News for hackers. Stuff that matters.
Re:How I Run a Company with ADHD by firecall on Sunday May 12, 2019 @10:02PM (#19895923)
I have ADHD. There are other serious neurological issues connected to ADHD. It's a very misunderstood disorder with a broad spectrum of identifiable symptoms that could indicate ADHD.

If you are heavily medicating with caffeine, then that can be a signal. I was using Pseudoephedrine and caffeine to self medicate and stabilise my moods and behaviours. That was before I got prescribed Ritalin.

But as the article says, I find Ritalin dulls my creative thinking and pattern matching that is required for insightful realisations.

Rejection Sensitive Dysphoria is big problem for me. I over think things, the slightest misread comment can ruin my day.

I also have a problem with cyclical depression and euphoric highs that are a bit like bi-polar but not as severe.

So yeah - It's hell. I hate having ADHD. I never looked for a diagnosis, but when I got one it was a light-bulb moment. Life still sucks. It's not a super-power and I'm not blessed.

Re:How I Run a Company with ADHD by icxa on Sunday May 12, 2019 @11:18PM (#19896210)
> Rejection Sensitive Dysphoria is big problem for me. I over think things, the slightest misread comment can ruin my day.

I am a recent adult ADHD diagnosis recipient, and I never knew that there was words to describe this but it describes me perfectly as well, so thank you for the knowledge kind stranger.

I ditched my Ritalin for similar reasons, although I do have a hunch Adderall would help me better since the one time I took it recreationally in college, rather than "get me high" like it was the other college kids, it sort of just made me well..normal. I got my homework done that day according to schedule!

Re:How I Run a Company with ADHD by sizzle on Monday May 13, 2019 @01:22AM (#19896593)
Why not get a proper prescription with an open minded psych helping guide you?
Re:How I Run a Company with ADHD by smileybarry on Monday May 13, 2019 @08:42AM (#19898665)
I read his comment exactly as you meant, i.e.: "I may seek a proper prescription for Adderall since it helped me that one time I got a dosage from someone".
Re:How I Run a Company with ADHD by Mirioron on Monday May 13, 2019 @05:41AM (#19897535)
Maybe it's not legally prescribed as medication in his country? I might be wrong though.
Re:How I Run a Company with ADHD by timhaines on Monday May 13, 2019 @12:57AM (#19896522)
"I got my homework done that day according to schedule!" :)
Re:How I Run a Company with ADHD by thonos on Monday May 13, 2019 @03:47AM (#19897040)
I have adhd too and got my diagnosis when I was 25 because someone here in hackernews pointed out what I was fighting with isn’t normal or just laziness. It was eye opening for me too because all of a sudden a lot of things made sense.

Adhd is absolutely widely misunderstood. It fucks up and affects so many parts of my life, from inhibition, impulsiveness to emotions and motivation. I overthink everything, my mind gets trapped focusing on completely wrong thoughts and don’t even get me started with RSD (Intuniv / guanfacine treats RSD by the way but it’s not available for adults where I live. Look into it!) . The more I myself learn about it, the more I realize how completely mislabeled the name “adhd” for it is.

I agree with you, adhd is hell. I would pay a lot to get rid of it it if I could. Stimulants somewhat help with the focus part but that’s about it. I’m even self experimenting a lot with other medication like MAOIs and antidepressants that have some studies related to adhd done on them them in the hope to find something that works better than my Ritalin.

TSM is another thing that has a 50% success rate in “treating adhd” but it’s not enough evidence for me to shell out this much money.

Re:How I Run a Company with ADHD by thecatspaw on Monday May 13, 2019 @04:47AM (#19897254)
> I have adhd too and got my diagnosis when I was 25 because someone here in hackernews pointed out what I was fighting with isn’t normal or just laziness.

Same here, about a year ago I came across a thread here on hackernews pointing out symptoms. Then I remembered that there was some testing done in my childhood (but didnt remember what for). Got properly diagnosed some time later.

I wish I remembered that thread and who pointed out the symptoms, they very much deserve a beer on me.

Re:How I Run a Company with ADHD by jachee on Monday May 13, 2019 @12:05AM (#19896353)
How, as an adult, did you get a doctor to diagnose ADHD? Every time I've brought it up with a healthcare provider, I lay out my difficulties and coping mechanisms, and the conversation ends with them saying "Well, it sounds like it's not much trouble for you. Anything else?"

I just don't know how to make them get it. I feel like I have so much potential for success, but I can't harness it.

Re:How I Run a Company with ADHD by cowpewter on Monday May 13, 2019 @10:52AM (#19899825)
I was just diagnosed about a year ago, at age 38. I'd suspected for years, but was mired too deep in depression to do anything about it. Finally I had my depression under control, and with the help of my wife (I'm terrible at making appointments!), made an appointment to see a psychologist who specialized in ADHD.

He interviewed me about my symptom history for an hour. Pro tip! Make yourself a list of all the things you want to mention to the psych. I wish I had brought a list, because after I left I thought of so many more examples I had wanted to bring up.

Despite my not bringing a list, he said near the end of the hour that if he had to make an immediate diagnosis, then yes, he would say I had ADHD. I took home a test (it was around 350 true/false questions) that he wanted me to take to rule out any other diagnoses that might be an issue.

I took the test and returned to him in a week. We went over the test results (nothing unexpected) and he diagnosed me with moderate ADHD-PI (primarily inattentive). He wrote me a letter to take back to my GP to try medication, and my GP handles my Adderall prescription now.

ADHD is a lifetime condition, and having symptoms since childhood is part of the diagnostic criteria, so when you're making your list, make sure you're including your childhood. I was very smart, and coasted through grade school with excellent grades, but there were still signs even then. Like when in 5th grade I just stopped doing any work for an entire semester. They threatened to hold me back from 6th grade, and I made up all the work in a single afternoon, sitting in the teacher's office while the rest of my class was on a field trip. Or all the times I would get in trouble for "not listening to the teacher" because I was hyperfocused on reading a book and literally was not even aware that I was being spoken to.

Re:How I Run a Company with ADHD by charliepark on Monday May 13, 2019 @01:56PM (#19901862)
> with the help of my wife (I'm terrible at making appointments!)

It's so, so helpful to have a partner who can help with actually getting an appointment set up. I found it to be one of the hardest parts of the process of getting diagnosed, and probably wouldn't have gotten through it without help from my wife.

Re:How I Run a Company with ADHD by cowpewter on Monday May 13, 2019 @03:51PM (#19903237)
It really is! There's so much I couldn't do without her. We both have our own mental and physical health struggles (Me: depression, ADHD, fibromylgia, and T2 diabetes, Her: Sensory Processing Disorder, anxiety, and bipolar 2), and we like to joke that between the two of us, we make up one whole neurotypical person.

When one of us is struggling, the other helps pick up the pieces. When both of us are struggling, we work together to prioritize what actually has to be done (ex: we have to acquire something for dinner tonight, but we can do the dishes tomorrow), and do the necessary things together.

Re:How I Run a Company with ADHD by firecall on Monday May 13, 2019 @02:35AM (#19896805)
I'm in Australia...

I first saw a GP for my cyclical depression issues. She suggested I might have ADHD. I then got referred to a neurologist.

An Adult ADHD diagnosis can be hard as many Dr's work on the basis that ADHD is something that 'goes away' in adult hood. Which isnt really the case, and wasnt the case for me.

I was able to demonstrate childhood patterns that matched the disorder diagnosis; despite having a high IQ (for want of a better way to describe it), I have zero qualifications, failed at school, never went to uni and bounce from job to job. Always starting well, but then going off the rails. Where as my siblings are all exceptional performers in their careers. I was also the eldest, and suffered a high degree of stress in the womb and early childhood (for reasons I wont go into), which are contributing factors.

Re:How I Run a Company with ADHD by Cthulhu_ on Monday May 13, 2019 @04:08AM (#19897114)
Glad the ADHD was recognised with depression symptoms; my girlfriend had the same diagnosis and was fobbed off with antidepressants, which made it even worse.
Re:How I Run a Company with ADHD by jon-wood on Monday May 13, 2019 @08:30AM (#19898587)
When it comes to getting an assessment for any sort of mental health issue the best advice I've heard is to answer all the questions from the perspective of your worst day because that's the situation you're trying to avoid. Coping mechanisms are great but they don't work all the time, and at least in my experience once they fail I end up in a downward spiral that can be really hard to get back out of.

Best of luck to you - I made an appointment to go and actually finish the assessment process off the back of reading this article this morning. I wonder if having started it and got distracted twice previously will count as a point in my favour?

Re:How I Run a Company with ADHD by jhayward on Monday May 13, 2019 @01:00AM (#19896531)
Schedule an appointment with a clinical psychologist who specializes in ADHD and ask to be evaluated. It may take some looking to find someone who is accepting adult patients.
Re:How I Run a Company with ADHD by elcritch on Monday May 13, 2019 @04:16AM (#19897139)
If you can’t find and ADHD specialist someone who does IQ exams can also help. My personal route included going to a clinical psychologist who specialized in IQ testing. Thought I might have mild dyslexia or similar. Turns out IQ exams (properly administered ones) show significant patterns related to working memory issues in ADHD.
Re:How I Run a Company with ADHD by charliepark on Monday May 13, 2019 @12:19AM (#19896406)
I feel you. When I was first trying to get diagnosed (in small-town Virginia) it was really hard finding someone who could help.

You'll probably want to figure out if it makes sense to convince one of your existing doctors to consider it, or if it makes sense to find a new doctor who can help you. Odds are good that you'll need to do the latter anyway, as your primary care doctor is going to refer you to a psychiatrist for an actual diagnosis. So one thing to think about is just asking for a referral.

One way to shortcut the actual finding-of-a-doctor would be to do a search for "adult ADHD" on Yelp for your area. Hopefully, someone's reviewed a doctor and used that phrase, and you can figure out if the review is for a doctor who'd be good to connect with.

Re:How I Run a Company with ADHD by ryan-allen on Monday May 13, 2019 @01:34AM (#19896641)
I had to go to a psychiatrists who specialised in ADHD to get a diagnosis.

GPs would tell me to stop being lazy when I would asked for a referral to one, so I paid top price and went direct.

I found this doctor _did_ get it, it was worth it, so now navigating treatment. It was a huge relief as it's like someone has finally listened to what I have been saying for over a decade.

Re:How I Run a Company with ADHD by handoflixue on Tuesday May 14, 2019 @04:30AM (#19907747)
"Well, it sounds like it's not much trouble for you. Anything else?"

Best advice I've heard here is that you need to talk less about how you're coping, and more about how it's still impairing you despite that.

After all, so the doctor reasons, if you've built coping skills that handle it without medication, then why not just stick with those? What you have to do is give them an answer to that unspoken question.

Re:How I Run a Company with ADHD by throwmeback on Monday May 13, 2019 @04:27AM (#19897179)
That sounds like my GP. I struggle with anxiety, depression and obesity among other things. Every time I go to an appointment with them I hear "Well, it's all in the head you know."

I hate this and it's the case with most GPs, at least in my country. I genuinely just wish my therapist was also my GP.

Re:How I Run a Company with ADHD by thecatspaw on Monday May 13, 2019 @04:49AM (#19897262)
> Well, it's all in the head you know.

Yes I know, thats exactly where the issue is.

Re:How I Run a Company with ADHD by Moru on Monday May 13, 2019 @08:48AM (#19898702)
In general that means they think it's imaginary. Find another doctor.
Re:How I Run a Company with ADHD by balfirevic on Monday May 13, 2019 @09:48AM (#19899155)
It's particularly malicious as it's using a phrase that is literally true and accurate description of the problem to dismiss the existence of the problem!
Re:How I Run a Company with ADHD by Fnoord on Monday May 13, 2019 @05:06AM (#19897335)
Can you opt for a second opinion? Like, is that legally possible to be enforced? If yes, I'd go for that. If you have trouble functioning in society, a diagnosis plus therapy or medication can really direct you in the right way. You still have to put in effort, of course, but basically less because these aid you.
Re:How I Run a Company with ADHD by PopeDotNinja on Monday May 13, 2019 @12:21AM (#19896409)
Have you ever seen a clinical psychologist? That's how I was diagnosed.
Re:How I Run a Company with ADHD by andai on Monday May 13, 2019 @11:16AM (#19900105)
The GPs mentioned in this thread are so incompetent that it makes me angry.
Re:How I Run a Company with ADHD by Cthulhu_ on Monday May 13, 2019 @04:12AM (#19897125)
My girlfriend was diagnosed with ADHD as well a few years ago, after her son was. She's on Concerta in a special delivery mechanism that gives her a 'boost' after a few hours; it's not an all day thing but it gets her through most of it. Same with her son. Ritalin is described over here as a short-working medication; you should look into other medication as well. My girlfriend mentions that her medication is subtle, but effective - it helps with mood swings and all that.

However, I can imagine that some aspects of ADHD - notably the hyperfocus - can be considered a positive trait, something that is hard to let go of. And that's fine, if you want to have it you can skip the medication just fine.

However, you also mentioned RSD; my girlfriend described that the medication she's on helps a lot with daily mood swings. She seems a lot more patient and resilient about small things in the day now that she's on the medication. Do consider it if you find yourself struggling in e.g. the workplace.

Re:How I Run a Company with ADHD by cowpewter on Monday May 13, 2019 @10:59AM (#19899901)
Interestingly, I find that medication does not affect my hyperfocus in a negative way. If anything, it's even easier for me to achieve hyperfocus on a task when my Adderall is "on". I find that what medication helps me most with is the initial hurdle of starting a task. Once I actually get going, I'll usually hyperfocus on it (if it's the type of task I hyperfocus on, which includes programming, but sadly does not include housework). I procrastinate at work far far less when I'm medicated. Without medication, I struggle hard with starting new tasks.
Re:How I Run a Company with ADHD by zubspace on Monday May 13, 2019 @03:44AM (#19897030)
Interesting symptoms. The coffee consumption, mood swings and cyclical depression and also symptoms other commenters described like needing lists for everything or overthinking things are a perfect match for someone close to me. The only thing missing is some-kind of uneasiness within crowds.

But that person was actually diagnosed with "Sensory Processing Disorder".

I'm glad that people are more aware of ADHD and because of that receive proper medication. On the other hand the symptoms of ADHD can be very similar to other disorders. Many neurological problems overlap and someone having a dysfunction in one area could also have a dysfunction in others.

So to all commenters in here, be aware that a label of ADHD may only be a part of the full picture.

Re:How I Run a Company with ADHD by cowpewter on Monday May 13, 2019 @11:02AM (#19899940)
After my diagnosis with ADHD, we wondered if my wife might also have it, albeit milder than mine, as she struggled with a lot of the same things I do. She went for the full neuropsych eval, and was actually diagnosed with Sensory Processing Disorder, not ADHD. So I'm not surprised to see some overlap there.
Re:How I Run a Company with ADHD by sizzle on Monday May 13, 2019 @01:20AM (#19896589)
Ask your psych to try dexedrine/amphetamines. Ritalin was absolutely toxic and dulled my personality and gave me huge mood swings.
Re:How I Run a Company with ADHD by nerdbaggy on Sunday May 12, 2019 @11:10PM (#19896186)
RSD is a nightmare for me. Something I always have to work on
Re:How I Run a Company with ADHD by icxa on Sunday May 12, 2019 @11:20PM (#19896218)
My "coping" mechanism, annoying for some, I am sure, but I just bluntly immediately ask for feedback and try to get to the bottom of it as soon as possible. I am fortunate enough to have a manager that understands my condition and he offers me plenty of "spot" feedback which I cannot appreciate more.
Re:How I Run a Company with ADHD by firecall on Monday May 13, 2019 @04:01AM (#19897088)
I totally relate to that! I do it as well - I often cant leave something alone. It drives my wife insane as I'll just keep on about it when she wants to move on and let it go. I do it at work sometimes too, and it can come across as a bit intimidating, especially with people who dont like up front confrontation.
Re:How I Run a Company with ADHD by icxa on Monday May 13, 2019 @12:12PM (#19900724)
Have you found any support groups or any that were affective? I have taken a cursory glance at some support groups available to me in the past, plus some internet circles, but found them not personal enough to be effective or I felt too detached from the people involved from their day to day problems. But I feel like I, as well as other ADHD folk would benefit from some sort of HN "accountability" partner or group that understands the condition but also the type of work we do.
Re:How I Run a Company with ADHD by asteli on Monday May 13, 2019 @02:49PM (#19902526)
I had no idea it was a thing. I thought I had ADHD-PI with a side of anxiety, but I’m blown away to find that RSD has a super strong link to ADHD.

I think it’s treatable. Anecdote: I knocked doors for the Hillary campaign in Denver in 2016 at the request of a friend. While this initially terrified me, something changed over the week I was there.

I found that when I went home, my social anxiety was damn near nonexistent. I’d inadvertently done exposure therapy for rejection, and goddamn it felt great. It wore off eventually, but I’m still trying to get back there, now that I know where “there” is.

Re:How I Run a Company with ADHD by TeMPOraL on Monday May 13, 2019 @12:58PM (#19901228)
> If you are heavily medicating with caffeine, then that can be a signal. I was using Pseudoephedrine and caffeine to self medicate and stabilise my moods and behaviours. That was before I got prescribed Ritalin.

Does tea count? I dislike coffee; I only drink some when I absolutely need to stay awake (caffeine in energy drinks is another thing, this I like). But ever since I was a kid, I've been drinking ridiculous amounts of black teas every day, on the order of 10-15 cups. I ask because I keep hearing that the stuff in tea is pretty much the same thing as caffeine...

Re:How I Run a Company with ADHD by brandonhorst on Monday May 13, 2019 @02:32PM (#19902311)
It is the exact same thing. The first cup of black tea brewed from given leaves has about half as much caffeine as a cup of coffee.
Re:How I Run a Company with ADHD by bepvte on Monday May 13, 2019 @12:40AM (#19896467)
The "bit like bipolar part" might be a thing called emotional hyperarousal thats common with adhd, if you ever need its name to google
Re:How I Run a Company with ADHD by firecall on Monday May 13, 2019 @03:58AM (#19897072)
Thanks! I'll look that up and ask my Dr :-)

Edit: Yikes! I took their little quiz, I ticked the 'often' choice to all those questions...

Re:How I Run a Company with ADHD by potta_coffee on Monday May 13, 2019 @12:08AM (#19896367)
I don't know if I have ADHD but I really identify with the things you're saying.