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Comment by stefanfisk | Hacker News Reader

As someone who was diagnosed just about a month ago after a lifetime of coping I’m curious, what’s the argument against diagnosis?

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I'm certainly not arguing that anybody else should avoid diagnosis. I don't expect this to be a popular opinion, but I tend to stay away from medical practitioners in general. The last time I broke a bone I did some googling and treated it at home; I generally feel like the time and money needed to access professional medical advice isn't worth the knowledge which is already available at my fingertips faster and cheaper. If I were to get diagnosed at some point, it would be because society won't let me buy kiddie-meth (Ritalin/Vivance) over the counter. I've tried kiddie-meth four times illicitly, and it did wonders for me, but I'm not yet ready to incorporate it into my regular drug stack. I worry about potential effects from prolonged use (the "dulling" some people describe), and it makes me prone to giving <i>all</i> of my effort to the task at hand even when that isn't actually clever. I'm not ready to burn that filament yet. If I were throwing everything I had into a startup, I could totally see getting on the stuff. I'm about a decade from that point in life by my best approximations. As a side note, I accidentally smoked a little bit of actual-meth once (the guy who packed the bowl didn't tell me there was meth in it -- long story), and the effects were very similar. I didn't realise why I had been in such a great flow-state until it was revealed to me about a week later.

it sound like your argument is essentially that medical professionals cost too much money and have too low availability to make it worth your effort, is that correct? if so, may I ask where in the world you live?

Midwest US. If I felt like they were good at what they're for, I would probably use them more. My experiences have been bad. We're veering quite a bit off-topic here, but the last time I went to a doctor it was because I was shitting blood. I figured it was probably hemorrhoids based on googling, but was worried of an off-chance of cancer and decided to get it checked out. They had me collect a stool sample and come back two weeks later. I did, and the first thing they did was throw the sample away without examining it -- they said they shouldn't have even asked for me to collect a stool sample to begin with and apologized. Cool doc, thanks for having me scoop my shit into a cup for no reason. Then they charged me ~$300, had me get naked, and the doctor asked why I wasn't circumcised without me bringing it up and encouraged me to get circumcised multiple times (in my 20s) while I repeatedly said I wasn't interested and that it's supposed to harm sensitivity, and then he finally proceeded to stick a camera up my ass. The results were ultimately inconclusive, he said it was probably hemorrhoids but that he couldn't see them with the camera and verify that. So I'm out ~$300, my collecting-my-own-shit-in-a-little-cup virginity, my arguing-with-a-doctor-about-circumcision virginity, and my having-a-camera-shoved-up-my-ass virginity, and I don't know anything more than my free google searches told me two weeks earlier. 0/10, would not visit again. YMMV.

No, it's not lost on me that I admitted to previously consuming 3/4 of a gallon of Monster a day two comments ago and now I'm posting about shitting blood, but I think there were other contributing factors (notably bad lifting technique).

Edit: More on topic, if I don't care about the yes/no checkbox of whether they think I have "ADHD," and I don't want to get on the medication (which I've tried, informally researched, and made a fairly informed decision about), what can professional advice provide me that internet research about symptoms and ways of coping with them can't?

> it's not lost on me that I admitted to previously consuming 3/4 of a gallon of Monster a day two comments ago and now I'm posting about shitting blood

May be pure coincidence, but in my case the former was causing the latter. Through trial and error I discovered that zero caffeine intake completely eliminates my symptoms.

I think caffeine was a contributing factor, but not the sole cause. I imagine the niacin wasn't helping either. I'm totally off energy drinks now, but still strung out on caffeine pills. I intend to introduce some of the other ingredients of energy drinks back into my drug stack eventually, but I'm out of the niacin game (mostly due to worries about liver damage). FWIW, with better lifting habits and some other dietary changes I haven't shat blood in years despite only cutting the energy drinks out fairly recently.

Yeah, I have about the same opinion of the medical profession. Except for fixing mechanical problems (e.g., fractures) they seem pretty much worthless. Prescriptions that do fck all to fix anything and inconclusive diagnoses after you waited WAY past your appointment time leave a pretty sour taste. If a remodeling contractor operated the way most doctors do, they’d be skewered on the 6 o’clock news.

> what’s the argument against diagnosis?

I know you didn't ask me, but as somebody who just realized he could have a mental illness, the thing that terrifies me most is being branded. Technically, on the books, ADHD is an incurable mental illness. That means, once diagnosed, you're forever mentally unstable in the eyes of both the law and potential business partners.

I doubt I'll bother to get officially diagnosed. The risk is too great and the upside too small. I've been coping this long with it and now that I know what I'm dealing with I can find ways to cope with it even better.

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