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Posted by vaishnav92 10/26/2024

ADHD and managing your professional reputation(www.optimaloutliers.com)
132 points | 131 commentspage 2
sibeliuss 10/27/2024|
This article hits home so precisely -- not personally but in terms of those who I've worked with in the past, and in particular the reputation bits.

It was been painful to watch, to be honest, because the impact on our team had been so acute, and it simply never got better after so much effort on the part of management, other engineers, etc.

Where I diverge with base assumptions however is that I suspect these particular people had been misdiagnosed with ADHD, were given medication, and it was the medication that led them to drop the ball. Why? Basic physiological needs were never being met, again and again. They were constantly reporting insomnia, missing meals, fatigue and all of the things you associate with stimulants being either misused or abused. Having _been there_, it was easy to spot. And I think this sort of thing is tragically common in our field, and is rarely confronted because of identity issues associated with medical labels.

binoct 10/27/2024||
You seem to be saying that people presenting with classic symptoms of ADHD clearly don’t have it because stimulant abuse can also cause those symptoms?

Sure, people get misdiagnosed or purposely lie to get meds, but tons of people legitimately have the condition. Insomnia, poor basic self care, and fatigue (hello insomnia among others) are 100% symptoms of the condition. Taking medication doesn’t “fix” ADHD, it helps some people cope better in some ways.

sibeliuss 10/27/2024||
I'm speaking only to the high rate of over-prescription and misdiagnosis (this is a fact), and how it's very likely that more than a few people are finding their lives more difficult with medication. The potential for spiraling out is certainly there with amphetamines, and it can sneak up on you, especially when basic physiological needs are no longer being met. Having known these people for a good while, I think they fell squarely into this category.
ok_dad 10/27/2024||
You’re not a doctor.
2-3-7-43-1807 10/27/2024||
> it's like trying to teach advanced machine learning to someone with an IQ of 100. No matter how well-intentioned the advice or how clear the potential benefits, there's a fundamental mismatch between the cognitive requirements of the task and the available cognitive machinery.

couldn't the same be said about adhd? or looking at it from the other side by the author's terms wouldn't a sub-100-iq machine learning enthusiast be also entitled to special treatment so s/he can work with it? isn't it fair to say that adhd relates to non-adhd like sub-100-iq to plus-100-iq? again, just taking the author at face value.

satisfice 10/27/2024||
This is a pretty good article, from my point of view as an undiagnosed probable ADHD sufferer (I dropped out of high school over this kind of thing).

I wrote a book about my coping strategies— which invert most of the common productivity-fetish advice. For instance, I value procrastination. It has important benefits.

A key move for me was to stop thinking of my mind as if it were a power boat and start thinking of it as a sailboat. Hence my book on professional self-education: Secrets of a Buccaneer-Scholar.

Another key move was to recognize that discipline is not my road to getting things done. Rather, my motivator is helping people.

I am also usually very careful about what I promise. Most of my promises are to do things that I have already completed, or as near as.

lawrenceyan 10/27/2024||
If you're interested in figuring out how to gain focus / concentration in life without having to get an adderall prescription, look into Samādhi.

small disclaimer: You probably can't choose to only gain focus / concentration if you embark on this path. Other stuff is going to come along with it, since technically speaking, you'll be unveiling the nature of consciousness in the process.

aleksiy123 10/27/2024||
There's is sort of a natural efficiency in forgetting some things.

Sort of a sieve of things that weren't worth doing anyways.

falcolas 10/27/2024|
It's less useful that the things most often set aside are the most mundane but required parts of life.

For example: brushing your teeth. Showering. Getting prescriptions. Scheduling and following through with doctor's appointments. Paying bills (thank the gods for autopay). House repairs. Calling someone to do house repairs. Going to meetings at work. Remembering to leave for work on time. Remembering your wallet.

And so forth.

nrnrjrjrj 10/27/2024||
Maybe I have something like thus but admin tasks are a real challenge. Monday morning my heart wants to code and be in flow... but I know I need to plan future initatives, communicate stuff and worst of all make phone calls for personal stuff.
n8cpdx 10/27/2024||
[flagged]
jdjdnndn 10/27/2024|
Never have I ever read such a pile of bull.

Of cause everybody prefers the new and shiny but not executing on what's important is simply lazyness and lack of will.

The cherry on top is the comparison of the impossibly of teaching advanced machine learning to someone of average IQ -- clearly indicating that they assume to be of higher IQ since they have grasped that topic.

OP seems to be a low performer thinking of himself as high performer held back by circumstances and not themselves

ivewonyoung 10/27/2024||
> Of cause everybody prefers the new and shiny but not executing on what's important is simply lazyness and lack of will.

Then explain why do mice that were modified to have similar deficits in neurotransmitters exhibit the exact same "lazyness and lack of will".

https://www.nature.com/articles/s41398-024-02893-0

In normal people, dopamine and norepinephrine are released in certain parts of the brain while performing routine and administrative tasks and also anticipation. In people with ADHD, it doesn't happen properly. If a (cruel and unethical) experiment was performed on you where your dopamine signaling was lowered, you'd understand this in a jiffy.

binoct 10/27/2024|||
Your comment comes off uninformed and rather nasty. Do you also think that people with depression are just lazy as well?

I highly recommend taking at least a little time to read up on our current (highly limited) understanding of brain science.

I do agree the use of “average” IQ as a disqualifier for understanding ML is pretty rotten though.

Disruptive_Dave 10/27/2024||
May I suggest not downvoting this into oblivion? We need to shine a light on this type of thinking, as it is representative of many others towards ADHDers (including many ADHDers themselves...). I have this wrestling match internally on the daily - "Am I being lazy right now or suffering from ADHD? Can I power through with determination and grit, or soften my approach and do an end-around using tactics learned in therapy?" Magnify that x1000000.

We've all encountered (in person or online) self-diagnosers, and even worse, those who make ADHD their entire personality, and calls for the world to change itself to make life easier for others. If that's your most frequent engagement with ADHD, I get how you could have OP's type of response.