Also, a lot of people with mental health issues can survive without their medication, it can significantly decrease their quality of life or ability to function.
I can survive without my ADHD being treated but I can't work. Fortunately for me, I am on a different type of medication so this shortage doesn't affect me, but I can see what's happening to my coworkers. My team is going to lose people due to this bullshit.
This right here. I'm prescribed Adderall off-label for excessive daytime sleepiness, and have been for over a decade. I have tried multiple times to come off of it because of my concerns with long term effects (especially with my heart).
Can I survive? Absolutely. But without it, I am a zombie; a complete shell of myself. Even with concerns over long term side effects, the tradeoff isn't worth it for me.
That some "work" requires lifelong consumption of a stimulant with a fragile supply chain maybe reflects a deeper problem than any shortage itself.
Why are your coworkers so committed to this work if it suits them so poorly? Are they really unable to perform any work without a drug?
It's a little wild that people would sooner see themselves as "ill" and in need of $xx/mo of side effects and shortages for the rest of their lives than think that maybe the expectations they've put on themselves aren't right.
Maybe the work is not a good suit for them. Maybe their lives are structured poorly. Maybe your whole industry or social class is broken and is demanding more from people than they can deliver without drugs. A shortage is a really good opportunity to look more closely at those possibilities, especially the last one.
This sounds like something I would have said before living with someone with ADHD.
It would take a long time to explain adequately. But to summarize, neurodivergence can be a pervasive, debilitating problem for people, and medication is in many ways a miracle cure. And the solutions you suggest require the exact type of executive function that sufferers are lacking.
Of course it would be nice to wave a wand and change society instead, but that's not going to happen.
Agreed. You really have to experience or see something to truly understand it. Recently, every time I’ve had a serious medical issue, I’ve learned how people who are permanently disabled live.
You are conflating ADHD as something strictly affecting work. It does not only affect work, it affects your whole life.
You wake up and need to make your bed, but then you also have to take a shower, and brush your teeth, there's also laundry to do, and coffee. Maybe breakfast if you are hungry, but there's also mail to pick up, and emails to read, and plants to water, you also need to schedule a thing after work, and there's also a message from your parents to reply.
All of those things are ringing out loud "I need to be done" at the same time, with the same priority, you know you should just start with one thing but you can't, you simply can't, the other things are like loud alarms going in your head to not be forgotten. You feel overwhelmed, you take a shower. One thing done, you make coffee, you drink it and feel you need to go for a walk to clear your head, you come back home and drink a bit more coffee, oh, but I forgot to brush my teeth when I was in the bathroom, and now I know I shouldn't brush right after drinking coffee, you wait a little bit for the sake of your teeth, you forget about it again.
You go through your day, you remember you forgot to pick up the mail, you go to pick up the mail, you see your front yard a bit disorganised, you start putting things in place, you go back inside the house and remember you forgot to pick up the mail.
You don't make breakfast because many distractions took your time, you start working, you force yourself to focus, you do the work even though other things ring in your head all the time, you finish work and now you're exhausted.
You do other day-to-day things, you cook, etc., time for bed, now you remember all the things you forgot to do: you didn't do laundry, you forgot to reply your parents' message, you forgot that you booked an appointment for tomorrow morning. Oh, you also forgot laundry, for the 2nd week in a row, you do it because tomorrow you won't have clothes, so the urgency makes you focus and prioritise it.
It's a constant, never-ending stream of remembering, forgetting, overcommitting, self-guilty, no matter what kind of organisation ritual/system you try you eventually fail, each failure feeds back into the guilty, into the shame.
And it's constant, every single day of your life, in every single activity you do. In conversations, at work, doing daily chores, everything takes a lot of effort to be focused, to do what you are supposed to do.
So maybe life isn't for me, should I just off myself?
The world also existed before capitalism and office jobs, when people who were nuerodivergent could still reliably contribute to society and their talents even be beneficial. We now have a system where those who can focus the longest and grind the hardest are the ones rewarded. Anyone else is either mediocre or worse, at risk of being able to provide for themselves because no other method of work is considered nearly as valuable.
Most well-"rewarded" people I've known are not acclaimed for their focus or for their long hours.
Some figures highly esteemed for their talent are noted for extreme focus and diligence, but rarely are these people especially well rewarded with money or comfort. They just get pointed at and receive some "oohs" and "ahhs" while feeling pretty alienated and seeming pretty unbalanced. It's not something most feel themselves aspiring to and it's definitely not what society has set itself up to reward.
Society seems to reward people who get about as much done as they say they can, consistently, on something useful, while not being too unpleasant to be around.
There's plenty of room for neurodivergent people in that society, even without stimuants.
> Society seems to reward people who get about as much done as they say they can, consistently, on something useful, while not being too unpleasant to be around.
You said yourself, consistently. There's nothing consistent about living with ADHD, you simply can't be consistent, it's one of the major issues with it.
I believe you are speaking out of ignorance, and that's fine, if you also allow yourself to know you are ignorant and try to understand how it is for others, to grow out of your own ignorance.
If you have not lived with ADHD or had a partner with it to understand the many, multifaceted ways it affects someone's life I don't think you can even grasp what it is, it's ok to be ignorant if you are kind enough to acknowledge and try to understand what you do not know about.
So far I've only seen your rebuttals coming from the same place as people telling us we should just do better, that is a simple matter of willpower. Or worse, that society does accommodate for it (it doesn't).
Society rewards consistency, rewards people with good organisational skills who can persist on a task until its completion, no matter how boring or difficult it is. A neurodivergent person has to develop and practice that, every single day, knowing that in many days you'll fail to do it and all that's left is to try again the next day, and the next, and the next, and the next...
I can honestly say that I wouldn't have been able to hold down a serious professional career without it - ADHD is a very real thing that some people have to deal with, and its effects can be crippling to life outcomes.
I don't like the way stimulant medications feel to actually take, and the long-term health effects do worry me a bit, but it makes it possible for me to live something significantly closer to a normal life than I would ever be able to manage without them. Really can't overstate how transformational it's been for me.
Ditto, 100% same story. I kinda knew I had ADHD and was able to investigate some childhood stuff that suddenly made more sense, but I waited until I had a crisis that was compromising my ability to function at work before finally talking to a shrink. Wish I'd done so a lot sooner.
I can start/stop, take drug holidays, etc. with amphetamine (adderall in my case) at will with no ill effects. Caffeine on the other hard, is brutally unpleasant to miss a day of. Been on the same dose of adderall for a few years now. I was able to reduce my caffeine intake significantly after starting adderall.
We're not unaware though. We know we are capable of doing these things because we can do them exceptionally well in short bursts of hyper-focus. We see the potential and we desire the outcomes. We lack the executive function to put those things into action consistently.
I was not completely unaware of failing most classes in high school and having to get a GED despite wanting to do my homework and study for tests. I was very motivated and interested in the subjects, I could just not focus enough to complete my work. This caused me to have an adverse reaction to even starting a project/task which I still struggle with today (even though it's much easier now).
So while I can of course not predict what would have happened, I can pretty safely say my life path would have been completely different had I had a chance to get treated earlier. I would have gone to college, at least.
> I was not completely unaware of failing most classes in high school and having to get a GED despite wanting to do my homework and study for tests.
This was pretty much me as well. I remember at the start of every new school year promising this time it would be different. I would do my homework and pay attention in classes and get good grades! Each year it spiraled into the same mess. Diagnosed with ADHD in my 30's.
My point is that you're ginning up a scenario in your head that wasn't ever going to happen, and you're doing it so that you can feel bad about things for a little bit because feeling bad is nostalgic. You don't really need loose ideas like that rolling around your head when you're taking these meds. That was your old life.
>My point is that you're ginning up a scenario in your head that wasn't ever going to happen
Do you mean that if I had been able to treat my disorder earlier, nothing would have been different? I don't dwell on it, but to say my academic success would have been wildly different medicated is just wrong.
Yes, it does help with working memory. I'm not sure if it adds a slot, or makes it harder for other items to sneak into the limited slots, but it helps.
It gives me some control over my focus, leverage against the executive dysfunction, and the choice to not chase dopamine.
For me it definitely does, it seems like my brain is able to fit more into its "main memory" while focused on a task, whereas without it it seems like I'm "swapping to disk" to put it into computer terms.
I don't take it on the weekends, and I feel a huge difference in my ability to remember what I'm working on around the house.
Parents never saw there was an issue. I was mostly "normal" until I started seeing symptoms pop up in the 5th grade. Don't have a guidance counselor but I should probably just ask my dad.
My parents were against it too, even though my 5th and 6th grade teachers both suggested it. Then in High school my guidance counselors highly recommended I get tested.
There was definitely a stigma for mental illness with the boomer generation, I suspect my mom did not want to be associated with a child that has a mental condition.
Also, a lot of people with mental health issues can survive without their medication, it can significantly decrease their quality of life or ability to function.
I can survive without my ADHD being treated but I can't work. Fortunately for me, I am on a different type of medication so this shortage doesn't affect me, but I can see what's happening to my coworkers. My team is going to lose people due to this bullshit.