Could also be that in times of remission, we take on more challenges: Start dating again, get pregnant, challenging new job to pay for it all. Or challenging career change, get a degree, get training.

And that would not be newsworthy at all.

In relationships, that’s a problem. Over the years, that really developed into … something. When I have a crush and daydream, I imagine how she comes onto me, and I’m like: Sorry, not interested.

Sometimes that actually happens, and it does feel great.

Even when I daydream about meeting a cute girl with a nice personality, I imagine how she likes me, so I can reject her.

The oddest thing is that I still had a couple of healthy, nice relationships, some over many years. She was always more into me than vice versa, though. And I was overall single longer than I was in relationships.

So maybe the counterpart personality exists, and that’s why it works: Longing to always having to prove herself to someone who isn’t even that attractive, just for getting a fraction of it back.

Indeed, I programmed in vim only, until IDEs just got too good. Still using it for everything else to this day. I’ve been thinking to get Neovim, but it doesn’t seem essential when I stick with IDEs for programming.

I tried Eclipse way back around 2004, but found the advantages not sufficient to make do with a crappy editor. Years after that, IntelliJ IDEA just got too good to miss out on, though. It also had the feature that is essential for me to understand anything: To search for an action rather than click through & stare at endless menus.

This is certainly very helpful as it is. The way I had to live below my potential, I need only like 50 good days in a year. If things don’t work out as I hope, I could use Methylphenidate 50 times per year to achieve that.

Overall, I thought there is not such a clear separation between the euphoria and fixing the ADHD symptoms, as both are caused by noradrenalin, among other things. However, after some reading today, I realise that the intended effect of the medication works with such neurotransmitters in the prefrontal cortex and can very well do so over years, while euphoria is caused by the same neurotransmitters, but elsewhere.

Definitely a good approach, maybe for people like ourselves even more so. But for it to work with my chaotic finances, I’d probably need a business account and pay myself a regular wage. If I’d do things in such an orderly fashion, I’d probably not be here in the first place, and we’d never have met :-)

I was afraid it might be like that. Also quite possible that the euphoria does part of the job, so I actually need more. Low dose opioids have a similar effect on me - I’m euphoric, I get things done. So currently, it might even be like 60 % euphoria, 40 % noradrenalin, explaining that I need only 12 mg when the lowest child dose even is 20 mg. I might end up with something like 30 mg.

The danger I see is that I think I need to up the dose to match the euphoria from the start, while I actually need to get to the point where it’s 0 % euphoria, 100 % noradrenalin.

Very much simplified, if not wrong, as noradrenalin might be a main contributor to the euphoria.

Really doesn’t work with my life. Extreme, sudden expenses, such as a 6k health insurance debt, hit me with as much surprise as a sudden project that pays 20k within 20 days. I just got to roll with it and hope it stays in the + somehow.

He seems completely incompetent altogether. I expressed concern that a stimulant would not be right for me, as even coffee has an extreme effect when taken after a long pause. But everybody, GP, therapist and psychiatrist, insisted that we should try MPH or AMP, as it is so much better, even though the whole prescription process is complicated for a schedule 2. And it worked out great from the very start.

He seems to worry about the wrong things. To rather let a patient in his care suffer with 3rd choice meds for months (?), followed up unmedicated than take the chance that you might be a 1%er who abuses it. For which there isn’t even much indication, as you have a prescription.

However, if I really try to give him the benefit of a doubt: A quick search shows that there are some risks in combining weed and medical stimulants. The positive effect can be reduced, and cardiovascular risks of stimulants increase. So, without medical training, I don’t know if that means that you have to search for alternative for either of those first (switch either the pain meds or the ADHD meds), and then continue treatment for both, or if it really is so risky that you absolutely must keep one of the conditions untreated. As far as I understand, weed is rarely the only option and, at best, only slightly better than the next best alternative. For ADHD, on the other hand, MPH or AMP or so much better than the next best alternative. I tried Modafinil myself, and the side effects were severe.

So maybe his tone was just off, and he should have explained those careful considerations for the best therapy options, rather than be like “eek junkie, get out until you are clean”.

I might be completely wrong here, it’s literally what spins off in my head after 2 minutes of search.

I can relate to the paralysing “what ifs”.

Thanks! I’ll play it safe and would rather start with 5 than 10 mg.

Not sure if related, but I have absolutely no problem getting things in the household done when I’m voicechatting with a friend. Odd as it is, videos that don’t require watching while listening (e. g. youtubers that just talk into the camera) also work, but podcasts don’t (must be mental).

When I can’t get my “fix”, no friends with time online and no interesting video of that type, I end up searching for it so long that I get too little sleep, rather than just do the 15 minutes work without.

I think it should work exactly like the fire department. Entirely tax funded, no hassle. A hospital is, in my eyes, more similar to a fire department or a police station than it is to a super market, and that’s how it should work.

But it only works well all-in. A strange system of compromises forged between parties with entirely opposing views over 50 years is terrible.

I will never understand how the land of fast food and unnecessarily pre-packed products fills pill bottles by hand in the pharmacy. Like, milk I would understand; I lived near a farm, and we would go over with huge milk cans and have them filled there by the farmer. But that same concept seems strange to me for a pharmacy. Like, even our weed and coke dealers have pre-packed little plastic bags, you don’t like bring your joint papers and have them individually filled.

Also, this seems like a really complicated process that causes lots of problems. Isn’t it pretty much likely that even in your best state of mind, you’d fill about 1 out of 200 wrong, and about 10 % of those mean near certain death for the patient? So weird.

It’s nice that US still ALLOWS to not be insured. In Germany, it’s mandatory, it’s nearly EUR 1,000 if you don’t provide proof that you can’t afford that (and they accept the proof), and if you dodge them and they catch you later, you have to backpay for the uninsured time.

So in contrast, we go a little broke always, but we don’t go more broke when we get sick.

It happens, even with popular kids. A friend from daycare invited many people for her 5th, but due to bad timing with vacation, nobody showed up. Nobody. Her 6th was fine, as about 8 out of 14 came.

My son invited 5 for his 5th, but due to some misfortune with sickness etc., only two siblings came. It turned out to be one of his best birthdays ever.

Best to ask for a commitment, a clear yes or no. But in your case, 5 is a good number for a party! 1 or 0 would have been kind of awkward.

The biggest issue was that when I was in a phase where I pursued something worthwhile, such as a science project, electronics, programming, they stopped me and said I obsessed too much over it, took it away, said I needed to focus more on something else. Which then did not stick, as it was forced, of course.

That’s exactly the kind of obsession that leads to success, though, and it took me years to recover after moving out. Wish I had those skills I wanted to get in all those areas, but I had to focus on one thing at that point, as the end of my 20s was approaching.

Also when they forced me to do something like “clean your room, immediately, until it is done”. With the tools at hand now, I know that I have to talk to myself like “in 20 minutes, set a 15 minute timer and get as much done as you can” or “pick one aspect (garbage, floor, desk) and do that immediately”. Or with homework: I know now that one tool I needed was to set everything up at the desk ready to start to get over that first step. An order like “all homework needs to be done immediately to perfection” does not work.

With my own child, the problem is that I don’t know who he really is down to the core. Is “10 minutes of cleaning on a stopwatch before dinner” just the right push, or too much sometimes, or too little?

I think a little push is right, to yourself and to your children, but it needs to be a “relative push”, depending on the person, the day etc. Some days, just staying in bed and crying is already the best you can do. At our best, we might be capable of doing 10 hours focussed tasks and just need a little “come on, do it”. Which of those is it? That’s the question. I find that meditation helps best to get a feeling for that. Sometimes, I just need a nap and didn’t realise, and that’s why it felt like the world is ending.

Light alarm clock sure is a game changer. Isn’t there something that is primarily an anti-depressant, but also works with panic disorder and ADHD? I just know that there are many where 2 of the 3 overlap. But sure, a stimulant would be bad for you.

I have strangely also been in states, over years, where caffeine induces panic. In hindsight, it might have been as simple as a magnesium deficit, but no doctor bothered to check.

I’ve even had benzo prescriptions over years, and cut it down to 0 with relatively high magnesium supplements. Not saying it is the same in your case, extremely unlikely even, just the general concept that something has been missed.

Chaining dozens of coping methods together helps a little bit, including:

• strictly working with lists. When I do it and it’s not on the list & checked off, it doesn’t count as done. What’s not on the list doesn’t get done
• implementation intention: Since my brain refuses “must do now” situations, use a trigger like: “If it’s not done by 8 p.m., work on it with a stopwatch for 15 minutes”
• for the list, turn everything into a module. Instead of “do the kitchen”, have subitems like “collect all garbage”, “sort by food / non-food”, “clean surface 1/2/3/floor”. For studying & work, a module is always 25 or 50 minutes of full focus, no distractions. When I have to get up to get water or pee, it counts as failed and is not checked off

Yay, life on hard mode.

I also felt bad about it for a while. I’m a scientist by heart, 100 %, and I knew I had the intellect to get a degree. I thought the reason why I didn’t anyway was because I was also some kind of assclown.

Fortunately, my degree attempt coincided with a useful obsession, for a change: My old programming hobby. The obsession ended like all the others, but the knowledge that stuck from going 14 hours per day was enough to get food on the table for decades to come.

It’s just now that I realise I never was an assclown, and I never “decided” to quit my degree. It was ADHD, and I never stood a chance, not with “discipline” or just “deciding” alone. Knowing it, with treatment plus self-acquired methods & tricks, it would have been an option back then, and maybe I’ll go for it again, if time allows.

Pushing yourself is good, but it needs to be a “relative” push based on your ability. Could be 5 hours of hard studying / cleaning / whatever for some. For others, or the same person on a different day, getting one bag of garbage and filling it, or studying 25 minutes is already the best.

Your post is a good start to collect ideas for moving forward, at your own pace. It won’t be easy, but your situation is objectively not as bad as it feels to you. Maybe it can be a small step towards improving your condition?

Even after I became aware that I have ADHD in my 40s, additional years were still wasted after not getting treatment, with lost jobs, money etc.

Sitting on a referral from the GP for 18 months now, and they don’t even give me an appointment in a distant future. The only thing that worked for me in my 20s: Set the bar low enough. Stop “planning” to study for 3 hours “tomorrow”, or half-assing 2 hours while a video plays, you are on the phone and get coffee 5 times. Instead, admit that you’ll only get 25 minutes in. But do them today, completely focussed, no distractions, not even getting water, no toilet break etc.

Think of it like squid game. The team that gets the best test score after 25 minutes studying lives. You’d rather pee in your pants than to get up and certainly wouldn’t check your phone.

Worked for me, can’t say if it will for you.