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by ativzzz 1499 days ago
> it's not something you can develop in adulthood

I disagree, from my own personal experience.

According to the CDC/DSM-5, people with ADHD simply have enough of the described ADHD symptoms, and most importantly "interferes with functioning or development."

We don't yet know enough about the brain besides that people have different brain makeups and respond to different stimuli differently. We don't quite know what causes ADHD but we can group the overall symptoms together to try and treat them.

That said, plenty of the criteria in the DSM-5 can be as a result of our modern lifestyles. I talked to multiple psychiatrists/therapists who had consensus that I had ADHD. I tried all the different meds, none of them really helped. The only thing that did was changing my lifestyle. Completely eliminating some addictive habits that wrecked my response/reward circuits (porn and addictive video games) (still a work in progress but it helps). Structuring my life for more consistency and setting up a system that would prevent me from dropping into the negative ADHD habits.

I recommend reading ADHD 2.0 by Dr Halowell. Everyone's journey is different and I don't want to take away from people who get serious improvements from traditional ADHD treatments. But ADHD is a spectrum, and it's unfortunate that many of the traits that come with ADHD cause negative outcomes for our modern society, but it's really just a different functioning of the brain. Some activities exacerbate the negative outcomes, and some can reel them in. Like most other things, I believe ADHD is partly genetic and partly behavioral. The weight differs from person to person. One of those you can't control, and one you (sort of) can

2 comments

As it's a developmental issue, you can't get it once your brain is fully developed.

However, your circumstances change as you become an adult and once well managed symptoms can start showing. You don't see impaired decision making when you can ask your parents about everything. You're not late when mom makes sure you get out one time. You manage all 2-3 household chores you have, but crack when you get 20-30. You manage your pocket money well enough, but not so much a full adult budget. You're fine when you know what you're supposed to be doing (the homework for tomorrow), but adult life gets you overwhelmed. Etc. Etc.

I'm not sure we're disagreeing here? As I understand it, some people have a certain kind of distractable brain and there's an underlying brain chemistry implicated here which isn't something you develop in adulthood.

However, having this brain chemistry doesn't necessarily mean a person suffers impairments in daily life: impairments are highly situational.

I suppose - to the extent that the DSM-5 requires a fair level of impariment for someone to be diagnosed with ADHD - that it's technically correct to say people can develop this in adulthood: there it passes from a syndrome to an disorder. (Personally I feel it's kind of absurd not to have a name for the syndrome if it occurs in the absence of impariment due to life circumstances! Perhaps this will be "fixed" one day as psychology slowly becomes more quantitative.)

Thanks for the book suggestion!