I commonly read youtube comments that state a drug like Strattera completely changed their adhd for the better.
Whilst I havnt tried this(yet) I wondered what other options exist?
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Treating my sleep apnea, and also getting adderall
You use the machine or other things?
I got a machine from my doctor
What side do you sleep on and can you move around easily?
I usually flip back and forth between my left and right side. The air tube has plenty of slack and there’s a hinge and pivot where it meets the mask so it moves around pretty easily.
Vyvanse
The generic for Ritalin works wonders for me. Extended Release though, not regular or Sustained Release.
The second thing that most improved my ADHD was not trying to do anything complex or important in the evenings after focus is lost. Just let it be relaxation and gaming time so I don’t need to clean up my failure in the morning.
Interesting. I’m usually wired in the morning, crash late afternoon/evening, and then get wired again at around 11pm.
I used to before being diagnosed when I worked 10-6 or noon to 8 shifts. Working 8-5 really fucks with my sleep and causes the evening brain fog.
But 8-5 pays way better.
Straterra didn’t do shit other than make my libido nonexistent. Ritalin has worked well for me. I know people who felt like they were in hell while on Ritalin. A lot of it is trial and error since all bodies process them differently.
I will say, there are genetic tests you can take to see which medications are tolerated well by your body. I took one and surprise surprise, I had the markers for straterra not being well tolerated. Also if you have other family members who have ADHD and are on medication it’s a good idea to ask them since your genetics will be somewhat similar.
What else did you learn from it re:medication sensitivities?
Straterra didn’t do shit other than make my libido nonexistent.
You can say that again! For me, irritability and nausea too. It just wasn’t a good fit and I only figured it out on higher doses.
Hah, that’s Cipralex for me. Works wonders for the anxiety for me, but it really kills sex drive.
Most SSRIs will. And don’t expect it to come back, either…
Yeah… I’m a total mess without, almost as dramatic a difference as the ADHD meds, but it’s just insane how much.
A good therapist using evidence based techniques.
Short release methylphenidate.
Swimming, I don’t know why it works or how it works. Regular swimming stimulates me, even though 100 things don’t go well in a day one small thing of swimming somehow works
I can say not being able to get my normal medicine has hurt me significantly, and new insurance just says no …it’s bullshit
Mainly learning that I did, in fact, have ADHD, Then: medication (Vyvanse); drastically reducing or cutting weed, alcohol, and caffeine; therapy to help deal with childhood issues (which exacerbate symptoms); taking time away from work to start recovering from ADHD-driven burnout and building some structures to support my ADHD in the workplace.
Systems to externalize things. I’ve accepted that if I don’t see something, it isn’t happening, so I try to arrange and organize things in a way that it’s physically out in the world for me. Digital doesn’t work extremely well for me for the most part, except for some work things where it’s all in one place, because digital disappears from existence when the screen turns off.
I hate it, but regular exercise, eating more healthy, and the nights where I can actually sleep are probably the biggest factors in whether I have a good day or not. Not that knowing that is enough, of course.
Oh, and just generally learning what my weaknesses are. I’m still hugely struggling with ADHD overall, but knowing the big weaknesses helps. It’s not about doing what’s easy, it’s about facing what’s hard head-on and accepting it sucks, but you have to go on.
- I struggle with transitioning, so random text messages or having to sporadically decide to move from Task A to Task B is hard/impossible, so I have scheduled socializing and build in transition “rituals” like going for a walk, having lights and TV automatically turn off at set times,
- I get stuck on tasks, so hard rules like “Under no circumstances can you do this after X time” are vital to live by, when you can,
- I don’t notice bodily needs, so practicing meditation and having regular reminders to check-in on myself help to make sure I’ve eaten / drank water / walked around and generally am not hurting my body with whatever weird way I’m sitting,
- I’m terrible with detail-oriented work, so I have workflows specifically designed to reduce the amount of detail-oriented work I need to do,
- I binge a ton of work in short periods and rest for periods, so I moved my career toward flexible scheduling to allow for this, with enough accountability to have deadlines I can’t violate.
I’m 43 and have had pretty troublesome ADHD my whole life. I was a mess of a student and failed at several careers. That said, I have found some intermittent and sometimes lasting success working in tech sales. I am still a disorganized mess. I still need meds. I take Vyvanse. What has brought some semblance of organizational presence for me is journaling. When I journal in the morning, it calms the noise and releases some of the pressure. The entries are garbage noise from my brain mixed with some formatted statements of accomplishments. Any kind of positive streak I have going gets a mention. It helps to not feel like the chaotic anxiety and noise bomb that I often can be to people.
Meds help, but they change things. Adderall makes me high and obnoxious until I crash. Concerta makes me mean and unable to transition. I worked in mental health for a long time and didn’t like what I saw happen to people with strattera, so I haven’t tried that one. Vyvanse gives me the push and focus without the hyper focus or mood crash. My emotions seem like my own. That’s why I stuck with it.
There are areas that your ADHD can thrive. You are allowed to indulge in those. You can forgive yourself for being extra weight for the people you love at times.
If your life affords you any room for it, be outside and find any way(s) to create. Cook, sing, write, play ping pong… ADHD does offer some areas of excellence along with the deficits. Lean into those whenever and however you can.
It’s still the world. It still actively hates you. We’ve got to get through this life somehow though.
Would you care to elaborate on the downsides of Strattera? I’ve been considering switching to Vyvanse for a while now but couldn’t find a compelling reason to tell my insurance why they should support the switch (I think lisdexamphetamine is more expensive than atomoxetin).
So this is hard because I didn’t take it myself, but I worked in a mental health hospital for 12 years and saw how different meds interact with different people. What I saw somewhat consistently with strattera was a shortening of temper. Lisa so in children, but with adults, I saw people become violent over what most would consider mild disruptions to their day. When I spoke with some of the doctors I worked with, a few said that they wouldn’t ever recommend this med because their patients reported feeling angry all the time. Keep in mind, this is all just my little experience. I kinda hate taking meds, but today I take gabapentin and Vyvanse and both my adhd and anxiety are mostly pretty manageable. I still fuck up my bills and forget important things and all the stuff that comes with the loudness of ADHD. I am enjoying my life though and I’m able to keep to most of my healthy routines.
Thank you for your response. Luckily, I cannot say I’m particularly short-tempered. Certainly not moreso than unmedicated. That said, when I do get upset the Strattera might make things a little worse for me, with side effects ranging from dry mouth to dizziness.
Man I wish I had the reaction to Vyvanse you do, makes me feel the same as Ritalin did, like I have no emotions at all and was just a shell of a person. Adderall works just fine but I really wish I could find something that worked like Dexedrine did before I hit puberty. And I can’t take Wellbutrin because that makes me suicidal
Remedies don’t do anything for me, so instead, I try to change my behaviors and mindset. It’s hard since it’s a tug of war against myself, but I think I am getting better. And as the saying goes, to solve a problem, first the person needs to know he/she has a problem, so I try to keep an eye for potential issues I may have.
Nothing. Nothing has worked. I am fucking exhausted trying to figure out how to work with it or strategize against it and nothing fucking works. Fuck meds, fuck therapy, fuck psychiatry, fuck all the “just meditate and find a claiming center and ‘enter inane unhelpful bullshit here’”. Fuck it all. Nothing. Fucking. Works. I fucking hate it.
Good luck OP. I hope you have better luck than me.
Yo, that’s totally cool. Fuck meditation then, fuck all the rest of the shit. You might need to run your ass like a dog. NGL. OR! Just be an agent of chaos and own it and be fucking open with the people you’re around “Hello, my name is _ and I am an agent of chaos” and then laugh maniacally and just fucking own that you make crazy shit happen. My girlfriend and I are both AuDHD and she does the craziest shit in this world. Shit that I wouldn’t believe if I hadn’t been around her. I fucking shit you not, I SHIT YOU NOT! I mean 10xs over I shit you not - she has just been minding her own business when shit just flies out of the sky around her. And I would never in a million years believe that shit, but I have seen it happen. And I saw it happen recently. And it’s fucking insane, and it makes me realize there might be more to this world than we know. But for sure, you just be you. Cause I think my girlfriend said it best. It’s better to be unmedicated and here, than medicated and one foot out the door. So please, just be aware that your way is totally valid too =)
Did you try Selank or Semax yet?
Don’t think I have heard of those. I will check into them.
I’ve struggled a lot too. Nothing quite helps enough, which leaves me like progression blue-balled on tasks. What HAS helped the most is allowing myself to do multiple tasks at once. I write them down and just do what I feel like as they come around. I also made sure to find work that allows me to do this. So basically I built parts of my life around my adhd so that the walls I bounce off of are at least walls I need to hit.
This is without treating my sleep apnea, no therapy, and no medication. However, it has also meant having a very solid understanding of what I cope with and how I cope with it. Because I have depression separate from adhd, and anxiety which is fueled by both and some trauma, the single most effective thing I’ve ever done is take the time to truly understand each aspect.
Now I can mentally set aside my anxiety and am able to will myself to not listen to that cruel little voice. For my depression I’ve learned to accept it and work with it rather than fighting. With ADHD I adapted my circumstances rather than try to force the adhd to work with everything else. So far the only thing I haven’t found a way to do is force myself to do tasks I don’t want to do. There MUST be some reason, otherwise I’ll procrastinate.
I don’t expect any of this to help. I do hope some of it does, though. We all deserve to be able to look forward to the next day, if only a little.
That is awful. I hope you can find relief somewhere.
I’ve been lucky and the drugs are a godsend for me, despite having the gene that makes me hyper metabolize stimulants (which basically means they don’t last long enough in my system).
It is seriously under-appreciated how awful this disorder is in the modern world - especially if you are not of the wealthier classes.
I’ve been feeling this way a lot myself lately. I sympathize, it’s putting me in a bad way too
Yeah, I get crabby and down if I dwell on it too much. So instead I bottle it up and let it fester. Surely that won’t be an issue. I like your username BTW, that’s awesome.
Generic adderall.
Upvote^2. Try cheaper older stuff. (To “this day is bananas”): 👏 CHEAP MEDS ARE GENERIC / g e n e r i c 👏
Avoiding situations that allow others to define me on their terms.
I’m curious what this means. Did you find a way to turn those situations into “your terms” or are you just avoiding everything uncomfortable?
No judgement if it’s the second, but that’s not going to work in my world.
Something I did wrong for many years, decades even, was to focus exclusively on trying to improve the areas where I struggle compared to normies. I always felt bad because I found it so hard to do simple things that were easy for most people.
Gradually, I realized there are things I can do that the normies can’t. So instead of constantly trying to redeem myself by improving the things I suck at, I focus on those things I’m really good at.
For example, if I do a job that is all delivery, where I’m just executing rote tasks that someone else has defined, I’ll struggle. If I do a job that is strategic and/or creative and involves very little rote delivery, I’ll excel.
The problem was that school is mostly rote delivery according to a fixed schedule, and early-career jobs tend to be the same. I really struggled during those times of my life. But once I got to the point where I could get more creative/strategic work, the way my brain works finally became an asset rather than a liability.
A loving and supporting partner that helps me when I need it and leans on me when they do.
Also, Concerta, a good sterile workplace, and exercise in the morning to get out the jitters.
