I went to my general practitioner (in the US) and got a Ritalin prescription just by saying “I have a hard time concentrating at work”. That’s it. No referral to a specialist or anything.

It is a wonder drug for me. I used to spend a majority of my time farting around on the internet at work, then working long hours and scrambling to get my work done before the deadline. Now I am able to be productive more consistently and don’t miss nearly as many deadlines.

Are you a “different” person while on Ritalin? My wife’s a teacher and these days a lot of kids are on Ritalin. She says the kids that “need” it are more manageable when taking it, but it does change their personality. They are less... “lively”.

I absolutely feel like a different person. I started on it youngish in my preteen years and have spent a lot of time reflecting on the question of what being a different person means and my conclusion is basically: I like this person more, off the meds I'm quicker to anger which burns bridges and my concentration is absolute trash making me unable to pursue things I want to do. This person's life is better so I choose it over the other one.

Do you think you could alter all your bad habits and slowly taper off so you no longer need to depend on the meds? Or do you think over time they might loose their effectiveness?

I don't believe so - I also struggled a bit with this question especially in my twenties - "other people are able to overcome it and focus so maybe if I put enough effort in I'd be able to do the same?" As I've aged into working in the job market it's less of a concern to me, I have strengths and weaknesses, even with meds my attention to detail and patience with the minutia is lacking. I'm concerned (especially while I was in the states) that shifting off of my meds could be a tailspin and end up being self-destructive - like hard drug use it's something that the person inside of the bubble is not able to properly judge and decisions and actions that may be clearly poor to an outside observer may be viewed positively internally.

The early days of uni for me were the first time I was actually responsible for ensuring that my med supply continued and that's a big part of why I'm hesitant to try tapering off of it - it was incredibly difficult for me to find the motivation or the energy to actually fill up my prescription if I had let it lapse and the days (up to eight in the worst case) I was without meds I completely dropped the ball on schoolwork and other responsibilities.

So I'm worried about tapering off since I'm concerned I might not be able to stop tapering or I would burn a lot of goodwill/financial security recovering from the tapering off if it went poorly. That all said, ADD is different for everyone with different levels of apathy and concentration, I wouldn't be surprised if mine was a particularly potent variety beyond what most folks deal with but, with meds, I'm able to cope and have a nice life.

The philosophical questions about personhood don't really ever stop nagging away at you in the background, but I'm happy with things as they are - sorry if this was a bit of a downer response ;P

I can say I felt more like a zombie or emotionally dampened when I was taking Concerta (which is similar to Ritalin just with a longer duration and smoother effect curve).

That's an interesting question. I don't think so? If I was, would I notice? Nobody has ever mentioned it to me.

I only take it at work so I am pretty much just sitting in front of a computer when I'm on it.

I certainly hope you are joking. The statement sends a chill down the spine. When did people forget that children are, indeed, quite human?

Not a joke. https://www.cdc.gov/ncbddd/adhd/data.html

I tried some and I don't like their effect. Yes, I can sit down through boring stuff but the intrinsic interest becomes dries up while on these. It is true that I didn't try this treatment for extended periods of time but I may if I absolutely need to (but only temporarily, up to a couple of months or so). For now I try to enjoy my average productivity which comes in bursts and that is okay

I don't know how it is in the US, but I'm scared of even trying to be diagnosed in the UK. Once you're in the system as somebody with psych problems, a lot of things can get harder. I fear the risk is not worth satiating the curiosity.

I guess that’s one benefit of the US’s terrible health system? There isn’t a single “system” so even if one doctor diagnoses you with something, a different doctor in a different office won’t have any idea about it unless you volunteer the information.

Wait the US doesn't have a centralized/shared medical records service? I never realized that! In France, I suppose like in the UK, we have our "Carte Vitale" ("Life/Vital Card"), which is scanned each visit to a doctor, hospital, pharmacy, etc, each updating your personal database nationally.

It also serves as a link to your insurance provider in each location, so reimbursements are automatic.

Nope, doctors can't see you medical information unless you give it to them.

There must be some sort of system that shares info some of the time. I signed up for a new doctor (haven't even visited yet) across the country from my old one, and the website of my new doctor's medical center already knows all my historical vaccine dates. I didn't give any of that information over, just my name, birthday, and SSN.

Usually by fax.

Or by handing them a CD

Just FYI, this is increasingly less true in many respects...although the opposite problem also occurs, where there is so much noise that the important pieces for any given visit do not surface for the doc.