this post was submitted on 08 Aug 2023
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ADHD
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FWIW it mostly depends on if you have anything else going on behind the scenes besides the ADHD.
The biggest thing you can do is be completely honest with your GP and get a referral to a psychiatrist. I've always had great actual coping mechanisms for when shit really hits the fan. CBT was something I had already looked into myself and worked on. I've always been the person to have my life and shit together, but it took waaaay more effort than anyone realized since I mask -relatively- easily.
It was pretty much immediately start medicine and go from there. Yeah, the antidepressants (SNRI/SSRIs) sucked ass and I'm no longer on 1st lines which is honestly the biggest issue people have with meds. I actually asked for Ritalin first since I heard about Adderall abuse, but Adderall >>>> Ritalin.
I've pretty much always known I had it, my mom said teachers and my school said I had it, she refused to medicate anyway due to the 80/90s OVERMEDICATING CHILDREN hysteria. Wonders why I always had issues finishing stuff that wasn't games. Oh hey, executive dysfunction is a thing!
Got diagnosed as an adult @ ~30. Took about 2 years to get a decent medicine regiment since we were also treating some panic disorder due to being a functional alcoholic too. Mild-Moderate depression mostly manifesting in numb/stoicism with some GAD. FWIW Naltrexone OP for the booze. It's cut my habit down by an extra $100/mo.
No joke though, amphetamines are like day and night for me. Similar to Leilys above, the tiredness I used to feel from morning to night basically vanishes. While I do take ~6 pills, the only real ones I take for ADHD is a pretty high dose of Adderall or Vyvanse (generic please hurry the fuck up) and Clonidine for fidgeting and offlabel to help sleep. A huge part of the high dose was due to the alcoholism and a regular cocaine habit so I process it pretty quickly compared to most lol. Oh yeah, Naltrexone helped for that too. Haven't had white in like a year?
I'm sorry to hear about a lot of this. There are other things going on in the background, yes (who doesn't have baggage, right?). All I can say is long term therapy does wonders and fortunately I'm in the best place that I've ever been in.
I'll have the conversation with my GP, but at the moment I don't think I want to be on medication if I can avoid it. I've just shaken the SSRIs and I'm not super keen for any more weird side effects!