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I think I know what you mean but the theory, as far as I understand it, is that those initial feelings of stimulant medications aren't meant to last, and a lot of it is technically a side effect For the first few days we can experience significantly increased energy and some euphoria, along with the therapeutic effects. That's a really novel experience at first (which in itself helps ADHD brains focus) so it often works extremely well for a short while. People get in trouble if they try to chase that initial feeling (high), mistaking it for the therapeutic value that the medication is supposed to provide. Eventually we're not supposed to feel it at all, and if it's the right medication for us at the right dosage, it should just quietly provide therapeutic value in the background, improving our executive functioning challenges, emotional regulation, etc. As I understand it, the data on tolerance with stimulant medication is a bit mixed[1], some people develop tolerance but many people don't. In your situation I'd definitely give different medications a try, it shouldn't make you feel like a zombie. It's pretty common for people to respond poorly one class of medications and respond well to another class. If Concerta (methylphenidate) didn't work for me I would personally consider Elvanse (lisdexamfetamine), then atomoxetine (an SNRI). There are also some other non-stimulant options like guanfacine and a few antidepressants that have been found to work well for ADHD but I don't know much about those. [1] https://pmc.ncbi.nlm.nih.gov/articles/PMC9332474 |
After a while though Im not quite certain what the residual effects were. Maybe slightly more focus, but I still couldn't focus on my work, side projects, hobbies and any increased focus there was went to video games and bad habits.
Perhaps issue is Im beyond bored of my job that nothing can save it and need to make an active effort to be disciplined