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[–] 50 points 4 months ago (9 children)

I misread this as erectile dysfunction and was super concerned about the solutions.

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  • [–] 6 points 4 months ago (6 children)

    Well, one of the non stimulant adhd meds gave me light ED while I took it

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  • [–] 5 points 4 months ago (5 children)

    I can see guanfacine doing this, as it lowers blood pressure.

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  • [–] 3 points 4 months ago (4 children)

    I did try guanfacine, but it was actually the atomoxetine that did it. Can’t remember if it occurred with the 25mg, but for sure did with the 40mg

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  • [–] 3 points 4 months ago (3 children)

    Thanks for sharing that. The guaf is helping me now, no side effects noted. It's pulling double duty for my BP as well. Only concern is that I think it was making me drowsy for the first month or so.

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  • [–] 1 point 4 months ago* (2 children)

    That’s great it’s working. None of the non stimulants worked for me unfortunately. Atomoxetine gave me some euphoria for a couple days and then some ED later on. Guanfacine had no effect that I noticed. I’ve been on lisdexamfetamine for over a year now and it has been going great. I started on 25?mg, upped to 40mg, and then to 60mg which is where I’m at. It started with a couple days of euphoria, especially the first day. The dose kept getting upped because I wasn’t sure if it was working, but I think it was because being medicated became my new normal. It was noticeable that it was working when I didn’t take a dose :P. I think I’m more prone to binge eat when I miss a dose, more likely to be overwhelmed and become frantic. My wife asks me if I took my medicine when I don’t, she’s never asked on a day where I did take it, so it is pretty noticeable to her. My blood pressure is on the border of elevated, so I wonder if a lower mg would be fine, at some point I might try, but currently I have switched from regular coffee to decaf

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  • [–] 2 points 4 months ago (1 child)

    Guaf took over a month to start working. It's a very even keel kind of thing. It was less an instant fix and more a realization that I seem to have shit together.

    The guaf is also with Concerta XR, and it helps counterbalance the stimulant effect.

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  • [–] 27 points 4 months ago* (5 children)

    Only advice that has ever worked for me is to set micro-goals for the start of tasks.

    Like, stupidly easy goals. Got a paper to write? The goal is to open a new document and type 3 words. Need to go work out? Do 1 push up. Need to clean your room? Put one shirt in the laundry hamper, or take 1 dish to the sink.

    That's it. Stupidly easy. Not feeling it after that? Cool, you already hit your goal. But momentum is a hell of a thing. The majority of the time, I'll just keep going, precisely because the micro-goals was so easy.

    3 words done? Ok that took no time at all. Might as well finish the sentence, maybe even a whole paragraph.

    1 push up? I'm already down on the floor, why not do another? Or 10?

    I could grab just 1 shirt, or just 1 dish; but I could carry more at the same time. Might as well.

    You don't need to trick your brain into doing the whole task, you just need to trick your brain into starting the task. Momentum will take care of the rest. And on the times that it doesn't? Well, again, that's fine. You met your goal already. You don't HAVE to keep going. That can be enough for now.

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  • [–] 4 points 4 months ago

    I use this trick when I have projects in the garage I need to work on. Don't feel like working on it? Well I'll just go stand in the garage for a bit. Next thing I know I've been working on it for three hours and I need to force myself to take a break to go eat.

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  • [–] 3 points 4 months ago

    My problem is when I switch into "doing shit mode" my brain fucking pingpongs between doing all the shit, so I'll work one one thing for like 10 minutes, realize I need to do something else, switch to that, and so on. Which does mean I make progress... but still not a lot gets actually done unless I have some kind of huge breakthrough on something that gives me enough juice to focus on it because I can see the finish line.

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  • [–] 1 point 4 months ago

    at least for me it's also a matter of breaking it down so things actually feel achievable, so i know what to do right now. Doing the dishes is for me always a matter of doing each individual dish at a time and praying to god my energy lasts through at least 5 items before i deflate like a balloon.

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  • [–] 26 points 4 months ago* (last edited 4 months ago) (3 children)

    When I was a kid I had a hard time slanting my cursive writing. My teacher told me to just slant the paper, so I kept turning it more and more until it was fully sideways, still writing upright because I adjusted to the angle. After days of this my teacher cried “Just write angled letters!” and I went “Oh!” and was able to do it perfectly from then on.

    Anyway I guess my point is different stuff works for different people.

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  • [–] 6 points 4 months ago (2 children)

    Did we ever find out why cursive was recommended to be slanted? I'd mostly forgotten that was a thing and now it seems stupid. Probably one person thought it looked better that way and people did it to seem fancy. A lot of grammar "rules" started from one person's preferences so this might've been the same.

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  • [–] 22 points 4 months ago (1 child)

    Me: "Man, I'm so fucking hungry rn..."

    still doesn't make anything to eat

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  • [–] 19 points 4 months ago (1 child)

    That final hashtag really caught me off guard, made me realise that's exactly what I've been doing to myself my whole life.

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  • [–] 5 points 4 months ago

    Same here. It took me years to start undoing the maladaptations it caused.

    The best method I've found is to externalise the hate, not internalise. E.g. I don't get annoyed at myself for not doing the washing up. I let myself get annoyed at the washing up itself. It still motivates, but doesn't do the corrosive mental damage internalising it does.

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  • [–] 18 points 4 months ago (2 children)

    This is why I’ll never truly be able to quit nicotine. Apparently I don’t meet the threshold for adhd medication despite regular debilitating functional freeze, so nicotine and the dopamine it gives me is only reason I’m a functioning adult.

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  • [–] 18 points 4 months ago*

    Gosh, when I smoked, I punctuated my life with cigarettes. Get dressed, smoke. Coffee, smoke. Do the pots, smoke. Start laundry, smoke. Finish laundry, smoke. Vacuum, smoke. Shave, smoke....

    I stopped smoking a decade ago, but I've recently got into rum in a properly way. Which I think might be worse.

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  • [–] 3 points 4 months ago*

    I was able to switch to vaping, but there is a hard lower limit to the amount of nicotine I have to add. Everytime I reduce below 6mg/ml freebase my life starts to unravel and I can't put the vape away either. It's not classical withdrawal - I know how that feels all too well from the time I tried to get rid of cigarettes without the vape, and withdrawal itself is a done deal after a few days.

    I might actually try a higher amount again, even the 6mg are pushing it on some days.

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  • [–] 18 points 4 months ago

    This seems like a good reading recommandation. Thanks for it and for the tip.

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  • [–] 30 points 4 months ago (4 children)

    There's also research that says blood sugar is really helpful for people with ADHD so having something sweet to sip on while you work can be really helpful

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  • [–] 16 points 4 months ago* (2 children)

    And if you're also diabetic, you can just sip a little bit of your own piss

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  • [–] 12 points 4 months ago (1 child)

    I think this is good advice and creating fake urgency is nothing but destructive for many. But then again we're all different and the clock setting techniques may be the perfect fit for many others. The most important thing is that you try things and if you try something that doesn't work, most of the time you can't just try again harder to make it work. That will eventually break you.

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  • [–] 19 points 4 months ago (5 children)

    I cannot start rewarding myself before starting. I at least need to get started first. Granted i usually reward myself with beer and weed so that could be a factor

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  • [–] 4 points 4 months ago (3 children)

    Just switch to pony beers and shake, it's like eating Snackwells instead of actual good cookies.

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  • [–] 4 points 4 months ago (2 children)

    (I don't know what "shake" means in this context.)

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  • [–] 8 points 4 months ago (1 child)

    Instructions unclear, am fat now.

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  • [–] 8 points 4 months ago

    shit. i've been sitting here needing to shower and wanting to play my video game after my shower for... hours now.

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  • [–] 8 points 4 months ago (3 children)

    Anyone have any clarification on what "pretend the hat man is pointing a gun at you" means? I've never heard that phrase before.

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  • [–] 7 points 4 months ago (2 children)

    The "give yourself a treat after" type of advice is pretty shit. I know the guy who hands out the treats, and we're on pretty good terms. I'm pretty sure I can get him to give me a treat without doing the task. Heck I'll probably give myself two treats.

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  • [–] 4 points 4 months ago (1 child)

    Well there problem for many ADHD as explained in the post is that we just don't have the dopamine to even consider starting a task, and a little treat gives us that boost to get going.

    For me personally it's often a task that I want to accomplish, I just like can't because brain says no.

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  • [–] 7 points 4 months ago (1 child)
  • [–] 6 points 4 months ago* (last edited 4 months ago) (3 children)

    The previous works because you're putting yourself in a state of anxiety and creating adrenaline as a result. Your brain can run on adrenaline instead of dopamine, so it does that. If you learn to cope this way you'll be fucked in old age like me though. In addition to adrenaline, you're filling your body with cortisol and that will destroy you from within. Don't do it. Just go get the damn ADHD medication.

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  • [–] 11 points 4 months ago (2 children)

    This assumes executive dysfunction only ever comes from lack of (available) dopamine though.

    It's better advice than stressing yourself out, sure, but it may just be useless.

    The only thing that has ever worked for me - and I have tried giving myself treats before and during a task - are hard, immovable deadlines.

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  • [–] 5 points 4 months ago* (3 children)

    Ngl, within the pharmacology thing because they keep changing shit literally every year there's never an exact treatment. Next year autism could have a level 4 or a 2 1/2 because of symptoms people notice woo-hoo treatment plans will change and then you might not be able to get the same treatment you currently have now because insurance will want you to be diagnosed with a lower level of autism and you'll be shit out of luck.

    Or you could be like me who's being treated for autism with medical cannabis and you're 33 and you don't have a psychiatrist and you have really bad adhd but no one will treat you for the adhd because of the cannabis.

    I mean honestly some days I wish I could fucking die because if I was being treated I would be able to focus on a lot more than I am now and I'd probably be where I want to be financially or at least feel stable in life.

    Oh well, I better put on that reward system and bake some cookies and whenever I do a fuckin' good job I should just eat a fuckin' cookie kind like how I used to smoke cigarettes and whenever I did a good job I'd smoke a cigarette.

    Come on we try it. It ends up in addiction or fooling ourselves. 🤦🏻‍♂️

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  • [–] 3 points 4 months ago* (2 children)

    Or you could be like me who’s being treated for autism with medical cannabis and you’re 33 and you don’t have a psychiatrist and you have really bad adhd but no one will treat you for the adhd because of the cannabis.

    i'm not trying to one-up you, but chronic pain is really fun when your cannabis doesn't cut it too. i've given myself finger quotes adhd as a coping method for that.

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  • [–] 3 points 4 months ago (1 child)

    Tmj, sciatica, shoulder pain. Muscle relaxers for the tmj sciatica is part of odd fusing and tmj is stress induced. Shoulders are just naturally fucked from being lanky.

    Ibuprofen is a friend 😑

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  • [–] 3 points 4 months ago

    I have the fatal butt disease so I only get to take that when I have a sunburn. Speaking of which, this is legally not medical advice but a dermatologist told me once that when you geta sunburn, the damage is from inflamed skin. So if you take like 600mg ibuprofen (a low prescription dose) and slather on another round of sunscreen as soon as you notice yourself burning, you don't burn. Still gotta watch for the fatal skin disease tho.

    That's the only occasion I allow myself to take nsaids (outside of naproxen for migraines, other story). My doctors are amazed I'm still alive.

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  • [–] 3 points 4 months ago (1 child)

    Top shelf book recommendation, actually sounds like an interesting cleaning self-help book

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  • [–] 2 points 4 months ago

    Hi, Aralakh!

    I’m responding to you here, but really I wanted to talk about something you asked about in another thread. That other thread got shut down, but I learned that before I typed out my response.

    You asked how to learn for understanding instead of for coverage. Here’s my response:

    Sure. It helps to know what learning is: a change in long term memory. In particular, you’re structuring your memory so that you can think in a structured way.

    So, how do you change your long term memory? First, start by paying attention to what you want to learn. If it’s a hard topic, pay attention to a small part of it. Read just a chapter, or just a page, or just a paragraph.

    How much should you chew? Just a page? Just a paragraph? The whole book? Your experience will tell you. Try something and see how it goes.

    Once you have read something small enough, put it aside and try to recall it. Write it out or talk out loud. Try to explain it. Try to interpret it. Try to get a sense of how much you understand of it.

    Then go back to the text and compare what you said to it. See if you got the main ideas.

    This is the basic understanding procedure.

    Here are some ways of enhancing the procedure.

    • Establish goals for yourself. This is very, very important. Do you want to understand the main ideas? What are those main ideas? Do you want to develop a skill? What is it? Without goals, it’s hard to self-regulate as a learner. Check out the research on this self-regulation: Metacognitive Judgments and Control of Study and * Becoming a Self-Regulated Learner: An Overview*
      • A method that I like to establish goals is to have a constantly-changing, bottom-up list of Knowledge, Skills, Understandings, and Transfers I want to learn. Knowledge are just facts. Skills are basic things you learn to do. Understandings integrate and make sense of isolated facts. Understandings are developed over time. Your Understandings will probably change over time, which is why the list is bottom-up: you build is as you go. Transfers are authentic and complex applications of Skills, and they require Knowledge and Understandings. So before study session, I try to make a list of K, S, U, and T, to compare my actual recall to those. These ideas come from Understanding by Design for this, as well as Embedding Formative Assessment’s short section on Big Ideas.
    • Learn about cognitive load theory. This will help you learn how much to chew. In particular, learning about the generation effect, element interactivity, the expertise reversal effect, and the spacing effect will help you loads. Going into learning without cognitive load theory is tough. Going into learning with cognitive load theory is powerful. There’s talks by Sweller, the originator of CLT, and there’s nice chapters on the implications of CLT for learning: Schmoker’s Just Tell Them and Rosenshine’s Principles In Action.
    • Structure your recall sessions through Visible Thinking Routines. Practice the Core Thinking Routines. The books on VTR are good. Just know that VTR were developed in constructivist land, but constructivism is inefficient in learning, compared to Explicit Instruction (Archer and Schmoker) and Direct Instruction. In other words, if you want to learn efficiently then have clear goals, take small steps, generate evidence of where you are, and compare where you are to where you want to be so that you can know how to get there! VTR are amazing in both constructivist and direct instruction lands. They work for both (1) novices who are chewing very little and (2) experts who are innovating with entirely new thoughts.

    Hope that helps! Let me know if you have questions :)

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  • [–] 6 points 4 months ago (6 children)

    Just pretend that if you don't get shit done, you will flunk school, get fired and eventually your family will give up on you and you'll be on the streets.

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  • [–] 19 points 4 months ago (1 child)

    Thats when my brain starts thinking of how I'd survive on the streets and making plans for that. It doesn't really help much lol.

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  • [–] 3 points 4 months ago

    Yeah it does not help that I have had to make bug out (of the city, which I've used thanks to natural disaster, and of the country, which oh deer gods please no city was bad enough) plans that have contingencies that involve a few months to years of homelessness.

    Planning for those contingencies will make them easier if they happen, but damn it will not make them more pleasant. At least we're close to having electricity on our contingencies now, we can almost afford a balcony solar panel+inverter thingy what can be transported on my trike.

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  • [–] 10 points 4 months ago

    Instructions unclear. Now I just don't feel like I deserve any of those things.

    Correction - instructions were clear. I later realize how that's supposed to work, but still not functioning.

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  • [–] 6 points 4 months ago

    the hat man owes me money.

    ain't seen that pissbaby in years

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  • [–] 3 points 4 months ago (2 children)

    Yeah. Take a snack, blink, ate through half a kilo of cookies.

    Very rarely regulatory systems are fucked in one way only.

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  • [–] 2 points 4 months ago

    I understand this...a lot. Cookies/chips/snacks etc, they come in single serve containers, it doesn't matter how big the bag/box is.

    Tip.

    1. Buy bag of cookies
    2. Split cookies into 10 small containers
    3. Have two(ish) cookies as a reward for completing this task
    4. Use "whole" containers as a reward for other tasks throughout the week.
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  • [–] 3 points 4 months ago (2 children)

    Ymmv but for those of you who put your clocks ahead (but automatically adjust the tine in your head), try putting them behind. Knowing it's slow may cause a bit more urgency.

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  • [–] 10 points 4 months ago

    I found that putting them set exactly to the second to the atomic clock forces me to mentally create buffer time and get places on time.

    Setting the clocks ahead gave me a mental assumption of “don’t worry you always have extra time !” And I imagine that setting them all behind would similarly lead me to disregard the reality of the clock.

    But setting it precisely on time lets me know that this is real, there are no tricks going on, and I alone have to plan for enough time to do stuff or be places

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  • [–] 3 points 4 months ago

    Personally, I find that music can help out. Just as long as you don’t have to listen to something with audio, keeping music on keeps that dopamine flowing

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  • [–] 5 points 4 months ago

    I have a jar of dope and a jar of anime girl thighs. Would one of you science wizards help me turn this into dopamine?

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  • [–] 2 points 4 months ago (6 children)

    I'm sorry.

    "The hat man"? What in the sleep paralysis demon is that?

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  • [–] 5 points 4 months ago (4 children)

    The hat man is a common hallucination of a shadowy man with a wide brim hat experienced in psychosis. I know about it cause it's commonly reported by people who take too much dxm or people on multi-day no-sleep stimulant binges.

    It's just a form of pareidolia, your brain just trying to make sense of dark shadows in your room in its forced twilight. It's pretty much a meme.

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  • [–] 1 point 4 months ago

    i feel like the hat man solution would work for me...

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