@RoyalHenOil's comment in another thread got me thinking, and I feel like it might be helpful for me to hear what other Tilderinos have to share about this. I've wondered for years if I might have ADHD. Any time I've looked into it, it never seems like I check enough boxes for that to be an accurate label. But I've also gotten the impression that many psychological things like ADHD might be better understood as a spectrum (or even a region?), so lately I keep coming back to the possibility that I just have some other/related flavor of executive dysfunction. Or maybe I just haven't figured out how to "adult" properly yet for other reasons. I don't know, but it feels like being able to name the way my brain works would help things somehow.

I tried for hours to write up an explanation of my experiences, but I couldn't come up with anything that felt accurate and was a reasonable length, so the five-second version is this: The thing I keep coming across and identifying with is the "hyperfocus mode" that some people report. I enjoy this but also feel like it must have something to do with my struggles in some areas. I can prioritize tasks effectively plenty of the time, but I also can't at other times. If I used an Eisenhower matrix, things in the "important but not urgent" category would mostly be gathering dust (except for ones I happened to focus on). I don't really have any control over the "hyperfocus mode" and its target changes unpredictably.

There's an exhausting amount of nuance I could add to the above. I'd really love to hear from anyone who's had experience with any sort of divergent executive function that doesn't seem to fit into any of the currently available boxes we use to understand these things.

Addendum: I reread RoyalHenOil's comment just now and I think responding to it directly might be easier than writing out my own explanation from scratch, so I'll include that response here for anyone who feels like reading it.

Apparently my private health insurance covers pharmacogenetics testing to find the best ADHD medication. What is it, is it legit? What's the company going to do with my cheek swabs? How do doctors feel about me going up to them and say hey internet pharma bro tells me I should be taking this instead of what your years of medical school thinks.

What I can't figure out is how my insurance company benefits from this. I'm not paying extra for this service so I must be the product right? Here's part of the marketing FAQ info from my insurance provider:

Personalized Medicine uses advanced pharmacogenetic testing and pharmacist assistance to find the most effective medication for you.

If you’re starting a new medication for a mental health condition (such as anxiety or depression), chronic pain, attention deficit hyperactivity disorder (ADHD), or neurological conditions – or taking a medication for one of these conditions and it’s not working or causing side effects – Personalized Medicine could help. It’s offered through your extended health care benefits plan, so the cost of the test may be covered. To see the list of drugs tested, click here.

It involves a pharmacogenetic test. This is a type of test that identifies how you may respond to medications. Your test results are only for you and anyone you give consent to share them with, such as your doctor. The test is run by Personalized Prescribing Inc., a Canadian company. Manulife

(Forgot to mention this is for a Canadian employment extended health insurance.)

TL;DR: I just need your help to erect some kind of mental deep sea bunker in my soul :-)

Context: My job brings me into private homes with lots of permanently switched-on large televisions and with lots of super-talktative and socially starved human beings ambiently living around these screens.

The job is personal assistance: to remain emotionally present and relateable for hours on end. Quite an effort, not only because I get easily distracted by television sounds and screens (war-footage + sports = random mainstream deluge of endless pixel poison). I did not grow up with television and my audio-visual filtering capability is very poor. I get fixated by any stream of noise and trapped within it. This job makes me want to get better at filtering.

Thus I would much appreciate if anybody who knows this type of problem, would share techniques to filter and/or ignore external stimuli. More useful answers would take into account that being rude or flippant is not an option, and it would not be socially acceptable for me to regulate the televisions.

What would be some terms that I could use to find books about the topic? Any experiences you can share with me? Thanks <3

My wife and I are having a baby just 1.5 months from now (hooray!). And our insurance provider, Anthem Blue Cross, is cutting coverage to our local hospital network and maternity services in 10 days (boooo!). The entire process of finding out about this (via the news, not our insurance or the hospital) and getting continued coverage has been an absolute nightmare. We jumped the hoops, sent in all the required paperwork, and even got the billing department at the hospital involved. We're still only covered if we happen to be lucky enough that the doctor who is named on the continued coverage agreement happens to be on call at the time of delivery, otherwise it'll be out of pocket to the tune of $10,000 of dollars. At this point it feels like we're betting it all on red.

The response to the United Healthcare shooting illustrated just how frustrated people of the US are in their healthcare system and I'd like to do my part to continue to keep that topic front of mind in the American psyche. I've written up a little op-ed on our experience and I was wonder if any Tilderinos have managed to get one published before. Any insight would be very welcome.

After deciding to get back into the gym after a long hiatus, I was shopping around my area and trying to decide between Crunch or LA Fitness, each for about $40/mo, plus steep initiation fees and annual fees. Searching for a way to get a discounted rate, I stumbled across One Pass Select, offered by my health insurer, United Healthcare. While I was fully prepared to dunk on United, because of how often Dr. Glaucomflecken does, this particular member benefit turned out to be pretty great.

One Pass Select essentially functions as a gym aggregator, offering multiple memberships for one flat rate. So rather than paying Crunch or LA Fitness $40/mo and being subjected to their terms/conditions, I pay One Pass Select $36/mo and get access to:

• Crunch
• LA Fitness
• Anytime Fitness
• Workout Anytime

And a handful of other gyms I haven't signed up for, because they're not convenient to me. Four gym memberships for $36/mo is pretty cool. Plus if I ever want to cancel, I just cancel my One Pass Select membership from their website, instead of having to sacrifice a squirrel on the 8th day of the sabbath under a blood moon while chanting gregorian monk (the level of difficulty it felt like the last time I wanted to cancel a gym membership).

A quick Google indicates that other insurers offer similar programs:

• UHC has One Pass Select
• Cigna/BCBS/Kaiser have Active&Fit Direct
• BCBS also has Fitness Your Way
• Aetna has GlobalFit

This was a great find for me, that I'd never even heard of before. Sharing it to hopefully benefit someone else, as well!

Hello Tildes,

My partner and I are at the point where we need to get more care for my dad and I could use some advice from people who have been down this road. He's in his early nineties and still living in his home, and the family has been lucky in many respects. Dad still has good cognitive function, he has excellent health care through his military retirement (USA: Tricare for Life). My brother is living in the family home, so there's someone in the house overnight in case there's a fall or other serious issue.

Last year we got Dad set up with a medical alert service, so he's only one button press away from talking to a helper if he's in crisis. My partner and I are down visiting him about once a week to help with chores and hang out. Same with my other brother. We've been holding things together.

But Dad's having difficulty with normal life stuff (walking, bathing, eating) and he's transitioning into a bedbound state, losing weight and eating very little. He seems fairly comfortable, just extremely tired and increasingly frail.

To be clear, I'm not asking for medical advice. Where I'm stuck is: How do we initiate and navigate the process of getting him a home health aide? His medical team was entirely unhelpful when we asked about case management. They say "if he's struggling, bring him to the ER" but he absolutely does not want to go to the ER, and we're loathe to force him at his age unless he's in crisis. Also, the ER is full of people with the flu right now.

We've reached the "we can't put this off any longer" moment, I think. Any advice on getting the ball rolling would be appreciated. Do we just randomly call up home health agencies? How do we figure out what his insurance will and won't cover?

Thanks so much.

GP

Hello all! My lease is up mid-March of this year. For personal mental health reasons I would like to secure a move-in date of around mid-February and perhaps even earlier than that, because I'd like to have things finalized before my ex starts her own moving out process. This is the first time I'll be apartment hunting on my own, and while I have definitely talked to many friends and mentors regarding my options, I figured I wouldn't mind getting thoughts from folks here.

I have a few hard requirements for personal reasons: I would ideally not be too far from groceries (I have a car), be able to go for walks/runs without having to drive to a specific place, not too far away from the main airport here as I have to fly for work very very occasionally or when visiting family, and central HVAC. I have, generally, two options to choose from:

1. The expensive option, 1500 base rent and estimated 300-400 for utilities/parking/etc. At this time I do not believe it possible or even worth looking for anything slightly cheaper than this - whether it's a studio or a 1bed, the cost is more or less the same in this area. And even if the location were less of a factor and I looked farther away from the main city / big hubs, at best we're looking at $100 cheaper and I don't think that is big enough savings given how inconvenient location is.

2. The budget option, estimated 700-800 with utilities included, 3 housemates. A friend is currently sharing a house that his family owns with two other housemates. I've never met said housemates but they are personal friends of his. All housemates are male, I am female. I would be getting a single master bedroom, attached bathroom. At this time I do not consider the... eyebrow-raising-ness? of being the sole woman to be a problematic factor.

Some of the factors I'm considering, that probably isn't comprehensive because I'm new to all this:

• Living with housemates. I haven't had to share a house with so many people since my first year of college, which was 14 years ago. My ex did keep me honest over the last year of living together, and from a brief call with the friend who would be renting out the room, his housemates do keep to themselves, don't really use the kitchen, plenty of fridge space, etc.

• Living alone. I actually haven't "lived alone" since the last semester before I dropped out of college. My roommate at the time was taking a leave of absence and I had the studio to myself for three months. I feel neutral about this.

• Laundry? House has in unit laundry. No apartment I've looked at has in-unit laundry unless I add at least $200 on top of the base price.

• WFH and personal space. I do work remotely and for my entire WFH life, I have always had my personal PC setup, bed, and work setup in the same room. This has been difficult for me in the last two months while recovering from the breakup, and moving into a 1bed apartment would allow me to have a dedicated work setup away from bed since I personally value that higher than a nice living room space (no television, no problem). Or I could even fit that work setup into a small but still cozy living room space, who knows. However...

• MONEY. I've broken down all my fixed monthly costs, including any recurring annual subscriptions. I am estimating very, very high for absolutely everything, such as monthly grocery costs (400/mo, which is the highest that my ex and I split over the last 10 months. We're both very light eaters and "groceries" would include the occasional toiletries restock and such). Right now I am looking at taking home around $1300/mo living in my own apartment, vs. $2300/mo sharing the house.

  • Furnishing a new apartment, vs... not. Ex and I split all costs 50/50 for everything BUT furniture, and she paid for most items such as the sofa, coffee table, TV console, dining room table, ie. she will be taking those items with her. I do not want a large sofa but cozy seating in a living room space is, well, not cheap. The only furniture I'd bring with me is a decent Ikea shelf cabinet thing, my two standing desks, a single bookshelf, a twin bed. I would not be acquiring additional furniture if I move into the single bedroom.
  • Schooling costs. I don't know if I've gotten into this online degree program yet, won't know until probably April, and even if I do get in I am not sure if I will jump into it (though at this time I am leaning towards it just to have a guided path which I'm lacking right now with my career). This is an estimated 30k over the course of 2 years, or $625/mo. Not counting any potential textbooks.
  • Lasik/PRK? I have pretty poor eyesight. I have always been afraid of pulling the trigger on this, but I would like to in the next few years.
  • Current savings. I have a little over $20k in savings. I don't know anything about stocks, I have a 401k I never look at. My financial literacy boils down to "I use my credit card like a debit card" and my only current debt is a financed car, costs are factored into the numbers posted above.

• Mental health? Monthly therapy costs are factored into my numbers. So is a $150/mo cost of classes at a local muay thai gym (picked up recently for sake of both physical and mental health, joining a community, a regular activity to take me out of the apartment).

What considerations am I missing from the above? What would you go for? I mentioned I have not lived on my own for a very long time, and to be honest I don't have concrete long-term financial goals. Obviously property ownership is like... the American Dream and whatever... but frankly I am so very far from being able to realize such a goal that it just is not a factor when it comes to me saving money. I just don't want to look back at myself in 2027 and regret my finances. My family is in another part of the state and I can't rely on them for money or housing... well, I actually can, for housing, and save even more money, but I vastly prefer the climate where I am at now and my mental health will suffer far more living with family than with 3 housemates.

I really appreciate any thoughts! I know I have time, there is no rush, but I am also aware that distracting myself with this has been pretty helpful with, you know, not being too depressed about circumstances.