I know if I posted that on Reddit, all the top answers would be something like "Money"or "It lets me survive" but I'm looking for something deeper than that.

I'm a teacher and school just started where I lived and I realize how much freedom the job gives me. I can considerably modify how my day will go as long as the students learn the curriculum. I love that freedom.

I also love the human nature of it. I get to know and see 100 kids develop every year, plus, I teach juniors and I've had a lot of my last year students stop by me to say hello and talk about their summer or their current teachers. It's fun having all these random positive conversations every day.

I get to learn a lot about people and about me. I love that growth.

What about you?

I recently had an idea I wish I'd thought of a few years ago, but if you have severe difficulty* changing bed sheets, you can actually break the job up over a few days. This is what I've started doing, divided up to have roughly equal energy demands:

Day 1: Change duvet cover
Day 2: Change pillow cases and bed sheet
Day 3: Rest, if needed
Day 4: Wash removed bedding in washing machine

• if you have orthostatic intolerance, ME/CFS or long covid you might relate to this. It also helps mentally breaking down the tasks like this during periods of intense brain fog.

This is a discussion on recreational substance use with illegal substances.

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Pre-college / independent living, I thought most people simply drank, and maybe did weed. No one smokes unless you're 'European' (to be broad about it). Pre-covid, I thought most (young, partying) people just did alcohol, cocaine, and maybe weed (plus, again, the Europeans with the cigarettes). Post-covid, it seems that everyone has a few drinks only, but does weed edibles, nicotine vapes, increasingly partial servings / 'tabs' of Molly, Ketamine. Every few months, someone will be doing mushrooms or LSD. We range from 29-40 in age.

(I know this isn't 'everyone' and also simply a sampling of the subculture near me.)

I was a social drinker, so I largely sobered up easily and quickly during COVID, and I also started to work out. Fast forward those trends five (five, can you believe it??) years, and I have maybe 5 drinks this whole calendar year. I've had probably 15mg of edibles this whole calendar year, and 1 mushroom microdose (I simultaneously felt and did not feel this). This wasn't without total cost; I don't socialize as easily and don't have a means for getting myself in the mood to be with people, the way being tipsy could ply you into a good time. People feel somewhat rejected, too, when I don't want to share a high together; to them, it's bonding when to me, I see it as a commitment to 4+ excruciating hours of my mind being annoyed that my body and impulses are trying to defy it, plus a hangover. (Additionally, I worry about the unknowns that come accompanied with unregulated substances and new substances, like contamination / inauthentic product or psychosis.)

Amidst this health kick, I find myself having become more conscious of the way my body feels. When I live really well, I feel fantastic. Sleeping well? Incredible. Eating healthily? Amazing. No strange substances for my liver to fight? Perfect. Toss in an inherently fulfilling routine, and I wake up every day with the capacity for happiness, clarity, and control over my life. Some people laud things like the 'death of the ego' you might get with psilobiclin, but I love my ego. I think it's pretty smart and thoughtful. I understand power over self can psychologically choke you out, but honestly, I like it? Disrupted sleep kills me for days. The 'microdose'? Feels like it left me flat and depressed after an initial peppy 1-2 days.

Mental health has been a struggle for me all my life. To be stable and content, if somewhat flat, is it's own happiness. I never learned how to be 'happy' in the way that you find joy in things your brain genuinely has no interest in even when 99% of people do; I gave up on mourning that. However, I have learned that my body is a temple to be maintained for my spirit / mind. When I neglect it a little too long or hard, it spirals, and my mind goes with it. But when I rake its leaves, neaten its shelves, and polish its statues, it can look so beautiful, that I feel beautiful just existing with it.

Last night, I felt incredibly pleased just feeling the fur of a dog on my lap as I ran my hands over him, not dissimilar to the same feeling on substances, but with the mental clarity to recall the way it felt to my hands. I never used to have the capacity to notice how wonderful these things are until this last year or so, and these moments of simple, pure joy are rare. But despite people and (liberal) society at large insisting that substances are how you gain clarity or essential perspective, I can't help but now feel skeptical that these substances are really doing anything of note. Most of my friend group is maintaining very functional lives despite substance use, which I credit to either me not knowing them well or responsible usage. A few seem to use them too frequently / heavily (e.g. molly, or mixing drugs) or for the 'wrong' reasons (e.g., "feeling off"), and I can't help but notice that either their behavior on substances leads to a major conflict or they get into major conflict within 2 weeks after. It is hard for me to not feel like these problems are created by drugs, or that the fallout hanging over their heads is worsened by how I imagine they feel emotionally but can no longer elucidate to themselves. A friend of mine was concerned that I started feeling sleepy at 8pm, when I had never felt better. I never realized not feeling like shit every day was an option until I got my lifestyle together, and I wonder if they can feel that in themselves.

This was mostly a ramble, on disrupted sleep from some surprise caffeine last night. I would be curious to hear if people have observed similar substance use in their social groups and whatever else.

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.

Alright, odd request time! We need ways for our itchy dog to scratch her itches.

We have no idea why she's so itchy besides maybe allergies. The vet suggested trying a new dog food last winter which seemed to work... But now that it's spring the itchiness is back full force, so looks like the cause is probably seasonal instead of a diet thing. (Related, at that same appointment the vet claimed she was the fifth dog they saw that day with an itch-related problem, so there may just be something environmental impacting local dogs.)

In any event, we won't be going back to the vet for a while so for now we just need solutions for her to scratch it! Right now, she uses these prickly bushes to scratch the itch. She just rubs her face and whole body against it like a cat. She also aggressively rubs her face against our carpeted stairs. However, we're moving in a couple weeks and there are no prickly bushes or carpeted stairs at our new house.

So, I'm open to any suggestions for something to use to scratch herself! Or any other solution to the itchiness really. With luck, she's just allergic to some plant in our yard and the move will clear it up (we do have a bunch of Russian sage invading it), but I'd like some ideas just in case.

If it helps, she's a sheltie. Which means a LOT of thick fur.