I visited my first psychiatrist this year and told him I have concerns that I was adhd.
I shit you not a fucking Dr of psychiatry told me that was very unlikely because they would've caught it when I was a child.
Fucking moron.
unfortunately a lot of people still use the bar of needing to be unable to live a functional life to entertain any sort of treatment. if you've grown up with a life and job, you'll not be taken seriously a lot of the time.
it's a double edged sword. ADHD meds have definitely been over prescribed to a certain degree the past decade or so and docs have been gatekeeping ADHD treatment a bit more these days.
this is what I hear from my wife who is a pediatrician.
It very much felt like he was scared I would get hooked on stimulants
I didn't get diagnosed until I was just under 30, medication has done wonders for myself since. I don't think my parents had a clue, I was quite smart, if I had medication in my school days I can only wonder what I may have achieved, but I'm a university dropout. Doing okay but I do wonder sometimes.
I was diagnosed last year, age 41. I think back to one of my earliest memories, where someone took me out of 2nd grade class to give me tests in some big closet or boiler room. I am convinced I was diagnosed at that time with at least ADHD, but my mom didn't believe in mental health treatments despite desperately needing them herself. She's dead so I can't ask her what those tests were about.
My friend says it got much better as he learned strategies to keep afloat... Then as he got older, into his 40's, work and life got more complicated with harsher consequences for forgotten paperwork or failure to notice time pass... And the number of things demanding attention made sleep and focus harder than ever.
He thinks his strategies just haven't been able to keep up, but thinks things will get better again
It bothers me that no one acknowledged that this can still be logically true. Of course if most people's ADHD goes away in childhood then it doesn't really logically mean anything to ask "most people you know with ADHD" because by definition, you will only be asking the subset of people for whom that isn't true.
You can't really survey the people for whom ADHD went away in childhood by asking all the people you know with ADHD because the people who would confirm the psychologist's claim are not going to be included in that survey.
True
But it is also be true that the insight "most people loose ADHD by adulthood" is in itself kind of flawed as people can develop coping methods which can mask the ADHD. If there's a significant people complaining/reporting then, it would be something to look into.
People are more open about having adhd into adulthood as compared to in the past where it might have been seen as a childish thing and hence undesirable to report. And not a problem enough to report it to someone who could help with that.
These are assumptions based on personal and shared anecdotes, so I guess you could still argue what you said is right.
It definitely got less hyperactive and more fogbrain, as I like to call it.
what they mean by that is, "thank god they learned to mask the problem so they stop inconveniencing us"
Which psychologists are those? A lot of the people I know that have only gone to apsychologist as an adult have been told, "wow did you know you've had ADHD you're whole life," and they're like "omg no but that makes so much sense."
Like I think it's more common to be an adult who doesn't know they have ADHD because they don't go to a psychologist, rather than having been a kid who was told they'd grow out of it by a psychologist, yah know?
I guess my point is this meme creates unnecessary stigma around seeing a psychologist, and you should see one if you think you should.
You just get better at masking the worst effects.
Edit:
The consequences are worse when you’re an adult.
If you miss homework assignments or forget a quiz when you’re a kid and you lose some grade points people give you shit, but if your parents aren’t abusive the consequences aren’t life damaging. People around you keep the guard rails up and try to help you atay pointed in the right direction.
If you’re constantly late for work, don’t get your taxes done, or forget your car registration renewal, these can get you fired or have big financial consequences. There are no guard rails in the adult world, just consequences.
Of course it got worse, I have to work now
Accurate. My wife's got worse. It went in to bloody overdive when perimenopause started.
Mrs. Warp Core is also going through this very thing. Basically the wild hormone swings hit her hard, right in the executive function. ADHD meds helped, but ultimately weren't enough. HRT has helped tremendously. That said, we're now terrified to roll off of that.
Turns out that people don't "grow out of" physiological differences in how their prefrontal cortex forms. Who would have thought?! /s
I don't think the ADHD necessarily gets worse, it's more often that the consequences get worse.
I.e. the intensity of the disorder relative to a given set of stimuli doesn't increase, but the average significance of the stimuli (and consequently the outcome of one's reaction to them) does increase.
You could argue that's a meaningless distinction, but perhaps it's a helpful change in perspective for someone.
Realistically, it's utterly dependent on one's life situation.
When you're in school, your main focus is trying to get through school, get home, and not get hassled about keeping up with yourself and your things.
Later on, some jobs, are congruent or even complimentary with symptoms, some jobs aren't. Some partners help compensate, some don't.
It absolutely will get worse for some, better for others. Some may have consequences that are an issue, some may have circumstances that defuse the consequences.
That's a valid point. Although I'd add that, as you get older, it's not only the significance of the stimuli that increases, but the overall levels of stimuli increases. More responsibilities, more burdens, more stress, and less likely to be given any concessions due to being young.
No, it gets worse. Adults don't have the amount of mental plasticity that younger people have. While it's possible to make things easier through CBT and learning to cope and deal with certain challenges. The mental load of keeping up with daily life ultimately has its toll. Life is getting harder every year for everyone, and having ADHD makes that mental load just that much harder.
It can get worse after school because not having a schedule imposed on you means you're left to your own devices and will often focus too much energy towards the wrong endeavors. Building a routine of healthy habits and sticking to it can make a world of difference.
There's also a tendency to experience a diaspora after, or in the immediate years after, school. Say, your mid-20's or so. That's potentially a big chunk of your support network disappearing from your life.
Building a routine of healthy habits and sticking to it can make a world of difference.
Exactly. Those coming to diagnosis and support while young stand a chance to be trained and armed for independence, and an adult life of holding one's self to one's own standards (hopefully). For many of us oldsters, being diagnosed later, or only learning about mindfulness and CBT well past our formative years, it's a huge struggle to cobble together habits and a better mindset.
"Psychologist" just means they were able to complete a degree program at all, C's get degrees
The officially changed it in my country to be an syndrome diagnosable in adults as well the very year I turned 18. I'm not saying it HAS to be because of me, but yeah.
Doctor leaves appointment with Droggelbecher
"Get the Chancellor on the phone immediately."
Yeah. I feel like it never bothered me when younger (he's "gifted and mature") but you get screwed later on when you have a 8-5 office job where you sit and stare for 9 hours. I can't focus on boring useless stuff like that. Unfortunately, the alternative is destroy your body doing manual labor to keep moving around. Plus. You make a lot more money sitting and staring at a screen. So just keep it bottled up and pretend you know what you're doing and don't feel like going nuts!
This is kinda why I ended up as a manufacturing engineer. It's technical, well paid, and doesn't require hard physical labor. But I'm constantly "putting out fires" and going to some forgotten corner of the factory to figure out what broke. "Oops sorry I skipped the meeting - the production line was stopped!" Neurotypicals view this chaos as stressful, but it's the only way I can flow through the day without hating my job.
Lucked out big time.
I'm still doing physical labor, but I think neurotypical people would go crazy with my schedule. I don't know what days I'm working sometimes until two days before. I don't even know where in the country I'll be next week. I thrive in the chaos and the physical work, but I can't keep it up forever. Freelance contractor for IT work.
You want me to pay bills? On time? Best I can do is rack up late fees.
Oh, my workaround for that is easy, just develop lifelong crippling anxiety and still forget about 10% of them anyways!
Anxiety is a heaven sent for the Bill Paying Problem.
Well, there is partial truth to this. Diagnosing especially preteens with mental health conditions almost always needs an asterisk, their brains are still heavily developing.
Remember that we know of no reliable genetic / physiological markers for ADHD, so when doctors diagnose it, they're really just saying that the amount of symptoms seems to be severe enough. Some kids are just naturally more energetic, intelligent, etc. and may appear like they have ADHD, but when they develop into adults that might not actually be the case.
If anything, it's more like 1/3 of kids were misdiagnosed as having ADHD, so they "grew" out of it because they didn't really have it. It's a lot less likely for an adult to be misdiagnosed because their brains aren't changing.
Great reminders about the lack of physiological markers. The (or one?) elephant in the room, to me - I'd phrase it as - to what degree a kid's just naturally well- or poorly-suited to the public school environment itself.
A child that finds it difficult to sit in one place and listen to words about abstract material for hours every day...I mean does that sound divergent in any way?
One of the fundamental markers of childhood in my experience is a certain...animation, just this almost irresistible urge to move around, negotiate whatever activity is occurring and in what way, with whoever is nearby...switching activities and modes of play fluidly. Seems like the most normal shit ever to me lol.
I do recognize we need a standardized way to educate our kids in a modern society, but as we learn more about young brains, we gotta start developing a more diverse way to accomplish the learning and development of self-discipline. The one-size-fits-all approach just obviously leaves many underserved, and worse, leaves them internalizing a lot of frustration with self, not to mention taking all kinds of drugs to "treat those symptoms".
Man it got worse in ways i didn't think possible.
So convinced i understood myself and i actually masterminded my soul into stagnation...
..but a hand come out of the mud
So far, what do you think ADHD is?
Shame, anxiety, restlessness
Hmm I'm sure it's personal for each but me I feel like I didn't outgrow it. More like I overcame it.
Well yeah, if they got better, they wouldn't be someone you know with ADHD. Obviously
Why does it seem like ADHD is the new Autism self-diagnosis? I've met a lot of people lately who have self-diagnosed themselves with ADHD.
Because a lot of people don't have access to mental health resources, or even medical ones, and are struggling with the pressures of navigating a life setup for type A brains with a type B brain. They know "something" is off, and find symptoms match up with ADHD.
I only got diagnosed because I was at the hospital for something else, and the local specialist noticed something was off with my behaviour. (I was there for a little while, to be fair.)
As an adult, navigating anything administrative is a nightmare.
My adult appointment for testing/evaluation was nearly 2 grand. I met my annual deductible in a month because of it. I'm fortunate enough to be middle class, so I could afford it, but I can't imagine someone making a lower end of middle class income just being able to drop that kind of money like that.
Because it was wildly under diagnosed in many places until recently, and if you weren’t a white boy you were a lot less likely to be correctly diagnosed.
Without looking it up, I believe the DSM says that diagnosis requires three out of five indicators. That would suggest that many people can get one or two indicators. Social media (specifically short form like twitter, instagram, and TikTok) has measurable negative impact on attention spans, while also propagating a narrative of colloquial symptoms.
“Whee look at me being neurodivergent!” - golly, I do that too! Maybe I’m ADHD.
For what it’s worth, I have both ADHD and mild autism. I’m not saying it doesn’t exist. I’m saying that the diagnosis is devalued by “oh i do that too, I’m also a little bit adhd”.
I self diagnosed before getting my formal diagnosis from a doctor. I was a hard yes to like 30 of the 32 signs of adult ADHD in Driven to Distraction.
At some point it's kinda a relief to realize that other people are going through the same stuff as you, and start therapy and treatment that are actually catered to your needs since you've already tried a million other things and nothing has worked.
And yeah everybody struggles with executive function and attention sometimes. But like, we all bleed when we're cut, doesn't mean haemophilia is fake.
You got that backwards.
... when you are medicated
