Recent submissions

Comment · 2 years ago
> Your wording, particularly "kicking and screaming"

I am describing myself.

Comment · 2 years ago
> the effect is tiny compared to the baseline impairment in a person with ADHD.

I'd be interested to read this study if you have it.

> The "neurodevelopment dopamine theory" you're talking about is not a mainstream concept among neurologists

Are you saying its not neurodevelopmental?

Comment · 2 years ago
> My pet theory is that alcoholism doesn't actually run in our family

There is a lot of research that shows that medicating ADHD via an addictive drug can actually reduce the risk of addiction in the long term, because the dopamine delivery becomes more stable. So not so much a pet theory but actually well-studied science.

> You're morally and practically the equivalent of someone advocating for removing wheelchair ramps, and telling paralyzed people to just walk

Are you really trying to equate ADHD to being in a wheelchair or being physically paralyzed?

This is why people can't take you seriously. 6 figure income and your life is as bad as someone who is physically paralyzed apparently.

> From the bottom of my heart- f*k you.

Do you really think this is an acceptable way to talk to anyone in life, let alone the HN community?

Comment · 2 years ago
> assistance with breaking down tasks and setting priorities paired with frequent deadlines

Pretty much what I am arguing for.

Deadlines have to matter.

> someone with ADHD might spend a week working on some random detail that doesn't matter, because they think it's important.

No one is like "oh, thanks, it was just a matter of working on this thing, my bad, I lost track of time". It's a totally arduous process to abandon this task you are enjoying and drag yourself kicking and screaming to work on what you should be working on...which will be pain inducing. You need a way to get through this pain.

Comment · 2 years ago
> We shouldn't stop making peoples lives better in the short term.

> I think "scientism" in medicine has been very harmful

That's what they said when they were drilling holes in people's skulls and doing lobotomies.

Now we are giving children meth and yelling down anyone who wants to discuss long-term side-effects.

The obvious reality is ADHD is a means to sell meds and psych appointments. You cannot escape homeostasis and you just end up with people dependent on a drug for the entire life where the effectiveness has completely waned and they are worse than when they started.

It's unbelievable that ADHD diagnoses are increasing at the same time almost everyone is completely addicted to social media. If you start prescribing stimulants for ADHD when all they needed was to get off social media...you are going to fuck up an entire generation.

The neurodevelopment dopamine theory is the reason why ADHD people get these smart drugs and no one else does. It makes them safe from addiction. But its entirely unproven.

Comment · 2 years ago
It's very interesting. I wish I could observe it.

Don't you wonder though how evolution allowed this trait to come so far though, especially with it being so prevalent.

Potentially it meant that for centuries there have been children with poor school grades who simply went off into lower-income careers that they were suited to.

Comment · 2 years ago
> I cannot overstate how odious I find opinion.

Yet...

> RSD isn’t an officially recognized medical condition. It’s also a condition for which there’s limited scientific research available.

> https://my.clevelandclinic.org/health/diseases/24099-rejecti...

---

> This idea of punitively shaming people...

It's more about ensuring they appreciate the severity of the deadline.

If I tell a non-ADHD person to try their best to meet the deadline, they might get it done or might not and need a little extra time.

If I tell an ADHD person to try their best to meet the deadline, they might have not started at all, and end up falling far behind, or start making excuses because they are captivated by another task.

There are so many times where fear of repercussions from an imminently looming deadline gave me the initial momentum to put everything else aside and channel my focus to deliver.

But every time this happens you want to say "I just need more time because I started late because of ADHD"...and if the boss says "sure that's okay, take your time"...the motivation dissipates and you are back to tasks piling up.

I can only conclude that ADHD people need a shorter leash regarding scope and stricter deadlines, and not a comforting presence to reduce the pressure.

I am very open to hearing criticism of this approach.

But I think it's actually cruel to not be tough with someone and let their performance drop to a point they have to be fired which is the inevitable consequence. If someone cannot deliver then they cannot be kept around. If someone has 6 months to prove themselves...do you think with less deadlines and less strict deadlines they will have more chance of success? I think it just adds more risk and stress to themselves.

Comment · 2 years ago
I haven't really heard about ADHD framed as a working memory impairment.

Because it does seem like an easy workaround via religiously following pomodoro - every 25 mins a reminder that you should look at your task list. It's hard to argue that someone can manage to ignore an alarm ringing every 25 minutes.

I thought of it more as you actually do know what you should be doing, but there is something a lot more interesting and novel that you prefer to be doing and the thought of reverting back to the task you should be doing without exploring this novel one feels like complete torture.

Comment · 2 years ago
If you have the symptoms, you have the disorder...a disorder which is only identified by the symptoms. Do you get it?
Comment · 2 years ago
How does exercise affect a child with ADHD?

I always see these portrayals of ADHD children being hyperactive and just think: what if you just made them run outside for a while...surely they can't have never-ending energy and eventually tired themselves out.

And after this period of exertion, when they rest, do they then just instantly revert back to 100% hyperactivity?

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Comment · 2 years ago
If you look into how the criteria is chosen its very arbitrary. And this descriptive diagnosis where you pick from list A and B is extremely bizarre from a common sense standpoint. And there is no brain imaging or genetic markers available.

> The number of criteria required for a diagnosis of ADHD has been set arbitrarily in DSM-5. No scientific justification has been presented nor method used for deciding how many criteria should be required

> https://www.frontiersin.org/articles/10.3389/fsoc.2022.81476...

and...

> For the case of ADHD specifically, this is translated to: “if an individual has attention deficit hyperactivity disorder it is because he is inattentive, disorganized and hyperactive-impulsive, and if an individual is inattentive, disorganized and hyperactive-impulsive it is because he has ADHD.

> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871920/

It's important to be aware that each percentage point is hundreds of millions of dollars.

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