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christalwang

440 karma · joined October 5, 2020

Building Shimmer for people with ADHD
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christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
True, good points! I may have misinterpreted the intent of op's comment
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
https://www.youtube.com/watch?v=Gi3K-CApAS4
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
We think a lot about how to structure our privacy policies so that it's not overwhelming, and is understandable.

In instances where it makes sense, we explicitly put the opt-in privacy choices right when that choice is necessary. For example, members have to opt-in (and coaches... double-opt in) before every single session if they want a summary to be generated after the call. We chose this route even though many of our members who opt in every time have given us the feedback that they wish they could just opt in once and never opt in again.

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
This is something that gets asked a lot. We're exploring what it would look like to have only body doubling and our other asynchronous features pulled out as a separate experience. Some things we're thinking through are

- What impact this will have on the current body doubling experience, where there's a certain "vibe" knowing that every other person in the room is actively engaging in coaching and you can ask them questions about their coaching etc.

- How that will change our team's focus since that product will require larger amounts of moderation, community management, and other tasks that we aren't currently focusing on. Since we're a small team (and mostly neurodivergent), we need to make sure we're super focused in our messaging and efforts

HOWEVER, it is definitely in the medium term roadmap. I think if we get enough people asking for it, it could get pulled forward.

Curious what you use now and what you like/ don't like about it — are you on other body doubling platforms?

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Sorry, maybe I should have reworded. I meant to say "medication does not solve all of ADHD", "medication does not solve ADHD for all". Hm, still thinking of the right wording.

I use medication myself, so by no means am I anti-medication.

I think the point I'm trying to make is that it's not a magic pill. And there are side effects as well. If you can layer in foundational lifestyle medicine and good, healthy choices, that makes the world of difference and can potentially allow you to take less medication.

The reason I say this is because we get SO many people who come to us feeling dejected that they put all their hope on medication and when their life didn't immediately get to where they'd like, they felt like there was no hope, like there is no other alternative.

I don't need people to use Shimmer, I just want people to know there's hope if your meds don't work, and there are other solutions beyond meds. This could be therapy, coaching, self-management, and other tools!

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
> No, you did not discover this, it's quite predictable.

Maybe I should have specified: We discovered this for a subset of our users and wanted to help solve that problem

> Yeah, body doubling doesn't scale. The whole need for another human body thing is a real hurdle, huh?

I'm referring to ADHD coaching that is not reimburseable yet. Though some types of coaching like health & wellness coaching and mental health coaching already are, and weren't in the past. So there is precedent and potential path to reimbursement by health insurance. I didn't mean scaling the human body

> Too much text with numbers too big. I already utilize body doubling the analog way, you've told me absolutely nothing about what on earth you're adding to the equation.

I'm glad analog way works for you! Finding the strategies/methods that work for you is key.

Unfortunately that doesn't work for everyone, especially our members. Many of them want to body double with other ADHD-ers but don't want to tell the people in their life about their ADHD. Others also just want an online hosted space because it's too much effort to organize these themselves and want a consistent, reliable space where they're not the one organizing. A whole bunch of other reasons!

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
That's a social campaign with a discount code swap. We do that with hundreds of organizations, anyone that are mission-driven.

I thought you meant she worked for us or something like that

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Thanks! Let us know if you have feedback if/when you give it a try. Here to answer any questions!
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Why do you say this? I recognize the name, it's someone in the tech community. But they are not associated with Shimmer
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Appreciate your thoughts here. The side effects of meds are definitely something to consider, for me specifically it's appetite, poor sleep, sweating, and being less social/funny. Sometimes I also zone in on the wrong thing for too long, when I'm on meds.
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Update, it's off now. Thanks for the flag!
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
100%. Medication is one piece of the pie for many people but definitely not the whole for most. Thanks for sharing a piece of your ADHD story though, I think more people need to hear stories like ours (and others) so that they don't feel discouraged if they try ADHD meds and it doesn't act as a magic pill as they expected. This expectation is dangerous.
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Yes! ADHD is not a problem of knowing, it's a problem of doing. It's important to find the right support and strategies to actually get things done.
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Nice, thanks for the share!!
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Agree
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
I really wanted the Zoom feature, but maybe it wasn't worth it.
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
I really appreciate your comment. You're a great soul! Don't worry, we are very used to it and have done 2 hacker news launches already. The first time I did it I felt so drained and defeated by the end of the day and the 2nd time was a bit better because I expected it. I actually prepped for today over the last few days of grounding myself.

One of the best quotes I heard about prepping for Hacker News is that "You're speaking to the silent majority, not the loud minority" and I try to keep that in mind and just share useful information about what we're building and why we're building it in case someone reads it and finds it helpful!

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
The 2 credentialing bodies we hire from are International Coaching Federation (ICF) and National Board Health & Wellness Coaches (NBC-HWC).

But yes, anyone can call themselves a coach. They would not be credentialed though.

That's one of the challenges I personally felt when I was looking for a coach when I was diagnosed and couldn't really figure out what was legit and what wasn't. That's part of the mission behind Shimmer too, so that members know that if they come to Shimmer, they're getting a qualified coach who has went through a robust screening process, and undergo ongoing supervision, training, and community! Actually only 3.7% of qualified coaches who apply actually get through our 4-step process.

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
I only shared this video with Hacker News today, so the comments are from this community. I just signed up for Tella today also, and they aren't allowing me to disable it or delete comments self-serve. I've contacted their support so hopefully I can hear back soon and disable it!
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Yeah, medication does not solve ADHD at all. Medication is like glasses, it gives you the ability to see clearer (focus, etc.) but doesn't teach you how to read or give you direction.

A lot of our members come to Shimmer after getting a diagnosis and the right dose of medication, or even with a therapist. And from that more calm, ready place, can they engage in the thought processes around planning for the future, building skills, etc.

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
1. Agree, and to add in all the steps it takes to actually get meds consistently (not a 1-time solve) + the med shortage that a lot of people have been impacted by 2. Yes and some of our members can't take stimulant medication because of other conditions they have that require meds that don't mix with stimulants 3. Yup!
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
My insurance also covers my meds but there's still a million things that end up getting in the way of me actually getting it. I won't get into the details but things like working memory with appointments, booking the right appointments, getting vitals, the med shortage and navigating calling different pharmacies, and much more. I have a lot of horror stories (that are mainly my fault and due to my ADHD) and similar stories from our members/community.

It's great that you've got it largely down though!

Personally, I like to know that I have a foundation (and a person) to fall back on when all the med stuff doesn't pan out the way I want it to (which is unfortunately frequently), and a big part of the value of coaching & body doubling too is community and not going through this alone.

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Love what you said about sleep and exercise. In the Shimmer app, we call this "Lifestyle Medicine" but it's basically the foundational pieces of your life that keeps your body running as it should. And this should 100% be considered before more complex treatments. For us we include sleep, exercise, and food/nutrition.

That's awesome that you have a whole bunch of skills that you've found that works for you! For some people, this takes months to figure out the right mix since what works for someone may not work for others. And also, HOW you do something is almost more important than WHAT skill you're using. I would also add that in coaching, in addition to skills, the coach is supporting in long-term thinking, goal setting, so that there's a direction forward as well, which is really important. I like the quote "medication is like glasses, it helps you see more clearer but it doesn't teach you how to read". I think about this quote a lot because for me, the value of coaching has been to help me set a new direction in life, be reflective in what I want, then work to build an ADHD-friendly life around me that helps me go in that direction.

Totally hear you on pricing. We're working on a few routes around reimbursement, partnerships with schools/workplaces, etc. Right now we are HSA/FSA eligible and also many of our members get it paid for through their work's L&D budget or disability/DEI budgets. Of course, that's a bit harder because it requires them to disclose. We also do a whole ton of scholarships for anyone with a financial need!

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Yeah, so many people have horror stories with medication, especially with the shortage going on right now and need immediate support. I've personally been impacted by the medication shortage, and many of our members.
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Coaching is different from talk therapy in that it's focused on more action-oriented, future-oriented concerns. For example, in therapy, you'll talk about WHY / WHERE a specific thought process came from, vs. in therapy you'll talk about how you can design your life in a way that minimizes impact of this thought process. Things like calendar design, routine design, how you do to do lists, skills you may need to learn, the list goes on. These are things that ADHD coaches are trained on and things that therapists likely won't support with. Also, coaching is about accountability so things like check-ins throughout the week and nudge/reminders are a key part of ADHD coaching but not therapy.

Also many of our clients have done (or are currently doing) therapy and come to Shimmer because their therapist suggested it.

And on your point of medication, many people do not want to take medication (cultural or other reasons), or cannot take medication (e.g. side effects or can't mix with their other meds).

christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
I appreciate you sharing your opinion. I definitely don't view myself as a savior. I had a problem that needed solving, and while I was solving it I met hundreds of other people who had the same problem and wanted to use the coach that I had, and needed to hire more coaches to meet that demand. Even now, our product experiences are built alongside all of our members and community and what everyone wants.
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
Yes, exactly! You can do body doubling in so many different ways. In real life you can do coffee shops, libraries, having friends over to study/work, or even just calling your mom while you do dishes. These are all technically body doubling. Online there are also options that all have slightly different styles. Key is finding what works for you. For example, focusmate is 1:1 where you meet up with a stranger and what's cool about that service is that you can log on pretty much any time of the day and find someone to work with. There are also tons of communities and creators who will host body doubling as a part of whatever else they're doing!
christalwang··on Show HN: Shimmer – ADHD-adapted body doubling
I didn't see the original post, but yes we charge per month which is just over 4 sessions. The price also includes all of our events, body doubling, learning modules, and task list tools (in other apps these other features in itself cost $40+/mo., and events require maintenance as well).

Yes, agreed. People can probably back into our cash flow, but we have been pretty transparent at each funding round anyway. Not trying to hide anything!

christalwang··on Show HN: Shimmer – ADHD coaching for adults, now on web
Thanks for weighing in—It is true that I was diagnosed last year, but that is most definitely not when my journey started. I grew up in an asian family as a "3rd culture kid", I'm also queer and came out in 2017, so things like getting diagnosed, etc., is not a simple process when you layer in cultural & family dynamics. We're working hard to get plugged in as part of the support system with professionals, and already are recommended by several psychiatrists and therapists. However, as discussed in earlier threads, we are not "treatment" and do not provide medical advice. If you ever change your mind and want a free consultation, don't hesitate to e-mail us! And agree on great psychologists being able to do that is rare!
christalwang··on Show HN: Shimmer – ADHD coaching for adults, now on web
Definitely drug/alcohol. Among adults who have an alcohol use disorder, ADHD is 5-10 times more common (American Addiction Centers); Among children, children with ADHD are 2-3X more likely to abuse substances than kids in the general population. Other areas where folks with ADHD have pretty alarming stats: School (46% more expulsions), Healthcare (33% more ER visits, 3x more motor vehicle accidents), Home (3-5x more divorce). It's a really important problem that has far reaching impacts, where multiple solutions are necessary to make a sustained dent to improve the lives of people with ADHD!
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