> My guidance counseler suggested I dont attend college, just a community college (despite the fact that I got admitted to a decent state school)

What's wrong with guidance counselors in American high schools? Why do I keep hearing about them giving kids incredibly stupid advice?

Because a guidance counselor doing a good job is really boring, they ask you where you want to go to school, get you links to those applications, and maybe walk you through the application/point you to a campus resource that'll proofread your essays before you submit them. None of these are particularly note worthy, no one's going to go home and write about that experience, so you don't hear about it. That's what my counselor did, they got me fee waivers too so I didn't have to pay a cent for any of my applications, it's just not something I raced to write about, like I would've if they told me I shouldn't go to college and then I did well or something.

I agree. My guidance counselor had 2 3-ring binders FULL of schools that fit some criteria I had, but were also aligned to my disabilities. My mom and I spent ~2 hours with the counselor looking through the schools and applying. It was pretty boring. They also arranged for schools to come and talk to us about them. That was rad because we got to skip class

I'm often surprised that so many folks seemed to have "Guidance Counselors" at their schools. I went to a public science and technology magnet school in Kansas during the 90s and I don't think I ever saw a guidance counselor ever.

I did freshman and sophomore year at a traditional high school and we had a guidance counselor, who was worthless.

Junior year I transferred to a vo-tech[1] high school where we had no guidance counselor.

I was shocked at the increased level of educational quality and overall large amount of empathy at the second school. It made me realize that "all schools suck" is false, but rather specific ones are terribad.

With regards to hours, my first high school was a 10-minute walk from my home and my earliest class started at 7:40am and my latest class ended at 3:20pm.

My second high school was an almost 3-hour bus ride one way but a 1-hour bus ride in the reverse direction. The difference was due to public bus schedules during peak and off-peak times.

Junior year, my earliest class was 2pm and latest class ended at 7:30pm. Senior year, we moved closer to my school, a 10-minute drive. I had the lightest load of my life: first class was at 10:15am and last class ended at 1:30pm.

Said vo-tech school has been rebranded as a "STEM academy".

1: https://en.wikipedia.org/wiki/Vocational-technical_school

I slept through most of high school because of the long commute, but vaguely remember a counselor coming around with a computerized career recommender at our magnet school, which told me to become a telecom linesmen because I liked computers.

Yep, my HS guidance counselor gave me some great advice. I went to a school she strongly recommended for me and it was a good fit for exactly the reasons she said it would be. This isn't a very interesting story so I think this is literally the first time I've ever mentioned it anywhere in the nearly 20 years since then.

My cynical take is that someone who cannot figure out what career to be in themselves ends up a guidance counselor.

The job isn't well paid. And anyone who can do large scale talent identification will likely be paid a lot more in the corporate world. So you end up with the least competent ones in public schools.

Most of them are really bad at their jobs, but the pay kinda sucks, so that's not likely to improve. And with all the glamour of telling burn-outs that they're not getting into Harvard all day long, and the low pay, you also get to be point person when a kid offs themselves or dies in a car wreck. Fun!

You get what you pay for, and the pay's low. Also, the job sucks. That's a recipe for terrible service.

[EDIT] Incidentally, you want consistently-great counselors, as far as the college planning side goes? Elite prep schools. Half of what you're paying for is an expert with insider knowledge & contacts to ensure your kid gets into the best possible school they can. They treat the position—at least as far as that side of it goes—very seriously, when hiring.

Why do you think this was stupid advice? More than a few "normal" kids go off to college and crash and burn or otherwise fail spectacularly because they aren't prepared to be on their own. It sounds totally reasonable to suggest that a kid struggling with issues like the GP might consider community college so they can stay around family support structures, continue seeing the same doctors or therapists, etc.

> just a community college

Community colleges are the best deal in higher education, and often have faculty who are interested in teaching rather than research.

"What's wrong with guidance counselors in American high schools? Why do I keep hearing about them giving kids incredibly stupid advice?"

Because most of them couldn't get a "real" job. If they could they'd be making more money somewhere else. (yes, there are some great people doing the job for ideological reasons too)

That is excellent advice in many states. For instance, here in NC you can do the first 2 years of almost any undergrad degree (all the basic non-subject matter stuff) for a fraction of the cost, and every single credit transfers. Also, much much smaller classes.

Also also: generally better teachers, becaus they are there because they actually want to teach - many are retired former professionals.

Whereas many college professors want to do research and do the academia dance, often fobbing off much of the actual teaching to TAs and the like.

They have a strong tendency to steer high-performing students from lower-income families away from prestigious schools, despite the fact that those are often cheaper with scholarships.

I am not sure it’s necessarily bad advice in this case—community college or trade school route—I would consider that pretty good general advice for an underperforming but intelligent teen. However, I do know firsthand from an experience involving my son’s guidance counselor providing remarkably bad advice that at times the guidance isn’t beneficial to the teen, but more to the school.

Yeah I mean the guidance counselor is at best a failed therapist so why would you expect good advice

Selection bias?

I think I talked to guidance counselors twice during my entire high school career, and neither time came away satisfied, but had friends who were in and out of their offices on the regular without complaint beyond the usual ones you'd expect from teenage boys.

> Why do I keep hearing about them giving kids incredibly stupid advice?

most people with insight on good advice do not become high school guidance counselors. why would they?

> These large scale school systems treat students like cattle

I think that's by design, though, as school primarily exists as extended daycare so that parents can work.

I just think about how many people early in life are completely thrown off course because there isnt someone around to provide the basics. And it can happen in well off families.

I wonder how the experience would have went if we were in on the design of it all. We had our suspicions but I wonder if some folks would have been more compelled to take things into their own hands than passively take all the crazy environments dished out on us. Sort of in the space of informed consent, I can react to that which I'm explicitly aware of you know? Youth frequently pay the price is these sorts of information asymetries.

> My guidance counseler suggested I dont attend college

Reminder to self, tell my children to ignore anything a 'guidance councilor' says

There's the old joke that if the guidance councilor was good at their job they wouldn't be working as a guidance councilor.

"What do you want to do with your life"

Me: "I dunno"

"Ok, back to class"

Should they take education advice from someone who changes correctly spelled words to incorrectly spelled?

I never quite understood what the role was. Does anyone listen to them?

Weird. My guidance councillor did the same. Well, I wasn’t accepted to a school at the point in which they encouraged me to settle for less, but it was a very heartfelt “don’t even try”.

I left the room very confused and upset. Went in with ambition and excitement about my future and left feeling like I must be a complete idiot.

I remember her saying “Let’s focus on being realistic. You aren’t actually going to do this. You won’t accomplish any of this”.

Like you I was diagnosed with ADD, though long after this. I was inattentive, but succeeding wildly in technology classes and even went to some programming and animation “competitions” which I managed to win. She still told me to set my sights low and aim for trades or something.

For what it’s worth I managed to trick everyone else into letting me become a programmer and I did well despite the advice. It still haunts me to think that kids are getting slapped in the self esteem with advice from people like that; people who are supposed to give them objective, constructive, actionable advice in order to begin setting up their academic and professional futures.

I’d add though that unlike you, my diet more or less went the opposite direction and I feel much better too. I went completely plant-based with an emphasis on whole foods and as far as I can tell my entire body works better. I’m not saying you’re wrong because I absolutely believe you and agree that we were probably just extremely unhealthy before. Maybe any healthier diet would have sufficed. But yeah, this thing seems extremely variable from person to person. Plant based with heaps of carbs might annihilate your brain, but a bowl of barley with steamed tofu, broccoli, carrots, and peanut sauce is like heavenly brain food for me.

Exercise was the other missing link. The more I exercise the better I feel. I’m like a dog that needs to be taken or runs and swims. When my owner forgets I turn into a needy, whining, anxious, lethargic little beast of a human.

> I’d add though that unlike you, my diet more or less went the opposite direction and I feel much better too. I went completely plant-based with an emphasis on whole foods and as far as I can tell my entire body works better. I’m not saying you’re wrong because I absolutely believe you and agree that we were probably just extremely unhealthy before. Maybe any healthier diet would have sufficed. But yeah, this thing seems extremely variable from person to person. Plant based with heaps of carbs might annihilate your brain, but a bowl of barley with steamed tofu, broccoli, carrots, and peanut sauce is like heavenly brain food for me.

The great thing about the SAD (Standard American Diet) is that most any not-totally-insane restrictive diet will be significantly better. It hardly even matters which you choose, it will be better. When you start with terrible, even "bad" is an improvement!

It's true. I think we collectively know this too, but trick ourselves into thinking we're not the ones eating the SAD. In reality, most of us are; it's sort of like we think we aren't the traffic. McDonalds doesn't serve billions because none of us eat there, and the grocery store doesn't have aisles of garbage because no one's eating it. I think we also have a tendency to under estimate just how frequent our indulgences are, even if we generally eat a bit better than the SAD. This is how we gradually become obese. It's definitely a weakness in the human psyche.

A major eye opener for me after the last couple of years has been how crazy our diets really tend to be and how easy it is to just stop it. Like, I used to battle internally about if I ate well enough that day to eat [insert garbage here]. Like that's ever a conversation worth having with yourself, or it would ever make sense to want the garbage in the first place. But I figured I was eating whole foods (usually, I guess, maybe?), eating meat from "good" and "ethical" sources, eating what I thought was a lot of vegetables.

And yet the science shows that people who eat like I did are dying earlier than they need to and suffering from diseases people didn't typically get up until recently. And I found myself gradually gaining weight despite not noticing a change in my caloric intake.

I'm not sure exactly what caused me to snap out of it (there were several factors), but in any case, I'm glad I did. And you're right – eating well is trivial if you're starting anywhere near the SAD. With a bit of motivation you can level up tremendously with minimal effort.

A bit of an aside but it’s so strange to me seeing ‘trades’ referred to as a lowly thing. Here in Australia, tradies are admired, often earn really good money and get a lot of good attention. They can work hard and put in the hours to get ahead whereas us IT guys on salary have a much more ‘fixed’ earning potential.

I have no aversion to trades and actually worked in joinery for many years before I began programming professionally. I don’t mean to look down on it at all. I actually find it absurd that I earn as much as I do compared to say, a red seal carpenter here in Canada where their breadth of skill and knowledge means more and accomplishes more than my own skill set in very tangible and crucial ways.

If I could support my family as well in trades I might have considered staying — I loved working the giant industrial CNC machine and began to love learning to set it up and create CAD drawings for it. I probably would have enjoyed a career headed in that direction, but I could have ended up earning around 1/3 of what I do now… At best.

Oh just to clarify - I didn’t think you were looking down on the trades at all, it’s the sentiment expressed by the school guidance counsellor that I found strange. I’ve heard it is a very culturally-dependent thing, to be fair.

Your comment reminded me of going with my dad to a place that had a huge laser-cutting machine when I was young. They were awesome!

I totally agree, the sentiment is strange. I've noticed that it seems to be shifting; when I was a teen there was an obsession with becoming a knowledge worker of some sort and getting an education. That fever appears to be subsiding now, and I hope that's reflected in how rewarding and sustainable trades careers can be in the near future here. In my city it would be quite difficult a the moment to get by in most trades without dual incomes, and you'd need to live away from any central schools. Buying a home is nearly impossible without a 150k+ CAD income, and the trades will rarely get you half way there without significant experience.

Something that blew my mind recently is that I left joinery with a job earning about 65k CAD per year (around 2008). I recently met a guy getting his red seal and he earns about 62k CAD. He hopes to hit 80k within a few years of getting his seal by making lateral moves and bargaining better, but isn't certain it's even possible. This is insane to me. Not only has the value of his work decreased, but even with better credentials than I had he's earning less. This is the completely wrong direction for things to go!

I was also shocked to find that he spends about 36% of his pre-tax income on rent, and when I was earning 65k I was spending about 8% of my pre-tax income on rent. I lived an hour away and shared rent with a room mate in a small house, whereas he lives alone in a small apartment in our expensive city. But wow. What a striking difference; it almost seems impossible to get ahead despite that he's educated, competent, and working hard at improving himself. I feel like that needs to change or we won't see kids move into the trades and, you know, hold up our society here!

Also I totally agree about giant laser cutters. I can't get enough of CNC machines of all sorts. I really, really want to build one some day.

Admittedly the "on salary" is the key here. Trade wage slaves don't earn a huge amount - it's the ones that act more like a freelancer or their own contracting company that can do. A bit like when that IT guy moves into doing consulting contracts.

That's specific to Australia. In the US "trades" can be very well paying if you're self-employed, but it's low class and hard to get into, something that'd have to run into your family.

And we actually pay tech workers well.

Was this meeting before lunch? Maybe she was just hungry. As terrifying as that is.

We're all winners! Here is your sticker.

World is a savage place and everyone will try to keep you down. There are lucky few that are surrounded by a support group that cares and safety nets at every corner.

Its actually a elitist, slap down machine. Cause academic families will not fear such a slap. After all, everyone you know has studied. And some of them are idiots, you know those. So why shouldn't you.

But the one person from a poor household, who never went far in life. No matter how bright, will have noone to put them back upright again. Its pure evil and very unamerican and anti-meritocratic. Its also a thing, thats very common in european societys with rigid class structures, like Britain.

They sort you in, just for your dialect and your place of birth. And look what it got them..

Exactly

> Cause academic families will not fear such a slap

It's also that, to an academic family, a high school counselor won't even register as a "person of authority". It's a pretty low skill position, and they will likely assume they have more knowledge than the counselor regarding college (which wouldn't be a bad assumption).

> Its also a thing, thats very common in european societys with rigid class structures, like Britain.

It's something that has been echoed to my by brits here in the Valley. They described coming to America as freeing, which confused me at first because I know the BBC and British medias generally aren't so positive on America. Guess the brain flow doesn't lie.

Be all you can be, not just born and buried.

Reverse psychology works if they’re wrong and true if they’re right.

> As an adult, I eat no carbs, all meat and vegetables

This is contradictory. Vegetables are high in carbohydrates as a percentage of their calories.

Low carb doesn't mean you can't eat food with carbs, it means most of your diet is protein and fat, and you restrict carbohydrate consumption. He can have a low carbohydrate diet while eating vegetables, as long as he eats less vegetables than meat.

He said he eats no carbs.

Yes but 'no carbs' doesn't mean 'low carb'.

We've ruined multiple generations by not explaining that our bodies don't care that much about what form our nutrients take. Getting the meat sweats from an Italian sub doesn't mean it was unhealthy, it's just your body's reaction to processing it which can be a desirable feeling (say on Thanksgiving) or not.

People who switch to "healthy" and feel better pretty much fall into three categories.

* Their new diet is less enjoyable and they simply eat less and burning fat feels good.

* They accidentally switched to a FODMAP diet and associate the lack of "reaction" from food as a sign of health.

* They have been criminally deprived of fiber and are now regular for the first time in recent memory.

Non-starch vegetable have almost no carbs and almost no calories.

But they have the fiber and other green goodness you need.

Betting here that "no carbs" = no bread or other grain products.

> My guidance counseler suggested I dont attend college, just a community college (despite the fact that I got admitted to a decent state school), or maybe go into the "trades".

While I can only assume the people at that school to have been clueless as to your personal preferences and capabilities I do not see anything wrong with advising someone to skip college and learn a trade. College is not for everyone, college is not needed for many types of employment and college is all too often only used as a filtering device to reduce the number of interview candidates to manageable proportions. Add to that the fact that many colleges have ditched or are on the way to ditching objectivity and the scientific method to replace it with a post-modern portion of bullshit bingo in the name of D.I.E. and such and it suddenly becomes sage advice for many to skip this needless and needlessly expensive step. If you're aspiring to build bridges, heal the sick or raise the dead you'd better get yourself a degree, preferably one which actually means something. If you're planning to go into sales, start a small business or tend to a farm you don't need college.

This is the biggest issue with developing countries. Nobody really understand how important chronic diseases and a good diet is. In terms of this for majority of its population US is also just like an ordinary developing country. Very similar to Saudi Arabia. Majority of vegetables are also not very innocent. Maybe not comparable to processed junk food with tons of sugar but there is almost no developed country with high vegetable intake yet Vegetables are advertised as healthy and people in developing countries fall victim to it. Fortunately our body is very versatile but i don't think a sensitive organ like brain can keep its ideal condition over time.

Modern psychiatry entirely ignores mechanism. All diagnoses are sets of symptoms, and treatments are drugs that reduce specific symptoms. It isn’t surprising that in many cases the causes would be obvious, but there isn’t any type of system for even trying to approach mental health that way.

Another problem is the feedback loop of mental illness. A lot of people might feel better if they got exercise, ate healthy, got enough sleep, made some friends, took on some fun hobbies, etc. but most people aren’t willing or able to do any of that if they are stuck in a bad mental state.

> Another problem is the feedback loop of mental illness. A lot of people might feel better if they got exercise, ate healthy, got enough sleep, made some friends, took on some fun hobbies, etc. but most people aren’t willing or able to do any of that if they are stuck in a bad mental state.

I've found CBT super helpful for my ADHD because it focuses on the small steps to break that loop. I thoroughly recommend it for ADHD and mental illness, particularly for engineers as it's far more system based and obviously "logical" than any other form of therapy I've tried.

I was never diagnosed with ADD, but I had a long commute to school (2+ hours each way - I was closest to the bus barn, so first on in morning, last off at night). So I was on the bus at 5:15am, and not getting home until 5:45-6:30pm, just in time to eat dinner and go to bed so that I could wake up at 4:30am to get my shower, and walk a half mile to the bus stop.

The fact that they would pull that shit on 13 year old kids, then tell them they are dumb and fail them is ridiculous. Thankfully I had a few teachers that would stand up for me, but most of them though I was a lazy burn-out and would never amount to anything, and almost no teacher had empathy for me. I should be doing my school work on the bumpy bus that spent more than half its time on rural dirt roads.

When I got my first real job, I was glad to realize how wrong they all were. But it shattered my confidence.

I used to be really big on trust the experts, seek authorities for advice, etc etc. Especially for areas involving mental / general health. Specifics like fixing a broken arm I’m still on the experts side :)

Decades later I’ve had many (eerily similar) experiences to what you detailed above. I’ve gotten the best results evaluating issues on my own / with the help of a few trusted sources. Expert advice is about as reliable as chatgpt (in the majority of cases). There’s too many devils in the details when it comes to complex issues like health. Find people who got results or find results yourself.

I think the majority of modern healthcare exists to make a profit and curing patients isn’t really a good business model. Unfortunately they can use those profits to create an army of experts and studies.

> I think the majority of modern healthcare exists to make a profit

100%. Healthcare is a big, big business.

> I think the majority of modern healthcare exists to make a profit and curing patients isn’t really a good business model. Unfortunately they can use those profits to create an army of experts and studies.

Not all healthcare is for-profit healthcare. I agree incentive alignment is an issue when we're talking about for-profit healthcare, but in other cases medical professionals treat patients to the best of their ability.

I don’t distrust modern medical community, but I think it often suffers from overconfidence that leads me to more carefully scrutinize (but not outright reject) expert opinion.

I’ve been listening to a podcast called Sawbones where they talk through the history of medicine. It’s basically a tour of all the ways we got things wrong. My conclusion has been: and why are we so confident that this time we’re right? Seems like every generation is confident that finally, they’ve got it right.

If we expect every day to be an improvement, the needle has been moved forward that much more, how else would history function except a retelling of mistakes, missteps, and wrongdoings?

I think modern medicine suffers heavily from generalising patients - so much advice attempts to be so one-size-fits-all that it fits almost nobody.

Like story of the fighter cockpit that was designed to perfectly fit the average dimensions of all pilots and was uncomfortable for everyone - no person is average in all dimensions.

On top of that is the absolutist advice - "never do X, always do Y" (particularly when the result of doing X is not shared - it could be a minor inconvenience, or a fatal error, they seem to be treated the same) rather than a nuanced process of tradeoffs and balancing outcomes.

>and why are we so confident that this time we’re right?

I don't have to be confident that the current scientific consensus is entirely correct to believe that it's virtually guaranteed to be more correct than whatever alternative I'd come up with in some area I completely lack expertise.

You don't want to trust experts for mental/general health, and you encourage people find others who "got results". In essence, you have just made random people the experts, but worse, allowed them to run freely without any risk of reputation harm. I can sue a doctor for malpractice, I can't sue user21389 for false results. Why do you so quickly believe these experiences of randoms?

This idea modern healthcare exists to make a profit doesn't apply in all cases, and you imply they use these profits to create a false narrative of experts. But yet ignore that exact same thing is happening with the supplement industry (not regulated btw), of people claiming their ADHD was cured by taking a couple of supplements - "it's better than being drugged by Big Pharma" they say. This individualistic mindset only encourages these predatory companies to swoop in and say hey, I know exactly the right cure smoke this, crush these herbs, drink that.

Made even worse by the fact people aren't honest about how their meds have helped them get to a stage where they have replaced old routines with better ones, started therapy, etc. Yet they look back, post on social media "antidepressants are the worst - quit now!"

Forgive me if this is harsh, I've seen way too many people spend way too much money and time on BS when they could have got serious help.

Don't get me wrong, finding a diet that works for you, being more active, being more social, these are all great things nobody disagrees on. But this idea I'm supposed to trust a random person online, cured of his ADD, because he started eating less bread is one I am going to treat with the same severe skepticism you hold regarding mental health experts. :)

I don't think they were telling you to do this. They were just giving their own experience.

You the reader get to read their experience and decide if you would do that or not.

I think most Americans have their head in the sand when it comes to healthcare. I agree with you completely btw, as an American expat living abroad. It's so bloody obvious how the profit motive distorts all of US medicine when you are not living in that system anymore. Honestly, it's like something out of a corpo-capitalist dystopian film.

I wouldn't trust a US doctor or dentist (oh god, US dentists are probably the scummiest healthcare professionals on the planet) unless it's something very obvious.

Socialized healthcare still has a "profit motive" unless everyone involved is paid unrelated to any performance metrics. Which would be a weird way to do it.

(And most hospitals in the US are nonprofits, which certainly doesn't stop them from being way too expensive.)

Curing patients is a great business model. If you don't do it someone else will, and they'll take your customers.

My high school math teacher told me I wouldn't make it to university.

I ended up with a math heavy engineering degree. First class honours.

I'm home schooling my kids . They will do better with their parents as teachers. My friends have done it and their kids were academically ready for university years before their peers.

/? ADHD and sleep; REM / non-REM: https://www.google.com/search?q=adhd+and+sleep

Sleep hygiene: https://en.wikipedia.org/wiki/Sleep_hygiene https://www.google.com/search?q=sleep+hygiene

- Enough exercise and water

- Otherwise, limit calories and/or protein in the preceding hours

Sleep induction: https://en.wikipedia.org/wiki/Sleep_induction

Pranayama; breathing yoga: https://en.wikipedia.org/wiki/Pranayama

4-7-8 breathing: https://www.google.com/search?q=4-7-8+breathing

Attributed both to Army and Navy: https://www.fastcompany.com/90253444/what-happened-when-i-tr... :

> The Independent says the technique was first described in a book from 1981 called "Relax and Win: Championship Performance" by Lloyd Bud Winter.

/? "Relax and Win: Championship Performance" https://www.google.com/search?q=%22Relax+and+Win%3A+Champion... https://archive.org/details/Relax-and-Win_Championship-Perfo...

>As an adult, I eat no carbs, all meat and vegetables, I work from home and sleep in as far as I need every night. My thinking is laser sharp.

I need carbs to think.

If I do not have rice for 3-4 days, I can not do research work. I can write code, or read papers, but new ideas or brainstorming others' ideas don't happen as naturally.

Could be a genetic thing, I guess.

Maybe they mean no starch because vegetables certainly have carbs. For example, a cup of broccoli has 6g of carbs, a cup of kale has 1g, and about 5g in a tomato. Certainly a low-carb diet, but not no carbs.

Why the hell would you measure broccoli or kale in cups?

The most effective methods of treatment for ADHD:

* Medication

* Exercise

* Healthy diet

* Healthy consistent sleep

Is it possible that you weren't just unhealthy? Is it possible that diet, exercise, and sleep had exactly the positive effect that they are generally expected to have?

I say this not to reinforce the "maybe" of your own personal ADD/ADHD diagnosis, but to open the door for empathy. You may indeed have been misdiagnosed. You may have a more mild case of ADHD than the mean/average case. You may have a relatively severe case, but experience significant enough relief from your current diet, exercise, and sleep to adequately manage it. Whatever the case may be, I want everyone here to know that it just isn't enough to say, "Just be more healthy." Life is more diverse and complex than that.

The primary effect of ADHD is "executive dysfunction". If the best treatment for ADHD is to eat healthy, exercise more, and get consistent sleep, we must still recognize that that very treatment itself exists behind a wall of executive dysfunction. Even if "healthy lifestyle" is enough, we still need a way to bootstrap it.

It's incredibly normal for anyone with an unhealthy diet, lack of exercise, or lack of sleep to struggle changing any of those things. Someone with ADHD literally has a disorder that makes it incredibly difficult to even get started.

While medication has an immediate and direct benefit, getting through that metaphorical wall to the rest of treatment is widely seen as the primary utility medication provides.

---

Whatever your situation is, it sounds like you managed fine without medication. Lucky you. For a lot of us, life just isn't that simple.

When I try to eat my vegetables, I can put them on a plate, hype myself up for them, and then sit staring while my brain shuts down. I am God, and broccoli is damned. When I decide I want to exercise more, I can get dressed, go outside, even get inside a gym, and pace around the weights or the treadmills, or the swimming pools, and get lost deciding what to do, while my brain screams, "I know! leave." When I decide I want to get to sleep on time, I can lie in my bed, breathe deep, relax, start thinking about more things than I can count, while the amount of hours and minutes slide right off the ledger.

Medication doesn't solve any of that, but it makes some of it possible.