| Absolutely. But you first have to factor in that my ADHD is performance degrading. As an example: Mirtazapine is an antidepressant used to treat major depressive disorder, but that doesn't mean you can give it to an otherwise emotionally healthy person and it'll give the same effect delta to them. If you put a crutch on a healthy leg, it doesn't suddenly become a better leg. My medication allows me to experience the world without crippling anxiety and constant distraction, it just so happens that 30 years living with those issues means that a large portion of my attention and time was devoted to dealing with them. So, yes, my ADHD medication is performance enhancing, but that's an incredibly reductive way to look at it. That doesn't mean that anyone can take it and perform better, in fact studies of studies have found that the results of stimulative medication for people without ADHD (such as those who are using it to try and improve cognition during studying) can be similarly triggered by placebo effects: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489818/ As it remains unclear whether stimulant medication has the same effect on healthy individuals as for those with ADHD, it is possible that many reported effects of prescription stimulants in healthy individuals may stem from placebo effects. Looby and Earleywine (2011) examined whether placebo effects influence reports of subjective mood and cognitive performance among college students who endorsed several risk factors for prescription stimulant misuse (e.g., low grade point average, fraternity/sorority involvement, binge drinking). Interestingly, participants believed that they had better ability to focus and persevere, particularly for a sustained amount of time, when they expected to receive MPH (Looby and Earleywine 2011). This is similar to circumstances in which participants may engage in nonmedical-stimulant use to study or cram for extended hours. On the other hand, when experimental participants did not expect to receive MPH, their attention appeared disrupted resulting in inconsistent reaction times throughout the CPT.
I take my medication because I have a disability. I was diagnosed later in life and have a well tested / carefully controlled history of use with this medication where I'm frequently checked against diagnostic guidelines. In almost every metric of my life the disability had a negative effect, you can see a history of that here: https://news.ycombinator.com/item?id=28739990#28741432If my medication is performance enhancing, then literally any antidepressant, antianxiety, anticoagulant, anti-inflammatory, antihistamine, antibiotic, etc., is also performance enhancing by the same thought. What we need to consider is the baseline it lifts you from and the place it takes you to. It's probably worth mentioning that I'm in the UK, not the USA, where access to stimulant medication is a _lot_ stricter and it can be very difficult to get a diagnosis of ADHD. I had to go through several hour long sessions with specialised psychiatrists to receive the diagnosis after spending years being tested for other conditions like Mixed-Anxiety Disorder. An excerpt from my remission notice is here showing the clinically recognised reduction in symptoms, it mentions that the decision was based on both subjective and objective justifications: https://i.imgur.com/RJQCAs6.png The diagnostic screening questions for the ASRS1.1 are here showing the areas where I subjectively improved: https://add.org/wp-content/uploads/2015/03/adhd-questionnair... On a side-note, your comment came across very harshly. It's very easy to make a short, pointed statement like that about a topic you aren't very familiar with, but you should consider how informed your statements actually are - if they're backed in data or long term subjective beliefs. Sometimes, brevity imparts a lot of information in few words, sometimes it just comes across as rude. |
