[blocktuw]

I agree that there are people who will benefit from the use of prescription medications to treat different life issues. I too suffer from hours of staring at work, unable to start or finish. I don't think I have a learning disability or a disease that needs treatment. But I think there are many alternatives to help people who cannot start and finish work tasks.

I can usually find a quiet and productive work environment free from distractions. I can usually adjust my caffeine intake levels. I can usually adjust the amount of personally stress in my life. I can usually adjust the amount of sleep. I can usually break up my work into small enough chunks to get started. I can block certain computer activities which are distracting.

Yes everybody is different. No, we should not throw out the baby with the bathwater. Yes, we should be exploring alternative treatments besides powerful amphetamines which can cause addiction and health issues. I don't believe having a problem justifies all the cost that go along with treatment. Sometimes the solution is worse than the problem.

I don't want to have to do drugs at work to keep my career from those who want to take a pill and work for 12 hours a day.

[anexprogrammer]

"Sometimes the solution is worse than the problem."

For someone without the condition, perhaps.

My entire life I've tried to work with managing techniques, such as those you suggest, and a hundred others, none of which made a blind bit of difference. Caffiene does not seem to affect me in the same way as it does most people btw. So I've spent a good part of my career trying to find roles and bosses more suited to my scatty ways - often far from easy - once I realised I was a little unusually wired.

The biggest problem ADD has is that everyone gets distracted, struggles to focus sometimes, so the majority of people exatrapolate that out and presume there's nothing wrong. Then go on to suggest 5 things that help them with their occasional distractions. That's like telling a wheelchair user to just walk. "Well have you tried walking differently?" "Tried a stick?" I spent 50 years trying to just walk and I still can't. My first week on meds however, when I was told I'd probably wouldn't yet notice a difference, was indescribable. Truly I don't have the words. I almost dropped into depression realising I could have been like this my whole life. "Is this what other people have all the time?". I could have achieved so much!

That I achieved some measure of success with the condition, compared to how my mind could have worked surprises and disappoints in equal measure - what might I have achieved?

For many actually with the condition it's highly debilitating. They can't not be distracted. Ever. Often they're being distracted from being distracted from... IT IS NOT "oh look, shiny" on facebook. For some powerful amphetamines will be the best solution of those yet available (in very low doses compared to dietary or recreational uses). You don't get any of the same effects as you would taking amphetamines at a party. It's a neurological imbalance, so a neurological treatment will often be fitting.

Course I probably shouldn't think of it as a learning disability and just adjust the amoutn of tea I drink and look at some ideas for people who cannot start and finish work tasks.

I don't want over diagnosis, or easy diagnosis of very young children, and ideally want some more tools in the box I can choose from.

[PhasmaFelis]

Why do you assume that I'm not already using all of the techniques you described, in conjunction with the meds? Why do you assume that you know what's going on inside my head better than I do?

I'm not being rhetorical, I honestly would like to know. It's a huge problem that so many people refuse to believe that mental illness exists, not just for me and not just for ADD. You wouldn't say to someone with chronic fatigue syndrome "Yes, nobody likes to get up for work, but you just have to suck it up and deal with it." You wouldn't tell a diabetic that they shouldn't have to take shots just to get through the day. What makes you feel qualified to do that to me?

> Yes, we should be exploring alternative treatments besides powerful amphetamines which can cause addiction and health issues.

Absolutely we should! I would love to find a non-stimulant treatment that works for me. I regularly do research and ask my doctor to see if there are any new treatments available. Until they come up with one that works, I'm going to keep doing what I need to do to get by.

Also, I'd love to see a source on "addiction and health issues," because Ritalin and the other common ADD meds are not addictive, and have no long-term side effects for the large majority of patients, at clinical doses.

> I don't want to have to do drugs at work to keep my career from those who want to take a pill and work for 12 hours a day.

This is a strawman. That has never happened to you; your career is not under threat from drug abusers. My career will absolutely crash out immediately if I stop taking my meds, I've tried it before. What you're doing is no different than medical marijuana prohibition: you'd sooner let patients suffer than run the risk that someone might get high.