I started a similar thread a little while ago about running, but this isn't about running but about life. Anyone here get a diagnosis, go on medication, and then have significant life improvement? I am curious to hear stories...
In short, once I was on medication I was able to focus on my work without having thoughts about everything and anything constantly intruding. My salary tripled within 18 months because of the increased production and focus. The doctor had me routinely undergo physicals. He said in his opinion they helped show I did have ADD as one of the markers was that the med (adderall) had zero effect on my blood pressure etc. This is not true for “normal” people. It also didn’t affect my sleep or appetite, which it will for normal folks. It basically just got rid of my incredibly muddled thinking and distractedness. It also lowered my feelings of stress, as counter-intuitive as thst may seem. ADD truly is real, and no doubt for some people it’s a problem involving brain chemistry. For me, it aeems thenmed awakened my forebrain.
I started a similar thread a little while ago about running, but this isn't about running but about life. Anyone here get a diagnosis, go on medication, and then have significant life improvement? I am curious to hear stories...
I realized that for me, the real issue was drowsiness while doing anything that involved sitting and engaging the mind, including even just watching movies of reading books for pleasure, not just work, something I developed shortly after leaving home for college. You can’t focus while drowsy. The drowsiness was uncorrelated with how much sleep I got. Methylphenidate solved that problem for me seemingly without any impact on my blood pressure, sleep, appetite, etc. After many years of taking it, I recently stopped taking it on days when I don’t really need it for work and/or just don’t mind taking a power nap if the drowse strikes, just because I don’t like to be dependent on drugs and am still skeptical of the comprehensiveness of studies on its long term use impact.
In short, once I was on medication I was able to focus on my work without having thoughts about everything and anything constantly intruding. My salary tripled within 18 months because of the increased production and focus. The doctor had me routinely undergo physicals. He said in his opinion they helped show I did have ADD as one of the markers was that the med (adderall) had zero effect on my blood pressure etc. This is not true for “normal” people. It also didn’t affect my sleep or appetite, which it will for normal folks. It basically just got rid of my incredibly muddled thinking and distractedness. It also lowered my feelings of stress, as counter-intuitive as thst may seem. ADD truly is real, and no doubt for some people it’s a problem involving brain chemistry. For me, it aeems thenmed awakened my forebrain.
Hey, thank you a lot for the personal story. This is exactly the sort of thing I was wanting to hear. Over the last couple years I have come to really realize and appreciate how much undiagnosed ADHD has impacted my life and held me back, mainly professionally but in other areas also. I have close friends who are very successful, and I can see that the biggest differences between us pretty much boil down to they do not have ADHD and can focus just fine and I do have ADHD and cannot focus or monotask like they can. It's really held me back. I'm in the process of getting diagnosed now and think medication could allow me to pretty much double my income over the next two years.
Glad you got things figured out and things worked out for you. Thanks again.
I jumped from consistent 2.5-3.0 GPAs to 3.7-4.0 GPAs in more rigorous coursework which has opened a lot of doors for me.
I also have less dead hours where I do completely unproductive things like wandering around my apartment or checking the same 3 apps on my phone over and over again while getting frustrated at myself for doing so (I’m sure you know what I’m talking about)
People with ADHD usually get about a standard deviation bump in academic/professional performance on a stimulant;.however, people without ADHD get about the same boost in performance.
The best result I've seen was a 12 year old kid who was failing every class and on the verge of expulsion, went on Adderall and became an A student. I asked him if he thought the medicine helped and he said yes, so I asked him how and he said "I don't have to be angry anymore because I understand what is going on around me"
I don't have ADHD, but have taken some Vyvanse a few times and wow, it felt amazing. Focus, energy, enjoying my tasks and great working memory (all subjectively compared to myself).
I started a similar thread a little while ago about running, but this isn't about running but about life. Anyone here get a diagnosis, go on medication, and then have significant life improvement? I am curious to hear stories...
Diagnosed at 43. Suffered from it all my life. Getting medicated legitimately changed my life for the better.
Not quite true. Those without ADD get about a third to half as much a “bump” as someone with ADD, and their gain(s) are not as consistent as those of people who actually have ADD.
Look up Natasha Smikles on youtube (or the internet), I heard her speak a few weeks ago on an online conference & what she had to say was very impressive. IIRC, the ADHD meds worked initially quite well for her, but she grew weary of all of the side effects. So, there were drawbacks and that's always the way it is with medications, there is no free lunch. So, she listened to Chris Palmer M.D. on a podcast called "Diary of a CEO" and she decided to treat her ADHD (she is a psychologist herself) with a ketogenic diet and she has had a fantastic result.
People with ADHD usually get about a standard deviation bump in academic/professional performance on a stimulant;.however, people without ADHD get about the same boost in performance.
ChatGPT says you are a total liar.
Chatgpt wrote:
Short answer: no — the effect is not anywhere near a full standard deviation for either group, and the messageboard post is misleading.
Garbage in, garbage out might be at play, at least slightly. Too many anecdotal stories out there with proof showing otherwise, meaning larger bumps. And a certain group of people in places like Beverly Hills for example is constantly caught giving their children Adderall or Ritalin when they take the SAT for the proven little but effective and meaningful jump it gives their non ADD children - this is far more common among wealthy people than is or ever will be acknowleged.
People with ADHD usually get about a standard deviation bump in academic/professional performance on a stimulant;.however, people without ADHD get about the same boost in performance.
ChatGPT says you are a total liar.
Chatgpt wrote:
Short answer: no — the effect is not anywhere near a full standard deviation for either group, and the messageboard post is misleading.
Cognitive testing performances are not equivalent to academic/work performance.
ADHD doesn’t make you dumber, it makes you inattentive and unproductively fixative. People with ADHD typically perform tremendously better in the working memory section of cognitive testing when medicated, which in most cognitive tests doesn’t even contribute to the total IQ score and is used as an identifier for underlying mental issues.
I have always performed solidly high in cognitive testing, and medication didn’t make any difference to my IQ score, but it did make so I can make the most of my cognitive ability.
People are often first diagnosed/treated for ADHD during college because they go from high achievers throughout K-12 to failing or low performing students, because they for the first time in their lives don’t have people reminding them to do things and less forgiveness for doing things late, with a lot more freedom to get distracted. The usual co-morbidities of ADHD including depression, anxiety, and burnout also become significantly more pronounced and get a lot better after treatment.
If you’d like to ask a relevant question to ChatGPT like “Do students grades/test scores improve meaningfully after beginning treatment for ADHD?” or “Does treatment for ADHD result in better work performance?” might yield you a better result that actually has to do with work performance or academics.
I went from a 3.0 student to a 4.0 student from one semester to the next in college. Went off it for a bit in professional life, but eventually ended up back on. It’s a night and day difference for me.
Although, it does have its side effects. I have to be careful to take it early in the day and not drink too much caffeine or sleep will be impacted. Like another poster said, I try to just take it Monday - Friday. I don’t if I’m on vacation either.
I’ve experimented with doses and found what works for me. Blood pressure is controlled and I haven’t had the need to increase my dose in a decade.
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Wasn't diagnosed until 58. Have done almost two years of behavioural modification and recognition of the patterns to better realize them. Am working now to start meds
Not quite true. Those without ADD get about a third to half as much a “bump” as someone with ADD, and their gain(s) are not as consistent as those of people who actually have ADD.
False, the behavioral changes for ADHD kids are dramatic which non Adhd people won't have, but actual cognitive testing will show similar results.
Look up Natasha Smikles on youtube (or the internet), I heard her speak a few weeks ago on an online conference & what she had to say was very impressive. IIRC, the ADHD meds worked initially quite well for her, but she grew weary of all of the side effects. So, there were drawbacks and that's always the way it is with medications, there is no free lunch. So, she listened to Chris Palmer M.D. on a podcast called "Diary of a CEO" and she decided to treat her ADHD (she is a psychologist herself) with a ketogenic diet and she has had a fantastic result.
In my experience and observation, the people who went on meds and then decided to go completely off them usually were on too high of a dose and also took them ~365 days per year. A lot of the people I've talked to online and in real life who have more positive stories are people who sound like they're on a dose that HELPS them rather than changing who they are, and they tend to take the medication 5 days/week max. While I agree these drugs have side effects and should be used with caution, I do think they can be used very productively and safely for a lot of people.
Short version: The studies are very good at detecting cognitive differences and very bad at detecting real-world performance gains—especially the kind clinicians notice. Here are the main limitations, framed in a way that lines up with what those psychiatrists are likely getting at. 1. Outcome measures are misaligned with “performance” Most stimulant studies measure: Reaction time Working memory span Sustained attention on boring tasks Accuracy on lab paradigms (n-back, CPTs, Stroop, etc.) What clinicians see as “notable performance”: Starting tasks earlier Working longer without friction Persisting through fatigue or boredom Producing more output (pages written, problems solved, hours worked) Reduced procrastination and avoidance Problem: Lab tasks are low-variance, short-horizon, low-choice environments. They don’t require: Task selection Prioritization Effort regulation over hours Emotional regulation around effort So you can get: No change on lab executive function but Huge change in real-world productivity Those are not contradictory. 2. Ceiling effects in high-functioning non-ADHD samples Most “healthy control” studies recruit: College students High baseline cognitive performers People already near task accuracy ceilings This creates a classic ceiling compression problem: Accuracy can’t go much higher Reaction time improvements are small and noisy Effect sizes get artificially dampened Meanwhile, in the real world: Output isn’t capped Time-on-task isn’t capped Motivation and stamina scale linearly So clinically notable gains can occur with statistically small cognitive changes. 3. Studies suppress motivation as a variable Many cognitive paradigms are explicitly designed to remove motivation: Fixed incentives Short duration Artificial stakes No personal relevance But stimulants powerfully affect: Effort valuation Reward salience Willingness to engage In non-ADHD individuals, this often shows up as: “I don’t feel smarter, but I can work all day” “I’m more willing to grind” “Tasks feel less aversive” Motivation is treated as a confound, not a target—so the biggest effect gets excluded by design. 4. Productivity ≠ cognition This is a huge conceptual flaw. Studies assume: Better cognition → better performance But productivity often depends more on: Arousal regulation Energy allocation Effort persistence Emotional friction Task aversion tolerance Stimulants affect dopaminergic effort allocation, not just cognition. So for both ADHD and non-ADHD: Cognitive gains may be modest Performance gains can be large Especially in knowledge work. 5. Time horizon mismatch Most studies look at: Single doses Hours, not weeks Acute effects Clinicians observe: Compounding gains over time Better habit formation Less backlog accumulation Improved sleep-wake regularity (paradoxically) Small daily gains → large functional differences Short studies cannot capture this nonlinear accumulation. 6. Self-selection bias is inverted In enhancement studies: People who feel strong effects may not be distinguishable cognitively Subjective benefit is often discounted as placebo or bias But in clinical reality: Subjective benefit is the outcome If someone produces 2× the work for 10 years, the mechanism matters less RCTs systematically undervalue experiential and functional outcomes. 7. ADHD vs non-ADHD may be a false dichotomy Many “non-ADHD” participants have: Subthreshold attentional traits High intelligence + poor effort regulation Demand overload rather than disorder So you end up comparing: Diagnosed ADHD vs Functionally similar but undiagnosed individuals That compresses group differences and makes effects look “similar.” 8. Ethical and regulatory constraints You cannot ethically: Measure long-term output Track career performance Optimize dosing Allow realistic work conditions So studies are forced into: Conservative doses Artificial endpoints Short timelines Clinicians, meanwhile, optimize for function, not purity. Putting it together Why world-leading psychiatrists say both groups improve notably: They are observing output, stamina, engagement, and life function Over long time horizons In real environments With individualized dosing Why studies don’t capture it: They measure the wrong constructs In the wrong environments Over the wrong timescales While suppressing the main mechanism (motivation/effort) The clean synthesis Cognitive enhancement: modest, inconsistent, group-dependent Performance enhancement: real, often notable, poorly measured ADHD diagnosis predicts normalization, not exclusive benefit