Nine writers on their Adderall use and experiences
pioneerworks.org
pioneerworks.org
It's important to talk about Adderall abuse, but at the same time, acknowledge its benefit for those who need it. It's such an embarrassing drug to admit to taking because it has so much stigma connected to it. I usually avoid talking about it because people's reactions can get very judgemental and uncomfortable.
1. "Speed" refers to a variety of amphetamine salts, not just the four in Adderall.
2. "Enantiomers notwithstanding" is an absurd aside: one enantiomer, levoamphetamine, has significantly less euphoric effect and as such isn't sold as a street or party drug, except incidentally as an impurity. Which enantiomers you're receiving is extremely relevant in this group of chemicals.
3. "Smoking meth" and "taking Adderall" have very different social stigmas. I'm certainly not saying there's no social stigma around Adderall, but there's definitely a lot more social stigma against non-pharmaceutical amphetamines.
I have flirted with the idea of trying to get (pure) meth on the black market as an ADHD treatment during times where I was having trouble getting Adderall. I would only use it for this if I also had access to testing and could determine purity, so I could dose appropriate. Fortunately I've never been that desperate and unmedicated that I needed to take this risk.
I was also prescribed 3 different amphetamine blends over the last 26 years (Vyvanse, Adderall, and Dexedrine) as well as taken a 14-year break from all ADHD meds over the same period.
I do somewhat wonder if the size of the black market for amphetamines is so large in countries which outright ban amphetamines for ADHD treatment is in part due to people with ADHD self medicating (Yaba in Thailand for example, which now appears to be on the path to decriminalization)
Yes, I have seen those posts. Have you seen the post you're responding to?
I made it very clear that I'm aware there is some social stigma around Adderall. I'm saying there is a much more severe social stigma around illegally-obtained amphetamines.
If you don’t have ADHD and are using Adderall, you are hurting yourself and society.
My understanding is that this is mostly a myth. Predictors of ADHD (and consider that a diagnosis can be highly inconsistent depending on the practitioner) don’t have a strong correlation with measures of productivity increase that compare treatment groups with/without Adderall.
Some recent research backing what I say:
https://www.nationalgeographic.com/premium/article/adhd-adde....
https://www.verywellhealth.com/taking-adderall-ritalin-witho...
You are welcome!
Stimulants slowly stopped working for me at low-moderate doses, and at higher doses I started having bad anxiety from them. One potential solution to this was to take time off from stimulants at regular intervals (such as weekends) to reduce buildup of tolerance and stay at the lower dose while getting the effects when I needed them. I ended up not going that route (taking Strattera now) but it's something I've heard from a few people.
I'll also add that ADHD symptoms aren't always experienced as all bad by everyone. Some people experience it as more creative, or adjacent to flow, and only want "treatment" when they need to buckle down and do more "boring" work. I'm not in that camp, but a friend of mine is.
My point here is that the many psychiatrists are working in a framework where the evidence they are looking for is that treatment helps the patient complete obvious tasks like improving at work or school. This is why children get the overwhelming majority of diagnoses: school provides a framework of hard data to make judgements from.
Work and school advocate for themselves. The rest of a person's personal life doesn't. That's why either a psychiatrist or their patient must advocate for holistic treatment.
And if that was your point you should have said that. What you actually said, was a medical recommendation based on assumptions you could not possibly know.
This isn't a programming language. Everything we write is context sensitive. It's always going to be the reader's responsibility to provide a sensible context. As a reader, you will always be able to frame my writing negatively.
I am in general an advocate of assuming the best possible meaning, but there isn't a charitable enough reading to what you said in your first post that makes it mean what you said in your second post.
> This isn't a programming language. Everything we write is context sensitive. It's always going to be the reader's responsibility to provide a sensible context. As a reader, you will always be able to frame my writing negatively.
True. So what context did I miss that makes "Let your girlfriend know that she deserves treatment on weekends, too." an okay thing to say? All the context I'm seeing there seems to indicate that you are sharing an unqualified opinion on whether someone should be treated for a medical condition on weekends, which is none of your business.
Yes, it's readers' responsibility to read charitably, but there is also some burden on the communicator to communicate effectively. Maybe you intended to say something other than what you said, but ultimately readers can only make the best of what you actually said, not what you intended to say.
If you intended to say something other than what you said, there's no shame in admitting you misspoke. Mistakes happen. But I'm not going to take the blame for your poor communication if I didn't read your mind when you said something you didn't mean.
I just wanted to share the context that it is very common for people to approach ADHD treatment from the perspective of work, and not life. I've talked to many people who have had to advocate for their own healthcare in this context, and greatly benefitted by doing so.
Good thing psychologists are totally unmanipulable and nobody ever breaks laws.
> I just wanted to share the context that it is very common for people to approach ADHD treatment from the perspective of work, and not life.
Then perhaps you should have shared what you wanted to share instead of sharing an unqualified medical opinion.
That said, the day I randomly decided to try half of a pill of my wifes Adderall changed my life. I knew nothing about Adderall and just expected to just be smarter or something, instead I just...did things without being distracted. I scheduled an oil change, paid some bills, responded immediately to emails, etc. I learned later people with ADHD have a really hard time initiating uninteresting tasks, and the Adderall just obliterated that barrier.
I still think I'm largely old imperfect me, but now I don't get sent to collections for forgetting to pay a 5 dollar toll bill any more.
I would say that if you feel good and life is working for you, then you don't need to do anything. If your life circumstances change (e.g., for me, our having a child definitely exhausted my ability to grit my teeth and push through my focus issues with all nighters, followed by sleeping all day to recover) then help is generally not far away!
and the rest of what you state is still very much up for medical, scientific, and philosophical debate.
https://www.medicalnewstoday.com/articles/adhd-brain-vs-norm...
sentience is 'caused' by the 'structure of the brain.' and?
That's fine; I'm not trying to change your mind because you've clearly already decided you know enough facts and aren't going to listen to any new ones. I respond in discussions like this to educate undecided readers.
> if i'm being completely honest, i'm not entirely sure what's even meant by the suggestion that ADD/ADHD is 'caused by the structure of the brain.'
> sentience is 'caused' by the 'structure of the brain.' and?
It's a direct refutation of your wrong claim "an ADD/ADHD diagnosis is not physiological", which you said a few posts back.
You know what the word "physiological" means, right? You said it, so it seems like you thought it was important enough to say, but now that it looks wrong you want to say it's not important?
The guidelines don't state that we're supposed to not disagree with misinformation, and if they did, I wouldn't comply.
It's a super informative, and kind of technical read.
https://slatestarcodex.com/2017/12/28/adderall-risks-much-mo...
When I have taken aderall as an adult, I find that it is not conducive to mental work. It's fantastic if I need to hammer out a bunch of rote, physical tasks. I can't think about anything complex on it, I can't program on it, because my mind is everwyere.
I do believe wholeheartedly that this new trend in software where everything is constantly broken, overcomplicated, well thought out decisions thrown out for no reason without a second thought (looking at you, side scrolling "open with..." dialog in android) is largely due to people tweaking behind their keyboards.
To get a little woo woo, I remember reading a study about spiders on different drugs and how they spun their webs, and I came to the conclusion our form follows our function, we are what we do, and drugs modify our expression of our very being, and the feedback mechanisms by which we assess that expression. This can be good, bad, there can be tradeoffs, we may understand those or not, but the effect is evident in what we do, in the world we build around us.
Typical untreated ADHD style I excelled through early school until the later years of high school and struggled hard with procrastination, etc.
Got lucky with work for the first 8 years of my career in support work that is constantly changing, often high pressure which tends to capitalise on the ADHD brain but always struggled with anything long term, any project or case that takes more than a few days or weeks is a struggle.
Finally got re-diagnosed as an adult and it was LIFE CHANGING. Been on medication for about 10 years now. My psych retired and I was off medication for about a month and then briefly tried a different medication for another few weeks before going back to my original and it was miserable, I got almost nothing done for those 2 months.
I promise you, I just cannot think or disclipline my way out of it :)
https://www.miragenews.com/nasas-experiment-with-spiders-min...
My apologies for being lazy though and thanks for the link.
Also telling that none of the writers reflected on how their behavior contributes to the absurd hoops people like me have to jump through to actually access the drug (when we can get it at all, anyways).
If you’ve got ADHD, don’t bother reading it. It’s just infuriating.
> I do not believe ADHD is an inherent thing.
They just put those cards right on the table, lol. No hesitation!
What I think a lot of people don't realize is that ADHD is classified as a neurodevelopmental disorder alongside stuff like autism. Which means attention and executive function are only a piece of the larger puzzle; ADHD's biggest impacts on me as a kid were (1) difficulty regulating emotions and (2) general social stunted-ness. I still struggle with the former, I thankfully caught up on the latter (mostly :P), and "attention" issues have remained an undercurrent throughout.
Various medications, and not just stimulants(!) have helped on all fronts.
Honestly, it's pretty necessary for me at this point in my life, but there was a reason I went off it also, and a lot of the perhaps unexpected qualities mentioned in the stories here sound familiar to me.
I never "liked" it though, I can't imagine taking it if I didn't also need to get shit done.
It has some undesireable side effects for me and I think does make me a bit more distant from emotions and empathy in a way that I think is reflected in my interactions. I feel like my communication is a bit more wooden if that makes sense.
I hate the “speed” narrative…It’s so addictive I need a cap on my medicine with a timer to know if I took it or not…
My experience with Adderall is characterized by its stability. I don’t experience the highs and lows often associated with medication. I'm on a pretty low dose and I do not take the medication every day. Instead of feeling energized or high, Adderall brings me a sense of calm, which was somewhat unexpected, considering its use as a party drug. But for me, it silences the constant noise in my head and allows me to just think and speak. I can actually speak to people without my mind rushing ahead of my voice, tangling up all my words. I'm effective at work and my job performance has improved significantly. My wife noticed a change pretty quick in the day to day life around the home as well.
More than that. They also like to post about how much they like amphetamines on the internet. Tirelessly.
The part of this article that mentioned that was the most insightful I thought.
And before you launch another ad hominem argument: I do not take stimulants of any kind for my ADHD, so no, I am not defending amphetamines for ADHD because I am addicted to them.
Maybe keep your nose out of other people's medical business?
..unlike Nicotine which seems impossible to stop.
I'm currently prescribed Concerta (which should be much more similar to Ritalin IIRC) and find it somewhat less effective at ADHD treatment (I also fortunately have a lot of leftover Adderall due to avoiding it on days I don't need it), but I can't imagine it's any less addictive for me since I don't like taking the amphetamine drugs in the first place.
Statistically they're probably pretty similar, but individual bodies and weird and variable.
(Neither was addictive for me.)
Anyone who has suffered from depression or similar and taken an adderal for the first time will understand. It takes many bad feelings and replaces them with an almost manic productivity. There are downsides, but they commonly outweigh the negatives one was experiencing without the drug.
This is just flatly wrong. Amphetamines do have symptoms of physical (not psychological) withdrawal such as ataxia and diarrhea. These more severe symptoms only typically happen when withdrawing from higher doses than are prescribed, but those withdrawing from lower doses can expect to experience milder symptoms such as fatigue.
Maybe if you took Adderall you could write full sentences. ;)
•Appetite decrease and weight loss
•Heart problems such as fast heart rate, irregular heartbeat, increased blood pressure, and heart attack
•High body temperature and skin flushing
•Memory loss, problems thinking clearly, and stroke
•Mood and emotional problems such as aggressive or violent behavior, depression, and suicide
•Ongoing hallucinations and inability to tell what is real
•Restlessness and tremors
•Skin sores
•Sleep problems
•Tooth decay (meth mouth)
•Death
True! I agree with everything you've said in this second post.
However:
1. What you're describing as "the facts" has changed pretty significantly between your first and second posts. As it turns out, being more careful about how you communicate seems to make you more careful about actually stating the facts instead of your opinions.
2. Even if your first post were all facts (which it was not), I would prefer that the facts be presented persuasively so that people believe the facts--making the facts sound like the crazed ramblings of a stoned person is counterproductive to spreading facts.