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Re:“Autism is a spectrum” doesn’t mean what you think (2019) by mc32 on Saturday December 25, 2021 @10:09AM (#29683866)
People crave attention. Some people and kids do what they need to do to get attention. Look at the kids of Hollywood actors and how their afflictions affect their behavior.

That’s not to dismiss people who actually suffer from actual differences, but some of it is the same old “rebellion” in different clothing.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by ReactiveJelly on Saturday December 25, 2021 @10:25AM (#29684005)
I wonder if craving attention is like being lazy.

I won't say I have ADHD, but I am very lazy. For my entire life, I've found myself unable to just snap out of laziness and choose to stop being lazy. I don't believe that I'm selfishly lazy, because my laziness often causes obvious, preventable problems for me, and I still can't find the switch inside myself to turn it off.

I wish we could set aside the labels and say "I'm lazy and I want to buy therapy to help me deal with being lazy." Maybe there is also a reason people are not getting their need for attention satisfied in whatever way they're supposed to.

I satisfy my need for attention by being good at programming, and then talking to other programmers about programming. I notice most people (general population) don't have any particular skill worth showing off like I do. I don't know what the actionable to fix that is, though.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by 999900000999 on Saturday December 25, 2021 @10:50AM (#29684201)
I'd take it a step further.

Instead of forcing people to fabricate various illnesses to get performance enhancing medications, just make it over the counter.

Antidepressants, over the counter.

ADHD drugs, over the counter.

Anti-anxiety drugs, over the counter.

As long as you're at least 21, you should have the right to ingest whatever you want.

I personally wouldn't recreationally take any of the above, but I think everyone has a right to make their own choices.

In America there's a billion dollar industry in convincing everyone their broken. As far as I'm concerned I'm the best me I can be and that's it.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by faeriechangling on Saturday December 25, 2021 @12:30PM (#29685028)
You miss two of the biggest points of formal diagnosis. Legal rights to accommodation (IEP, workplace) and getting insurance/healthcare money. If an autistic person can’t hold down a job or even live independently only really being diagnosed offically will get them the support they need. I’ve had to ask for accommodation to have noise cancelling headphones in a certain workspace where I was unable to really focus and having my demands backed by legislation and a diagnosis made it much easier to demand that.

On the point of medication though I largely agree, the current system is insanely paternalistic. Like having patients be forced to follow up with doctors about medications they’ve been on for 5 years. However society doesn’t truly want to deal with the true costs of freedom like somebody being able to easily legally acquire a lethal dose of anxiety meds.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by guerrilla on Saturday December 25, 2021 @11:27AM (#29684504)
The two of you sound like you're being dismissive of mental illnesses that cause immense suffering and are accusing people of just seeking attention or performance enhancing drugs. That's pretty fucked up.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by pxc on Saturday December 25, 2021 @01:44PM (#29685783)
I have ADHD and mostly agree with GP's proposal.

ADHD medications don't really restore anyone to 'normal'. They're a compensatory measure ('performance enhancer') which is reserved only for some people mainly for bad reasons (the war on drugs, lack of public and accessible infrastructure for addiction treatment). They can be used to help people with certain deficits meet certain demands (typically productivity in work or school), but it's not like they counteract ADHD. They help with some aspects of the disorder (difficulty sustaining attention) and make other aspects of the disorder (difficulty being deliberate and judicious about when to switch tasks) worse.

Gating them heavily behind many appointments and preventing pharmacies from providing any refills makes stimulant medications harder to access for people who have ADHD, especially during bad times when it's relatively poorly managed, which forms a vicious cycle. (ADHDers sometimes refer to the total fees associated with missed and late appointments and other such mishaps as 'the ADHD tax', and it's not unusual for that sum to exceed what an ADHD patient actually pays in copays, especially when they're first trying to get things under control.)

Expanding public access both to stimulant medication and to addiction treatment could, imo, help more people live better lives (including both ADHD patients and people who don't have ADHD) and allow treatment of ADHD to focus more on people who actually have ADHD , and on all of the management aspects of living with ADHD (which are much harder and collectively at least as important as medication).

(At the same time, under the policies the GP described, I would continue to consult with a psychiatrist, because adjusting psychoactive medications without professional assistance is a stupid thing to do.)

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by 999900000999 on Saturday December 25, 2021 @01:02PM (#29685329)
I'm not trying to be dismissive.

Their are tons of people who really do need medication.

Their are others who shop doctors to get the meds they want.

For example, it's common for kids struggling in college to get an ADHD diagnosis so they can study for longer hours. As far as I'm concerned as long as your adult, ingest whatever you want. But I don't think being unable to study Chem for 12 hours a day is an illness.

Why stop adults from doing what they want.

No one stops you from rock climbing, even though that's also dangerous.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by TimTheTinker on Saturday December 25, 2021 @11:42AM (#29684629)
Nicotine is a very effective ADHD med, and it's available over the counter. (No, I don't mean in tobacco.)

I have inattentive ADHD and Aspergers, and wearing part of a nicotine patch for half the day really helps with focus issues. (Any longer and I don't sleep well, though.) I also take l-tyrosine and Avmacol, and drink tea.

Since I started this regimen, my work performance went up significantly and I got a promotion to a position I'd been wanting for nearly a decade. My wife is also a bit less upset with me and I feel subjectively more able to think ahead and plan.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by schleck8 on Saturday December 25, 2021 @11:55AM (#29684728)
I don't even know how to respond to this.

Do you think someone with depressive tendencies should be able to overdose?

Please look up some of the package inserts. This isn't some globuli smartie medecine you are talking about. It's only legally available because the suffering caused by social isolation is less bearable than some of the side effects.

You can be happy if you only get malnutrition from them, if you are unlucky you'll end up with chronic diseases or cancer

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by darepublic on Saturday December 25, 2021 @11:21AM (#29684462)
Ok sure but the notion that you are the best you you can be is also originating in America too
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by phil21 on Saturday December 25, 2021 @12:19PM (#29684923)
I'm pretty libertarian on most political charts, but offering benzos to people OTC seems like one of the last things I'd be trying to legalize.

If we had no drug enforcement whatsoever, sure. But as long as we do benzos may be one of the most dangerous forms of substances we have short of straight up opiods.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by drdec on Saturday December 25, 2021 @11:22AM (#29684468)
> I wish we could set aside the labels and say "I'm lazy and I want to buy therapy to help me deal with being lazy."

You can absolutely go to a therapist and say exactly that. You won't be turned away. Generally therapists are more interested in helping people versus labeling people.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by 1_player on Monday December 27, 2021 @04:04AM (#29700812)
I've spent all my adulthood thinking I'm lazy and something is wrong with me and I need to work harder at it. I can't be bothered to tell all my life story right now, but look into ADHD. It's been a revelation the moment I've learned my condition has a name and there is a chance for a normal life for me. Good luck
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by Tijdreiziger on Saturday December 25, 2021 @05:21PM (#29687544)
Are you sure it's not executive dysfunction, which can be a symptom of ADHD and/or autism? Your first paragraph sounds exactly how I'd describe myself before getting diagnosed with autism.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by thathndude on Saturday December 25, 2021 @10:20AM (#29683967)
This is sadly all too common in the disabled community in general.

I am not ignorant. I understand that many, perhaps the majority, of disabilities that exist in the United States are of the “invisible“ kind.

However, the number of individuals who want to elevate their very common, and human, difficulties in life, to a “disability“ is ridiculous. If I had to diagnose most of these people, I would call them narcissists.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by SamoyedFurFluff on Saturday December 25, 2021 @10:58AM (#29684268)
Funny because narcissism can be debilitating. Narcissistic personality disorder completely ruins a persons ability to have even just one healthy human interaction or relationship.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by denton-scratch on Saturday December 25, 2021 @12:37PM (#29685083)
Narcissism != Narcissistic Personality Disorder. A person that lacks narcissism will have a lot of problems.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by jl2718 on Saturday December 25, 2021 @11:03AM (#29684309)
Actually that’s interesting because logically it implies that anybody seeking diagnosis is in fact impaired.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by SamoyedFurFluff on Saturday December 25, 2021 @11:07AM (#29684349)
I never mentioned that a narcissist would seek a diagnosis for their disorder, only that their disorder can be debilitating.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by tartoran on Saturday December 25, 2021 @12:06PM (#29684812)
Debilitating to themselves but infinitely more harmful for the people they interact with. Maybe a diagnosis would open them up to some mitigations on their behavior. Narcissism personality disorder cannot be cured but sufferers can learn to do less harm.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by watwut on Saturday December 25, 2021 @11:57AM (#29684744)
You are fighting trend of making up diagnosis by making up diagnosis based on single assumed data point?
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by nerdponx on Saturday December 25, 2021 @10:12AM (#29683895)
It's more than just "attention", it's about feeling individually special.
Re:“Autism is a spectrum” doesn’t mean what you think (2019) by jl2718 on Saturday December 25, 2021 @11:06AM (#29684332)
Perhaps that is a bigger need that ought to be addressed separately instead of mixing it in with the mental health industry.

This may be the domain of the matchmaking industry, which basically exists to keep people feeling alienated.

Re:“Autism is a spectrum” doesn’t mean what you think (2019) by zepto on Saturday December 25, 2021 @10:54AM (#29684232)
Ironically many autistic people seek to avoid or moderate attention rather than craving it.