maybe you stay in a lot because you fear you tire people out socially. But you bimble on and you convince yourself it's OK. My ADHD burnout started in my late forties. Before that I had any number of explanations for the unusual, eccentric aspects of my life, for why I was a freelancer rather than in a steady job, all of that. I still managed to get big jobs done with relentless bursts of focus. I had already quit social media, I had already learned to manage some distractions, and it still happened. But it's clearly ADHD. Having read about it, "inattentive" (hilarious name for it) ADHD explains me to a shocking degree; I don't need a diagnosis. I just never failed badly enough that the issue was forced, until now. I burned out to the point that it feels like cognitive decline. I am broken and I struggle with everything. What the writer is talking about is so reminiscent of the early stages of my burnout that I worry for him.
specproc 2mo ago
FFS. The solution to our machines eating our brains should not be "just take amphetamine, bro".
- tsss 2mo ago
  Machines aren't going away. I need a solution that is available right now.
- iammjm 2mo ago
  Except ADHD was there long before the machines, and stimulants have been scientifically proven time and time again to be helpful in treating ADHD at a very minimal sides effects cost.
  - specproc 2mo ago
    TFA links attention on one hand, and social media and LLM use on the other. I'm not making any points about the scientific validity of those conclusions, but that's the context in which this discussion is taking place. Personally, I find a very strong link between my devices and my ability to focus, as they're the space in which I spaff my time. I do not believe myself to have ADHD, I believe that the machines I use offer limitless ways for me to lose track when I'm tired. I'm deeply skeptical of pharmacological solutionism, particularly in the domain of mental health. A variety of drugs can be a boon, life-saving to many, but are over-prescribed and treat symptoms not causes. With regard to amphetamines in particularly (we called it 'whizz' where I'm from, back in the day), we're talking about a class of drug that can cause dependency, problems with sleep and sex, anxiety and plenty more. I would not say they're not without side effects in the slightest. Sure, great if this sort of stuff helps, but I find the "just get a diagnosis" line utterly inadequate and borderline disturbing.
    - duskdozer 2mo ago
      I agree that not everyone having issues today would be qualifying for ADHD. There are way too many things about the zeitgeist that are overloading everyone. But still: 1. you can't prescribe someone a fixed society 2. what constitutes "over prescription" is subjective, and some increase in prescriptions is to be expected in line with better knowledge and so ability to diagnose people who were previously missed 3. contrary to several other psychiatric medications, stimulants have a known MoA and consistently beat placebo 4. amphetamine taken recreationally is often in different forms and much higher doses than would be taken on prescription, by people who aren't in need. Things like sleep and anxiety can actually be improved by such prescriptions

RugnirViking 2mo ago

I would caution a little against the prevailing wisdom of diagnosis-as-panacea. I've had a diagnosis for most of my life, but never seen stimulants as worth it (admittedly I've not tried them long term, but that's because after reading a whole lot about it I don't want it in my body). I don't think the diagnosis changes anything for me other than that. It's very much a case of "now what". I suppose some people find a great weight lifted from their shoulders at the idea others struggle with the same thing, or that their struggles aren't due to a personal failing. But I can't escape the next step which is that you still have to do go out and do all the same stuff anyway...

ruthvik947 2mo ago
I feel similarly. I have a lot of tendencies characteristic of ADHD, but I'm undiagnosed, and I don't think I'll seek out the diagnosis either. I don't intend to take any stimulants, and the particular identity of having ADHD means little to me, so the diagnosis wouldn't change much. As you say, I'd still need to figure out how to live this life in these conditions anyway.
tenacious_tuna 2mo ago
I went through a similar loop around my own diagnosis as well ("great, that'd be one more thing to deal with,") but stimulants have had a significantly positive impact on my life. > But I can't escape the next step which is that you still have to do go out and do all the same stuff anyway That's exactly what I was afraid of, but it turns out that actually getting dopamine for completing tasks goes a long way to blunting the existential dread of there being yet more tasks. Consistently now whenever I feel crappy it correlates back to either (a) crap sleep or (b) forgot to take my meds. Just my 2c, YMMV, everyone's different, etc. I had a hard time really understanding the anecdotes I got from medicated friends myself, but I'd encourage others who suspect they have ADHD to try even a very low dose of something for ~3 weeks and see how they feel after. I'm at the lowest "clinically effective" dose of my prescription and the effect is still significant.

kuerbel 2mo ago

ADHD isn't something you suddenly develop at 30 or 40. You can get diagnosed later, but the signs are meant to have been there since childhood.

Shoue 2mo ago
Symptoms become more obvious as you age, which can feel like it came on later. As part of an assessment they do go through your childhood - if you had trouble in school for example that's a classic ADHD symptom, but there's a lot more to consider. It's not always obvious and I've met plenty of people in their 30s, 40s, 50s who only just realized they had it this year and got assessed. Glyphack's experience definitely mirrors my own and I just got diagnosed with ADHD this year and medication absolutely helps my focus. If you're wondering if you have ADHD this is basically the pre-assessment GPs use in the UK (which then continues to triage and then a full assessment): https://adhduk.co.uk/adult-adhd-screening-survey/ https://adhduk.co.uk/adult-adhd-screening-survey/
- tenacious_tuna 2mo ago
  > if you had trouble in school for example that's a classic ADHD symptom or if you excelled at some topics which you found interesting but did middlingly or poorly at others... I watched the skepticism form then evaporate in my psychiatrist as I explained that I did relatively well in school overall... except for the three or four classes I thought were boring, and how I consistently procrastinated but managed to pull off decent work right before hand. (I got diagnosed after 30, though apparently my elementary school wanted to screen me.)
dofm 2mo ago
ADHD is something you can rapidly develop an inability to manage at that age, though — after trauma or burnout. Or maybe following RTO after a couple of years of a more peaceful WFH environment. You can get through school without failing, you can get through university and early jobs with hyperfocus, you can be known for being the person who gets bored easily but can do incredible things. Maybe you are late paying bills, never get round to doing certain big tasks, rent when you should be looking to buy a house, all that. Maybe you have friendships that never quite develop into romantic relationships, maybe you are untidy, maybe you stay in a lot because you fear you tire people out socially. But you bimble on and you convince yourself it's OK. My ADHD burnout started in my late forties. Before that I had any number of explanations for the unusual, eccentric aspects of my life, for why I was a freelancer rather than in a steady job, all of that. I still managed to get big jobs done with relentless bursts of focus. I had already quit social media, I had already learned to manage some distractions, and it still happened. But it's clearly ADHD. Having read about it, "inattentive" (hilarious name for it) ADHD explains me to a shocking degree; I don't need a diagnosis. I just never failed badly enough that the issue was forced, until now. I burned out to the point that it feels like cognitive decline. I am broken and I struggle with everything. What the writer is talking about is so reminiscent of the early stages of my burnout that I worry for him.

specproc 2mo ago

FFS. The solution to our machines eating our brains should not be "just take amphetamine, bro".

tsss 2mo ago
Machines aren't going away. I need a solution that is available right now.
iammjm 2mo ago
Except ADHD was there long before the machines, and stimulants have been scientifically proven time and time again to be helpful in treating ADHD at a very minimal sides effects cost.
- specproc 2mo ago
  TFA links attention on one hand, and social media and LLM use on the other. I'm not making any points about the scientific validity of those conclusions, but that's the context in which this discussion is taking place. Personally, I find a very strong link between my devices and my ability to focus, as they're the space in which I spaff my time. I do not believe myself to have ADHD, I believe that the machines I use offer limitless ways for me to lose track when I'm tired. I'm deeply skeptical of pharmacological solutionism, particularly in the domain of mental health. A variety of drugs can be a boon, life-saving to many, but are over-prescribed and treat symptoms not causes. With regard to amphetamines in particularly (we called it 'whizz' where I'm from, back in the day), we're talking about a class of drug that can cause dependency, problems with sleep and sex, anxiety and plenty more. I would not say they're not without side effects in the slightest. Sure, great if this sort of stuff helps, but I find the "just get a diagnosis" line utterly inadequate and borderline disturbing.
  - duskdozer 2mo ago
    I agree that not everyone having issues today would be qualifying for ADHD. There are way too many things about the zeitgeist that are overloading everyone. But still: 1. you can't prescribe someone a fixed society 2. what constitutes "over prescription" is subjective, and some increase in prescriptions is to be expected in line with better knowledge and so ability to diagnose people who were previously missed 3. contrary to several other psychiatric medications, stimulants have a known MoA and consistently beat placebo 4. amphetamine taken recreationally is often in different forms and much higher doses than would be taken on prescription, by people who aren't in need. Things like sleep and anxiety can actually be improved by such prescriptions