I recall this thread https://tildes.net/~health.mental/1l62/adhd_diagnoses_are_surging_among_older_americans that I responded to in January, 2 months after my diagnosis, but about 3 weeks before I started medication. At the time, I was "self-medicating" with cannabis every weekend and I did implement positive changes, but I knew I needed something for the week and I knew I didn't want to smoke every day or take cannabis every day.

The medications

I started using Vyvanse in late January, after my diagnosis was confirmed in October, but my doctor wanted to wait for my heart results because I had consulted about my heart many many years before and it was the only thing I could answer to her when she asked me: "any past problems about your body?". In retrospect, she did well, because I now realize that most ADHD drugs are stimulants.

Anyways. My first day on Vyvanse was absolutely I N S A N E. I felt like I was the guy from Limitless taking NZT for the first time. It was like all my mind clutter got removed at once. Normally, I felt like I was losing frames every second, but with Vyvanse, I felt focused, every discussion I had that day, I was fully focused. Everything I had to do that day, or wanted to do, I did. I'm a teacher and there are TONS of stuff we need to do that is not really talked about, stuff like printing papers, organising papers for my groups (I'm in high school), reorganising my desks because someone messed with them, and so much little planning for different projects, future exams, future classes. Most of those things include some sort of planning with others, which can lead to a long list of things to do that just never ends. Well, that day, I did everything I needed to do and I felt like I wasted zero time with everything. I was efficient, quick, did all my tasks and more. I was used to doing thing fast, but I was maybe ~80-85% efficient most of the time. Well, with Vyvanse, I was at 120%. That lasted for a couple of days... and then the side effects started to really pile up.

I have insomnia, trouble staying asleep, I always wake up during the night and was also diagnosed with sleep apnea last year. So, insomnia coupled with stimulants was just not a good combo. I was not sleeping at all, probably getting 1-3 hours of sleep for multiple days in a row. My heart was often racing very much, often times at non-usual hours, such as at like 3 am...

I was super happy with the positive effects, it was exactly what I needed. I was able to start routines I had wanted to start for years, such as cooking, cleaning, planning, exercising, etc. I was able to do all that, but my heart racing and my lack of sleep really took a toll on me.

So I went to see my doctor, we tried Concerta for about a month and a half, but it did just nothing. It was maybe 15-20% of what Vyvanse was AND it still affected my heart, while not helping my insomnia. So I went back to my doctor.

We then tried Strattera. Oh boy, did Strattera work. I started it around early April and it's exactly what I needed. It's about 85-90% of the positive effects that Vyvanse had, while having close to zero side effects. I'm prepared to be on Strattera for the rest of my life. I'm on 40mg now and I don't need to up the dose, but through the years, I could go as high as 120mg, so there is room to keep the same effects for many many years.

How it changed my life

I must state that I'm in my early 30's. I've been living alone all my adult life. I had wanted to make positive changes in my life for years. I wanted to cook more, I wanted to exercise more, to organize my life, to decorate my apartment, to improve everything about my life. I had the willpower, my body just didn't follow. So, in that sense, the medication was just the final push before implementing everything in my life.

I had already started to make positive changes when I used cannabis during Fall 2024. Every weekend, I would write up a list, smoke a joint and go to work. I just wanted to be able to do that during my work week because, obviously, pot is not an ADHD drug and I couldn't be high all the time.

I can confidently say that Strattera and the medications just completely changed my life. Yes, I implemented every "positive life changes" you can think of. My life is organized, I can keep agenda updated, I can easily plan needed appointments, I follow-up on people when I tell them too. Remember all the times you've told people "oh yeah, I'll do that later!" and didn't follow up? Well, now I do follow up every time. I have planned my whole summer (yeah, teacher vacation!) easily... the list just goes on.

Being organized helped me in myriad of ways, in fact, it helped me use cannabis for (what I think is meant to be used) creativity. Now, I smoke a joint every Sunday, when all my chores are done, and I just think about creative projects I have always had and I work towards them, but it's mostly just thinking and writing some of it down. I made huge progress in a fantasy story I had in mind for years. I made huge progress in planning some class changes I wanted to implement next years; stuff like changing the desks configuration, offering benefits for work, changing the work style of my students, etc. And you know what? I'm thrilled to work towards that. I have some camping planned this summer where I plan to go alone and just think about that stuff in nature.

Anyways.

The biggest change is honestly just being able to switch from a short-term, adrenalin-energy-based life, to a long term life. I'm hopeful towards the future, because I know I'll be able to see my projects come to fruition. Even if it takes 10 years, I know I can do the work. I understood that, ultimately, life is work. There is stuff you just need to do. I cannot just not do the dishes, I cannot just not pick up after myself. I cannot just not take out the trash. But now, my brain is not tuned around maximizing short-term dopamine, my brain is now tuned around maximizing overall happiness, so I can do that "needed" stuff, while doing everything else while not being more tired than I was before.

I can just be the man I have always wanted to be. I always wanted to help people, to love people. Every other weekend, I go see my sister and help her with her house. Sometimes, I work like 7-8 hours a day, and I'm happy to do it.

Don't get me wrong, I still have time in my week where I have leisure time: I game about 10-14 hours every weekend, I surf reddit and youtube ~2-3 hours every day, but I just plan those moments better and end up enjoying them more, honestly. Every time I meet up with my friends, I fully enjoy it. It's not like I'm "no, sorry, gaming is not productive, so I won't do it." It's more like "yes, I can game freely now!".

Anyways, thank you for reading me, I just wanted to share my experience and I hope you'll free yourself from the judgement/negativity around being diagnosed/medicated with ADHD. If you think you might have ADHD, go to a doctor. Once I reached for help and got my diagnosis, it absolutely completely changed my life for the better. My only regret is not going to the doctor earlier, but I didn't, because "everyone has ADHD", yeah.

Hi All, I've just been prescribed the generic version of Vyvanse and had a bit of sticker shock when I was rung up at my local pharmacy. Even with insurance it was nearly $300 for a months worth pills. I realize this is a problem likely unique to the United States, but I'm wondering how other folks are navigating the costs. While I can afford the medication, the idea of taking on a car sized monthly payment for the pills is really unpalatable. Do folks have any tricks or tips for getting the medication at a lower rate, switching to different medications (i.e. adderall or ritalin), or finding a secondary to cover prescriptions? I've read about Goodrx or SingleCare may be more affordable. Does anyone have experience with those providers?

As a side note, I oversee selection of our company health plan/insurance. While I'd rather not change for the sake of co-workers who have established their primary care physicians with our current offering, I have the ability to change it for 2026. If there folks have providers who cover more of the costs I'm open to hearing it.

Beyond the costs, does anyone have any advice or guidance for things to watch out for as I start taking the medication? Tomorrow is my first day and I'm a combination of excited and anxious.

Thanks!