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.

Cohost.org, an independent social media blogging platform, will be shutting down as early as next month. A lot of users are talking about how their time on Cohost changed the way they think about what an experience in an online community can be like in the modern age of the internet. People saying that they'd rather move forward with spending more time offline and with their hobbies than chasing the next social media site after Cohost's closure. I tend to agree.

After checking an old forum recently that I used to frequent in the heyday of internet forums, I found it filled with racist fear-mongering that is left unmoderated after the driving force of the community passed away half a decade ago. I wonder how much of the spirit of the old web we can realistically rekindle. If you're on Tildes, you probably know everything about the faults of giant social media platforms like Facebook, Twitter, or Reddit. Heck, the poor quality the YouTube comments section was a meme when YouTube was new. It was never good on those sites. Just tolerable and everybody was there so you kind of had no choice. Now, many of those platforms are self-imploding.

Cohost, like Tildes, created an atmosphere where you didn't feel like you were committing a moral wrongdoing by not immediately spewing scalding hot takes about current events, drama and conflicts. You were encouraged to write text that wasn't throwaway garbage. You could have meaningful conversations about issues and find an audience. Cohost was not without its flaws. People of colour in particular recently shared experiences of racist harassment on the site that was purely handled by moderation. But overall the takes I'm reading now is that most people will be able to look back on their time on Cohost fondly. I've seen people calling it "the Dreamcast of websites".

Cohost was a social media site that was a joy to visit for me and didn't put me on an edge by interacting with it. I could write posts, long-form posts without pressure to hit out another one-line zinger while a topic "is still relevant". I didn't see endless chains of subtweets that deliberately avoided explicitly mentioning the drama they were commenting on, lest the hate mob find their comment. I didn't get into that kind of unnerving cycle of "I don't know what this post is about, but the infrastructure of this social network suggests it's a moral failure to not chime in on the topic de jour, so I better get going and scan vile tweets for an hour to find out what's going on".

And before you say that this is only a Twitter problem, I have had pretty much exactly the same experiences on Mastodon and especially Bluesky. I feel the same in over-crowded Discord servers where it's very difficult to keep track of what's been talked about and what the current topic of discussion is. I feel the same on the few active forums that still exist, like resetera, where there's just posts upon posts that you're kind of expected to read before you chime in into a thread.

So where to go from here? I'm thinking about setting up my own proper blog, maybe hosted on an own website. That way I can continue to create long form posts about topics I want to. And bring back a little more of the spirit of the old internet. Cohost is dead, but there's no going back to me to doomscrolling. Today I set my phone to aggressively limit my daily usage of Reddit & Mastodon. I said the following when Twitter crashed and burned, but this time I'm not desperate, but genuine when I say: It's the end of the world as we know it, and I feel fine.

Heavily inspired by last week's thread as well as my recent dental health kick, I'm looking for some toothpaste recommendations.

Previously, I used an imported UK version of Sensodyne, because it was the only way to get the version with novomin. I've run out of that stuff and have started using an interesting toothpaste I picked up from a Japanese store called AcessL from Sato Pharmaceuticals. It's got a unique herbal flavor to it that I like in small bits, but it's not great for my tongue because it's actually pretty salty-flavored, which turns me off of it.

if i chart my life happiness, fulfilment, success over the past four years, the trend is clearly downwards. some clear wins and stretches of improvement, some quite significant, which i am proud of, but overall, i am getting worse and worse and worse. i attribute my problems mostly to two things: severe social isolation, and an extreme deficit of executive function. however i got here, i'm stuck with the fallout

my memory is bad, and my attention shot, so i kind of don't know what's happened emotionally. i know some focal points, though

this past march, i had a major depressive episode, and it feels like i spent most of a week doing nothing but crying, for no reason at all. i'm not sure how i fed myself

at the beginning of 2022, i quit my (very cushy and chill) job, which i had had for a little over a year at that point, because i felt like i was unmotivated and not actually doing work. (the facts are a bit more subtle; it was partly that the work itself was uninteresting to me, and they wanted to work with me to find something for me to do that i would find more interesting. i was going along with that, until a new opportunity appeared, which i jumped for because i wanted to be able to make a clean break. that opportunity immediately fell through.) i had been living with my parents until shortly before, so i had a lot of savings

now, i find myself in a similar situation, only much more dire. a friend got me a job working with smart people on interesting problems. i have not been doing well. i have been extremely uncommunicative. the pattern is clear: i talk to people, flex my technical chops; they are impressed and like me a lot. then i'm not very productive, and my output slowly deteriorates to nil. i think i just can't do wfh tech work. last week was a blur. i don't know what happened at all. i don't think i've checked slack in close to two weeks, and atp i'm a little bit afraid to. two weeks ago, i asked my friend/coworker to poke me every day to make sure i was doing something. it seemed and still seems like a good strategy. and then a day or two after i asked him that i just dropped off the map again

i'm not addicted to drugs or video games. it seems like i ought to be. i am a bit drunk right now, but that is quite irregular

recently, i thought i'd finally made a close friend. this morning, she broke up with me and blocked me for a really really stupid reason. i am really hurt by that, and it makes me feel a bit hopeless about the whole thing. spent the afternoon crying about it and now just feel a bit numb. i give it decent odds she comes back, but. i know one problem i have is putting my eggs in too few baskets. but there are so few baskets that seem worth investing in, and investment is so hard

she suggested i try to get prescribed add medication for my work problems, and was going to give me some illicitly to see if it helped. the latter is not happening anymore, of course. and i cannot stomach the medical system (already i have other things i have been putting off talking to my doctor about for a while), not to mention that it would take forever to do anything for me

i don't know what to do in the short to medium term. i don't know what to say to my work that i haven't said already, other than: clearly, i am just incapable of doing this. i am not super financially stable right now, and being without a job seems like a bad idea

I only know a handful of teachers personally, and I’m fascinated by their unique perspectives on how the pandemic affected their classrooms.

I’m curious how instruction adapted during 2020 and 2021 quarantine, how younger or older students were impacted by losing a year of socialization, and other remarkable or surprising changes that came from those years. How did it affect you personally? Were you happier teaching before covid and unhappy with the permanent changes post-pandemic, or vice versa?

My second hand knowledge is mostly from elementary school teachers in the southeast US. I’d love to hear from teachers across all age groups, especially outside the US.

When I was about 18 years old, I had a philosophy class where the teacher said this quote: "Things over which you do not have power should not have power over you." It could also be read as "control the things you control, ignore the rest".

That lesson really spoke to me. I put a lot of effort integrating it into my personality and I must say now, almost 15 years later, it made my life so much more enjoyable.

I used to get mad, really mad about stuff or get stressed about stuff out of my control, and I could never really remove those feelings. These words kept coming back to me and through some effort, I must say that I can more or less apply them in my everyday life now. It saved me a lot of trouble on various situations and has helped me break through problems way faster than I would have in the past, simply by helping me identify the things I could change and focus on those things.

I'm curious about you guys and your life stories. Has any lesson had as much impact on your life?

What would your family do? What would a normal, healthy, supportive family do? (If different)

Hypothetical situation 1:

Two family members have had a major accident. No threat to their lives, some internal organ damage, some broken bones, not much other info is know. One of them is awake and can call/text for info, the other is in/out of surgeries and in ICU for the first two days.

A) immediately family drops everything and fly to their destination right away?

B) extended family do so?

C) discuss and send one person to go right away. Then discuss to arrange for longer term recovery + rehab care after hospital discharge

D) nothing, combo, or other ?

Hypothetical situation 2:

Family member is "not doing well", eg, mental health. Probably"moderate" level of suicide risk: no immediate plans, some reservations about morality and how devastated their partner would be, but constant ideation and philosophically don't see why not. CPTSD with more recent triggers of job loss and moving from away from a socially unsafe situation. Has entirely dropped out of communication with family. Their partner is reachable by phone or email or text and says the family member is not doing well at all and has ceased all outside of home activities such as getting mail, buying groceries, filling up the car or anything that involves other human beings.

What would a normal family do?

I'm not sure if this is the place to discuss, but as a lurker in this community of sensible folks, I'd love reading your stories and opinions on this matter.

Let me clarify that this loss of love is not due to anyone's death. Perhaps just the same however, since they do not reciprocate your love and warmth anymore, for reasons completely unclear.

The case in point now is this: I'm 25M single and an alone child. I've spent most of my life searching for bondings that nurtured my emotional being. Finding a home for my emotions has been a major theme across different parts of my life. I was lucky enough to be bestowed with a cousin (20F) whom I could meet (at best twice a year, at worst once) and bond over the text otherwise, offering solace and comfort as if from a like-minded sibling. Whenever I needed a sink to pour my love, it was towards her. All was well until I met her yesterday, the meeting for this year (we live continents apart and we know these meetings are limited); I felt I'm distant, and I was invisible on a deeper level to her. Nothing we talked about was related to our well-being as we used to. It was all about the boys in her life, Instagram likes, and other such superficial things. It was as if she didn't know what I care about (I'm not even on IG).

I wasn't sure how to approach this. In general, even with a few friends, I've always had a hard time with an apparent loss of connection. How can you demand love from someone (Rhetorical; one shouldn't)? How should I let them know that the things were better and I want that? I mean nobody can force love. Should I accept (too hard to do) that those bondings have run their course?

Sorry for the emotional dump, and feel free to edit. Thanks for your thoughts.

Please bear with me as I'm not terribly sure if this is the right place for this, if I'm phrasing it right, or if I'm making a mountain out of a mole hill.

I work at a childcare center - a private school marketed as "the best in the area". By most metrics, we are exactly that. I've worked here for nearly 15 years in a variety of roles, namely as a prek teacher for over half of that time. I have a good relationship with my directors and the schools owners, despite some issues in the past (I'm eager to champion more rights and privileges for employees).

This week was the sickest I have been in years, and it was the same for several other staffers as well. We couldn't call in, however, because none of us had fevers, vomiting, or diarrhea (the "big three" for what's acceptable to call in for). We all had flu-like symptoms, though those of us who went to the doctor tested negative for anything. Dozens of students had been getting ill with STREP, Influenza A/B, and Fifths in the weeks prior. It just took its time in reaching the staff!

I co-teach in my class and my co-teacher and I both lost our voices for days. Others had full-body aches, tremendous coughing fits, extreme lethargy... It was terrible. However, almost none of us got the time off that we needed to recover. Why? Staffing. The owners/directors don't want to close a room due to illness, even if both teachers in the room are horrendously sick. I spent days with the kids, barely able to talk or move, just trying to get through the day. My coworkers were the same.

Does that seem right?

The directors/owners essentially picked those who were deemed "sickest" to take a day off. While in the moment I understand that decision, it doesn't seem like a terribly good way to handle it either. I want to bring up my grievances about this with the owners (I already have with the directors, they don't disagree with me but "that's just the way it is") but I also know that showing up with a problem and no solution won't go over well. I also know they don't want to close a classroom at all costs, which is my preferred solution. The last time one was closed was when 5/6 teachers in another room had COVID simultaneously and we were mandated to close the room.

Anyone have any thoughts? Even if it's to show me a side I may not be considering here? Thank you for your insight.

Following yesterday's question about showering, I was really interested in how often everyone brushes their teeth. I know dentists recommend 1-3 times a day, with once being like "you'll be fine if you do it properly," and thrice being like "yo, don't brush too hard because you can damage your enamel," but I also know a lot of people do it more than three times a day and I suspect a lot of people do it less than once a day...

I try to do it twice a day...sometimes I miss my evening brushing because one of our cats sleeps in the bathroom so that she has her own space and if the dog (who wants to eat the cats) is already in the bedroom, sometimes I don't feel like escorting him out first. Not great, but at least I'll get it in the morning. And I do sometimes forget in the morning on weekends, but I try to do it as soon as I realize that I've forgotten, and I try to make sure I don't skip nighttime brushing if I forgot to brush in the morning.