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.

Disclaimer: I am very lazy. I just want an easy way to find music I want to listen to. A paid service is fine.

I tend to listen to Spotify but I find it is repetitive and uninteresting, maybe I just can't find the good playlists? I also listen to my local FM radio station but they don't say the artist or song title so if there's something I like I often can't find it again.

I miss the days of going to the shop and buying a CD after spending two hours listening to the sample tracks.

Surely there is a better way? If anyone can point me in the right direction I would be very grateful!

Haven't seen a whole lot of discussion about this show on tildes. Not in weekly threads nor a main thread - so here is one!

It's a 9/10 for me.

I waited until all of season 2 was out before starting it. Realized I had forgotten almost everything since season 1 though, so rewatched that first. It turned into a binge of both seasons - I just could not stop! It has been probably 3 years since I was so glued to the screen and this engaged in a tv show (Euphoria season 1),

I will skip an analysis or further review but every character was good. Every actor delivered. Just great all around. Season 2 (9.5/10) even better than season 1 (8.5/10).

So anyways, discuss! More than happy to have my feelings about it validated lol, and also see other takes on it.

Have you watched any TV shows recently you want to discuss? Any shows you want to recommend or are hyped about? Feel free to discuss anything here.

Please just try to provide fair warning of spoilers if you can.

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This thread is posted weekly - please try to post all relevant US political content in here, such as news, updates, opinion articles, etc. Extremely significant events may warrant a separate topic, but almost all should be posted in here.

This is an inherently political thread; please try to avoid antagonistic arguments and bickering matches. Comment threads that devolve into unproductive arguments may be removed so that the overall topic is able to continue.

We all have words we dislike for one reason or another. I am specifically talking about words that are non-problematic, so slurs and politically incorrect words are out of the scope of this post. I am talking about words that you find inane, dense, overly broad, vague, imprecise, pedantic, confusing, or inadequate for any reason. Maybe you just don't like how they sound.

As long as it is not a slur or politcally incorrect, for the purposes of this post, anything goes! Any language too!

Part of my role at work is in security policy & implementation. I can't figure this out so maybe someone will have some advice.

With the advent of AI coding, people who don't know how to code now start to use the AI to automate their work. This isn't new - previously they might use already other low code tools like Excel, UIPath, n8n, etc. but it still require learning the tools to use it. Now, anyone can "vibe coding" and get an output, which is fine for engineers who understand how the output should work and can design how it should be tested (edge cases, etc.)

I had a team come up with me that they managed to automate their work, which is good, but they did it with ChatGPT and the code works as they expected, but they doesn't fully understand how the code works and of course they're deploying this "to production" which means they're setting up an environment that supposed to be for internal tools, but use real customer data fed in from the production systems.

If you're an engineer, usually this violates a lot of policies - you should get the code peer reviewed by people who know what it does (incl. business context), the QA should test the code and think about edge cases and the best ways to test it and sign it off, the code should be developed & tested in non-production environment with fake data.

I can't think of a way non-engineers can do this - they cannot read code (and it get worse if you need two people in the same team to review each other) and if you're outsourcing it to AI, the AI company doesn't accept liability, nor you can retrain the AI from postmortems. The only way is to include lessons learned into the prompt, and I guess at some point it will become one long holy bible everyone has to paste into the limited context window. They are not trained to work on non-production data (if you ever try, usually they'll claim that the data doesn't match production - which I think because they aren't trained to design and test for edge cases). The only way to solve this directly is asking engineers to review them, but engineers aren't cheap and they're best doing something more important.

So far I think the best way to approach this problem is to think of it like Excel - the formulas are always safe to use - they don't send data to the internet, they don't create malware, etc. The worst think they can do is probably destroy that file or hangs your PC. And people don't know how to write VBA so they never do it. Now you have people copy pasting VBA code that they don't understand. The new AI workspace has to be done by building technical guardrails that the AI are limited to. I think it has to be done in some low-code tools that people using AI has to use (like say n8n). For example, blocks that do computation can be used, blocks that send data to the intranet/internet or run arbitrary code requires approval before use. And engineers can build safe blocks that can be used, such as sending messages to Slack that can only be used to send to corporate workspace only.

Does your work has adjusted policies for this AI epidemic? or other ideas that you wanted to share?