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by Balgair 901 days ago
I have close family that has recently gone on medication for ADHD. So, grains of salt flying everywhere.

That person is now a different person than before. Some good things, some bad. I want to stress that my family member is very accomplished and has now started to medicate (under MD supervision), after completing a PhD in STEM from a top 25 school with many honors.

The good things are that they are calmer and easier to talk to. They report that they feel more 'together'. They don't freak out at all the little things as much now. They seem to float along now, their eyes are less darty.

The bad things are that they act like a crackhead. I know that's glib, but it's the best analogy I have right now. Appointments and deadlines are flying past like never before. They seem to really not care about the rest of the family as much as before. They are now doing a lot of very colorful art projects in areas that don't really take them (during weddings, on their work desk, on the ceiling of their bedroom, etc). They interject themselves and their feelings into conversations that are not about them (talking about an elderly family member's time left, they make the conversation about them now). Their spouse is very concerned and has expressed this to the rest of the family. They get very angry when talk of becoming unmedicated is brought up. I fear they are addicted to the amphetamines.

My advice would be to go to a good MD and talk with them. Try out the medication for a certain amount of time (~3 months) and then go back off the medication for the twice the amount of time (~6 months). Do an in-depth analysis about the effects it's had on you and determine if the benefits are worth whatever costs you see. Involve close friends and family in this process. Be very blunt with yourself. You've managed to have an effective life thus far, I would be very careful about gambling that.

3 comments

Yeah, from what I know of people with ADHD, this doesn't sound like ADHD person on amphetamines ... well, unless one of the things that ADHD caused them is being a people pleaser due to rejection sensitivity and I did hear that medication can help a lot with this - like it does help with doing things you have aversion to, so if you only were nice to other people because "what if they don't like me otherwise", you could now feel liberated to be the uncaring self-centered bastard ...

But getting the dose is tricky, talking to them about better drugs could help.

If you are affraid of addiction ... yeah, some behaviors can look like that, and there can certain degree of physiological dependence ... but "I am anxious my meds that help me function better will run out, with shortage and prescription hoops" and "damnit, I forgot to take my meds in the morning and now it is too late and I am angry, because I can basically write-off the rest of the day" is fairly standard medicated ADHD experience :-)

Sounds like they are on the wrong medication. That’s a trend now to put adhd patients on personality changing anti depressants, lately because of the difficulties and cost of prescribing stimulants. Kaiser tried to push this on me and I noped tf out after reading the common side effects.
If you can complete a PhD do you really need meds?
Oh yes.

If the PHD was the thing you could hyperfocus on, because reasons ... you could still fight with i.e. paying your utilities late because ADHD made it that you just didn't and then there was a pile of stuff and you didn't want to deal with that pile even more ... I am on meds for last 6 months and the feeling of "oh, I can just make myself do things, no big deal" for the first week of medication was wonderful. Honeyoon period is now over, but it is still nice...

Like, I turned to psychiatric help, because in that year before I got medication I didn't do anything at work ... didn't click with a new team, I think. I have ~successfully worked as a dev for 10 years and have masters in computer science. Was lucky. I realised this was probably first year I was working on a thing I didn't care about. But afterwards I had many realisations like "normal people don't account for late-fees in their budget, they just pay on time" ...

Hey, I gotta ask: What's with all the '...'s ?
I.d.k. I write like that :D Maybe I miss not being to uhm, and ehm and have pauses when I am thinking in my writing, so I use dots ... kinda silly, if I think about it, but not a thing I would spend energy to not do?