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.

Hey friends,

I struggled hard to find a simple to-do list that would work the way I needed it to. Even the paid options weren't quite helpful for me. Eventually I just gave up and made my own.

I use it at work and at home every single day. I also made a backup copy to handle an individual project I'm working on.

Anyway, it's free. I just wanted to share it with you guys.

Small side notes

• To start using this, just copy it. It'll open in a read-only mode but you can quite easily pull it over to your own Google Drive.

• I threw in a donation link on the Sheet. Delete it or ignore it. It's 100% optional and I figured I'd put it there in case this ended up becoming someone's daily driver and they want to say thanks.

• You can somewhat easily make this sheet work with Google appsheet to use it on mobile as an app. That's what I do for mine so that I can use it on my phone and on desktop throughout the day. Just open appsheet from this sheet and start customizing your app. As long as you're using it for just yourself, you don't have to deploy it or anything. You just download the appsheet app on mobile and access it that way. You can even name it and choose a custom icon. The one caveat is that you'll have to create a time trigger in scripts to make it auto sort. If anyone is dying to do this, I'll post more specific details to help you through it.

https://docs.google.com/spreadsheets/d/1sIp4uPq3xwgudNA9tIOGmNXzETtyG421WbmvJPWgbsI/edit?usp=drivesdk

I was diagnosed with adult ADHD a few years ago. The first thing I focused on was structuring my schedule and environment to allow it to work to my advantage. This has helped immensely with improving myself and achieving my goals, I'd say even more so than medication has (then again, the meds helped me accomplish it in the first place).

However, it doesn't take much to push me off balance. Any unexpected events (frankly, even expected ones) can derail everything, and very quickly I feel this urge to go back to bed and start it all over again tomorrow. I'd liken it to maintaining momentum. Even things like doctor's appointments or mini vacations with my wife have me returning back to my life suddenly with no idea of how to manage it.

With my first kid on the way, I want to properly prepare myself. I've come to terms with the amount of focus and attention I'll have to give to him. In fact, it kind of sounds nice to recontextualize my life's purpose to just "keep this thing alive." However, I do have ambitions and lofty dreams that, if I'm being honest with myself, are THE reasons I get up in the morning.

I have no doubt I'll be able to recalibrate to this new life I'm about to enter and develop a new way of living that works for me, but I am curious if anyone has some tips or bits of wisdom to help make the transition quicker, easier, and smoother. To get through my day, I need to slowly pick up a head of steam and barrel through my tasks. How can I maintain this strategy with the frequent interruptions that are inherent to parenthood?

Thanks everyone. I'm very excited to have a mini-me.

I often think about the purpose and/or meaning of life and I've been struggling to work through these thoughts lately. As I teen I've had these thoughts often, but after experiencing my first manic episode (that led to psychosis) back in August 2022, the question of "What's the point?" pops into my head quite frequently.

Alongside this I've been struggling to come to terms with my new diagnosis of 'Bipolar Type I with psychotic features' as I've already been diagnosed with ADHD back in 2017 and I realize that both of these are life-long diagnoses. I know I just have to learn how to live with them, but that's been a tough pill to swallow.

I should mention that I'm not suicidal or anything, but rather I feel hollow and numb inside as I am very unfulfilled with life. Some days are okay and I'm still functioning and taking care of myself (so it's not like a full-blown depression), but as I mentioned before, I just don't see the point in all of this and don't find many things to be worthwhile or enjoyable anymore.

Basically I feel like a shell of my former self after my episode and have found much difficulty in enjoying the things I liked before from hobbies, to music and even food (I was a highly food-driven person). It's definitely much better than it was immediately after my episode, but it's as though life has been sucked out of me and I'm just going through the motions of living because it's what I'm supposed to do. I know recovery takes time, but it's been nearly 2 years since my episode and I thought this feeling would go away by now...

(I've also been seeing a counselor and OT and am doing things such as CBT and ACT which helped a bit, but not enough as I am here asking questions on an online forum seeking help).

If you have any advice on how to work through this it would be appreciated.

EDIT (12/6/24): I wanted to say thank you to all the responses and advice given. I may not have replied to everyone, but just know that I have been reading the comments and I do appreciate them :)