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?

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

₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆₍^. .^₎⟆

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.

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

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.

I struggle with trichotillomania which is a compulsion to pluck my own hair. Mine is focused primarily on my beard, resulting in unsightly bare patches. I am working through the mental health component of this condition already, but a better hair and skin care regiment could help reduce the triggers that start me plucking hairs.

I keep my beard relatively close cropped to my face. When the hairs in my bald patches start to regrow there is typically a lot of irritation which starts me touching my face, which leads me to find bumps like zits and blackheads and “weird hairs”, like kinky hairs, hairs growing in the wrong direction, particularly hard or soft hairs, anything that feels off when I run my fingers over them. This has the side effect of depositing more dirt and oils from my fingers onto my face, which creates a kind of feedback loop where the dirtier my face is the more I want to touch it, and the more I touch it the dirtier it gets. When I encounter these bumps and weird hairs I will want to pick at them and I won’t stop thinking about it until I do. It is a real struggle that I am working through and I figure if I can reduce that irritation that triggers it I’ll be less likely to touch and therefore pluck.

What I am hoping to find here are general care tips I can use for my short-cropped beard. What kind of products do you use for both the hairs themselves and your face, what methods do you use to trim, etc.? Currently I wash my face with a cleanser, followed by a toner, then a serum or lotion, but I don’t use any products specifically for my beard hairs themselves. I trim with an electric razor when my beard is between .5 and 1 inches long and I’ll trim it down to about 1/8 of an inch, or whatever setting 7, 8, or 9 is on my razor.