[chillwaves]

I'm going to see a psychiatrist for the first time next week because I think I had ADHD. This has helped me think about exactly how I want to state my problem. That I lack executive function, that I can't focus on the things I need to focus on, that I have spent decades trying to create accountability systems that ultimately fail.

> help your brain to dopamine with diet, with timing sugar

Could you expand?

I have been on a strict diet the past few weeks and exercising every day, I do think it's helped but I am still stuck.

[495636483]

Another thing... You want a sincere diagnosis, based on what you got. Don't stress about finding the right words :)

There are a ton of other things, which overlap with ADHD symptoms. Bipolar PD, depression, hidden sleep problems (like apnea), anxiety, nutritional deficiencies, ... . Many of these things also come comorbid, unfortunately. Either way it's not an easy diagnosis and takes time to untangle.

Wish you all the best <3

[chillwaves]

Hey mate, just wanted to follow up, not sure if you will see this but I saw a psych a few days ago and asked for the lowest dose of Vyvanse and got 10mg script. Took it for the first time today and .. it feels like a weight has been lifted. It's hard to describe. I am able to be self directed and do things, like my brain has been shackling me all my life.

It's like I could have a hobby now that wasn't an addiction, that I can enjoy an activity that isn't a compulsion.

Anyhow, thanks for your help.

I still have a long way to go to learn time management and be better self directed, but this time I feel like I have a chance.

[chillwaves]

Thanks for all the insight.

I do want a sincere diagnosis but I am worried I won't be able to make progress if the doc is only with me for 15 minutes, as it has been in the past. Maybe that's just the medical culture in America.

The ADHD symptoms speak strongly to me, especially about focus and motivation. Anyhow I read all your replies, will give it a shot. Much appreciated.

[comprev]

Sounds more like metaphorical sugar - a brief top-up of excitement to keep the brain in high alert mode.

Think Facebook notifications. The excitement is not knowing what the notification is telling you about.

[495636483]

No, actually meant sugar XD. But yeah, for the dopamine still. Otherwise your brain is looking for other sources. Stimulatory thoughts ("big ideas", exploding connections), or the usual procrastination with novelty mining. Sugar increases your "will power" by dopamine release.

Dopamine manages how long you can do a task before you evaluate its success; the risk of energy expenditure. Think of how long a path finding algorithm goes into one direction before aborting; with the evolutionary twist of a survival restraints on overall energy expenditure, which means there is a feedback loop modifying the risk capacity on success or failure.

Normal people start with more and overfill with completed tasks (if rewarding), so they got more for the next plan. That is, you got a bit of dopamine for putting on your pants in the morning. In ADHD you _constantly fight the lack of (non-abstract) motivation for such simple things, because you got a chronic deficit. Daily life already costs you a lot of "will power".

[comprev]

Thank you for explaining. The range of knowledge communicated in an understanding manner on HN never ceases to amaze me. Definitely feel I learn something every day!

[495636483]

I mean actual sugar. Glucose signals your brain to refill the energy expenditure risk capacity. With ADHD your brain isn't normal. It's more active, it burns more and has less capacity for risk in energy expenditure (putting off reward). You need a steady stream of fuel. (Not a giant load, slowly sip on some orange juice or even lemonade when you work your brain). Look up Russell Barkley lectures on youtube. He's generally regarded an expert in the field.

Yo. And check out /r/adhd! You won't learn how to cope there, since everybody just shares their "successful" techniques that they got going for a week ;) But it's super helpful to see how other people are like you, that it's actually not your fucking fault (pretty much saved my life...), that you're not lazy, and so on. ADHD also comes with a burden on your social life, from coming late, being impulsive and too easily aborting friendships (the radicalism on alleged principles, which I mentioned at the learning part) and so on, so it's good to untangle all that in the stories of others. Also that sub doesn't try to sell you ADHD as a blessing, which is good. You may "benefit" from divergent thinking and creativity at times, which come with the loose and jumpy focus, but ultimately it's a heavy burden, which has a toll on your life and health.

Daily exercise lifts your dopamine "base level".

However, if you really got ADHD you wanna try Ritalin, or Vyvanse. These stimulants work differently in ADHD brains than normal ones. To give you an idea: Some people take a small dose Ritalin right before bed, to calm their thoughts. I was skeptical about meds, but then I read in ADHD these stimulants actually "normalize" the brain as a long term "side effect". How often do you read that about psycho-pharmaca? They come at cost tho, of course, first medication I got with "sudden death" as a side effect... I also have trouble holding my weight (going too low), which started to scare me a little.