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Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

SuperiorColliculus posted:

There's an existing mindfulness meditation eeg headband on the market called muse.

There's definitely reason to believe mindfulness meditation might be useful, as one of the deficits in ADHD is lack of spectral coherence between various regions of basal ganglia with pfc compared to control.

I'd consider it a solid "maybe" and probably worth trying out if you can afford to potentially waste $200 as an adjunct to medication.

Mindfulness meditation is really more about self-compassion and processing thoughts than trying to directly improve executive functioning.

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SuperiorColliculus
Oct 31, 2011

Not really, there's ample evidence that it's useful for improving executive control and attention.

I'm not meaning to disagree entirely; I'm just a weird intersection of someone who has adult ADHD and a neuroscientist, so I've done my homework here.

Fusion Restaurant
May 20, 2015
The theory behind this one seems to be that high theta-beta ratio sometimes correlates w ADHD symptoms (tho not enough to be used for diagnosis), so if you make them do a game which lowers that ratio their symptoms might improve. I am not super convinced by this research yet - it doesn't seem like there's a really compelling explanation of why you'd actually find a behavioral benefit and studies seem like they've gotten mixed results. Maybe I'm missing something though?

e: Also I'd defer to the dude named after a part of the brain on this :) defs not a neuroscience expert

Fusion Restaurant fucked around with this message at 02:16 on Oct 4, 2017

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

SuperiorColliculus posted:

Not really, there's ample evidence that it's useful for improving executive control and attention.

I'm not meaning to disagree entirely; I'm just a weird intersection of someone who has adult ADHD and a neuroscientist, so I've done my homework here.

I'd love to read a study if you have a link.

Mechafunkzilla fucked around with this message at 01:30 on Oct 4, 2017

SuperiorColliculus
Oct 31, 2011

I assume these will be mostly paywalled, but you'll be able to read the abstracts at least

https://academic.oup.com/scan/article/8/1/85/1694475/Meditation-mindfulness-and-executive-control-the

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563089/

https://link.springer.com/article/10.1007/s10608-007-9119-0


etc, etc... those are just the first few off the first page of google scholar.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

SuperiorColliculus posted:

I assume these will be mostly paywalled, but you'll be able to read the abstracts at least

https://academic.oup.com/scan/article/8/1/85/1694475/Meditation-mindfulness-and-executive-control-the

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3563089/

https://link.springer.com/article/10.1007/s10608-007-9119-0


etc, etc... those are just the first few off the first page of google scholar.

Thanks. I have a university research portal so it was no problem accessing them.

This bit from the 2nd study is more what I was getting at:

quote:

Further analysis revealed that meditation experience improved attentional control primarily in an indirect way, by fostering the acceptance of emotional states, an aspect of mindful emotion regulation abilities that was assessed by self-report (Philadelphia Mindfulness Scale, Cardaciotto et al., 2008). In line with this, comparing participants who scored high vs. low on emotional acceptance a trend toward enhanced ERN amplitudes for high emotional acceptance was found (Teper and Inzlicht, 2013). The finding that performance on executive control tasks was affected by emotion regulation abilities might explain why cross-sectional studies tend to find performance differences, whereas the longitudinal study did not. It seems plausible that emotional influences are more prevalent during the first contact with the task, whereas the emotional component “wears off” following repeated exposure within a longitudinal design and related performance differences decrease.

If this interpretation holds true, better Stroop performance in meditators, commonly attributed to de-automatization, may—at least partially—be due to less emotional reactivity and may thus reflect improved emotion regulation strategies rather than attentional control processes.

tldr: mindfulness exercises are awesome but I will probably not be advising my clients to buy the $250 Kryptonian headband

SuperiorColliculus
Oct 31, 2011

What can I say? There's strong but not unequivocal evidence for the efficacy of mindfulness meditation in improving executive control. There's equally strong or somewhat stronger evidence for the efficacy of stimulants, there's weaker evidence for CBT, and there's even weaker (but still convincing, IMO) evidence for EHA/DHA supplementation.

FWIW, My psychiatrist (who is an exclusive specialist in adult ADHD, because bay area) recommended both mindfulness meditation (via muse no less) and EHA/DHA supps in addition to stimulants.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

SuperiorColliculus posted:

What can I say? There's strong but not unequivocal evidence for the efficacy of mindfulness meditation in improving executive control. There's equally strong or somewhat stronger evidence for the efficacy of stimulants, there's weaker evidence for CBT, and there's even weaker (but still convincing, IMO) evidence for EHA/DHA supplementation.

FWIW, My psychiatrist (who is an exclusive specialist in adult ADHD, because bay area) recommended both mindfulness meditation (via muse no less) and EHA/DHA supps in addition to stimulants.

Yeah I think where it gets real murky is that emotional regulation is a product of both executive and cognitive functioning. I'm really not disagreeing with you, it's just interesting to think about what's going on etiologically when you see a beneficial outcome for a behavior associated with EF.

For instance, we know anxiety is associated with deficits in executive control, but it wouldn't be quite accurate to say that Xanax is a drug that improves executive functioning -- even though someone will be able to demonstrate improved executive control when they're using medication that helps them not feel overwhelmed by anxiety.

Rupert Buttermilk
Apr 15, 2007

🚣RowboatMan: ❄️Freezing time🕰️ is an old P.I. 🥧trick...

Well, after almost a year of on-again/off-again taking of dexadrine (1x daily 10mg), I finally brought up to my doctor that I don't think it's helping, and it really only seems to act like a steady caffeine drip that lasts for maybe 4-5 hours, and tires me out extremely afterwards. She switched me over to Vyvanse, 20mg daily. Maybe it's because it's new to me, this being the first day I've taken it, but I already feel FAR more focused than before. She even had it written into the prescription to gradually increase the dosage to 70mg, but I requested to the pharmacist that that be only handled by me, at my request, so they just put it on file in the event that I ever need it. I have to admit, the thought of doing 70mg of this each day seems like overkill and potentially dangerous, as I'm borderline jittery now, but unlike dexadrine, I'm also able to focus on far more, instead of just feeling more awake.

I'm hoping that this will be 'the one' for me, but I'm also well-aware that it's common for people to have to try out different ones to find the right fit, the most effective treatment.

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Rupert Buttermilk posted:

Well, after almost a year of on-again/off-again taking of dexadrine (1x daily 10mg), I finally brought up to my doctor that I don't think it's helping, and it really only seems to act like a steady caffeine drip that lasts for maybe 4-5 hours, and tires me out extremely afterwards. She switched me over to Vyvanse, 20mg daily. Maybe it's because it's new to me, this being the first day I've taken it, but I already feel FAR more focused than before. She even had it written into the prescription to gradually increase the dosage to 70mg, but I requested to the pharmacist that that be only handled by me, at my request, so they just put it on file in the event that I ever need it. I have to admit, the thought of doing 70mg of this each day seems like overkill and potentially dangerous, as I'm borderline jittery now, but unlike dexadrine, I'm also able to focus on far more, instead of just feeling more awake.

I'm hoping that this will be 'the one' for me, but I'm also well-aware that it's common for people to have to try out different ones to find the right fit, the most effective treatment.

Vyvanse is a prodrug so you can't just directly compare dosage to an IR stimulant. It's interesting you have such a better response to it, since Vyvanse is basically just a delivery system for dextroamphetamine, same as Dexedrine.

Rupert Buttermilk
Apr 15, 2007

🚣RowboatMan: ❄️Freezing time🕰️ is an old P.I. 🥧trick...

Mechafunkzilla posted:

Vyvanse is a prodrug so you can't just directly compare dosage to an IR stimulant. It's interesting you have such a better response to it, since Vyvanse is basically just a delivery system for dextroamphetamine, same as Dexedrine.

Thanks for the info, I had no idea! Both my doctor and pharmacist said that they're pretty similar, but the pharmacist mentioned that, in his experience with patients and customers, Vyvanse seems to be more successful. Does that make any sense?

FantasticExtrusion
Sep 3, 2017

Yes it makes a massive difference. I basically get 1/2 of a day out of IR's. I wish I were able to try extended release, but I am not yet successful enough lol america

Edit: YET MOTHERFUCKERS, YET heh

Mikedawson
Jun 21, 2013

Are inferiority complexes normal with ADHD? I know I have ADHD and the more I've been thinking about it, the more I realize how I pretty much always assume I am the least capable/charismatic/intelligent person in the room. Like, it takes some real scummy poo poo for me to look down on someone.

Angry Diplomat
Nov 7, 2009

Winner of the TSR Memorial Award for Excellence In Grogging

Mikedawson posted:

Are inferiority complexes normal with ADHD? I know I have ADHD and the more I've been thinking about it, the more I realize how I pretty much always assume I am the least capable/charismatic/intelligent person in the room. Like, it takes some real scummy poo poo for me to look down on someone.

That's pretty common yeah. It seems to be sort of unclear whether it's simple comorbidity (related to anxiety and depression) or a result of growing up in a society that still kind of believes ADHD is laziness masquerading as a disease, but in either case, there's a definite correlation between "having ADHD" and "lowkey hating yourself."

BirdOfPlay
Feb 19, 2012

THUNDERDOME LOSER

Angry Diplomat posted:

That's pretty common yeah. It seems to be sort of unclear whether it's simple comorbidity (related to anxiety and depression) or a result of growing up in a society that still kind of believes ADHD is laziness masquerading as a disease, but in either case, there's a definite correlation between "having ADHD" and "lowkey hating yourself."

Hey, don't forget about how common a history of failures (I'm sure there's a better way to phrase this) is, either!

So, my PCP decided to quit the primary care racket, and I don't know what I'm supposed to do going forward regarding my prescription, given that I don't have insurance. Obviously, because I'm productive and smart, this happened over a month ago. Honestly, I legit don't know where I'm supposed to start on this.

BoneMonkey
Jul 25, 2008

I am happy for you.

Mikedawson posted:

Are inferiority complexes normal with ADHD? I know I have ADHD and the more I've been thinking about it, the more I realize how I pretty much always assume I am the least capable/charismatic/intelligent person in the room. Like, it takes some real scummy poo poo for me to look down on someone.

Guess it's to do with our history of loving up while watching everyone around us manage to do just fine.

To all the married/long term partners ADHD people. Does you SO have anxiety? I'm starting to see a pattern. (my wife has it and all my ADHD friends SOs have it.)

Tias
May 25, 2008

Pictured: the patron saint of internet political arguments (probably)

This avatar made possible by a gift from the Religionthread Posters Relief Fund
Depends, i think. Many of us are adult children or alcoholics as well, so we attract partners with codependent anxiety, even after getting dry.

Note that this is just my opinion, I have no actual data except for being a part of numerous recovery fellowships where the ratio of diagnoses to members for either ADHD, ADDand anxiety is very high.

Rupert Buttermilk
Apr 15, 2007

🚣RowboatMan: ❄️Freezing time🕰️ is an old P.I. 🥧trick...

Mikedawson posted:

Are inferiority complexes normal with ADHD? I know I have ADHD and the more I've been thinking about it, the more I realize how I pretty much always assume I am the least capable/charismatic/intelligent person in the room. Like, it takes some real scummy poo poo for me to look down on someone.

Echoing everyone else, absolutely. I mean, the only thing I'm remotely confident in are my audio-related skills, because I worked my rear end off in college and came out of it with honours. Regular high school? I think my average was about 75%. I know I'm an intelligent person but goddamn do I have a terrible memory and my mind wanders very quickly.

And god help you if you're with someone who either doesn't understand, or thinks they do. That's never helpful.

Sarah Cenia
Apr 2, 2008

Laying in the forest, by the water
Underneath these ferns
You'll never find me
I have anxiety and she's the ADHD one. Hmm.

BoneMonkey
Jul 25, 2008

I am happy for you.

Achtane posted:

I have anxiety and she's the ADHD one. Hmm.

98% of the time it works really well!

FantasticExtrusion
Sep 3, 2017

BirdOfPlay posted:

So, my PCP decided to quit the primary care racket,

The salience of this statement.

This has nothing to do with the conversation... It is insane to see PCP's jump ship when we're spending this much money on the system.

lithium flour
Jan 27, 2012

a fully digital ovine
Hi thread. I just moved house, as part of that I changed doctor and there was endless hassle getting my repeat prescriptions switched over. Long story short, I got my methylphenidate prescription doubled by mistake, it seems to be okay so far and I am actually coping at work as long as I remember to take it. Yay I guess?

Pikestaff
Feb 17, 2013

Came here to bark at you




Is sensory overload/sensitivity an ADHD thing? I'm very sensitive to things like sounds, smells, etc. and I also find crowds really suffocating (especially because it usually combines with a lot of noise and :gonk: ) Is there a way to cope with this sort of thing so I can actually... do things, like go to work, without freaking out?

I'm not on any ADHD meds currently because the last time we tried they kept canceling out my anxiety/depression meds and frankly I'd rather be on those, given the choice.

Beastyfella
Mar 5, 2008

I have lost all powers of reading comprehension and counting ability hours ago
Yes overstimulation is a big thing with adhd, at least for me. Makes me lose my focus and feel really lost sometimes.

You may need to try different meds since they don't all work for everyone the same way.

mrfart
May 26, 2004

Dear diary, today I
became a captain.

Pikestaff posted:

Is sensory overload/sensitivity an ADHD thing? I'm very sensitive to things like sounds, smells, etc. and I also find crowds really suffocating
...
I'm not on any ADHD meds currently because the last time we tried they kept canceling out my anxiety/depression meds and frankly I'd rather be on those, given the choice.

You sound like you have the same problem as me. I tried all adhd medication, and a lot of anti depressants, all had very bad side effects. In the end I had the choice between nothing or my anti anxiety meds.
Hope you find something that works.

mrfart fucked around with this message at 13:53 on Nov 5, 2017

BoneMonkey
Jul 25, 2008

I am happy for you.

I'm probably wrong about all of this but doesnt the anti anxiety meds allow you to fix the anxiety? So couldnt you guys sort out the anxiety and then come off those and go on the ADHD meds?

Unless you ADHD is the cause of your anxiety, and then shouldn't you try to fix the source of the issue?

Pikestaff
Feb 17, 2013

Came here to bark at you




"Anxiety" as a feeling is transient, Generalized Anxiety Disorder is usually not. It's like ADHD, it's always there. At least, it is for me. Going off anxiety meds in the past has always caused it to come back for me. It's also co-morbid with the depression so the meds I'm on, which treat both, are taking out two birds with one stone.

Usually what happens for me is that ADHD meds heighten my anxiety, and then the anxiety meds cancel it out so neither is really doing much of anything. So it comes down to picking one or the other. I guess I could experiment again in the future.

Parasol Prophet
Aug 31, 2012

We Are Best Friends Now.
Hi thread! I have ADHD-Distracted type (is that the right way to put it? I have no idea), am between medication refills right now because I changed insurance and the process to finding a new doctor is so involved that I keep forgetting to start/continue it. (Of course.) I have a question.

Does anyone have any good strategies for dealing with time blindness? I hate being late all the time and it's already cost me at least one job, but nothing seems to help-- setting more alarms, breaking down time, etc.

I get up on time, but always wind up doing poo poo like "Ah, showers only take five minutes. *Fifteen minutes later* WHAT NO" or somehow missing four minutes between putting my jacket on and getting out the door. I don't really know what else to do. And because being chronically late apparently makes you Literal Satan to most people, I've never really gotten much advice beyond "lol if you want to be on time, you'll be on time, just try harder." Maybe people here will get that I can't just -do- that, I dunno.

BoneMonkey
Jul 25, 2008

I am happy for you.

I have the same problem as you. The thing that works best for me is prep and widgets.

I have everything ready the night before work because I know that I will dash around like a blue arse fly in the morning. And I have made prepping part of my routine.

The other is having a calendar widget on the front screen of my phone. ( I check my phone 5000 times a day) so I always know what is coming up next.

I like Sectograph http://play.google.com/store/apps/details?id=prox.lab.calclock

BirdOfPlay
Feb 19, 2012

THUNDERDOME LOSER

Parasol Prophet posted:

Does anyone have any good strategies for dealing with time blindness? I hate being late all the time and it's already cost me at least one job, but nothing seems to help-- setting more alarms, breaking down time, etc.

Are we talking getting lost in some inane task (which mostly causes lateness) or just general getting ready taking too long stuff? For the first my meds help me by, seemingly, giving me a disenage lever. It's still on me to stop doing this stupid thing, but I'm actually able to reliably turn thought into deed. Taking my meds first thing helps in that regard.

The second is more involved, because it involves planning and understanding. To get a handle on your morning/"getting ready" routine, you have to know, roughly, how long things take you and what needs to be done at home vs can be pushed to on the way out or at work. You'll also want to prioritize based on how long things take. Lastly, as you're taking care of each task for the morning, kept a running idea where you are in you schedule and what else needs to be done. This is key to giving yourroutine the flexibility it needs to be more successful.

Here's an example routine (which is basically mine): eat breakfast, take care of dog, and shower. If you're running late, you can't mitigate that by showering on the way. Also, because the shower is likely the longest activity, putting it at the end means that other delays will make you late. I's put breakfast at the end, because how long it takes can easily be stretched, shrunk or even pushed off depending on how your morning is going. Doing shower first takes care of the biggest time sink that must be done and puts you in a better position to judge your remaining time.

I will point out that I'm in favor of accepting that things won't work out instead of focusing on a rigid schedule. Personally, I balk giving myself a hard schedule and plan things this way so that I keep some form of control over things. I flowing with things is more suited to how I work in general and allows me to recover from the delays/missteps that'll invariably happen.

sat on my keys!
Oct 2, 2014

Parasol Prophet posted:

Hi thread! I have ADHD-Distracted type (is that the right way to put it? I have no idea), am between medication refills right now because I changed insurance and the process to finding a new doctor is so involved that I keep forgetting to start/continue it. (Of course.) I have a question.

Does anyone have any good strategies for dealing with time blindness? I hate being late all the time and it's already cost me at least one job, but nothing seems to help-- setting more alarms, breaking down time, etc.

I get up on time, but always wind up doing poo poo like "Ah, showers only take five minutes. *Fifteen minutes later* WHAT NO" or somehow missing four minutes between putting my jacket on and getting out the door. I don't really know what else to do. And because being chronically late apparently makes you Literal Satan to most people, I've never really gotten much advice beyond "lol if you want to be on time, you'll be on time, just try harder." Maybe people here will get that I can't just -do- that, I dunno.

I have this problem and I'm one of those people who gets extremely irritated by chronic lateness. I spent years furious with myself for being late. Like others said, knowing how long things take and prep are key. For instance, I bike to work, so the night before I put my clothes I'll wear in my bike bag (after checking the weather), my laptop, my headphones, my office keys, etc. Then in the morning I get up, put the bag on the bike, and haul rear end into work. If I have to be somewhere at a specific time I always leave myself 10 minute slippages, like if I have to take the bus I'll start getting ready to leave 10 minutes before Google Maps says I should. I timed myself showering (it takes me 13 minutes if I'm washing my hair) so I can plan around that and going to the grocery before it closes in the evening. Essentially what I tried to do was give myself as few opportunities to gently caress up (by prepping) and then building in "extra" time in case I do.

susan b buffering
Nov 14, 2016

Parasol Prophet posted:

Hi thread! I have ADHD-Distracted type (is that the right way to put it? I have no idea), am between medication refills right now because I changed insurance and the process to finding a new doctor is so involved that I keep forgetting to start/continue it. (Of course.) I have a question.

Does anyone have any good strategies for dealing with time blindness? I hate being late all the time and it's already cost me at least one job, but nothing seems to help-- setting more alarms, breaking down time, etc.

I get up on time, but always wind up doing poo poo like "Ah, showers only take five minutes. *Fifteen minutes later* WHAT NO" or somehow missing four minutes between putting my jacket on and getting out the door. I don't really know what else to do. And because being chronically late apparently makes you Literal Satan to most people, I've never really gotten much advice beyond "lol if you want to be on time, you'll be on time, just try harder." Maybe people here will get that I can't just -do- that, I dunno.

What’s helped me is doing as much as possible the night before. This includes showering, making oatmeal and putting it in a thermos, and making sure everything I need is accounted for before going to bed. Now I can wake up, eat my oatmeal, put on my clothes, pack lunch, grab my bag, and be on my way. I still try and wake up when I normally would because I do still get distracted, but its less of a big deal because there’s not as much I need to be do before leaving.

Parasol Prophet
Aug 31, 2012

We Are Best Friends Now.
Thanks everyone! I can definitely do more prep in the evening-- searching for things and trying to match an outfit from whatever's clean takes up a lot of time. I'll have to pay attention to exactly how long things take and probably write that down or something.

The only part of my morning that I know down to the minute is my commute itself. Going from the house to the car is like walking between dimensions because I instantly forget everything I did that morning and how long it took, but once I'm in the car it's business time. I don't get it.

Laserface
Dec 24, 2004

Hi all,

i just started treatment for ADHD (inattentive and distracted I guess). currently working with my psychiatrist on how much my dosage would be, and the standard practice for my country seems to be start on Ritalin IR and titrate up to a workable dosage over a few weeks.

so far I have gone from 10mg twice daily and have worked up to 30mg twice daily today.

it seems to me that the side affects are more common at the lower end of the scale, although im curious how caffeine interacts with Ritalin.

on all doses i was getting sweaty and fidgety and cold hands/feet, except today which was 30mg twice. however I didnt have my coffee today because I ran out of cold brew.

additionally, im not sure how much I am suppose to notice the actual mental effects of the drug. I dont feel like I am focusing more, but I think I am, sometimes. I recognise it probably wont be the same as illegal stimulants which I have tried in the past but still not sure its actually 'kicking in' in the way I need it to.

the next step I think is trialling dexamphetamines and seeing how they work, if the Ritalin is not working out for me, which so far Im uncertain of.

Once they find the best fit they start prescribing the long release version of whatever works to make it easier to manage.


any tips for a beginner?

Mechafunkzilla
Sep 11, 2006

If you want a vision of the future...

Laserface posted:

Hi all,

i just started treatment for ADHD (inattentive and distracted I guess). currently working with my psychiatrist on how much my dosage would be, and the standard practice for my country seems to be start on Ritalin IR and titrate up to a workable dosage over a few weeks.

so far I have gone from 10mg twice daily and have worked up to 30mg twice daily today.

it seems to me that the side affects are more common at the lower end of the scale, although im curious how caffeine interacts with Ritalin.

on all doses i was getting sweaty and fidgety and cold hands/feet, except today which was 30mg twice. however I didnt have my coffee today because I ran out of cold brew.

additionally, im not sure how much I am suppose to notice the actual mental effects of the drug. I dont feel like I am focusing more, but I think I am, sometimes. I recognise it probably wont be the same as illegal stimulants which I have tried in the past but still not sure its actually 'kicking in' in the way I need it to.

the next step I think is trialling dexamphetamines and seeing how they work, if the Ritalin is not working out for me, which so far Im uncertain of.

Once they find the best fit they start prescribing the long release version of whatever works to make it easier to manage.


any tips for a beginner?

Just continue to be honest and in frequent communication with your psychiatrist and don't sweat it if it takes a while to figure out the medication and dosage that works for you.

Also, don't drink caffeine when you're on stimulant medication, especially starting out, it's gonna gently caress up what an effective dosage feels like and can make side effects worse.

YggiDee
Sep 12, 2007

WASP CREW

Laserface posted:

additionally, im not sure how much I am suppose to notice the actual mental effects of the drug. I dont feel like I am focusing more, but I think I am, sometimes. I recognise it probably wont be the same as illegal stimulants which I have tried in the past but still not sure its actually 'kicking in' in the way I need it to.

That one's tricky, I'm inattentive type too, and if it's just me judging how my brain feels I can't really tell. My friends & family notice though, they can tell if I forgot my morning dose better than I can. I have to look back and go 'oh hey I actually made & packed my lunch all week, turns out I'm secretly competent after all'.

Laserface
Dec 24, 2004

Thanks.

Caffeine normally doesnt have any effect on me at all unless i drink like 4 cans of monster in succession, so I didnt see my regular morning coffee interfering too much. Today has definitely been easier in terms of side effects without the coffee though, so I will leave it out for now.

I also get super burnt out by the end of the day and just want to sit down and relax, which isnt really normal for me. although I am not feeling as tired today as I was the last few days.

as far as noticing an improvement goes, I have told my boss and my ADHD girlfriend knows but she mostly sees me after work when Im dog tired. this weekend might be better for that.

I have definitely made an effort to do more stuff at work too and clean up some outstanding tasks but im not sure if its me pushing myself to do them or the drugs pushing me to do things. I still waste just as much time onnline as ever.

Fusion Restaurant
May 20, 2015

Laserface posted:

Thanks.

Caffeine normally doesnt have any effect on me at all unless i drink like 4 cans of monster in succession, so I didnt see my regular morning coffee interfering too much. Today has definitely been easier in terms of side effects without the coffee though, so I will leave it out for now.

Same here re: caffeine normally, but it's different when you're on stimulant ADHD meds. Using caffeine really screws with the ability of the medication to work in odd ways, and might be part of why effects aren't so noticeable as well as why there are side effects. Some psychiatrists seem better about mentioning this than others, but it pretty much seems like regardless of your normal caffeine tolerance you shouldn't have any while you're trying to figure out what dose works.

Gucci Loafers
May 20, 2006

Ask yourself, do you really want to talk to pair of really nice gaudy shoes?


Is true adderall is banned outside the US?

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Geisladisk
Sep 15, 2007

Tab8715 posted:

Is true adderall is banned outside the US?

Here in Iceland... technically, yes? It's a illegal narcotic, and as far as I know has not been approved as a doctor-prescribed medicine. Instead, doctors prescribe Concerta or (rarely) Ritalin.

So not really a case of being banned, more a case of Concerta being used in it's place.

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