Hacking ADHD: Strategies for the modern developer
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A simple Hack that still works for me after years:
1. Place a tiny LED (red or yellow) by the side of your monitor or virtually on the screen corner. Basically anywhere almost bordering your field of view.
2. Make it blink like a fast heartbeat (120-150 bpm) and gradually slowdown to around 60 bpm (or your slow heartbeat base). Make the slope approx 20 to 60 minutes (you can adjust the best rate by testing in 10m increments after a few days in one setting).
Now...
3. Get to work regardless if distracted and agitated. Close all apps except what you need to work and BOOM!, let the magic happen. Without realising, your brain will try to sync with the light that you can barely see, calming you down and allowing you to go focus-mode with the task in had.
Works like hypnosis!
It is also a cheap hack... I build my unit with a cheap ESP32 and heart-rate sensor to sync deeper and dynamically adjust the slope...
Will explain better if any interest.
No science behind (only principles), I just hammered a solution like any Ape with the shakes would need!
- once the LED has slowed down to 60 bpm, do you keep it at that tempo for the rest of the day? for a few hours? do you ever go back to 120 bpm and then go back down?
- generally speaking, how did you come up with the idea?
- do you think that a software version (i.e. some blinking pixels in the top right corner of a monitor) would work, or is the intensity of the LED (i.e. the fact that it's not part of the monitor) part of the reason why it works?
- could you also talk about the heart-rate sensor - how do you use it / how does it affect the bpm algorithm?
Thanks!
Here is what I did to my current v.3+
- Once it reaches the lowest rate, the LED goes off after a 30min timer set, it fades the light over that time under the same blinking rate. So I won't notice. - The Idea comes from desperation really, mostly curiosity on why sound beats from upbeat music had a effect to improve mood, i.e. work more at gym. Also the idea that your brain will take patterns and try to synch with. Check PubMed (few articles about) - I started with a software version (v.1 and v2) and then a hardware one. No idea why, but hardware (as a side device) works really good. I 3D printed a tiny case and it is discreetly below my iMac screen powered by the USB. Look like an old modem but tiny.
Finally...
- I added the heart monitor (a cheap cable and wrist sensor) to see if I could shorten the time to achieve the lowest rate of blink based on my heart response instead of waiting the time or trying to read brainwave pattern (I try measuring voltage and electric wave form, from a headband I bought and returned after a rapid test) but the signal would mix with the work in front of me, so useless and expensive.
Using heart rate looks cheap, non-intrusive and effective to shorten the time, it goes 1/3 of time to get lowest, could use an apple watch vs cable and sensor but I'm cheap.
; )
There was research some time ago (jeez, 10 years ago...) [0] [1] that used video and... computer vision algorithms to detect a person's heart rate without any devices. Wondering if it could be used here i.e. use your webcam instead of an external hardware sensor?
Other thing - would you be open to publishing/sharing your algorithm / esp32 code (on Github or as a blog article)?
[0] https://news.mit.edu/2012/amplifying-invisible-video-0622
You can't really do video detection it in real time and properly, without overheating the cheap device. On the SaaS we did we use a recorded segment of video so we can analyse it afterwards, check the colour changes in the face of the subject and try estimate heartbeat with loose accuracy. More like high, Normal, Low after taking a few seconds as base.
The idea of the ADHD device was just a cheap hack done in a day for myself.
Not a product or commercial as I don't feel claiming it can do to others what I looks like does to me.
Happy to share here FREE ; )
Greedo shouldn’t have asked about Han’s mother!
We try estimate a "confidence" level when saying something, but NOT able to guess if a lie. An actor can easily have full confidence in a script, but still be a lie.
We intended for roles that are client facing and where personal skills are key. Things like retail, costumer service, sales.... not technically or education based, temporary work and alike. Not that Orwellian yet ; )
Example: You need 40 people for an event to work a few hours as guides or hosts, from 100 applying the system can suggest a score and list them all in order so you can start watching or calling for interviews from somewhere.
Here's the link to the project: https://github.com/Qiaogun/ADHD_Blink
I guess you would be a client (few comments)
I have hundreds of things I do and very few go to product or build phase.
Not my view for this one as it is a personal issue. I would not be comfortable claiming it could do anything for others like it does for me. Also I'm not basing it on anything scientific other than raw experimental data from 1.
I'm happy to share it here and FREE for everyone.
I run a tiny tiny tech incubator in the UK, so hands full : )
I guess you would be a client ; )
No, I have hundreds of things I do and very few go to product or build phase.
For this personal issue, I would not be comfortable claiming it could do anything for others like what it does for me. Also I'm not based on anything other than experimental data.
I'm happy to share it here and FREE.
I run a tech incubator in the UK, so hands full : )
...
Thanks for the complement, I guess you would be a client (few comments)
I have hundreds of things I do and very few go to product or build phase.
Not my view for this one as it is a personal issue. I would not be comfortable claiming it could do anything for others like it does for me. Also I'm not basing it on anything scientific other than raw experimental data from 1.
I'm happy to share it here and FREE for everyone.
I run a tiny tiny tech incubator in the UK, so hands full : )
Fundamentally, if it works for the OP, who the hell cares?
And how would you even double-blind test this anyway?
Get lights that either start fast and slow down or blink at speeds that randomly change then use serial numbers to track which lights are which, but send them out at random to test subjects?
I like the approach though, it would be a reasonable control condition (assuming that the 60bpm is a core part of the effect).
Maybe. Generally you'd do a manipulation check at the end to ensure that people couldn't identify what condition they were in.
Additionally, that's single blind rather than double blind.
And more generally, my philosophy (as someone with a PhD in the placebo effect) is that harnessing any expectancy/placebo effects in one's personal life is totally reasonable, and if it works for people and there's low risk of harm then more power to them.
We shouldn't gatekeep potentially useful personal treatments based on the gold standard. It's kinda the medical equivalent of YAGNI, I suppose.
He sees a correlation, correlations are amongst the easiest thing to test.
Causation is the difficult one
Mind you, pointing out placebo could be useful if the OP made the claim that their solution could cure a disease or something (such claims could discourage someone from getting effective treatment).
You are likely aware of this already, but for others readers, it's important to know that placebos are still effective even when you know they are placebo. The term is "open-label placebo".
I wouldn't be surprised if you felt better even before you took your first dose; I can imagine you started feeling better just having a prescription in hand.
One of the biggest parts of placebo is going through the motions, whether you believe it or not. The original commentor appears to be aware that their approach may not have any scientific basis so mentioning the potential of placebo is fine.
Oddly enough, non-musical sounds (like birds or cars) don't affect me at all. I think it's the complex pattern-matching in music that is a problem for me. Of course, that's also what makes it so delightful to listen to.
I detailed better aspects on a question above,
Placebo need you to trust it works (or see a figure of authority to believe it does), in my case I expect nothing and got not much on v.1 (software) by v.3 (hardware) it is surprising.
; )
YES, it can be the placebo effect, but still placebo can works wonders ; )
I detailed better aspects on questions above, also not doing it commercially or claiming it can be helpful for anyone other than me.
In placebo, one needs to trust it will work (or see a figure of authority to believe it does), in my case I wasn't expecting much and got not far from it on v.1 (software), but by v.3 (hardware) I was surprised and used to it.
So, I'm happy to share it here FREE ; )
Also it is not really a blink but a quick fade in/out effect not a flash.
Basically a function slope with a value from 150 to 60 that calls "blinks" over an hour, when at the end it turns off LED.
You can make it smoother, add the heartbeat sensor, make it pulse instead of blink, that stuff will be particular to whatever you have at hand.
GPT for such simple code after explaining the device and pointing to documentation should be a 3-4 shot process.
My one is horribly inefficient and shameful to share : )
[1] https://paste.sr.ht/~tsegers/53adaecd734e7159352f152ac1dcc85...
You could hook up some physiological monitors and try all kinds of light patterns.
I used to do beats high to low, instrumental music basically.
; )
Like tricking the brain to see as not part of the work.
; )
Isn't this the part that actually does the heavy lifting to get stuff done?
Sounds a bit like: I have a hard time falling asleep, so I have this blinking light next to my bed. I take a sleeping pill and let the magic happen. My heart rate then syncs to the light and I fall asleep. This light works great!
The idea is that you sit at your desk even if too agitated and remove the visual distractions that aren't work so your eyes will either look at work or the blinking led. I have an iPad by the side so I can't see the screen but will open from time to time to check emails.
So, stare at the screen even if you don't feel like it and try 1o-15min.... if you forget and realised an hour passed and the blink stoped it... then it worked!
; )
It is not broken, it works, I just don't feel it should be a commercial product as I'm not comfortable in claiming it can do what it does for me.
Happy to share FREE here,
; )
IOW, set the frequency to a known external stimulus, and see if the effect still holds.
The biggest distraction for me, when working/focusing, is movement at the edge of my vision. You know, like most websites with their moving ads, or fly-out videos that no one asked for, etc.
I'm glad you found your silverbullet, but that specific approach would wreck my productivity.
Your description is close to what I experience at times, that blinking thing may help you ignore outside the monitor distractions as it is there forcing you to ignore?
Interesting,
Do one and tell me ; )
I cost me $25 or less.... all spares ESP32 (most of them has a LED pinned anyways) and don't bother the heart monitor initially, just set time and rate of descent for the blink.
Cheap test...
I may try this, as an experiment, but going into it, I'm expecting a fail. If I do try it, I'll follow up.
Good luck!
Started out with this one and hacked a bit on it, never published my version though: https://f-droid.org/en/packages/com.github.axet.binauralbeat...
Now i'm pretty content with this one: https://play.google.com/store/apps/details?id=com.project.rb...
And this tune, it now is on my phone and every PC thanks to NewPipe.
I detailed better aspects on a question above,
Mostly when I added the heart monitor, somehow I can measure that the time to lowest blink got shorter and I'm not paying attention to the device at all.
When I realise it us OFF I can see the logs and see how long it take vs the heartbeat to sync.
Also, I build myself so I like there was no marketing or product to trust, just test and adjust.
Jokes aside, whatever works...
For me a side device with a pulsating red light with a heart sync for the lope do the gig!
Deadlines comes free.
Nice one!
Anything you get aware that goes fast-to-slow in a smooth gradient is the idea.
I tried sound (beats) on a headphone with some tracks, then build a tiny app to show pixels on the screen (blink) and then settled on a LED on a prototyping board type of device (ESP32) as a quick project and that worked.
I only improved by adding the heart sensor months later, now I don't think about it much, Now even If I'm not aware of, every time I turn the iMac it powers the device via the USB and so it starts anyway at 150bpm when the heart sensor is not responding or not detecting anything. After an hour it gets to 60 and the light fades out....
I'm not aware when it goes off, so I guess it is working ; )
Few people here posted code, ideas and I added the device pic I used (similar) and the sensors... you can buil one with almost anything and try!
Good luck!
Do share for the benefit of the masses.
May do a pic later when back home, meanwhile... I used this ESP32 board, it has RGB LED right in the middle, here is a web picture of one: https://dfimg.dfrobot.com/nobody/wiki/8a1de42ec21a99f36f69da...
Its a Fire Beetle ESP32 E V.1.0, I bought cheap <$15 don't remember when or from who anymore... The heart monitor is from a study kit (Chinese brand)
My whole set is similar (not the same, not my picture) to this: https://pic-microcontroller.com/wp-content/uploads/2018/04/B...
Enjoy !
; )
> I just hammered a solution like any Ape with the shakes would need!
This is an underrated approach. Following hunches and suspicions often leads to solutions that a pure evidence-based approach might miss or delay; especially if your suspicion goes against the prevaling wisdom.
My case isn't anything as relevant as yours and maybe that's why I did not much of research, easy going for a crude trial.
I think the inability to task switch is a big part of ADHD and this thing you’re describing really sounds similar to what Huberman was discussing.
Now, I’m not a doctor and I have no idea what I’m talking about here. Every time I start talking about this stuff I imagine my doctor friend sitting in the corner of the room shaking his head (maybe some of you saying it’s placebo should do the same).
I find minor irritations like this very distracting so I'm not really sure what the theory is
I make no claims here, I did it for me and looks like it works, not scientifically based or proven, not even tested on more than 1. So, no idea if can or will work for you ; )
That said, I'm now curious with so many comments to see how it will perform for those building versions to test. Its a 20min project, free for those already with prototyping board around.
The key for me was to remove to my marginal angle of vision, not on the screen (like an app), the moment I moved outside and wasn't in front of it it work best. If you see it directly it does distract you indeed.
But I used to reproduce a similar behaviour with music (repetitive)
i am trying this now with a chrome-shortcut, window size 50x50, stay on top, js with blinking background on the bottom rigth corner of the screen.
If it helps, i will use a esp32. thanks.
Here's the script: https://gist.github.com/dpinney/a3c0b1f333ef89748fa12d057a55...
https://gist.github.com/rzwiefel/4527d40de25a7fd5a723016fbd4...
Try doing one on a physical device too... My settings are just related to fade after reaching target or turn off immediately, Led colour (my ESP32 has a RGB onboard) and blink or pulse. Then there is a Start & Stop rate (150-60) as standard and IF sensor is connected or has data (heart) those values adjust too.
Nice one!
In my case v.1 and 2 were apps with a similar on screen red dot like yours. Much smaller and first placed at the status-bar (like the cock ":" blinking) then floating on screen lower left corner.
Things got interesting and worked best for me after I remove the light from the actual screen I must look at to work. Hence the device use, and then later the heart sensor.
The key (I guess) is to make you brain see it but not you (if that makes sense?). Something like you looking at your screen but can still see if an Ant moves nearby or your phone shows a notification. Near your screen but not on it ; )
In any case, great little test, and eager for any feedback you can get.
Create a simple web page with a red blinking LED in the top-left corner. The LED should start blinking at 150 BPM and gradually slow down to 60 BPM. The initial size of the LED should be 40px, and it should completely disappear during the "off" phase. Additionally, include a red box shadow during the "on" phase of the blink. Please use HTML, CSS, and JavaScript for the implementation. Adjust the code as needed for clarity and readability.
Then I met someone who actually has ADHD and saw them before they'd taken their stimulant drugs. They were completely nonfunctional in any sense of the word, they'd be trying to have five conversations with you at once and it took them about 30 minutes to put their shoes on, it looked like absolute hell.
Next to that I really don't have any issues and I don't think I'd be able to handle being prescribed psychoactive drugs.
Ever since meeting that person I've been a lot more hesitant to self-diagnose problems.
Where it really burns me is not being able to dedicate brainpower for more than a few minutes at a time, unless I'm in one of my "focus" modes. Similarly, my brain constantly has multiple tasks/"conversations" going on and I'm always thinking of something else. Additionally, I'm always chasing something novel to satisfy some dopamine hit.
I've honestly worked around a lot of the issues I deal with prior to being diagnosed, knowing when I'm not in a "focus" mode and trying to (gently) steer back to being productive. I joke about my "gaming ADHD" where I don't sit with a game for more than a half hour or so before moving on to something else. Internal dialogues are just something I work with.
Not saying you're right or wrong, but it's difficult to compare someone else's problems with your own (potential) issues.
e: Also note that there are non-stimulants on the market. I'm currently trialing one while I wait for a cardiologist to review some records for possible stimulant conflicts.
The most I've felt with the atomoxetine is a loss of appetite, which I'm not opposed to for the time being :)
I started doing some research (prior to speaking with my psychiatrist) and started noticing some ADHD-esque behaviors in my toddler. I'm not looking to get them diagnosed (yet?), because who knows what is "normal young kid inattentiveness and hyperactivity" versus anything else, but ADHD is absolutely hereditary and a family history is one aspect that is/was used to diagnose.
This is a good resource I've read (well, listened to the audiobook of..): https://www.amazon.com/Driven-Distraction-Revised-Recognizin...
We've all heard the misinformation tropes "Back in my day, a kid was hyper because he wanted to play, nowadays $BOGEYMAN says those kids need to be medicated so they can get a 4.0", and they sound so alluring to large groups of people, so they write off ADHD altogether. Yet I distinctly remember kids from my childhood who could not hold a conversation, they would literally break off into a new topic while you were mid-sentence with them. Tell me how that kid can possibly learn anything if he doesn't even know that he vacated a conversation.
This is a parallel to George Carlin's "It's called shell-shock" spiel, or used by people to deny the existence of depression. It's very difficult to both convey nuance, and get people to accept it, even though it (the nuance) abuts life-threatening issues.
I have some variant of this - I'm constantly, subconsciously cutting in during someone else's sentence just to blurt out what immediately came to my brain, because I usually forget it by the time they are done. It's something I'm really working on, but it gets better day-by-day.
the connection between ADHD and nutrition is brutally underrated, in terms of amounts per meal, intake of food additives and the mix as well. if starchy carbs, then very little fat and little protein. if meat, then no bread, no potatoes, no noodles or similar stuff at all. veggies are always fine except if the digestion of the kid says otherwise. sugar is a tricky thing. timing is important in terms of time of day and time after food intake but it works bad after some foods, which is different depending on geographical origin of grandparents.
you don't need to point a camera on the kid or anything. the effects of foods and the stuff that the body releases to digest the different compounds on body and brain become obvious within an hour or two. but you need to know the baseline(s) of your kid, e.g. time of day, after activities, around certain people, in places, crowds, moods, etc. make sure you do.
doing keto made my skin look much better, but also helped me focus, and I found it was easier to sleep. whenever I had cheat days and crushed like half a pizza I found I immediately was exhausted and had trouble focusing.
also coffee vs. tea. switching to tea every other day instead of coffee really dove home how much of an impact coffee has on things like serotonin[1].
[1] https://pubmed.ncbi.nlm.nih.gov/35345760/#:~:text=Excessive%....
most tea brands have a bad impact on my digestion and while I thought it must be the theine, which, as I learned, is just caffeine, I now believe it's connected to residue pesticides[1] since "homegrown teas" don't have the same highly undesirable impact.
[1] https://pubmed.ncbi.nlm.nih.gov/36537161/
anything that screws with my digestion makes my gut, the literal and metaphorical one, itchy and I get nervous. similar things happen when I eat short-chained carbs in amounts over 100g in one meal but the negative effect disappears after an at least 13h fasting period or 16h+ if I drank liquor the night before. so I assume it has to do with enzymes released in the mouth and in later stages of digestion since I sometimes start to feel itchy even though I only started chewing oats for example.
I believe my sensitivity and ADHD are linked to the amount of enzymes produced by my body during digestion and or some genetic mutation in an enzyme associated with the respective metabolisms.
somewhat related: https://journals.plos.org/plosone/article/file?type=printabl...
https://www.nysca.com/index.php?option=com_dailyplanetblog&v...
the lack of focus and the exhaustion after eating carbs are relatable, but again , only if the fasting period wasn't long enough.
I tried Keto, but it made me quite a bit slower, which wasn't bad in terms of performance, but my cognitive processing speed was so much slower that I could not get used to it.
I have the same ADHD style:
Overall lessons: 1. Sleep. Melatonin. Transformational 2. Love. Love and more love. 3. Forgiveness and understanding 4. Throwing the kitchen sink at him for finding the outlet (sport) he loved. Gave him a sense of direction. 5. Ritalin: assists with ability to concentrate and therefore learn. Used only for education. 6. Educate yourself and get diagnosed yourself if you have. 7. Be the change in yourself and mirror and explain what you know (and don’t know) 8. Full spectrum intelligence test. Know where the issues are (processing speed, etc) and also where the strengths are.
We got a semi diagnosis at 5, then year on year assessments to see what we could know.
I wish there was a better support and road map for the steps to go through as a parent. I feel very lucky to be a dad of a child with ADHD in this time though.
I started getting into reading long books again last year. The beginning was rough, I was starting to think there was something wrong me. Sometimes I still do, but just being consistent and not hard on my self, I'm able to focus longer on reading and enjoy it. Some books and authors are easier then others too. LOTR series was work at times, enders game was pretty easy.
Alot if non fiction sucks too though and is pretty long winded.
If your worried about missing out on writing, there are short stories, and novellas to read
Now I just buy books and don't read them. I'll also buy audiobooks and bounce between them not really remembering much of the plots until I fall asleep.
I think the instant gratification of refreshing reddit/digg(rip)/instagram and having completely new things to see/read has destroyed my long term attention span.
I don't really like watching TV or playing consoles without having my laptop on my lap so that I can multitask and if I get bored for a minute refresh and see new things. It's bad. I'm single right now so I haven't actually used my living room TV in months. I do everything on my computer.
I feel claustrophobic if I can't multitask.
But I definitely think we do need a discussion, especially as the people developing these addictive technologies, as to the consequences of what we build. Maybe you shouldn't take that job at TikTok, Snapchat, YouTube, or Facebook, maybe you should. Just consider more than the money because if you can get one of those jobs you can probably get another high paying job. Or maybe question certain features and/or metrics and ask if they actually align with your real goals and if those goals are actually beneficial or harmful (it's frequently not obvious a priori). Move fast and break things is a useful strategy but not in every situation. Not everything can be repaired as easily as they can be broken.
I'm sorta addicted to Audio books. I apparently listened to slightly over 2000 one year on Audible.
Though for me, I can have half a dozen books and remember most of the plot(s). Smaller details will slip my mind, but the overall plot gist is just like a fun puzzle for my ADHD brain and it's back within minutes. Though for the life of me I can't recall if I took my medication today.
> I don't really like watching TV ...
Ugh, I've gotten that way in the past few years. It's kinda annoying, and I can only "focus" if it's a really good TV show.
Typically, requiring complete silence.
Another reader helper I liked was the one that flashed words in place but that seemed more like a speed read hack rather than actually comprehending what you read, never used it seriously like BeeLine
We still have our browser plugins for web [2] and PDF, [3] but are now also integrated into education platforms, [4] and even some news websites. [5]
I've been bootstrapping it (and raising a family) so growth has not been as meteoric as some other startups, but it's been consistently up-and-to-the-right!
If there's ever a platform you'd like to see us work with, just let us know and we'll get on it.
1: https://news.ycombinator.com/item?id=6335784
2: https://chrome.google.com/webstore/detail/beeline-reader/ifj...
3: https://chrome.google.com/webstore/detail/beeline-reader-pdf...
4: https://help.perlego.com/en/articles/6386814-read-faster-wit...
5: https://inewsource.org/2023/01/25/san-diego-unified-students...
I was so fully pulled into that world I was quite sad once I got to the end because I know I'm not probably never going to find a book like that again.
I do this with most texts I have to read each sentence 3-4 times because I know I will have made up half of the words I just read.
I have the same issue with my brain not really thinking about the current situation, if I'm talking to someone I will get bored in a minute or two and it's a real effort to force myself to pay attention.
I have been diagnosed with generalised anxiety disorder. I "worry too much", in general, and have the odd panic attack or two per year. Some people have it bad enough they get these attacks daily.
That does not mean I don't have it or that it does not affect me, it just means it's mild in comparison to them, but my anxiety is still high compared to the average person when untreated. It does not have to be crippling to affect you.
1. Self-diagnosis is not a diagnosis.
2. Things exist on a spectrum. The definition of it becoming a "disorder" is when it negatively affects your life enough.
During diagnosis a psychotherapist will be tasked with identifying traits of ADHD (IE; Markers), you will not have all markers. Everyone will have some.
Then those markers are investigated to discover how much they impact your quality of life. If it is above a certain threshold in aggregate then you are then diagnosed clinically as having "ADHD" and can be medicated.
What I mean is, for example: You can still have autism even if someone has significantly more severe autistic traits than you have.
All that to basically say income and job descriptions do not inherently say anything about what disorders a person may or may not be suffering from.
A lot of mental illnesses go unnoticed by others because they're often very easy to hide (and you're encouraged to hide them). Thinking that you can't be in the top 5% of earners and are just doing "speed for fun" is like thinking you can't be suicidally depressed just because you are a comedian. Hell, most people were surprised by Anthony Bourdain despite him being open about his depression. What you see is not reality, so don't be quick to judge. You'd be surprised how many peoples mental states are a house of cards but look like they're living in the finest of mansions.
Seriously, comments like the GPs are not only bad takes, but actively harmful. It perpetuates the belief that people should hide rather than seek help. The big issue with mental illnesses is that they are typically extreme versions of normal behavior and we often paint them as unrealistically extreme and constant. They're highly variable and the most common thing to happen is people only seek help when they're in the spiraling states, where they are incapable of getting that help, but will not seek it out when they've normalized.
Plus, you don't know if they're in that top 5% post medication and would not have been prior. You don't have the counterfactual power to make such judgements.
I don't know if I have ADHD, but I've always been terrible at getting out of bed.
It bugged me so much I ended up building an app[0] to force me to get up. If I didn't get up and scan my toothpaste barcode within a few mins of my alarm, I'd have to pay $10.
It also has cheat detection so I can't just turn off the phone to avoid getting up. Alarms are stored in the cloud and lock 1 hour before going off so they can't be changed.
Many of my users tell me they have ADHD so it seems likely I fall somewhere on the spectrum.
[0] Nuj Alarm Clock - https://nuj.app
Surviving only because you've structured your life to revolve around the limitations of your disorder isn't a sign that everything is fine.
Adderall and its contemporaries aren't speed and I promise you it isn't fun. Stimulant medications are miserable to be on, it's just that not being on them is worse. That one time you took high-dose adderall in college is not at all reflective of what the experience is like.
Is that person just having fun on speed in your view?
Anyone that dismisses this as being a scatterbrained person that likes to do speed is clearly not trying to help anyone and are only here to tear them down and make them hate themselves more than they already do. The world would be a better place if trash like you was collected and disposed of. Grow up, asshole.
Nit: Self-diagnosis is the first step towards a formal diagnosis. You don't go to the doctor to get antibiotics before self-diagnosing that you're sick.
That said, as useful as a formal diagnosis is (getting proper help, and even meds), don't skip it if you can afford to do it.
Everyone is late sometimes, are you so chronically late that you’re losing or at risk of losing your job despite doing things that normal people would do (e.g. getting up earlier, setting alarms etc), that could be (along with other symptoms) an indication of ADHD.
Everyone is sad sometimes, even deeply so. Are you so down that the very act of getting up and making yourself food seems too much? Are you so hopeless that even doing something you love makes you feel nothing? That (along with other symptoms) might indicate you have depression.
Everyone has things that they want to have “just right”, whether it’s a well organized tool box, a clean car or a spotless mirror. Do you find yourself needing to ensure that every dish in your cabinets are sorted properly by size and weight, every day, even if it means missing that important meeting with a friend you haven’t seen in years and even though you already did this yesterday and only used two plates since then? That might (along with other symptoms) indicate that you have OCD.
My psychotherapist said something along those same lines but it was in order to force me to answer the question why is it a problem.
For me, in my life, I have always "worked" during the day in an easily distractible state and without being able to commit effort to anything substantial or focus. I self-medicated with caffeine to get anything resembling focus and did all of my actual daily tasks in a 3hr window when I got home and worked into the late evening. Usually with a massive sense of guilt about how I didn't really do anything during the day.
This was ADHD, I could not control when or how I focused. It gets worse with open office environments, but that's not the cause. I have an issue with executive function and delayed gratification. I do not have the ability fundamentally (even when motivated!) to task my brain with working.
But I can hold down a job and have done so for 16 years at this point and I am very successful in my career. That is not a good judge, you work around your issues if you have them- in my case I just don't have anything resembling a life outside of work in order to paper over my executive function disorders.
It took me 11 semesters (plus two summer terms) to finish my undergrad with a low C grade average. Prior to kids, I would get to work between 7 and 8. If I was having trouble focusing that day, I'd leave between 4 and 5pm. If I was having a good day for focus, I'd stay as late as 10pm. Two "good days" in a week would put me at over 20 productive hours, which is a pretty solid foundation for being at least in the "not fired" category. If I didn't have two "good days," well that's what the weekends are for.
Reading the above, I think I understand why "burn out" is mentioned in TFA as something ADHD can lead to...
But those compensation mechanisms eventually stop working and I guarantee that persons life outside of their job is a complete dumpster fire.
There's a good chance that much of the ADHD behavior is being written off, eg. as a moral failing, when it's really a disorder that's really harmful to the person.
I had a friend growing up who was diagnosed with ADHD quite young whose experience was similar to your story–he had major issues with school that ultimately led to him being expelled, not going to college, having trouble with work and family etc. I thought of him a lot as so many of my classmates in a hyper-competitive school environment discussed how they could get a diagnosis and medication to have an edge on college admissions or whatever.
Throughout my life I've found myself in situations where most people would go "well, this seems to be getting out of hand" and just carried on, getting ever more stressed and angry and seemingly being unable to get on with fixing it, whilst variously losing jobs, friendships, and a marriage. It was honestly a huge relief to discover the likely cause is ADHD rather than just being a failure of a human being.
High school you can get away with it because the course content is easier - college is much more challenging...
once, i accidentally dragged a lab partner into doing work the way i did. we turned in the assignment with less than a minute on the clock, and he nearly had an anxiety attack (i was feeling pretty great about things)
Why does the boring job blow it up? Not enough stimulation?
honestly, idk that it was really anything specific, so much as a bunch of different things finally catching up to me mixed with some bad luck
I'm likely ADHD, and the majority of my siblings have it. There's a night and day difference though between me, who in a questionnaire scored high on both, and me who scored high only in one[1].
[1] Well, borderline in one and not the other. Immediately after taking the questionnaire I attended a work meeting and realized that there were at least a half dozen questions that I answered optimistically through rose-tinted glasses.
With all that said, I'm working to address my sleep apnea before getting a diagnosis because I've heard that sleep deprivation can manifest similar to ADHD.
>Self diagnoses (and diagnoses over the internet) are pretty harmful
Self-diagnoses can be legitimate or not - depends on the person doing them. They are often a necessity, in an environment where a professional diagnosis takes thousands of dollars or years in waiting (and is often done badly, by ill-informed professionals, like the many-decades prevailing myth that women/girls "can't be autistic", or that "ADD and autism can't coincide").
As (in this case) they are also based not on bloodwork or some physical indicators, but on a subjective assessment of a person's way of thinking, the person having the actual experience is often more qualified than the professional. Same to how you don't really need a doctor to tell you you're gay.
>One might even argue that the labeling aspect of a certain disorder (particularly a mental one) by a "professional" to not be particularly helpful too in addressing ones problems
One might argue that the false dichotomy between professionals and laymen, where the former is supposed to hold all the keys to knowledge and the latter to passively consult and follow the advice of the former, is a problem in itself.
And a little outdated in modern societies where the "laymen" are not some mud dwelling peasants who never went to school and only know farm work, but univercity-educated (even over-educated) in their own right, and libraries are not confined to the rich or the scholars, but every book ever written is a click away.
In any case, a self-diagnosis doesn't give you the required paperwork to get drugs, or to get benefits, or specific accomondations, or anything like that. So it's not like it hurts society by taking resources from "legitimate" diagnoses.
Last, but not least, pointing that X symptoms is "quite common to ADD/ADHD" is not self-diagnosis, it's not even diagnosing. It's a suggestion hinting to a possible condition. It could very well be used for seeking a professional diagnosis.
Or do you think people with ADD/ADHD just go to the doctor to get diagnosed out of the blue, and not because of some similar suspicion, spotting some unexplained symptoms or themselves, or identification with some symptoms they've read about?
But even in light of ideas like that, this whole idea has resulted in people getting pills from people they know or websites based in less-scrupulous nations.
There are similar problems with most of the statements here - they make sense on the surface, but once you consider second- and third-order effects, it falls apart. We should not be encouraging moving away from professionals giving medical diagnoses. It may be a necessary evil at times, but it's a bad idea to encourage.
I’ve had multiple people suggest to me I might have ADHD, it’s nonsense, I remember everything and don’t miss any deadlines. They observe me working simultaneously on many projects and since that is impossible for them, and frankly their memory is horrible, they don’t even remember correctly about the one project they are currently focused on, so suddenly they think this person is abnormal and hyper, ok they have ADHD.
Just seems like people see something they can relate too, like listening to fast pace music, or ordering the same thing at the restaurant every time, and then link that to their condition/project it on you.
I've met "people with ADHD" who seem to not have the condition at all, though pretty much always medicated. On the other hand, I've met people with far more clearcut symptoms, and I felt like I had way more in common with them. It sounded like they were living the exact same life.
You're either "engaged" and "available" (meaning you respond to messages in semi-real-time, pretty much nixing your ability to do deep work) or you feel like you're missing a lot of conversation that's going on behind your back, because you're heads down with Slack closed. Slack is good for (shitty) managers of remote teams, because you can see who's "in the office", and randomly ping people when your lack of planning skills means that you are working on something that you forgot to get an answer for in a deliberate way (instead of buzzing by their cube as you used to do)...but for developers I think it's a poor bargain.
There are better tools out there that encourage and support async workflows. Twist, Basecamp, Github discussions, even email with appropriate filters.
Much like sleep, if you go without for long enough, you will randomly start sleeping whenever you get the chance. So, when your brain is constantly "on" and your brain finally gets a chance to calm down, it will start running through all the shit that was blocked out due to being overstimulated.
You're right, but unfortunately, when your company uses it and teams are distributed, you don't have the choice, and you have to find some tricks to accommodate.
For me, while the distractions of Slack can be a problem, just as often my issue is less distraction than just needing an external motivator to get started. In that case, a sudden DM asking for an update or a request for help in a public channel may be the only way I ever get started actually working. (Obviously, this works best if your job is more about helping others in general than about getting specific tasks done.)
And devs will just set up a Slack bot to send an automated ping each time a task status changes in those tools.
Every tool that is built for async communication will have the problems you listed.
People's expectations that you respond instantly have nothing to do with which app you use. They'll expect that via email if that's your work's culture.
Chat clients and Slack specifically are designed for sync primarily. GitHub discussions and email are wholly async. Basecamp has a chat feature not chat focus. I don't know Twist.
> Presence indicators are irrelevant and trivially defeated.
Presence indicators were relevant in the 1st comment. And what would victory be in this context?
> Besides, what part of ADHD makes you unable to be generally "around"? Not aware of an ADHD symptom that makes it difficult to literally be on a computer at all...
No one said anything like this.
> People's expectations that you respond instantly have nothing to do with which app you use. They'll expect that via email if that's your work's culture.
You said instantly. Not me or the person who wrote the 1st comment.
I believe data I saw over your assertion. Nearly 2 in 3 people in very different companies said expectations changed soon after their company or team started to use chat software. This excluded companies where near real time responses were expected already. Our tools shape us is a well known observation.
And that was not even the type of expectation I meant. The 1st comment talked about missing conversation while focused on tasks. This leads to being left out of decisions and so on.
Methylphenidate has helped _immensely_. As has accepting the wiring of my brain, taking a two-months sabbatical, and practicing awareness about the ADHD habits. I’m having the year of my life. I can’t remember being productive this consistently basically ever.
Is there a causal relation between ADHD and chronic fatigue ?
Could also be hormonal, sickness, stress, lack of quality sleep/nutrition, etc. for men the drop off in testosterone definitely can manifest in feelings of lethargy.
When people ask if I'm frustrated/angry that it took until I was mid-30s to get diagnosed, I respond by saying how I'm proud of myself for achieving what I have so far unmedicated/undiagnosed - and excited about what the future might hold.
I've seen the Butterfly Effect movie from the early 00s. I know that going back and changing one thing can have drastic consequences, and not always for the better. ;)
My partner reports massive improvements (no fidgetting, calmness, less impulsive) but I still feel .... the same and sometimes worse when it comes to fatigue and work, even though I sleep well.
The problem is that Pomodoros are hard to count if you hit flow state and find it hard to stop when the timer rings.
I'm curious of any other developers have found effective, non-medication based ways to manage this.
Have you tried meditation and breathing exercises?
The PTSD presents mostly in incredibly severe trust issues, periodic nightmares related to events, depersonalization, sleep problems, and paranoia. I also have an absurdly overblown startle response that looks more like a panic attack than someone being jump-startled. If I'm startled "badly enough", it triggers a panic attack. "Badly enough" can simply be someone tapping me on the shoulder when I didn't notice them coming up behind me.
I used to take medication and it helped me a lot. Now however I have come off of them completely. The side effects can be devastating. In my case, I developed strong insomnia as amphetamines are much stronger than caffeine. Sleeplessness over a longer period can be very mentally deteriorating.
The advice I can give is to actively seek interaction with others suffering from the same, actively accept and ask for all accommodations and help, give yourself enough time for what you need to do and don't compare your experience to the neurotypical one. It is different and it's a matter of coping and accepting oneself and ones disadvantages as a normal part of life.
Another thing I often say to people in my therapy group is that they should also be politically proactive about their condition. Things like healthcare covered medication, ensured accommodations etc and the fight against stigmatization are political by nature.
This has been my approach at this point. I've had to accept that I will likely never get medication, or even a proper diagnosis. My family actively fought every teacher who suggested I had ADHD, and there were several. Very honestly, the only reason I have sought diagnosis is to get accommodation which would let me work within the focus patterns ADHD causes.
My closest friend has ADHD, and my partner is in the process of getting an ASD diagnosis. The majority of my time is spent around neuroodivergent types.
Simply having people around you who share your experience is incredibly helpful, since you can talk to them freely and be understood. I've given up trying to discuss the experience with people who are NT simply because the understanding that the challenges I face are not just inconvenient just isn't there.
I don't see how the rest of your comment follows from this quote. Don't give up bud, its always worth trying. You can simply not take meds if you don't want to.
I can't help myself from doing this, but I am not sure if I truly should want to stop making such a comparison. I find it leaves me feeling like I am inferior or sub-human. I have ADHD, and so what? ADHD can make things more challenging, but not impossible (within the realms of reason).
Sports can be an important piece of the puzzle in the ADHD lifestyle. Especially high-intensity, game-like, engaging ones that you can identify with and be good at. I swear my executive self-control and discipline have improved since I started training tennis several years ago.
I ran out of meds once but thank God my lady forced me to go get them asap because she couldn't handle me off the meds anymore
I am also on the "Highly Likely", and currently on the waitlist for a clinic. The best thing I did was being open and honest with my partner, as my ADD behaviors would sometimes exasperate her. I did the same with my manager at work, and it can usually get you some degree of accommodation which can help you cope.
I suffer for the 3-for-1 Triple A special: Autism, Anxiety and ADD. Seems to be a fairly common combination. Physical exercise helps greatly with anxiety, and helps to some degree to ADD as it does generate a certain sense of "reward" in my brain.
Oh! I have another. I once drove with expired car tags for like 3 to 6 months. I already had them renewed and everything. In fact, my tag sticker was in the damn glove compartment the whole time. I just kept procrastinating on putting the sticker on because I didn't want to carve out the 1 minute it takes to unscrew the license plate cover, clean the plate, and apply the sticker.
"I'll do it <insert future time>."
It's shit like this that kills me.
Ironically, I had less issues with this kind of stuff prior to being medicated, but I also was younger and had less responsibility in my day-to-day life, so medication might not be a correlated much.
What finally helped me was (a) the advent of online services for nearly everything, so I can do it all in one session and not have to do multiple steps to accomplish something (or any back-and-forth phone/mail), and (b) a "just do it now" mindset. Like, when a bill comes I somehow finally have myself psyched to pay it online right away (don't ask me how I got here, I don't know. Maybe it's because I tied money handling to checking my bank balance when I get a paycheck - that's when I do most of my banking... seeing a higher balance and moving money around (and by extension, paying bills) feels exciting now to my lizard brain.) Otherwise, if I don't take care of it right away, I know it'll literally never happen.
I know that if I had been born 20 years earlier, I'd have a much worse credit score and probably be much poorer due to late fees. Online services and auto-bill-pay make such a difference.
- Put off paying a traffic citation until I got a late fine that doubled the amount
- Put off gathering paperwork for taxes until my accountant told me if I don't send it now he won't be able to file this year
- Drove around with expired plates for 6 months until the car got towed parked on the street
Looking back, it feels silly to procrastinate on these simple tasks for so long but I guess that's the ADHD brain at work.
I've never told a new pysch who my previous psych was so I'm sure they're not getting my medical records from them unless there's some sharing system I'm unaware of.
I wonder if I come off as strongly ADHD. I've been called "intense" before, whatever that means. I'm definitely fidgety and a horrible leg bouncer.
After 1h talk and some tests where I refilled everything so oft that it was a mess they didn’t have any doubt.
I missed 3 consultations, got lost, was late and then waited a year till acting upon the diagnosis :)
Highlights
• We could not demonstrate a higher frequency of hyperfocus in adults with ADHD relative to healthy controls.
• Hyperfocus is experienced both by healthy and ADHD adults although it correlates positively with ADHD traits.
• Age and educational level are important determinants of hyperfocus.
• Motivational, situational and clinical aspects of hyperfocus need to be taken into account in future studies.
Stress in all its forms also turned out to be a critical factor in sleeping well, too. Simply taking on fewer responsibilities (which I attribute in part to my particular ADHD) helped a lot there.
Did your doctor suggest weekend breaks, or is this something you've tried yourself and found works for you?
Nicotine tolerance is real. So is caffeine, cocaine, meth, etc.. I do not see how our medications would be any different.
The medicine completely cured me though.
I’ve come along way to understanding the nutritional metabolic pathways that may increase the symptoms of ADHD.
Pyridoxine, or B6, is the most studied nutritional factor when it comes to reducing ADHD symptoms. I’m not saying this is the only cause of ADHD, but if this works other things might work as well. Zinc is a good possibility on the list also.
https://pubmed.ncbi.nlm.nih.gov/24321736/
According to our data, multi-year pyridoxine treatment normalizes completely the pattern of ADHD behavior, without causing any serious side effects.
While it discusses multi-year treatment, the paper says "After several weeks of such treatment the pattern of behavior in ADHD patients is normalized." which feels like something that could be easily tried out. Since it was published in 2013 I'd expect some follow-up? (checking for citations now)
Edit: Sadly, "No Tryptophan, Tyrosine and Phenylalanine Abnormalities in Children with Attention-Deficit/Hyperactivity Disorder" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4777504/ 2016, larger study. (although they measure the amounts rather than ratios, so not exactly the same idea)
They found nothing in the study, because IMI they were measuring the wrong neurotransmitters. Dopamine is not the cause of the symptoms. It has to do with glutamate and GABA Balance. Since stimulants can control effect glutamate and GABA as well as Dopamine , that’s why there is all the confusion.
B6 also plays a role in glutamate GABA balance through stimulating the glutamate dehydrogenase enzyme.
As far as ADHD goes, I just suggest searching both PubMed and Google scholar for ADHD, glutamate and GABA.
I think glutamate and GABA play a larger, or fundenental role, in most psychiatric disorders.
It's too bad self-medicating with these substances comes with such awful downsides.
I also have labile hypertension and it’s the only medication I can take that controls my blood pressure spikes.
I feel the same way about nicotine, although I can’t take it because it turns me to up. Nicotine is a stimulant and can be used as a medicine in lower doses. The problem is that people used to do and that sets up the addiction cycle.
I definitely have an issue with a very high glutamate/GABA ratio. My other go to medicine is Klonopin which I use only when I’m in a severe crisis. Like when I had a delusional psychosis when I had Covid.
Nutrition is very important indeed, but it has always been a problem for me. I wanted to focus on things I tried and worked on me. Of course, it's not perfect, but at least the points I listed made the things better for me. Everybody's different, so it's not a silver bullet, just my personal journey.
Would you ever consider getting your serum B6 levels tested? It’s pretty cheap and you can do it without a doctors prescription if you’re in in the United States.
The only part I disagree with is hybrid work.
For me, as I’ve gone through this journey - a key takeaway from understanding myself better is that commuting to and working from an office is far worse for my health than I thought and not something I could go back to doing.
An office is a place that’s very hostile to the majority of folks with ADHD and can have considerable health impacts. Its disruptions, lighting, heating, noises and work space disrupt my comfort, flow, mood and enthusiasm. It’s not something I’d go back to doing again - and because of that I’m healthier, happier, get considerably more work done, and want to engage socially more outside of work.
It’s great to see accessible articles like this become popular, I think it’s also important to make sure that all the mitigating strategies don’t end up falling solely with the individual, but we that we also work towards a healthier, more inclusive, working society.
Many people crave minor stimulants in the afternoon or early morning when serotonin levels dip in the day. People chronically low on serotonin however will crave these all day long in extreme volumes in what looks like drug addiction seeking behavior. The result of such stimulant over consumption produces behaviors that appear like rapid bipolar disorders.
This does not apply to all people with ADHD, but when you see the behavior in people close to you it’s probably a good idea to have them tested.
My biggest learning about ADHD is that it’s not primarily about focus, but irregularities with task completion/transition deficiencies.
Do either of you have sources?
So, here is my quick and slipshod armchair theorizing: serum serotonin levels may be a predictor of ADHD due serotonin's role in activating certain autoreceptors that mediate dopamine release.
Does serotonin deficit mediate susceptibility to ADHD?: https://www.sciencedirect.com/science/article/abs/pii/S01970...
Is there an Effect of Serotonin on Attention Deficit Hyperactivity Disorder?: https://repository.unair.ac.id/106894/1/Is%20There%20an%20Ef...
>Caffeine activates noradrenaline neurons and seems to affect the local release of dopamine. Many of the alerting effects of caffeine may be related to the action of the methylxanthine on serotonin neurons. [1]
Or take alcohol, which people typically associate only with GABA:
>Among the neurotransmitter systems linked to the reinforcing effects of alcohol are dopamine, endogenous opiates (i.e., morphinelike neurotransmitters), GABA, serotonin, and glutamate acting at the NMDA receptor (Koob 1996).
Two other things, first the notion that depression can be reduced down to a deficiency of neurotransmitters is almost certainly an oversimplification (if not outright incorrect). What we have is correlation, not causation, where GABA, stress hormones, and other mechanisms also show up. Second, even if this characterization of "low on neurotransmitters => depression" is correct, it is not and has never been just about serotonin:
>The monoamine-deficiency theory posits that the underlying pathophysiological basis of depression is a depletion of the neurotransmitters serotonin, norepinephrine or dopamine in the central nervous system. [2]
Not significantly enough to call it an antidepressant, but meta-analysis shows caffeine lowers risk of depression.
2) Serotonin and ADHD - https://pubmed.ncbi.nlm.nih.gov/25684070/
3) Dopamine cycle explained in context of ADHD - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2626918/
4) ADHD and sugar explained - https://www.verywellmind.com/the-sugar-and-adhd-relationship...
5) ADHD and sugar study - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133757/
That last one mentioned coloring agents multiple times. Different research has show artificial colors, as derived from petro-chemical processing like reds and yellows, are strongly linked with neurotransmitter disruption in all people, but the effect is an order of magnitude more significant in high risk children.
I would love to see an ADHD version of the horoscope/personality tests administered by Stagner and Forer. I predict the effect would be the same. This study seems to be on this track: https://journals.sagepub.com/doi/full/10.1177/07067437221082...
The wisdom you're referencing is circa the 70's, it's been attempted many times since and has never replicated.
Also your framing ignores that the "prompting" can be circumstantial rather than targeted. The "rush" is frequently misattributed to sugar when it can actually be better explained by the food itself being a rare treat (and thus exciting) or the situation in which it is provided being special (e.g. a party). Or it can simply be the joy of eating something very tasty.
It's less Clever Hans and more "kids are more prone to sudden outbursts of strong emotions and adults blame it on food".
I have a son who has extreme anxiety, and kept getting referred by teachers for ADHD. Hyper-vigilance for danger can make it hard to focus on arithmetic, particularly in an elementary school classroom. The psychiatrist ended up putting a note in his file because this was happening.
Meanwhile, I also have a daughter who is so obviously ADHD: she forgets to turn in her homework; there were 6 of her jackets in the lost and found in October; she will go to school without her eyeglasses; &c. But, she doesn't disrupt the classroom and is otherwise seen as a "good kid" so she was never referred by a teacher.
I really suggest some sort of setup to maintain structure as she gets older - being aware of a diagnosis or having medication / therapy would've really saved a couple painful years in university for me
I don't think people want to hear this but I believe so many people think they have ADHD because of a lack of discipline. Even people with ADHD will understand what I'm talking about. Some days you can take your medication and still get nothing done with endless distractions.
We live in a world full of distractions and our attention spans are being whittled down with every new dopamine slot machine on our phones. What's rare today is someone stopping themselves from reaching for the digital crack and embracing the less stimulating but more rewarding long term goal slog. Treating every focus problem you have as a medical issue or a fleeting lack of motivation gives you an easier out. What you really need to accept is that sometimes you just avoid discomfort and the only thing missing is forcing yourself to get shit done and being content with it.
Just don't forget to be in the present.
How? I mean, one of my major symptoms is that I can't for life do either! "Training my body" doesn't feel like something natural or within range of possibility.
What do you mean by "natural or within range of possibility"?
One is consistent by doing, not by feeling (of course feelings have their own place in life). I don't enjoy going to the gym per se. I let go of that and go. I don't go because I feel happy and motivated before exercise. First, I went because people for thousands of years have saying so, and biologically it makes sense. Then, because I know how I feel in the short and long term after the exercise.
I do different sports for enjoyment and different for keeping in shape of course. I love hiking but going to a gym is more sustainable as a regular way of keeping in shape in all seasons and weather.
What are some of the "healthy coping mechanisms"? Other than "diet and exercise" panacea nonsense?
I go outside and stare at the sun every morning for like 5 mins (this is so key I can't even overstate it). I take a cold shower after that (proven to increase your baseline dopamine). I exercise almost every day. I try to never spend a whole day in my house unless I'm sick, preferably spending the majority of the day outside my house. I try to get 8 hours of sleep at least 5 out of 7 days a week, by which I mean 9 hours in bed with the lights off. Being in bed 8 hours isn't sufficient. All this makes me feel awake and sorta alive.
I keep a journal where I set myself goals for the day and I reflect on my performance and my state of mind at the end of the day. Sorta a bullet journal deal with a bit more feels but in a practical way. It's for monitoring and encouraging iterative improvement and for analysing and mitigating negative thought patterns. This allows me to keep myself accountable but also just cope when I'm literally crying in the evening for no reason. It's like my emotional support book.
I was having trouble with caring about anything I usually would. I just started trying to act like I cared. Like acting curious, being highly engaged. And it sort of leads to you naturally being more interested after a while.
I try to create social interaction for myself every week even if no-one invites me to do anything.
I have Freedom app on my phone blocking most stuff for the first 5 hours and last 1 hour of the day. I also don't listen to music or podcasts in the morning. This leaves my brain feeling less sluggish and helpless.
I sign up for really random stuff sometimes just to make my life interesting.
Lastly, I do a lot of deep breathing when I'm trying to get things done because I tend to get anxiety about literally any task.
Edit: I don't know why I need so much going on to make myself function like a normal person. But it works a lot better than not doing this because otherwise I literally curl up into a ball, give up on life and get fired from jobs.
I do think it’s a testament though to how brain-rotting the always-on socials/apps/notifications can be. They messed me up so bad I literally thought I had a medical condition! Yikes.
> My mother first helped diagnose me with NADD. It was the late 1980s and she was bringing me dinner in my bedroom (nerd). I was merrily typing away to my friends in some primitive chat room on my IBM XT (super nerd), listening to music (probably Flock of Seagulls—nerd++), and watching Back to the Future with the sound off (nerrrrrrrrrrd). She commented, “How can you focus on anything with all this stuff going on?” I responded, “Mom, I can’t focus without all this noise.”
I'm confused btw; the date on the page mentions it was written in 2003, but the article mentions Slack which didn't exist until 2013, unless the article's been kept updated over the years.
edit: It has been, that's a cute time box; the 2004 archived version https://web.archive.org/web/20140214120052/http://randsinrep... has the following:
> Me, I’ve got a terminal session open to a chat room, I’m listening to music, I’ve got Safari open with three tabs open where I’m watching Blogshares, tinkering with a web site, and looking at weekend movie returns. Not done yet. I’ve got iChat open, ESPN.COM is downloading sports new trailers in the background, and I’ve got two notepads open where I’m capturing random thoughts for later integration into various to do lists. Oh yeah, I’m writing this column, as well.
the current version:
> Me, I’ve got Slack opened and logged into four different teams, I’m listening to music in Spotify, I’ve got Chrome open with three tabs where I’m watching stocks on E*TRADE, I’m tinkering with WordPress, and I’m looking at weekend movie returns. Not done yet. I’ve got iMessage open, Tweetbot is merrily streaming the latest fortune cookies from friends, and I’ve got two Sublime windows open where I’m capturing random thoughts for later integration into various to-do lists. Oh yeah, I’m rewriting this article as well.
I’d encourage you to read more about adhd because a huge symptom of it is lack of long term perspective in decision making. It’s like one of the defining characteristics. Trying to dismiss that as someone being lazy or undisciplined is a damaging stereotype to spread. It’s the equivalent of telling someone with depression to snap out of it or get some sunshine
Almost everyone suffers from some lack of discipline and some mistake it for being neurodivergent. People with ADHD can also lack it. Your point of taking a holistic approach is correct and I wasn't trying to single out medication. People with ADHD don't get a free pass on building discipline. In fact, to your point they require more of it to overcome their struggles. Medication, mindfulness, exercise, diet, and structure all take a lot of effort and consistency. It requires you to be more disciplined.
A fundamental characteristic of my ADHD is lack of discipline. I cannot force myself to do something if ADHD is getting in the way. On the rare occasions it's not, and I have initiative (a truly precious resource), it doesn't matter how much or little I enjoy the task, or how uncomfortable the task is, it's getting done.
As I'm sure you know, ADHD diagnosis, like many other diagnoses, needs two things: 1. Have at least N of M symptoms on a list. 2. Have those things have a material negative impact on your life.
> the only thing missing is forcing yourself to get shit done
...yes? Obviously?
As far as I understand it, that's the whole point. People who don't have ADHD just don't struggle with that to the point that it shapes their life, it's just an occasional annoyance that doesn't require any special effort to deal with.
People don't want to hear this because it's incredibly biggoted.
I'm never going to get effective treatment, essentially due to doctors that wanted to bring a shitty attitude to the workplace.
In other words, I've literally never even been given the first line treatment.
As a child, I had nicknames related to "crazy." Today, the one thing I take pride in related to ADHD is my ability to think outside the box.
> Every morning, I start my day by planning it out in a custom template that displays my Google Calendar events and Todoist task list.
For real? One of the best ADHD tools I am aware of is called the Anti Planner.
It doesn't take long to find posts like "why to-do lists don't work for people with ADHD" https://coachjessicamichaels.com/2022/03/30/why-to-do-lists-...
Also, this blog post misses body doubling which is incredibly helpful and can even be done virtually with focusmate or a similar service (I use focusmate personally but I do want to spam so no referral link or crap like that). Indeed, for me the only way to swallow a frog is focusmate.
1. Do not have ADHD
> stolen art
It looked AI-generated to me.
Hell, even a18n have admitted it! https://i.imgur.com/auBNG0N.jpg
That's quite exactly what the copyright law states, though. I never thought the day will come when I root for Getty Images but the techbros have managed to do it. Congrats, I guess?
It's true that there are a lot of (human) artists in the US. (Something like 80 million, broadly defined.) And it's also true that the art and media each artist views shapes the art they create, including art and media we see quite incidentally - graffiti, ads on bus shelters, paintings in the hallways of office buildings. And in the course of the year each of us will view thousands upon thousands of such pieces of art and meida.
So if we had a licensing scheme such that every artist had to make a non-negligible payment to the rights holder of every bit of media they view, then artists, collectively, would be liable for hundreds of billions of dollars in royalty payments. 80m aritsts * 1k pieces of media * $5 license fee is $400b; that's just basic math.
This calculation is, very obviously, not an argument that all art is theft. It's just some math about a hypothetical licensing scheme, and that's all a18n were doing too.
You may think (and I'm inclined to agree) that a human paging through an artist's ArtStation profile is fundamentally different than an LLM using it as training data, but that's an argument not addressed by a18n in that quote.
> A "derivative work" is a work based upon one or more preexisting works, such as a translation, musical arrangement, dramatization, fictionalization, motion picture version, sound recording, art reproduction, abridgment, condensation, or any other form in which a work may be recast, transformed, or adapted. A work consisting of editorial revisions, annotations, elaborations, or other modifications which, as a whole, represent an original work of authorship, is a "derivative work."
Let's tick all that apply:
- based upon one or more pre-existing works [yep]
- (...) any other form in which a work may be recast, transformed, or adapted. [yep]
"Sufficiently transformed" isn't enough to not consider it clearly derivative. The code takes in existing copyrighted art, transforms it, and shits out derivatives. Derivative artwork requires a license to the derivative rights to exist, otherwise it's in violation of existing copyright law. This is an incredibly simple case to argue. The derivatives literally cannot exist without that which they are derived from.Then the DMCA would be wrong: Theft requires the original owner to lose their property, which does not occur when copying data. This is no surprise as the DMCA has always sucked.
Frankly you missed my point entirely, the DMCA and my/the technical community's general disdain for it doesn't have much to do with what I wrote. What I'm saying is that in 99% of cases AI art is unique enough that you simply cannot pin it to an existing author and say that they were copied directly. There are obvious exceptions when you prompt it as specifically as possible to try to make a copy as best you can (which is still never quite 1-to-1 with the original), but in 99% of cases, it is pretty much not possible to pay the "original artist" because you cannot identify them. What good is an unenforceable rule?
It's encoded in law. I wasn't talking about "what should be", I was talking about "what is".
> it is pretty much not possible to pay the "original artist" because you cannot identify them
there are numerous cases where an AI has spat out "literally just the original image, but badly". It really sucks that AI companies might literally have to- checks notes -"pay the people they're stealing from", though. Oh, my heart weeps for those billionaires that might have to shed a penny from their fortune to help those they sleep upon.
But it gets you to the HN front page!
Thanks for pointing to body doubling and anti planner. They seem like interesting concepts. Do you have any others that are worth checking?
I don't trust every Jesse Anderson's advice on adhd
The twin demons of diminishing returns and hyperbolic discounting mean that people who don't need to have these systems in place for the current demands of their lives, usually don't have them in place. ADHD sufferers probably get more out of implementing and following these systems on the margin, so they're paradoxically more likely to reach for them than the average person. (I predict Getting Things Done is popular with both high powered executives of all kinds and middle of the road ADHD laden office workers.) But current demands being low rarely predicts future demands staying low, and having a habit of working with these things already deeply engrained is a really, really good idea even if your Todo list only has "Get out of bed", "Finish Breaking Bad S4" and "Get back in bed" on it.
I haven't used the Getting Things Done method explicitly, but at a glance it looks like a more formalized version of what most of the people I know who are well-organized and have good time management skills seem to gravitate to naturally.
I don't think I know a single person who I'd consider "very on top of things" who doesn't have some mechanism, formal or informal, of noting/organizing/prioritizing thoughts and tasks. The idea that they are in fact coping with something and "regular" people just keep everything in their heads doesn't make any sense to me.
The only thing that I found interesting was with regards to choosing focus days, as I just cannot do that - I don't know hour to hour whether I will be able to focus or not, it's always a total battle.
However, my hack is that when coding I need to watch something silly: like cooking shows, reality tv etc - something I can partially ignore.
This was a fix I discovered about 20 years ago and it's helped me ever since, I've always described it as keeping the child portion of my brain happy whilst the adult portion gets on with its job.
I was diagnosed with inattentive ADHD (what was ADD) 8 months ago, medication really helps with emotional regulation and staying on task - yet I can still code better when I'm watching some random rubbish.
Thanks for your comment ! I have the chance to be able to choose when I’m going at the office or not, it’s a great chance and even if it’s planned to go to the office and it’s one of these down days, I can choose not to go and work from home at my rhythm. Regarding to what to watch/listen to to be in the "zone", I really think it’s personal. Personally, if there’s some moving images, I’m unable to focus, but with some music (especially repeating electronic music), I can be in my own bubble for hours
(Honestly not trying to discredit anyone actually suffering from ADHD, just seem implausible to me that so many have it given that programming also just requires an unhealthy amount of attention to finish tasks in a "timely" manner).
OneNote with it's "paste anything, anywhere on the page" and fairly minimal organisational options make it the closest thing to a notebook/scrapbook I've ever used on a computer. It's not perfect, and I've come to accept that :-)
As someone who did get diagnosed: It took me _five_ attempts to get all the way to an appointment with a psychiatrist (inability to find a suitable psychiatrist, lost referrals, missed appointments etc). Navigating the medical establishment with untreated ADHD is hell. Now I've got treatment for it, I could do it easily, but it's really hard to overstate just how non-functional you can end up.
Because the symptoms are easily faked, I needed a significant range of retrospective evidence - quotes from school report cards, interviews with my parents - which I had to arrange prior to assessment. If I hadn't been able to produce those, I likely would not have been able to get treatment.
I do know that therapy and medication made it night and day for her. She immediately dropped all caffeine. Her sleep and general mood was so much better and she wad way less flakey. She doesn't dismiss therapy although I know she hasn't gone every week for a while not and mostly goes when she's feeling like she needs it. Medication was a trip and error, but she's much happier with this steady state.
It felt like a really strong coffee. It did not really help as I could just focus intensely on the wrong things for hours then crash. The comedown was not fun. The side effects were not fun. The benefits were questionable.
Above all, my lifestyle is built around ADHD. My work is structured to accomodate my quirks. I was happier riding the waves as there were almost no consequences for doing so.
Perhaps another type of medication would have worked better, but no medication at all is good enough.
One thing I appreciated is that they titrated the medication safely. I hear that American doctors start people with a much stronger dose. German doctors seem more moderate, and more willing to try therapy first.
Your mileage may vary.
In the UK, for me, diagnosis wasn't too hard via BUPA - my phsychiatrist seeing me for my other mental health problems recommended me and it was relatively quick to get an ADHD diagnosis; now, however, I am stuck - there's a UK shorage of medication so my psychiatrist is unwilling to proscribe for a new patient whilst existing ones aren't getting what they need. Until that gets unblocked I'm in limbo; additionally BUPA do not cover any ADHD costs (except the diagnosis) - after that you're on your own and you either need to self-fund or go via the NHS; the NHS won't "just" prescibe; for me they want that to come from the psychiatrist and they'll then pick up the medication part of it - but see above about BUPA not funding ADHD costs.
If you go NHS all the way then you'll be on long waiting lists and, presumably, some sort of post-code lottery as to your experience.
I'm willing to self-fund to get to the point where the NHS will take over (and apparently that's a dice-roll too; my GP says he will prescribe once the shrink gets me on a stable dose, but not before - apparently some GPs refuse and require that you go via the NHS for everything, so you're on long waiting lists again); but am currently unable to progress due to the shortage of medication, as mentioned. I am also expecting relatively large bills as I will need to self fund both the psychiatrist and the initial medication prior to the NHS picking it up.
Anecdotally (reading ADHD forums on reddit) experiences in the US sound much more random.
Expect to pay between £700 - £1500 (initial consultation, titration fees). Then the ongoing medication costs.
Honestly I am torn on this issue, I don't think we should have a nation filled with amphetamine users, but right now I'm a self funded founder and I can't justify this cost. So I have no choice but to self medicate with medication I have procured myself through alternative means...
The whole thing feels scammy in the UK
The NHS ADHD waiting list in my region was over 6 years but using RTC, I was diagnosed in around 6 months with no extra cost and prescriptions costing the NHS standard. Places like ADHD360 and PsychiatryUK focus on high throughput / low cost so the amount of time and qualifications of the practitioners won't match hand-picking a private psychologist but you can't argue with the cost.
I think in America you should still be able to get access to meds fast. But trying to chase local doctors means all the slowness that comes from a local economy (you really want an ADHD specialist because of stigma.) I would be trying to find telehealth options if they're there. I do agree with you about the behavioral approaches. The best option IMO is pharmaceutical. Stimulants are ~70-80% effective for people with ADHD.
You should _really_ consider therapy in addition to any medication. The meds will be amazing for a month and then useful for a year. After that you're going to have to make a decision about how you want to continue treatment. Keep bumping the dose and adjust to the side effects or 'typical therapy'. By then, that therapy is going to be much harder to apply to your life than it would have been in the first few months when you started the meds.
Sure, I'm using Agile Task Note (https://github.com/BoxThatBeat/obsidian-agile-task-notes) for the Jira sync and for Google Calendar, I'm using obsidian-google-lookup (https://github.com/ntawileh/obsidian-google-lookup) and obsidian-google-calendar (https://github.com/YukiGasai/obsidian-google-calendar)
By all means have at it if you enjoy legal access to terrific stimulants (they really do help you focus!), but maybe take the idea that you've suffered under the burden of lifelong illness with a grain of salt. ADHD is our generation's neurasthenia.
So no, I don't know where you live or work, but I don't agree that the modern world wants you to focus and produce.
Imperfect? Sure. But it sure beats the "trust me bro" university.
Spoken like a bona fide "bro" with no professional qualifications on the matter, not familiar with the research (except perhaps cherry-picked outlier stuff to reincorce their preconceived notion), and no personal experience of the devastating effects it has on the individual on all aspects of life (the very opposite of "getting away with it": professional and academic failure, social isolation, and other such outcomes, from the kindergadern -e.g. the "weird" stimming kid everybody bullies- to the grave).
But they sure do know some people claim to have it on TikTok when they don't, so the condition surely must not exist.
That's the "kids these days" myth. The reality is that to get diagnosed with ADHD and get to get medication is for many a long process, for most neglected until too late despite obvious signs.
>you have to be pretty stupid to truly believe 75% of the population magically developed adhd over the last 70 years.
Or you know, aside from the fact of more awareness (so people who would just be left to sink or swim on their own in the last 70 years, or merely considered "weirdos" and "failures" are now diagnosed), the world has also severely changed over the last 70 years, and aspects of it (many more rigid time-sensitive responsibilities, many more desk jobs, muct more emphasis on information processing and retention, infinitely more distractions, much more sensory overloading environments, and so on) make it more evident when one has it, and make the impact more severe.
And there can also be environmental and genetic factors involved (autism for example, a common commorbidity, did grow among other factors because more educated people with background/tendency for autism inter-marrying with more of their kind - with university, information, and tech jobs, and so on, as selection mechanisms). Such factors are under active study.
It's also nowhere near "75% of the population". At best around 4-8%, if that.
But I do agree with the "pretty stupid" part.
https://www.ted.com/talks/sir_ken_robinson_do_schools_kill_c...
ADHD: Essential Ideas for Parents - Dr. Russell Barkley https://www.youtube.com/watch?v=YSfCdBBqNXY
1. Our genetics means that one gene producing double the dopamine uptake receptors and a combo of other genes messes with something else (50% of all ADHDers have an anxiety disorder either GABA or serotonin based). In fact that is why ADDERALL is not addictive for us but is addictive to a normal person with the normal count of dopamine uptake receptors as cocaine, meth, etc. work on the TAART stretch of the dopamine uptake receptor. 2. Dopamine analogs plus coffee troopics tend to work at getting leverage to put time org and note org on top. My stack is: -30 mg caffeine taken one to 2 hours after waking when cortisol starts decreasing -green tea extract -maca extract -vitamins through fenugreek -dopamine analog via goji berries -L-theanine to stretch the 2 hour caffeine effect to 6 hours
Note for non ADHD people your cortisol starts decreasing after you wake about 1 to 2 hours after waking as this is what made caffeine drinks a habit. It is not wrong to take caffeine an hour or two after waking or at 10 am. You just should follow it up with the weak EGCG found in green tea and L-theanine to make it stretch to 6 hours.
What evidence do you have to support this claim? I have plenty of anecdotes of little value that would conflict with your claims. I find your claims hard to believe without evidence. Addictions are highly circumstantial and complex disorders.
The highlights of their suggestions are:
* Break down complex tasks into smaller bits.
* Avoid multitasking.
* Create your own reminders, like setting alarms and reminders. Leave Post-It notes on areas you frequently look at.
* Habit stacking. If you constantly forget chores, you can stack them on top of something you regularly do. For example, you may put a load of laundry in while brewing your usual cup of coffee.
Yeah okay, and just don't breathe while you're at it.
This video has a lot of useful information. The straightforward answer is to externalize your memory and take notes.
This is a long comment. If you just want a strategy for dealing with working memory inside your head, skip to the end and read 3.
For me increasing working memory was a dead end and I found it far more effective to optimize how do use what I have. The vast majority of my advice and strategies revolve around mental health. Mental and physical health alone can add one or two slots of working memory because your brain is working better.
Some advice:
- Do not limit yourself to doing daily things the normal or accepted way. Do not let yourself or other people tell you that you need to do things a certain way. If you can find a way to not lose your keys, it doesn't matter how crazy or stupid that way is because the end result is you don't lose your keys. (Please be considerate of other people.)
- Half measures are okay.
- Half done is usually better than not done. If you're stuck, walk away and get something else done. The feeling of accomplishment on a small task can recharge you. Then you can go back and finish the other task.
- Failing doesn't mean you need to fail completely. For example, if you're on diet and start annihilating a large number of small high-calorie snacks, that's not an excuse to finish the bag. :)
Strategies
1. Reduce your baseline cognitive load. That's basically what my advice is trying to do. The less you are fighting your own expectations and limitations, the more you can focus on getting things done. (Cognitive behavioral therapy is solution here.)
2. Remove stress or distractions. This is the same strategy as cognitive load, only applied to your environment. For me sometimes I just have to clean before I can get work done.
3. Map and reduce. This is involved and difficult to explain. I recommend using paper until you get good at this.
The goal is you need to do is take complex ideas that use multiple slots of working memory and make them take one or zero slots. There are several ways to do this.
Paper is the easiest method to explain. Write out what is in your memory and then rewrite it so that it compacts into one thing you understand. What you should be able to do is look at the paper and immediately understand what is going on without having to think about it. This frees up all your working memory to make connections to other things.
This can also be done with short term memory. You think about the problem and reduce it to a single idea or process. When you understand something well enough, you can hold a pointer to it in a slot of working memory.
Long-term memory is just regular learning. Programming languages and that embarrassing thing you said eight years ago are stored in long-term memory.
I either use a sticky note (I keep a few loose ones in my wallet), or I activate onenote with win+n and can type on that immediately. Anything higher friction than that isn't gonna work, which is why I don't use a phone app. Getting to the writing screen in any notes app is too much.
I also like to take meeting minutes because I otherwise cannot focus on meetings at all.
It's basically pomodoro, but with different way to visualize about it, and it somehow feels...better? At least for my ADHD brain. The author wrote blogs for years, and just diagnosed with ADHD a couple years ago, and somehow his lifelong struggle suddenly explainable(you know, like many of us ADHDer did) That aside, his blog is usually a joy to read.
I maintain a reader mode called Just Read that is pretty customizable if you're interested: https://justread.link/
To start with: the meds are so restricted ordinary doctors / GPs can't prescribe them. And trying to bring up 'ADHD' may get you labeled as a 'drug seeker.' But let's say you get an appointment with a psychiatrist (the ordained ministers who can write stimulant prescriptions) - wait times can be anywhere from 3 - 6 months. Upon which you're not guaranteed to be taken seriously because psychiatry isn't an exact science and not every doctor even acknowledges everything in the DSM.
In the state that I'm in I had to be drug tested before and after getting on ADHD meds. Before to make sure that I wasn't a drug seeker. And after to confirm I was taking the meds and not selling them. My doctor then had to apply for a special license just to write my script. He did this by writing a letter full of supporting clinical information and applying for the license to issue the script. So after all that effort (easily 9+ months) you get the chance to be given meds by such a doctor. But currently there are supply chain shortages so many people aren't even able to get their meds.
My US experience (much shorter):
When I was in the US I used a telehealth app on my phone to speak to a amazing clinician who specialized in ADHD (google some or this looks like shilling.) I had my meds not long after that. I currently don't bother with medication though because although it works exceptionally well: I can't sleep on them. I'd say to US people - have a look at some of the apps out there. You'll want to go with people who can actually prescribe and not psychologists.
Keep in mind there are other reasons that can cause concentration issues (depression and insomnia are examples.) It would probably be better for most people not to have ADHD as other illnesses are potentially easier to treat with less side effects.
((I really liked the conciseness, typography, and artwork in the article, by the way.))
And if you don't have it, then you can look at other causes for your problems. Because nobody (and/or their dog) will think they have ADHD unless they have identified a problem first.
All kids are different. Some kids can sit and read for hours. But some kids need to do physical stuff. Schools don’t cater for the latter. Gone are the days of learning wood work and metal work, cooking, sewing. Kids don’t do PE class like they used to. We try to ram all kids through the same meat grinder and when one resists we try to dumb them down with drugs and force them through. These kids are probably WORSE off being on drugs and shoved through the meat grinder than had they dropped out and done a trade skill instead. Nope it’s adhd and we got to drug them up and in most cases it’s a visit to the doctor and “do you have adhd” “I think so” “good enough for me here take this drug that I get paid to prescribe you”
* Dance * Drama * Food Technology * Industrial Technology Timber * Industrial Technology Metal * Music * Physical Activity & Sports Studies * Visual Arts
PE is twice a week.
In year 11 and 12 you can fill your classes with electives if you want, you might not get an ATAR for university if you don’t do English and maths.
It's treated as a singular issue but in my experience it's not. Here are some factors to consider:
1) Does the person have a quiet place get high quality sleep in
2) How is their relationship with family and significant other
3) Do they exercise - physical stamina helps build mental stamina and helps with clarity
4) Do they eat healthy
5) Anxiety or depression. If we are constantly distracted there's likely a good reason for that. You can't focus on movie if your house is on fire and this fire can be emotional one with unresolved traumas etc.
What we see is only the tip of the iceberg and fixing the roof before we address the foundation won't work longterm.
For me, my sleep is very good, my mental health is perfect, do exercise, eat healthy. But I have ADHD.
I think it made parts of my life harder, and if I had ever ended up in a seriously bad place I would have taken it more seriously, but I very much didn’t want to define myself in terms of any one aspect of who I was.
Now, my adaptations make me an awesome combo of ADHD strengths with only the charming and quirky downsides, rather than the debilitating ones, and I am immensely proud of that fact.
I said I didn't want to define myself by my ADHD and because of that, I ended up finding non-pharmacological ways to treat my ADHD to the point where I've been able to have the best of both worlds. What I was able to accomplish has nothing to do with you or with anyone else.
You're responding to a comment I didn't make.
I will also share this Historia Civilis video on the history of work, which really resonated with me as an ADHD person -- It's OK and even more 'natural' to have fast and slow days.
And I will say, for me, Obsidian was another red herring. When I see Gwern's blog I dream about my ordered note taking life and I tried for about a year to do that with obsidian. I took a lot of notes, but I don't read them and they do nothing for me.
I ended up after a lot of trial and error with a bookmarklet that lets me take notes right in a browser window paired with a real planning app like tick tick or Google keep or whatever.
The quick notes are good for when I'm trying to avoid my other Todo list because there's something I don't want to do on it but I still need to take other notes.
Here's the bookmarklet I started with: https://gist.github.com/clisamurai/1f355b6028c8b9d1836b4ca01...
> This is great! So many people in the ADHD community don't dig in enough into the 'superpower' side of it, so I'm super glad you covered that here. We can't get rid of the bad parts so I think it's extra important to lean into the good parts too.
Thanks for your comment, that's what I wanted to express. We can't run away from the bad parts, so let's try to deal with it and find some stuff to help us.
The problem is usually that it’s either too quiet (so the brain is not engaged and every small noise is very hearable and distracting) or too loud.
The other problem is when the sound environment is not predictable. This means your brain is constantly afraid it will get distracted (phone call, slack notification etc.) and you can’t enter a flow state.
In my case, I feel sure that I did not have ADHD symptoms during childhood. These symptoms I believe have come extreme and unusual mental stresses I have been subjected for several years. However, there's not enough literature on ADHD coming during adulthood. Most, like the OP, say that it would have gone undetected during childhood. Some say that ADHD can develop during adulthood too. I have also read that Adult ADHD seemingly has a different mechanism than ADHD that develops during childhood.
In terms of what's working for me, nothing yet.
I'd be more inclined to believe trauma to the ADHD offspring's mother, while pregnant, would be more explanatory than the offspring's environment post-birth.
> I feel sure that I did not have ADHD symptoms during childhood
Both are hard requirements for the indication though. (at least in my country where they use the DSM, Diagnostic and Statistical Manual of Mental Disorders)
* Symptoms must not be attributable to other issues.
* ADHD must have been there all your life, so before a certain age (in my country 12yo) symptoms must have been there, and they must be acknowledged. Not necessarily that they were then attributed to ADHD, but they must have been present.
Source: i'm in the diagnosis currently. I'm 45 years old. I'm not a shrink. I'm currently actually supposed to finish my bookkeeping, hence I'm on HN.
The DIVA 2.0 test notes, "Research has indicated that at adult age, four or more characteristics of attention problems and/or hyperactivity-impulsivity are sufficient for the diagnosis of ADHD to be made." I had seven out of seven characteristics for inattentive type ADHD.
I am sure I did not have the symptoms during childhood. I started facing these around 2011 and very distinctly in 2012, when I was 35 years of age.
> I feel sure that I did not have ADHD symptoms during childhood.
That would be an instant disqualification of an ADHD diagnosis.
> I believe have come extreme and unusual mental stresses I have been subjected for several years
I am not a clinician nor do I know the full extent/magnitude of your stresses, but have you ever investigated (C)PTSD? If can mimic many ADHD symptoms.
> However, there's not enough literature on ADHD coming during adulthood. . . Most, like the OP, say that it would have gone undetected during childhood. Some say that ADHD can develop during adulthood too. I have also read that Adult ADHD seemingly has a different mechanism than ADHD that develops during childhood.
Based on what is commonly understood about the condition, it cannot come on in Adulthood. Similar to how there is no Adult-onset Autism. You're born with it or without it. Also, just because symptoms were not "detected in childhood" does not mean the symptoms did not exist in childhood. My symptoms were not detected in childhood, but oh boy, were the signs and symptoms there. I just grew up in the South East, US where stuff like ADHD just didn't exist, and I and plenty others were punished and ridiculed for our "daydreaming," "restlessness," "laziness," and "inappropriate behavior."
Personally, I am not sure if I buy the research on this topic though. Then again, I also think the label "ADHD" is just like "Cancer" -- a massive blanket-term for multiple similar conditions. So, who knows? It's not like there is a single biomarker that has ever been discovered that can be used to diagnosis the condition. It's all just professional opinions based on agreed upon patterns and heuristics.
Anyway, I hope you figure out something that works for you.
>> Is your therapist a clinical psychologist or psychiatrist?
Yes. Clinical psychologist.
>> That would be an instant disqualification of an ADHD diagnosis.
You could be right. That's what most literature says. However, there's some talking about ADHD developing in adulthood. I cannot say whether to trust or not; surely there's very little such literature.
>> ... nor do I know the full extent/magnitude of your stresses
I have been shouted upon by my wife at peak volume for hours at a stretch, about once every two days, for years, with her usually beating herself badly along the way, sometimes threatening with knives, and so on and on.
As I wrote in another comment here, I started facing these symptoms around 2011 and distinctly in 2012, when I was 35 years of age. Prior to that, I have always been a star performer, during childhood and at work, with no such symptoms to the best of my understanding.
>> ... but have you ever investigated (C)PTSD? If can mimic many ADHD symptoms.
My therapist did mention that to me and told me to read about it. I read about it on Wikipedia, but do not know enough myself to say either way. I'll talk to the therapist again on my next visit.
Its actually the opposite. I found that its to do with lots of attention just not at the task at hand.
Everything in the article can be applied to everyone.
With that said, I always found it interesting that many psychologists are extremely polarized on the so-called hyperfocus. One I spoke with said that hyperfocus is contradictory to ADHD, while another said that it is indeed something that many with ADHD experience. These were psychologists with decades of experience, and have diagnosed hundreds/thousands of patients.
Diagnosis has seemingly become very hard the past years, with the spread of social media and ADHD "influencers". Viewers become fixated on having ADHD, memorize symptoms, and parrot these when undergoing diagnosis.
Yes, there's a stigma but there's also about a 6x improvement in my mood and ability to stay focused on a single task after I take 5mg. I've never developed dependency and generally only take it 3-4 times a week. I've also never really had to increase the dose.
This came after two diagnosis from neuropsychiatrists both reaching the same conclusion.
Being diagnosed at 22 I'm glad I wasn't prescribed adderall as a teen but I loathe how much more I could have achieved in college seeing how much more capable I am now.
I acknowledge it's probably not great for my heart health - but I was so depressed about how I was unable to get anything done or focus on studying before that I'd always make this tradeoff.
I am at the point in my life, a decade later, where I couldn't care less if there are longterm harmful effects.
1. I'm sure my unmedicated life would have continued to be equally unhealthy in different ways.
2. It's not like old age is sunshine in rainbows. I rather die in my 60s or 70s from a heart attack, with dignity, than live long enough to slowly watch everything and everyone I ever experienced dissipate from my mind until I am husk of a human being due Alzheimer's or Dementia.
Brown noise is probably the only sound I can tolerate for a long periods of time without lyrics, even better than this is ANC headphones with nothing playing.
It is mine, but it is completely free. Many programmers with ADHD have sent me fan mails about it, and that makes me very happy.
The web is full of this style these days, so perhaps the algos have decided it increases engagement.
This is not a snark comment or a complaint about style! People should post however they wish! I am just curious if there is data on the topic. I know Medium requires a junk picture at the top of every post, but I haven't seen data on this from them, just an assertion that it's importand.
In descending order of apparent impact (yes, anecdotal, though the psychiatrist recommended them based on published research):
- L-Tyrosine
- Fish oil (3 g daily)
- Pycnogenol
- general amino acid supplement (covers most of them but not the L-tyrosine listed above)
- Magnesium (500 mg)
- Men's multivitamin
... interesting to note that apart from the fish oil, this is almost exactly the reverse order of when I started each one.
Increases my suspicion that there's a cumulative effect, at least for me.
I wanted to do pomodoro - so I ended up writing a pomodoro python app. :(
I wanted to build some games - so I ended up writing a programming language.
I wanted to create a 3d design for a cyberdeck - wrote a python library to codegen.
ADHD == Yakshaving on steroids.
I've never been diagnosed with ADHD but when I read pieces like this I always walk away feeling like I check most of the boxes. Has anyone ever encountered the same and been prompted to get help? Asking on HN probably isn't the best idea, but sometimes I really struggle with certain flows and the way others work that seems to run counter to my peak performance.
Once a commenter here on HN wrote that meditation helps him better than anything else. Still have back into the groove of a regular schedule. The best book on the topic might be Mind Illuminated by John Yates, got it from a recommendation here on HN.
Another good one is ADHD 2.0 by Hallowell and Ratey.
Knowledge helps.
The major issue is how to catch up with important news and developments without getting distracted.
I was diagnosed last year with ADHD, at 32.
I would say ADHD has traits, you might not have all but once you start doing research into it you find you tick a lot of the boxes. Psychologists can help as they can figure out what works with you, once you find a decent one.
Everything in this post is great, as always find what works for you.
Earlier this year I've spent months intuitively building a product to address some challenges I've faced in the past years while working remotely.
It took all that effort to understand, after hearing from the users, that the product was just the result of me trying to solve my own undiagnosed ADHD symptoms...
> For me, having multiple monitors has been a game-changer; it allows me to spread out my tasks visibly and switch between them as needed without losing track
Fun, I have had the opposite revelation. I had several monitors for years, and what made a difference was switching to just a wide one, plus some hygiene around closing windows I don't use. Using a nice background helps, as it motivates me yo have sufficiently little content that I can see it.
> While the open office layout is often praised for fostering collaboration, it can be a minefield of distractions for someone with ADHD
And interestingly again, I like going to the office because a) few of my colleagues are going, b) I have much less distractions there than at my place
> Amazon’s Silent Meeting Technique
From my short tenure at Amazon, this is one thing I miss to an obsessive degree. These are great. But switching to other companies and failing to advocate for it, I realized that people don't like reading. They want to be fed content. I dread when something is documented through the recording of a meeting, I want a doc. I hope to find such a culture again!
> Obsidian isn’t just a note-taking app for me; it’s the cornerstone of my daily organization
I like the idea in concept. I even built an extension for Obsidian that parses all your notes for to-dos and presents them as an interactive board and backlog (Proletarian Wizard). I have used that for a few years, but I usually drift enough from my todos that it's not very useful. The other problem with all these syncs is that they are one way only, so it'd make me anxious that the info is scattered between my system and the central one. Like the idea though.
> Team members are encouraged to block off periods in their calendars
Does that work for anyone? I have been doing that for years, through probably 5 or 10 teams, and so far my main observation is that people don't give any consideration for my own agenda. The moment my calendar is busy to beyond 50%, people start sending invites on time marked busy. I think they mostly don't even check, or sometimes even worse they take notice and send something in the likes of "you were marked busy but I hope you can join".
[0]: https://www.hok.com/pdf/download/31839/
If that link doesn't work: https://www.hok.com/ideas/publications/hok-designing-a-neuro...
1.ADHD is often misdiagnosed in women
2. The drop in estrogen around perimenopause/menopause worsens symptoms. It leads to late-life diagnoses as women's coping strategies no longer work as well.
3. Perimenopause starts 10-20 years before menopause; women in their 30's can suffer from perimenopausal symptoms.
Such as just "using wikis and JIRA etc" is a bit handwavey imho, it needs to stick otherwise it'll just be forgotten.
I didn’t want to talk about medication because I know a lot of people with ADHD aren’t (or don’t want to be) medicated. But, I fully agree, my whole life changed since I’m on Ritalin
Note that using Obsidian for work in a for-profit company with >1 employees requires a Professional license for $50/yr.
Maybe we'll find out later that all of this is just some big mass hallucination we all try to believe in order to cope with today's horrible work life. Though, for me, the symptoms described are so accurate it's scary, and they explain my lifelong struggles — it's a revelation, really. It provides a glimpse of the signposts I can look for when I need help.
I'll also keep in mind that any concept we have about ADHD now can also change when we have more evidence (or not), but I'm subscribed to it for now.
this isn't really right...
Norepinephrine comes into play with executive tasking
will bookmark this and try some of the tips. Thanks for sharing!
It said that calendars and to-do lists help cope with ADHD, not that everyone who uses them has ADHD.
- Forgetting to look at the calendar
- Forgetting to look at the to-do list -> Make a different to-do list
- Have 10+ to-do lists
- Forgetting what the to-do even refers to
- Discover emacs org mode, it can link everything together -> constantly forget emacs key bindings
- Use logseq/obsidian instead -> forget which names/links refer to projects -> have 10+ aliases referring to different perspectives of the same project
I need static types, logic programming, graph search algorithms, and a bit of AI, to help save me.
Also, it'd be nice if modern software was easier to interface with. Needs more support for deep linking and syncing. The "walled garden" approach is anathema to solutions that can help ADHDers.
- "Forgetting" to look at the calendar, or to-do list, or your phone reminders, or a list written in large letters on a whiteboard behind your desk.
I seem to have a cognitive equivalent of an ad blocker, my mind will literally erase any task list from existence, the moment I start getting even slightly anxious about it. It's like a magic spell - I can put the list in front of my face, and my eyes will just keep glossing over it, like if it was a tear in reality.
For a few year stretch I worked with a team project manager who wasn't technical at all. She'd setup the meetings that I needed to have, diligently take notes in those meetings and then we'd get together to recap everything figure out dates and all that. Then I'd get back to nerding out but with a ordered punch list that I knew Donna needed me to get done. It was the best.
But the pmo wanted to do things a different way so their engagement model moved from embedded PMs focused on team deliverables to individual project focus. Now instead of Donna there to assist with correspondence, keep records, make appointments, and carry out similar tasks I had an army of fragmented Donnas each focused on their one thing and each needing oversight to understand my involvement and external dependencies. The move probably gave the pmo a more modern feel and better reporting but it killed productivity for ADDs like me since a large portion of my time each day became correspondence, keeping records and making appointments instead of cranking out nerd units.
I can relate to everything that this article says, but I suspect this is true of every single person with a mentally challenging job.
HN is full of developers complaining about open offices and useless meetings; do all of them have ADHD? Otherwise, what's the difference between a ADHD developer and a regular developer?
I _do_ have specific body problems that make my work harder, such as a very strong noise sensitivity and a circadian rhythm that requires me to sleep longer than the average person. Dealing with those specific problems did much more than throwing my hands in the air and yelling "ADHD".
Instead of a 2000-word article that might have been generated by AI, I would just follow these three points.
1. Sleep 9–10 hours every night.
2. Strong exercise regularly.
3. Work somewhere quiet and pleasant.
There's a commonly used diagnosis survey you can check. It should give you a better idea than this.
> ADHD developer and a regular developer
To give you one example (but this won't cover all cases / everyone's experience), if you're in the bathroom and think you need to change the toilet roll, then proceed to forget and remember it again 6 times before leaving the room, then head for the toilet roll stash, forget about it and go make yourself a sandwich instead... and that applies to almost everything you do throughout the day, you're probably in category 1 not 2.
For medication, another example would be when you take stimulants and get relaxed, less nervous and feel like you could finally go for a nap...
What I'm saying is, some people may be experiencing smaller issues for the same reason, or they may just not be satisfied with their environment and are able to act on it, but there's some threshold where it's not even the same category. If you don't know what ADHD actually is, maybe check the experiences written by people who do struggle with basic things daily while seemingly highly functioning otherwise? There's a number of subreddits where you can find them.
Diagnostically speaking? The number of symptoms and the severity of those symptoms is basically it. Everyone will likely experience some of the symptoms of ADHD during their life. The co-occurence of those symptoms and the amount they affect your ability to function day-to-day is what makes the difference.
Some people will debate over how "real" ADHD is, where real means people with ADHD are a disjoint group and not just people on the very low end of the "ability to focus" bell curve. From my research I do believe it is "real", but that whether ADHD is "real" like sickle cell anemia is real or its just part of a normal bell curve doesn't really matter because society isn't going to adapt around you. If medication is what make the difference to maintain a normal life for some then that's probably a good thing that its available. If people who don't "really" have ADHD can learn strategies for focus and time management that's also a good thing.
> Dealing with those specific problems did much more than throwing my hands in the air and yelling "ADHD".
For a lot of people, dealing with their specific problems starts with recognizing what those problems are and identifying strategies to help. Diagnosing it gives validation that its something concrete you can work on, gives access to mental health professionals who can help you develop solutions, and creates a community of people all trying to solve similar problems.
It's the equivalent to having somebody constantly punch me in the face: it's annoying and distracting at first, and it eventually turns into tiredness and lack of motivation to do anything other than leaving the room I'm currently in to breathe some fresh air.
I understand this is something that happens to everyone (which is why so many people dislike open offices), but I have good reason to believe my noise sensitivity is worse than average and that it has been so since I was a kid.
also i am about to work better at the office for focus mode
Or maybe I have ADHD too.
ADHD != dumb.
I was diagnosed with ADHD at 44/45 too. I can't believe that no one (not even me) identified it based on all the symptoms and signs throughout my life. Medication was a life-changer. Suddenly all of my therapy started to become more effective. I was able to slow things down and actually take a long, hard look inside. Gave me the ability listen, understand and validate my emotions, fears, concerns, behavior... instead of just reacting or pushing things down and out of the way. One important realization was that the medication wasn't just for work hours. It also enabled me to be "present" outside of work too.
Just wondering if anyone has an opinion on Andrew Huberman. I'm always skeptical about anyone on social media these days. Doesn't seem like he's trying to sell us anything, and has seemingly decent, understandable explanations about brain bio-chemistry and characteristics of those with ADHD.
Can anyone recommend a tool for the phone that can use Siri/etc to record and organize reminders, thoughts, etc? Imagine the functionality Loom (mentioned in the link), Obsidian, todoist, etc... all mixed into one app, but Voice/Siri interaction being the main interface to interact with? I find that when I use a visual UI, I end up doing something unrelated. Tweaking settings, noticing a txt I haven't responded to, trying to organize previous tasks, etc...
I was one of those stay-up-to-the-late-hours type of person all throughout my life. That of course changed with a family, and so I began to suffer as a result. I found that I had no time to focus on learning and keeping my skills up to date. It made me really frustrated, fearful and resentful. Especially difficult bc I never really "worked", I was passionate about what I do and love it. At some point I figured out a way to use that anxiety to get me out of bed early in the morning (quite unusual and difficult for those with ADHD) and to my desk hours before anyone could disturb me. Suddenly I was getting up at 4-5am (6-7hrs of sleep), ready, refreshed and at my desk, giving me several hours before anyone could interrupt me. That all changed recently due to some personal matters, but I think I'm on the right path to getting back there.
Anyone else heard that those with ADHD often think/write like a lisp language? Lots of "...", deeply nested "((()))", "etc"... in their sentences.
I see every sign of ADHD in my young daughter. I guess I'm glad that I have and can recognize it so that at least I can empathize/sympathize/understand/validate what she will go through in life, and hopefully be able to provide some guidance/help/support for her as she navigates the difficulties. I wish I had had that throughout my life, and in many ways, on a daily basis, I feel like I'm learning everything from scratch with my recent discovery. I now see everything through a different lens, like I needed glasses all my life and only recently received glasses.
an opinion on Andrew Huberman. I'm always skeptical
about anyone on social media these days. Doesn't
seem like he's trying to sell us anything
I only recently became aware of him so I don't have a real opinion. First impression was I liked many things he said.One thing I'd note though is that he is absolutely trying to sell something - he runs a supplement business that has attracted some controversy because IIRC he may be overstating the research behind some of his concoctions. (That said, I think they're just formulations of various common generally-recognized-as-safe supplements, and I don't think he's pushing anything fringe-y? not sure)
FWIW - selling something does not immediately disqualify him from credibility IMO. For better or worse this is capitalism. It's actually even worse when we expect to be ascetic monks with no worldly financial interests. Instead let's be realistic and transparent.
It looks like we face plenty of common things. I have the same feeling as you regarding my daughter, too. On one hand, it freaks me out, but, as you said, on the other hand, I will be able to help her.
If you find some tool to interact with the phone vocally as a main entry point, I would be genuinely interested. :)
My mind is always preoccupied. I have a constant inner monologue. Whenever I tend to be in a waiting room I just stare at the wall and start imagining conversations and situations and start talking to myself about various topics. My mind always makes connections between so many different topics, I can never keep a straight line of thought. One subject will bring another and another. A constant web of thoughts. I tend to have very long-winded (up to 5 continious hours or more) conversations with friends that leave me sweaty and exhausted.
I've heard that ADHD helps a lot with introspection, self-reflection. While the constant noise and urge to be active feels debilitating, I've had some pretty interesting and life-changing conversations with myself that a lot of people don't often experience without anyone else present. Although it balances out with the constant anxiety.
When it comes to entertainment, I'm always a binge-reader, binge-watcher and binge-player. Visual novels have probably kept my attention the most and I must have spent entire days reading them.
When it comes to doing my work, it's a weird dance. I must have the impression that the task is easy, and the steps are obvious. That often is not the case, but the situation gets me in a zen state where I combat the problem until I come to a reasonable situation that passes one way or another. If I know it's going to be hard, I can't even start without having a panic attack. You can feel it in your stomach. Your mind starts to blank out. Your vision gets blurry. It's the sort of feeling when you see something that makes you really ill. For some people that's a dead body, for me it's medical descriptions.
Even saying all of that, I still doubt that's how I really function. Looking from the outside, I just get the urge to do something, and I act on that urge. That's all. Whatever it be. It will take all my focus, and all of my energy, and you won't be able to get me out of that focus state. I will keep thinking about it until I either get to sleep or something snaps me hard out of it, and that severely decreases my motivation. Relying on instinct and acting on my obsessions was the only thing that helped me, either directly or indirectly. Otherwise I can't manage.
Medication has immensely helped me control my focus and help me take breaks, but not even that stops me from acting sometimes. I've seen a few comments here mention body doubling, this has also helped me a lot, services like FocusMate are amazing and I can't praise them enough, so simple, yet so effective, and my anxiety really pushes its effectiveness further.
Yes, I am currently hyperfocusing on writing this, if you couldn't tell by the several paragraphs of text and over-sharing. I have a task to write an article about my ADHD, yet it's still sitting there, because posts like these are the only things that get me to write about it.
I tried getting diagnosed and medicated and I was scheduled an appointment with a horrible psychiatrist that dismissed all of my problems and said I couldn't have ADHD if I could recite the days of the week backwards and sit still. The horrible things I felt after that still haunt me to this day and it occasionally slips into my mind and makes me sick. It is an extremely embarrassing thing to share, but a previous comment mentioning this told me that it's alright, and it's a reasonable traumatic response.
Writing about how I dealt with school would be just repeating what others have said. Deadlines never had any effect on me, I would always do things on the last day or few days, and I had an extremely difficult time with math because I how I mostly think is by making connections between previous information, which I find hard to do with math, that requires pure reasoning and logic.
I don't like breaking down tasks. I don't want to plan anything. The only reasonable way I get work done is by bashing away, being pissed off it doesn't work as I expect, and keep working hours non-stop until I get to a reasonable state. The less I know, the better. Unfortunately, that doesn't work for most of the time, especially for big projects. All the things people use as crutches make me ill. I have never planned my day. I go with the flow. The only "productivity tools" I've ever used is the reminder and a simple task list just to keep track of interesting goodies I might pursue. I have a horrible working memory and externalize an immense amount of information and keep it in notes format. I am a RABID fan of Zettelkasten and preach it like the second coming of Jesus Christ.
I would also add meditation and getting a good counselor/licenced therapist(they are hard to find). You can find a good counselor in a few ways: from someone who does your formal neuropsych eval, ask your kid's doctor. Look at psychologytoday.com and filter the list and run through it. For ADHD which does not accompany severe cognitive impairments you want to likely look at a CBT coach(Phd,PsyD holders) to help. Someone who knows what they are doing.
* If you think you have ADHD or ADD please consult the complete DSM-V manual[0](https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t3/) and at least try and match your symptoms up from your past experiences. I would highly recommend a neuropsychlogical evaluation test. Google for it.
Here is an abridged list[1] of symptoms from DSM5 for ready reference:
Inattention: Six or more symptoms of inattention for children up to age 16, or five or more for adolescents 17 and older and adults; symptoms of inattention have been present for at least 6 months, and they are inappropriate for developmental level:
◦ Often fails to give close attention to details or makes careless mistakes in schoolwork, at work, or with other activities.
◦ Often has trouble holding attention on tasks or play activities.
◦ Often does not seem to listen when spoken to directly.
◦ Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, becomes sidetracked).
◦ Often has trouble organizing tasks and activities.
◦ Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework).
◦ Often loses things necessary for tasks and activities (e.g., school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).
◦ Is often easily distracted.
◦ Is often forgetful in daily activities.
Hyperactivity and Impulsivity: Six or more symptoms of hyperactivity-impulsivity for children up to age 16, or five or more for adolescents 17 and older and adults; symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for the person’s developmental level:
◦ Often fidgets with or taps hands or feet, or squirms in seat.
◦ Often leaves seat in situations when remaining seated is expected.
◦ Often runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless).
◦ Often is unable to play or take part in leisure activities quietly.
◦ Is often “on the go,” acting as if “driven by a motor.”
◦ Often talks excessively. ◦ Often blurts out an answer before a question has been completed.
◦ Often has trouble waiting his/her turn.
◦ Often interrupts or intrudes on others (e.g., butts into conversations or games).
================
[0] https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t3/
[1] Hallowell, Edward M.; Ratey, John J.. ADHD 2.0 (p. 138). Random House Publishing Group. Kindle Edition.
I think we need to really take a hard look at today's world of tech and how we communicate and collaborate.
I find that, if time allows, I get a massive productivity boost after 4:30pm and everyone is either winding down or leaving. All the sudden, the walls flatten, the horizon deepens and I enter a deep state of flow.
Around 10 AM, after an elongated "stand up", I should be ready to go... And yet it's absolutely impossible to not alt-tab 300 times per hour, and I can't seem to even remember the code I just typed or what the hell I'm even trying to do.
Even if I close Slack, Outlook and turn off all notifications, I've got a minute-by-minute cron job in the back of my head that ticks
"Hey! One minute has passed. The world could be on fire! Is it?"...
I remember once I had to travel for family, to a different timezone, I was super productive. Only 1 14" screen and a different timezone. Pedal to the metal.Ah, the 90s. The CRT, the keyboard, the fullscreen applications, the lack of communication. 1 or 2 emails a day. Bliss.
Add to today: kids, imessages, facebook, twitter, mastodon, instagram, emails, slack, discord... How the fuck do I even survive the week?
I think ADHD is the new norm.
Being able to think about nothing is a skill/habit/muscle that needs to be learned and practiced. My mind still can churn but at least now I have the tools and some ability to tell it “not now” and quiet it some. It’s been pretty dramatic, especially in being able to fall asleep quicker.
And the stories of feeling like a zombie when off meds are very real and pretty freaky.
Almost everyone I know ends up on a significantly
higher dose than they started with.
One: At least in the US, for whatever reason, doctors tend to initially prescribe you a very low dose. I think this is a big part of why everybody ups the dosage.Two: Many/most people seem to avoid dosage creep by reducing or limiting their dose on weekends or on other days when it is feasible. If you take e.g. 20mg every day, 365 days a year, it's pretty much guaranteed to lose effectiveness. But if you can take that down to ~5-10mg on weekends that helps. Also weaning yourself off of it entirely from time to time seems to provide a reset. Doctors seem to never tell anybody this.
And the stories of feeling like a zombie when off
meds are very real and pretty freaky.
Well, let's call it what it is... it's withdrawal. However to put it in perspective, most people find it milder than or similar to caffeine withdrawal.If you do significant amounts of stimulants every day and then go cold turkey you're gonna have a real bad time for a day or three.
On the other hand if you steadily taper your dosage down to 0mg over ~3-7 days it's not bad at all.
Again, doctors seem to never tell anybody this.
BTW, while I am kind of "rebutting" your points I am not pushing Adderall. There are downsides to it. It made me more high-strung and prone to arguments and stress. The frequent shortages are a nightmare. And so on. I eventually moved on.
Of course, the same tolerance issues will creep up, perhaps even more so, but there is no red-tape, no doctor visits, no shortages, easy access, etc..
Is nicotine as effective as amphetamines or methylphenidate? I have no idea, but probably not, and that is mainly why I haven't experimented much with it. I will say that it's effective enough to plenty of people with ADHD self-medicate with nicotine, and seem to do fine enough.
If nicotine were half as effective, it still might be better, at least for my circumstances.
Having coping mechanisms and and understanding surrounding is way more important.
Without that and only meds I am only the person with the highest tension in the room.
And my adhd was measured. Low dopamine.
Btw I tried a adhd friendly diet and sports once . I don’t know if it was placebo or real but it felt like it helped much.
Mini meditative naps of 5 minutes also help if my brain is on the run.
Honestly in my opinion meds are the easy way out but the side effects make alternatives necessary. On the long run there need to be better solutions that imply that society has to go a step toward the mentally divergent or Ill and respect their behavior as good willing and maybe find a better way to incorporate those in the workplace and social life.
Sorry for edit:
For example. If I have one of those adhd moments, where I am bit to specific about something and talk too much because of it, my friends recognize this and tell me to „ wake up“. And everything is fine. But if someone like this is needed.. there I am ;)
One thing you didn't mention was night time sleep, which is actually maybe the biggest single thing for me. The rest matches my experiences exactly.
I love the part about respecting and embracing neurodiversity.
What does this even mean?
The higher dose was better for my emotional regulation and my focus, but it made my body feel wired all the time.
The dose I am on now does provide significant benefits compared to not taking it, especially when combined with daily vigorous exercise (likely at least partially due to improved sleep).
But I've never been on Adderall and I've never been on an IR med and I'm a woman diagnosed in childhood and again in adulthood, so I'm an ADHD unicorn really.
What does a neurologist do anyway. I have CP and ADHD, yet haven't been referred and think all. It's not clear what they'd even do.
I wonder though if I never discovered these two things, and simply absorbed everything I read online and convinced myself I had ADHD and got on meds. It's modern life, getting people down. There's simply no way to break through without recognizing that life is inherently distracting, and finding strategies around that.
This is not dismissing the reality of ADHD, however, only to note that medication is overprescribed and that many confuse biology with extremely targeted algorithms designed to capture attention.
And then there are the drug companies who capitalize on workers required to maintain long periods of focus; knowing they are vulnerable to performance pressure, they flood the industry with marketing. Next thing you know, an entirely healthy person's attention is destroyed, because the new baseline is oriented around a stimulant which they do not need, and which operate contrary to someone who actually has ADHD, which meds benefit. Like the opiate crisis, its all just an everyday American tragedy.
uh, perhaps by not using all of those things? sounds like you're uber distracted
Seriously, though, there might be external factors at play; different social circles might use these things and abandoning the apps could be the same as abandoning the groups.
The piece was a good read but its so personal to me that it doesn't really help sadly.
Don't worry about it. I think this is good advice for any software engineer. Eventually you'll be senior enough or on a different team and it won't be a problem.
For nearly all working relationships, I think it's reasonable to keep an emergency communication channel open.
Hopefully it doesn't sound too combative, but I wanted to express that it's a two way street and compromises have to be found. I dislike various things in my company on a personal level, but often make sense from company/team point of view.
Thanks.
Beyond that I refuse to do daily standups. I'll quit a company if they won't let me do async or communicate through slack. I'm not logging in and the start of my day being a meeting every single day. Absolutely not. I've been there before.
At two companies the actual CEO and CTO were in every single one of our standups (startups of course).
But I know good engineers (who are also good communicators) that loathe them with a great passion.
I didn't say a single thing about paired programming. Christ. Did I say that the dev wanted to pair program? No, I didn't. I would have happily hopped in a huddle with him as OPPOSED to scheduling a meeting 3 days later.
I am sick of meetings and people who are incapable of working async, especially when we're in different timezones, which is exactly what this thread I'm responding to is about.
this sounds like pair programming imo.
> Great, now instead of being able to respond while working on other things I have to cut out an entire hour of my day just for you.
this reads as a bad attitude towards mentorship. sorry for that assumption.
My frustration is not knocking this out over 10 slack messages right now and having to round back to it days later. I want it done and off my plate.
I'm ADHD. I don't want lingering tasks floating around giving me anxiety when they can be done quickly. I'm going to forget it exists until 10 minutes before when it pops up on my notifications, then I'll have to context switch over to that situation.
One of my biggest coping mechanisms is as soon as something pops into my mind I do it RIGHT NOW. If I walk by the laundry basket and think of doing laundry I grab it and do it RIGHT now. Or I'll just walk by it for a week completely oblivious to it.
I'd much rather just get an interruption out of the
blue than have someone schedule a meeting to talk to me
After 15+ years of exploring my own ADHD and learning about others' experiences, I'm still constantly wowed by how differently we all react to this stuff.For me, out-of-the-blue interruptions are a worst case scenario for my ADHD. It's very hard for me to get into the "flow" if I know that I might be interrupted at any moment. I prefer scheduled meetings as a less-evil alternative.
But many many feel similarly to you.
Also, somewhat contraintuitively, I often avoid starting some new work e. g. 30 minutes before a scheduled meeting, meanwhile without it I just start, and if interruption happens,... it just happens.
Also, somewhat contraintuitively, I often avoid
starting some new work e. g. 30 minutes before a
scheduled meeting
No, I think that makes sense and is pretty common.It's hard for me to get into the zone if I know I've got a hard stop in 30 minutes.
Two workarounds for me. One is that I tell myself I'll spend the final 5 minutes jotting down todo's so I can pick back up relatively close to where I left off. I normally work in 20-30 min bursts anyway. This is actually not super successful for me but better than nothing.
Slightly more effective for me is using those 30 minutes to bang out some smaller tasks. Review a small pull request. Pay a bill or two. Apply some software updates. Gotta be done eventually so I get them out of the way now, in service of more focus time later.
The most successful advice I’ve found is to find a way to reset after meetings without using your computer. For whatever reason, they’re emotionally drained after meetings. They get back to their computer and reach for Reddit or Twitter or something for a low effort snack, which then spirals into an hour or more of doomscrolling or distractions. This then translates into self disappointment at their low productivity, which further drives them to seek more cheap online entertainment and the cycle repeats.
So try something else. After your standup, go for a walk. Don’t use your phone. Do some stretches if you WFH or have a quiet place. Whatever you do, don’t fall into the rut that destroys your productivity.
- taking breaks
- thinking through a problem
Regardless I would never allow myself to browse anything not work related when I'm actually working (i.e. twitter, reddit) even when I'm "destroyed". I think cutting the unproductive crap out completely when working and trying to find more healthy coping mechanisms is far better.
I've had this problem too. But now that I have more meetings, it's become much easier to transition back to focused work. It's only the occasional more-stressful-than-usual meeting that eats up my attention for hours afterwards.
I don't know what the solution is for most people. I guess this is why some people who transition manager --> IC can be so effective.
It’s still better to state your problem. I like to use the “non-violent communication” as a template. Something like, “When we have the standup, I have a hard time refocusing on work afterwards. I’m concerned about the impact this has on my productivity. Can I send status updates via Slack?”
I’m not gonna pretend that this is a solution to your problem; I just want to sympathize and have a conversation about some of the strategies that we can use to fix problems with management that interfere with technical work.
- Everything destroys my flow anyway. So $#&#$% fragile.
- Standups are 100x less destructive to my flow than random unscheduled synchronous communication.
- For management and collaboration purposes, I recognize the need for some kind of synchronous communication for most projects/jobs.
- When working remotely I've found video standups help keep me feeling connected to humanity.
- Most teams I've been on are quite understanding if you choose to miss standup and offer an update via Slack instead because you're "in the zone."
So.... they suck, but they have upsides for me, and I accept them as kind of a "least-bad compromise solution."
This sounds oddly specific. How consistent is this time? If you start working an hour earlier does it impact the timing of your productivity boost?
In reality, I generally have too much external distraction around me in the morning to capitalize on this.
So my actual productive hours are basically like, "whenever I am reasonably sure that everybody else will leave me the fuck alone for the next few hours." Which often means, "the end of the work day when everybody is signing off for the day."
You ask us to perform unreasonably tops, then hate us for inventing doordash and shit because: we were smart labor, not cheap.
Huh? ADHD is a debilitating and disabling disorder... I don't think you're talking about ADHD.
ADHD is a deficit in dopamine processing/production within the brain, it has physiological signs that we can look for:
https://link.springer.com/article/10.1186/s11689-022-09440-2
ADHD is diagnosed based on symptoms, not based on physiological signs. Like most diagnoses, it's a co-occurring set of traits we'de decided is outside of what's normal.
https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1026...
>In conclusion, a series of biomarkers in the literature are promising as objective parameters to more accurately diagnose ADHD, especially in those with comorbidities that prevent the use of DSM-5. However, more research is needed to confirm the reliability of the biomarkers in larger cohort studies.
But yeah, generally there are a lot of conditions where you go report symptoms to your doctor or perhaps a specialist and they prescribe a treatment based on that alone. Testing is mostly used to rule out the really nasty possibilities or figure out what's actually going on when first-line treatments don't work.
Are both of those really clinical markers for ADHD? as in, adhd would be expected to have low working memory and low processing speed? My understanding is its more about executive function I.E. deciding to start tasks.
admittedly my experience is coloured by my own clinical diagnosis of adhd plus anecdotally good working memory and processing speed
I even got in an argument with the psychologist/proctor at one point during the symbol matching section. I was supposed to write the corresponding number under a series of randomly ordered symbols on a page. The numbers were mapped to each symbol using a key at the top of the page. I thought it'd be easier to solve all of the same symbols one at a time e.g., if A = 1, B = 2, etc. then I would write "1" under every A symbol, then "2" under every B, etc..
The proctor told me, "Wait, you can't solve them like that. You have to do them in order."
I replied, "Why does it matter? It's my test and it's what is intuitive to me to solve them."
He replied with something like, "Time's ticking" (implying that that I'm only hurting my score by talking with him).
There were probably more words exchanged, but that's the gist of it.
Anyway, after all the BS, I received my scores, and I swear there were flaws in the calculations (despite using the proprietary software) though my score wasn't too bad -- my GAI was much higher than FSIQ. I also had to calculate my own GAI since the ass never put it on my report (I found a pirated copy of the manual with the proper tables in the back based on the section scores).
The psychologist (who was the proctor) basically told me that due to my large variance in some scores that my test could be considered a "testing error" and "you do not technically have an IQ score" but he "managed to manipulate the numbers a bit to give me a score." He couldn't provide me anything with a confidence interval greater than 90% (not the worst, I know), and there were odd statements in my report about having difficulty scoring my test due to my age (I was 22 at the time). So, who knows? I refuse to ever do one again though.
Anyway, I know my behavior didn't help lol, but I also just got a weirdly pseudoscientific feeling from the whole process. I've done plenty of my own research on the topic, and I am still not convinced it's the be-all and end-all of psychological testing. I think intelligence is too abstract for humans to quantify currently.
As someone who is the spawn of two MENSAns, has friends in Neurosci and Psych, and who has brushed up a fair bit on the topic, I don't think any psychologists outside those in a tiny subset of the community believe in IQ Tests. The support for them is at best "well they measure something, but we're not sure what it is, and we have trouble labeling it as 'intelligence' due to the broad nature of that term". There are so, so many flaws with IQ testing that have been pointed out not only by yourself, but also by others in the field. The only actual practical, measurable use an IQ test to improve lives to date was an application in the 1980s on intake for fighter pilots, and it resulted in many less fighter pilots dying from crashes during training.
I do believe the test are not useless, and I agree with Taleb that IQ might be more accurate at the lower extremes i.e. less than 70. In other words, the test cannot measure intelligence, but is pretty good at finding a lack thereof.
However, the further along the bell curve one traverses, the more the test falls apart.
The only reason I was administered a test was for ADHD diagnostic purposes. Sure, the conclusion was that I had ADHD, but the psychologist was confident in my diagnosis prior to the test, so the test was more of a formality.
> The only actual practical, measurable use an IQ test to improve lives to date was an application in the 1980s on intake for fighter pilots, and it resulted in many less fighter pilots dying from crashes during training.
This is so fascinating.
Tangent:
I was listening to a podcast about what it means to be a genius, how it's measured, what it means, etc.. There was a section about Lewis Terman's research on gifted children/adults. He followed and studied the lives over 1500 gifted children over the course of his entire life. Out of all the gifted children, none of them became anything noteworthy -- doctors, lawyers, etc..
However, two boys that were apart of the same school system that were not studied because they were not gifted eventually went on to each win a Nobel Peace prize -- separately and in different fields.
I will not claim that Terman's research proves anything, one way or another, but I did find it rather interesting.
I would regularly down 3-4 red bulls (diet) in the evening if I knew I needed to fall asleep and sleep well. I'm not sure if it's been studied but anecdotal evidence from others seem to suggest I'm not alone and that some others have the same experience.
In my youth, I would pound a mountain dew before bed.
One example, is opiates make me MOVE. Most people they zonk out, not me. I'm ready to move your house, one brick at a time, with my bare hands and feel like I could knock it out in about an hour.
Proton Pump inhibitors are common meds for acid reflux. About 10 years ago, I did a genetics study (I worked at the lab, and my data stayed mine) and learned that of the 7 classes of PPIs available, at that time, my body only works with 1. The others either have little/no effect or similar.
It may not be everyone's issue, but cases like mine do exist. It's not better or worse, it's just how it is.
How often a partner probably told you that they felt neglected or forgotten, or how often you'd wind up in a rabbit hole and forget that you also have to nourish that relationship.
And my most recent ex was anxious attached. That was rough. I'm far more on the avoidant side, not sure how much of that is upbringing vs adhd.
There's a bunch of books about marriage/relationships with ADHD people. I haven't read any but I should. The lady in this video has written a bunch https://www.youtube.com/watch?v=9pyAfOPGKlI&t=1s
I have trouble focusing, I don't think quite to the level of ADHD, but it would be so much worse if I had 4 or 5 apps on each screen.
Or you found coping mechanisms. We all figure out what works for us. Like drinking a ton of coffee or things with caffeine... you're self medicating with your stimulant of choice.
I need all my apps visible in a tiled arrangement. Shuffling windows shatters my flow. I literally cannot have enough screen real estate. My dream is something like a curved 48" 8K monitor filling my entire field of view at 300dpi. (Vision Pro?)
I know a lot of people, ADHD and otherwise, like me in this regard.
I also know a guy like you, diagnosed with ADHD FWIW, who takes it a little further than you. He needs his apps fullscreened, and can't even do multiple monitors. One screen, one app.
I don't know how the f-- he works that way but I'm jealous. He's effective and has no trouble working on a 13" laptop in a coffee shop or whatever.
I will never understand it because I absolutely hate having full screen windows and I am almost worthless working off my laptop when traveling. Just lots of frustration juggling windows back and forth. I always have 2 or 3 apps side by side on my 48" and I have a 28" 16:18 DualUp monitor next to it for long text/dev.
I didn't work with him so I don't know how productive he actually was but I've always been curious if he kept up with the people who had 2-3 monitors and input devices. I have a hard time believing that he did but no actual idea.
The "laptop only, one app only" guy I knew actually was really verifiably productive. Which again is insane. We were working on a big Rails monolith. A task that inherently involves working with dozens of files simultaneously and looking at things up and down the stack while also looking at documentation and running code in the browser.
I actually enjoy working on laptops directly but the keyboards always do me in. Just a little too cramped for my wrist/arms, and if I'm adding an external keyboard the monitor is just a bit too far away so I'm back to the normal docked setup.
During my part-time studies (I had a 70-80% employment at that time) the time I really started studying productively was after 9-10pm when everyone around me went to finish their day and the world around me started to go silent and night is coming in. Thinking of it today, I don't know how I would have survived that time without the huge support from my wife back then. So all the credits of me being able to complete my studies go to her!
Nowadays, I would not know how I would get through the day-to-day work without medication most days. That often worries me a little.
As someone who also has a bit more than 2 decades experience with ADHD medication and started with meds quite early in my teenage years when I went to school, I have very similar experience to yours.
One of my assumptions is that it also has a lot to do with the humans metabolism that changes over the years.
One of my assumptions is that it also has a lot
to do with the humans metabolism that changes
over the years.
That theory makes sense to me. However, my anecdotal experience is that I never tried any of these meds until my early 30's.The first few weeks on Adderall were f'ing magical. I remember tearing up, I was so happy. Finally I was laser-focused. A bit emotional thinking of it now.
The magic faded fast. Adderall was still a large net positive for me for ~6-7 years. But never like those first few weeks. I guess I got somewhat close to that original experience a few times, after extended breaks from Adderall and restarting it.
Anyway, this is of course a sample size of 1. But since all the experiences described above took place in my 30s I don't think that metabolism change was a major factor. Certainly not within the first year. Again I know... n=1 =)
I continued to benefit from it for ~6-7 years. But, never felt anything like those first few weeks.
This is super true for me as well, to the point where I structure my day around this. I'm lucky to have a workplace with flexible hours and enough seniority that nobody complains when I roll in at 10, which gives me a few "quiet hours" from 4-6 as others trickle out.
Just reading that made me feel the presence of 'bliss' :)
I think the pop-culture definition of ADHD has shifted a lot. In the past, being able to focus well (as you described in a different environment) would have been a sign that the issue was more environmental in nature, not a sign of clinical ADHD. Patients with ADHD struggled everywhere, even in distraction-free environments like a quiet library or quiet test taking environment.
Now, the pop-culture understanding of ADHD has shifted so far that we don’t bat an eye at declaring ADHD even when someone is operating under a constant barrage of environmental distractions. To be clear, someone with ADHD will have an even harder time resisting impulses to seek out distractions, but the fact that someone can focus just fine when their environment is minimally structured to keep distractions at a reasonable level would suggest that person doesn’t have classic ADHD.
> I think ADHD is the new norm.
I think this is my problem with the current pop-culture definition of ADHD: When the definition shifts so much that it becomes the “norm”, we’ve lost the plot. Something isn’t really a disorder if it’s “the norm”.
There’s a secondary problem I’ve been noticing in a subset of the young people I’ve worked with: Some of them self-diagnose with ADHD or get a doctor’s diagnosis, then mistakenly think that their ADHD diagnosis is an excuse for everything. I’ve had far too many conversations where I had to gently explain to juniors (via a volunteer mentor program, not as their boss) that having an ADHD diagnosis doesn’t mean that deadlines don’t apply them, or that they get a free pass for being late to meetings, or that they’re still obligated to perform at the level of their peers at work. Some of them have grown up in an environment where ADHD students get extra time to take tests, which some of them assume should translate to more forgiving expectations at work. It’s difficult to get some of them to accept that having ADHD means they need more accountability and oversight, not less.
I think we’re making a huge mistake by normalizing ADHD to the point that people think it’s the norm or that everyone has it because they surround themselves with distractions. Anecdotally, I’ve seen too many young people self-diagnose with ADHD and then actually spend less effort to curtail distractions, train their focus, and work on self-improvement. There’s something about becoming convinced that your behaviors are a medical condition that is out of your control (many erroneously declare they have a “dopamine deficiency” or similar misunderstandings of the science) that can give people a false sense that they either can’t improve their situation or that they shouldn’t be held responsible because it’s a labeled medical condition.
I don’t know where we go from here, but I can say it’s been an uphill battle to get recent mentoring cohorts to accept that attention is something they can improve with practice or even that they need to do things like silence phone notifications while they work.
I’m often stunned when I screen share with someone who has a non-stop stream of unimportant notifications in the top right corner, who later laments that they just can’t focus on anything for someone.
but the fact that someone can focus just fine
when their environment is minimally structured
to keep distractions at a reasonable level would
suggest that person doesn’t have classic ADHD
[...]
Patients with ADHD struggled everywhere, even in
distraction-free environments like a quiet library
or quiet test taking environment.
Imperfect analogy, but this is a bit like saying that somebody who is able to walk with reasonable assistive devices doesn't have a physical disability.Like many or perhaps most things we classify as disorders, ADHD isn't a binary "you have it or you don't" condition.
Also, what constitutes "distractions at a reasonable level?" Very few jobs would meet my personal definition of that.
declaring ADHD even when someone is operating
under a constant barrage of environmental distractions
The definition of "disorder" in an individual is always going to be somewhat relative to the society in which that person lives and that person's life.A person who lightly dabbles in illicit substances once in a blue moon would not generally be considered to have a drug problem. However, this is also going to be relative to that person's circumstances. Are you a 23 year old with no responsibilities? Are you a breastfeeding mother? Are you in a profession with frequent random drug tests? Are you a shaman in a culture where psychedelics have been a sacred part of your culture for thousands of years? The definition of problematic drug use is going to be very different for some than others.
As our society changes, and the number of assaults on our focus multiply, I think it is reasonable to expect more ADHD diagnoses.
Another way to think about it is that modern (and future) society will expose ADHD more aggressively. A farmer in 1923 lived a hard and demanding life, but he faced a very different set of cognitive challenges than a software engineer in 2023.
Think about how changing society exposed some humans' susceptibility to motion sickness. Motion sickness was not a thing until we learned to ride animals and build vehicles. Perhaps someday the DSM may contain some disorders specific to humans living in colonies on other planets.
I don’t know where we go from here, but I can say it’s
been an uphill battle to get recent mentoring cohorts
to accept that attention is something they can improve
with practice
A thousand times yes.I love that we've made great strides toward destigmatizing mental health issues. But holy shit, it feels like younger people wear this shit as a badge of pride and it often feels like an excuse to avoid actual solutioning.
A loved one was recently diagnosed with ADHD. I told them I'll be their best friend and their toughest critic when it comes to ADHD. I told will love you and empathize with your struggles all day long because I have been fighting this shit for almost 50 years and it is soul-draining.
I also told them, watch the fuck out. I accept zero excuses. We can struggle together, we can cry together, but you better be looking at every single facet of your ADHD through the lens of figuring out a working solution.
"I have ADHD!" is not an acceptable excuse or thought-terminator. What I want to hear is, "I have ADHD so what works for me is doing it this way: ______" or perhaps even better yet just leave off the ADHD part and tell me your solution. Or that you are working on the solution. I will be by your side for that too. But overall that has got to be your mindset.
Maybe selection bias, but a significant number of my friends are diagnosed.
I also think it's true that many professions will aggressively surface ADHD.
Imagine a plumber making house calls all day. There's a fair bit of structure and variety baked into his day, he's moving around, gets to use his hands, etc. It's hard and skilled work but it also might be really compatible with ADHD.
Now think of a software engineer. 8-10 hours of monofocus on a single task every day. It's just you and the computer... which also has the largest array of distractions (the internet) just a click away. Fucking nightmare scenario for ADHD. If you've got even a hint of ADHD this career will expose it and expose it hard.
* PA * travel agent * event planner
either nightmare scenarios or dream scenarios
i've actually done some small amount of event planning, an annual event for about 125 people. (i realize that's tiny, obviously people are out there planning events for 100,000 people)
yeah, you're constantly switching your focus back and forth between the 20 things that need to get nailed down in the next 3 months for an upcoming event. and a professional event planner is probably juggling ten small events or several larger ones. it's a juggling act but it's kind of fun. also you have executive freedom to an extent.
engineering is kind of fucked because you are expected to do deep deep deep deep deep big-brain thinking for 2000 hours a year, and yet you are still often bombarded with distractions on a minute to minute basis. absolute MISMATCH.
event planning is chaotic by nature, and hard, and requires context switching, but generally no individual element requires hours of meditative thought and iteration while 3 different managers ping you on fucking Slack and you're also supposed to "keep an eye on production" and also mentor five kids who just graduated from a 6-week code camp like engineering does.
a lot of entrepreneurs are ADHD as hell. the context switching suits them, especially when they are calling the shots.
For me personally I mostly attribute this to how the circle initially formed - a bunch of outcasts to varying degrees new to college glomping on to any familiar faces from highschool (despite not really interacting during high school)
Any additions since college were adopted into the group through a mutual "we're the weirdos in this world, aren't we?" initial bond.
The better question is how many of the people in these groups have been medically diagnosed?
I get the arguments for self-diagnosis but really it's self hypothesis. I only say diagnosed if they're medically diagnosed. Even doctors shouldn't be self diagnosing
ADHD is a spectrum sure but it has a low-end cap due to the second D, disorder. No disorder, no diagnosis, no ADHD. I'd love to have the same brain wiring without the disorder
It sounds stupid, but I will forget to talk for months and people just drift off, not interested in reconnecting.
But other people with ADHD will reconnect after months as if we'd just been talking yesterday, no bad feelings of being ignored at all.
The most important ADHD accommodation for me has been a private office (in my case working from home).
I'm insanely distractible—the slightest noise can throw me off, and even the threat of an impending interruption is enough to make me lose focus thinking about how I'll respond if it comes. In an open office, I had very little control over my environment, and so it was impossible for me to keep focused for any length of time. If it wasn't a coworker interrupting me personally, it was a conversation happening behind me, or even just someone walking by and me wondering if they're going to interrupt.
At home, I have a private office with a locked door, and I put on hearing protection over earbuds, which blocks essentially all sounds from the house. I can control my notifications, so if I'm in flow I'm completely uninterruptible.
The other big benefit from privacy is that I don't have to feel guilty when I do get distracted with something. There's no one to see me and judge me for not "looking like I'm working", so when I do lose focus for hours and then get the whole day's work done in a single hour of hyperfocus, no one knows or cares that I couldn't stay focused that day—all they see is that I finished what I said I would. Privacy allows me to use my strengths (working well under pressure) without fear of judgement.
And, of course, as others point out, the auditory distractions are only part of the problem with an open floor plan.
I have learned at least two things about myself and a few about other people from all of this. For myself, I know I am overly acclimated to blowing past my limits into my reserves. I am used to constantly monitoring my mental state and pushing for breaks.
For others, I know that adrenaline and cortisol reduce everyone’s cognitive abilities. It’s why we do fire drills. It’s why NASA launch facilities ritualize everything. Save your brain cells and improvisational skills for things we can’t predict, not for things we can.
In the first hours of an emergency, everyone else’s brain turns to mush while mine gets just a little squishy. What for them is their worst work day in months is to me just a bad Tuesday. And self monitoring is one of the first things to go. They’re operating at 80% while I’m at 95%, and they absolutely won’t call for breathers without prompting.
On projects where I am at the periphery, we all struggle together. On projects where I get to influence the agenda, or even father chunks of it, people often walk back out of that room feeling like they braced for a collision that never came, because I’ve routed around all of the foot guns and created low cognitive load ways to answer the important questions. If anyone has been complaining about me spending “too much time” on this, about half of them are convinced after one or two non-event events. If the majority of the people didn’t agree with my methods before, they do now.
I used to say I spend my A-game days protecting myself from my C-game days, but these days I’m more likely to cite Kernighan’s aphorism about not being smart enough to debug your own code. Write all of your code like you’re going to have to wrestle with it on an off day, because you certainly will at some point.
And putting high functioning ADHD people in charge of process and tooling is not a terrible idea. If you can figure out who those people are, that is. To be high functioning means constantly masking, because in this world it’s better to be rude and aloof than to be seen as broken.
On my current project our hot fix process is so bullet proof that I could do a hot fix in the middle of our sprint demo. And I have, three times. Once while I was the MC. All of that was me, and the automation tools I wrote for myself are the official process now. And instead of a bus number of 3 it’s somewhere north of 6. Important, especially this time of year.
I suppose this is true of lots of people, I just have different categorizations for what constitutes a dragon.
Of all the optimizations I've done, moving to one screen/monitor ~10 years ago has been the biggest positive impact on my work, anxiety, and overall focus.
When I was younger, I was way too naive in the memetic desire when seeing other more senior folks with multiple screens, or even seeing "hacker" representations in the media with many screens with different orientations (silly, I know...everyone is dumb when they're young.) When you're 22 and insecure about whether or not you're actually "good" or belong, then you try to mimic the "best."
You're goddamn right I do
I certainly agree with calendars/alarms but todo lists for me are a place to put things instead of doing them and then they become a separate problem all of their own
The only kind of todo list that does is a piece of physical paper with the items that I want to finish that day
I keep my days on track by taking time in the early morning and reviewing the previous days accomplishment/misses/notes and then writing down an outline of today's goals and reminders. Notes throughout the day get jotted in the margins. Something like maybe 70% blogging, 30% to-do list?
Can't say I've ever used an app that felt 1/8th as helpful. It feels like there's some extra brain magic going on in the process of putting thoughts on actual paper that results in more retention and effort of thought put into writing.
Putting it in a todo list allows me to let go of the anxiety of forgetting, because I know I'll triage and prune my todo list soon enough.
Maybe that sounds like overkill, but I've found that having a system for writing down tasks, prioritizing them, and creating a daily schedule/habit are all equally important for people with ADHD.
If it's something I might forget (e.g. an admin task), then if I don't put it in a list and have either a habit to pluck it out of the list or a reminder prompting me then it is usually forgotten.
I also rely very much more heavily on checklists (especially templated checklists) than the average person. If I'm traveling and I don't set a reminder for 7pm the night before a trip with a packing checklist then I will either forget 4 critical items or I will be frantically packing at the last minute or both.
and then they become a separate problem all of their own
I struggle with it too.There are an infinite number of possible todo systems and different systems will work for different individuals at different times. But, I do feel there are two immutable truths w.r.t. successful todo list tasking.
1. You have to aggressively prioritize and prune them.
2. You should have separate daily/weekly/monthly/"someday" lists. Or some variation on this them. Maybe you do weekly/monthly/someday. Or today/tomorrow/someday. Whatever.
Point is it can't be a single infinitely expanding list or multiple infinitely expanding lists. Otherwise it's just a giant guilt pile that is 50% full of crap you don't even care about any more.
I still struggle but I think embracing those two principles is table stakes
For me: now, soon, eventually
And things might be in the "now" list for a long time. It's the hardest list to work on, for me.
I am now in a low, with no active strategy, and without the mental strength to start working on a new one. Hopefully though I will recover my mojo soon and organise myself again. And I'm sure this time it will stick...
[0] I still try to develop coping strategies, but I used to too.
For a calendar, my wife hung this acrylic calendar on the kitchen wall and we update it at the beginning of every month. I try to add things as they come up, and I often forget to add things if they are in future months, but it's helped for me to keep track of family arrangements. Any personal appointments I make on my own I try to put immediately into my google calendar, and then my work calendar is completely separate. As I'm typing this I realize I rely heavily on others to manage most of my time...
The cycle stopped bothering me so much when I realized that’s what it is: a cycle. It ebbs and flows with my energy levels. And frankly part of why I can’t keep it up is probably because I’m putting too much demand on myself. If I need to take a break, I guess that’s just what needs to happen. I’ll probably pick up a more productive routine again next week.
For a decade or two I've gone back and forth between paper and electronic note-taking and I think that's OK, I don't have to find one perfect forever system for everything.
P.S. Nice Mitch Hedberg reference
I don't think I've had an empty task list in my entire professional career outside of changing jobs and effectively declaring task bankruptcy. Todoist's end of day notification often says something like "review the 54 tasks remaining for the day".. One day someone will figure out a system that works for every ADHDer in the modern world and we'll have a new tech/space/etc renaissance, haha
Incidentally I saw this meme on Twitter while procrastinating something or other earlier, quite apt https://img.imgy.org/1xkR.jpg
Best of luck to you, me, everyone else struggling with this one!
Otherwise they work well at first but quickly become giant guilt piles, aka "54 tasks remaining for the day" syndrome.
(Also then you never get the satisfaction of clearing your daily list, because it is one neverending eternal infinite list)
Which of your 54 daily tasks should be put on a "tomorrow" or "next week" or "next year" list? Which of them truly need to be done in the next 24 hours?
In the meantime I'll give my task list a realistic "when does this really need doing, if at all" audit, nice one
Some people have great success with his system as described! I don't want to prejudice your thinking!
But I think perhaps 10x as many people found a lot of value from the principles he describes and adopting the bits of his system that work for them. (I am one of them) I'm just mentioning that in case you start reading and think "uhhhh this is overkill".
Above all else: good luck!!
Eat the fish, spit the bones! :)
Cheers!
And then some time later I would [will] try
again, under the blissful delusion that this
time it will stick
First... damn. I know the struggle. Much love to you and much respect.Just an idea w.r.t. systems. Have you tried prioritizing "ease of use" over "completeness and awesomeness"?
I made some progress myself that way lately. I was always trying to organize things in some kind of... I don't know? perfect and aesthetically pleasing way? In hindsight, I think I was telling myself I had to get to some perfect system like these garages, where everything is perfectly organized and has a purpose and place.
https://www.pinterest.com/pin/721209327810494107/
Instead what worked for me in the end was a bunch of clear plastic bins from Home Depot, with big labels on them. They are not literally childrens' bins but in spirit, the end solution for me was not too far away from this:
https://www.google.com/search?um=1&hl=en&safe=active&nfpr=1&...
Point being, what finally worked for me was the system with the lowest possible friction, not the "best" system.
Holy objects. Can't survive with any of these things.
I have 2 calendars running (it's actually only one, but I have Outlook mobile installed, plus Apple Calendar- they sync to the same calendar , I get two separate notifications for everything so I can't just dismiss them as easily).
If coding is really interesting to you, hyperfocus make you spend more time doing it.
Getting into the zone is probably hyperfocus kicking in.