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Posted by ramon156 9 hours ago

Prioritize mental health, and why communication is so important(ramones.dev)
244 points | 187 comments
smugglerFlynn 4 hours ago|

  > My goals for the end of 2027 are as follows:

  > Stop making stupid mistakes. I want to be able to finish a task fully without missing or skipping a step. One way to do this is to make a plan for everything you do, and only do that thing. Nothing else.
If you are neurodivergent or have other things influencing you mentally, you are _NOT_ going to snap out of it. You are not going to just build a better planning system one day.

HN comments are _NOT_ going to help debugging your mental state. People here have trouble agreeing on engineering, product and business practices they specialise in. They are _NOT_ going to guide you in the right direction on mental health topics.

Please OP, close HN, reach out to people, get help, and (importantly) learn to navigate your mind, not fight with it.

jrowen 1 hour ago||
> HN comments are _NOT_ going to help debugging your mental state.

Nice paradox you've created there.

> People here have trouble agreeing on engineering, product and business practices they specialise in. They are _NOT_ going to guide you in the right direction on mental health topics.

I don't know that that follows logically. Whatever people they might reach out to in the real world -- be they friends, relatives, therapists -- also actually disagree about things and don't have all the answers. HN comments come from the same general pool of people, who also potentially have experiences and insights a like-minded individual might find valuable.

> You are not going to just build a better planning system one day.

No but you may be able to over time, through trial and error, and connecting with others and hearing about their experiences. I don't think there's anything wrong or unhealthy about exploring it in this fashion and I don't understand your choice of tone.

I do agree that setting a goal for the year of "not making stupid mistakes" is a (stupid?) mistake. It is more of a lifelong journey and process, of striving rather than achieving, and not setting unrealistic expectations for yourself.

grvdrm 12 minutes ago||
Thank you for this reply. I thought the parent comment was blunt, and perhaps honest. But perhaps it could have added some positive and constructive commentary rather than saying what not to do. I hardly think these things are so binary anyways.
wafflemaker 8 minutes ago|||
OTOH, reading some wise comments on hn can help you get out of your biases.

It was initially some hn comment that convinced me that ADHD is not lazy people's excuse, but an actual thing (even if overhyped on some hn alternatives -- social media). And that led to a diagnosis after some time.

ramon156 1 hour ago|||
That is re-assuring. Neurodivergence would explain a lot. For the time being, I am still in a state where I cannot get tested (for anyone that has experience with depression, the symptoms go hand in hand with ADD).

I was not planning on opening HN, but it has actually helped me :) I do have to admit I first asked a chat bot what the overall tone was before I opened it up myself.

Thank you very much, I needed to hear this.

xlayn 19 minutes ago|||
get your eyesight check, at some point in life I was having difficulties staying focus and even started having headaches... and I needed prescription glasses...

Also very important, try to sleep the best you can and do exercise... I remember reading here about exercise in some cases exceeding the benefits of ADHD medications...

If you are overdosing things... don't... caffeine can be overdosed and the effects are nasty and lingering... caffeine is meant to be a zero sum game, where it gets you speed in the morning and when it wears off then you go to sleep... if you over dose it then you are making your body over exert and at some point the body will communicate the results via extreme tiredness, bad humor, etc...

Don't be hard on yourself, from everyone we are the most hard on ourselves when we should be the most kind of them all.

vitro 2 hours ago|||
Volunteer. Always had good experiences with it and made some nice memories and connections I would not have otherwise.
ramon156 1 hour ago||
This is on my list! I do think that in my current environment I mostly hear what I have done wrong, and helping others would probably give a better outcome.

I know that's a very objective way of looking at it, I mean ofcourse volunteering is a good thing! But I wasn't sure if I was mentally prepared for it. I will definitely reach out to one nearby place that I know of.

nvarsj 2 hours ago|||
This... I finally changed my life by talking to a psychiatrist after 40+ years of suffering and trying a myriad of things. Mental illnesses are real and need real treatment.
busymom0 55 minutes ago||
> talking to a psychiatrist

Would you mind sharing what solutions they recommended for you to try? Also any meds?

switchbak 49 minutes ago|||
"HN comments are _NOT_ going to help debugging your mental state" ... I mean in aggregate, sure. But of course there could be people that are offering useful advice, in a well meaning way - that could actually help OP. You're being really negative here, and I think it's unwarranted.
shshsjsj 44 minutes ago||
this place is garbage
switchbak 29 minutes ago||
It is when folks like you come around and vomit this kind of thing.
madibo3156 8 minutes ago||
And just as quickly he was pulled back into the crab bucket.
budsniffer952 30 minutes ago|||
What does neurodivergent mean? If there's a spectrum, what is considered normal, and how is that measured?
wafflemaker 15 minutes ago||
IANAD, Clinically, the measurement for diagnosis is if symptoms disturb your day to day life. In some countries they need to disturb multiple (1<) spheres of life. (Work, family, health etc.)

Then you'd have people with symptoms, but who's life is not affected by them.

I wonder myself if it's just the first group that is classified as neurodivergent or both.

tibbar 3 hours ago|||
Yeah, it's really tempting to try to fundamentally change the way you interface with the world but it's rarely very sustainable. I've found that trying to change my social environment, and also build skills to make specific tasks easier, are more effective options.
finnthehuman 47 minutes ago|||
I can not agree harder.

A rando that knows a little therapy language and has good intentions is dangerous. Turn and run.

jrowen 31 minutes ago||
The best thing you can do for yourself, at all junctures, is develop your own sense of truth. Listen to people, consider what they have to say, but ultimately decide for yourself. Don't place too much faith in any particular source or signifier or heuristic. The rando could have something useful to you, the expert could lead you astray.
hirvi74 3 hours ago|||
As someone that is "neurodivergent," I agree. A lot of advice, especially surrounding executive dysfunction, could be boiled down into a single step -- step 1: do not have executive dysfunction.

Now, I am not trying to say there is nothing anyone can do to improve themselves or their situation, but I do find a lot of advice falls short. Common advice is to set reminders, make lists, etc.. However, none of that is helpful when one has to remember to even create/check the reminders, lists, etc.. I notoriously create to-do lists only to never look at them ever again.

Honestly, if I have learned anything in life, it is that I cannot be left to my own devices. I need lots of forced, external structure which makes me rather uncomfortable because I do not want to burden others with the responsibility of managing my disability.

thewebguyd 2 hours ago||
> I need lots of forced, external structure

Me as well, which is a really "fun" time when my specific blend of neurodivergence also causes me to immediately resent said authority and external structure and view it as removing my agency.

What I've learned as I've gotten older is just how much of our struggle comes down to our social model of disability. A lot of these "symptoms" are only disorders because we've built such rigid, uncompromising systems for interacting with and participating in society.

Modern psychology has a tendency to pathologize an individual's ability to conform to this rigidity instead of doing the hard work of promoting the building of flexible environments that are more accommodating of different ways of thinking and working. Instead, we work really hard to force a square peg into the round hole.

Its incredibly isolating, tbh.

jrowen 8 minutes ago||
It's a lot harder to change the shape of the hole. But I do agree that there is too much emphasis on the pathology of it. I think therapy needs a major rebranding and it shouldn't be seen as something that we do to "fix" "broken" people.

It should just be about more deeply understanding ourselves as individuals, and understanding the world around us (particularly other people), so that we may navigate it better.

I saw a video of a comedian (a woman) doing crowd work, and kind of playfully bullying someone (a man), asking them about their therapy. I thought it was funny, but a lot of the comments were along the lines of "that's not cool, how dare you."

But that audience member was at a comedy club, where comics do that kind of thing. Going to therapy isn't about collectively making sure the world babysits and coddles everyones needs. It's about giving you the tools to handle what you can't change.

smallerize 3 hours ago|||
Reach out to... people?
gffrd 3 hours ago||
Yes, people. Friends, coworkers, family.
johngoode 3 hours ago||
I think a lot of people with mental health problems could attest that this is not always very effective, most often you exchange the reality you’ve been living in for some kind words and then inevitably the normalisation of your problem.
brightball 3 hours ago|||
[flagged]
pibaker 2 hours ago|||
What's going on with all the open proselytizing on HN these days? I don't remember seeing them five years ago but now in every thread about personal struggles there is someone trying to convert people. Always to the same religion, too.

Edit: some people have replied saying why religion is helpful. Ok. But that doesn't answer my question of why is it showing up so much on HN lately.

alwa 1 hour ago|||
Feels a lot more like an offer than a hard sell to me.

I do sense the same thing you do, though; that there’s something of a religious revival swelling, at least in the West that’s overwhelmingly represented here:

https://www.pewresearch.org/religion/2025/10/20/growing-shar...

Economist via archive: https://archive.ph/M7NW0

bluecheese452 1 hour ago||
Feels completely inappropriate to me. Imagine someone came in with cancer and were told to pray it away. This is is the mental health version.
brightball 2 hours ago||||
That's probably because the religion itself naturally results in trying to help others.
SoftTalker 1 hour ago||||
Turning yourself over to a "higher power" and recognizing that you cannot fix yourself by yourself can be very helpful for some. It won't always be the right answer of course.
bsoles 1 hour ago||||
Are we talking about the same church where children were raped, "witches" were burned, non-believers were tortured, gays are demonized, women are treated as lower beings, ..? Yeah, so good for our souls?
econ 1 hour ago||
Yes, but it isn't a requirement for doing those things. Atheists are just bad at doing things together.

If that means we should burn all the bibles I leave as an exercise for the reader.

hirvi74 3 hours ago||||
> Consider becoming more involved with a local church. Go to services, meet people, join a Bible study.

That is contingent on actually believing in the religion, no? In my experiences, church attendees do not tend to take kindly to people attending with anterior motives.

When I was in school, I attended a few churches to meet new people. They were rather apprehensive when they learned I did not believe in any of it and was just faking it all.

brightball 2 hours ago|||
> That is contingent on actually believing in the religion, no?

You're there to learn. It's called Bible study for a reason.

When I came back to church after 10 years as an avowed agnostic/atheist I didn't believe. I did listen and pay attention a lot better than I did as a child. Listening with an open mind and an unhardened heart make a difference.

There are different types of churches too. In my experience most "mega churches" truly cater to this more curious audience. It's more of the movie going experience where you can walk in like anyone else, without having to know anybody, sit down and just listen to the service. Then get up and leave without talking to anybody if you don't want to. Messages tend to be tailored to the idea that any given week you're going to have people who have never set foot in a church before in life.

When I came back, I went to one of these for about 6 years (New Spring Church in South Carolina). Eventually, I wanted more and we switched to a more traditional church with Adult Sunday School and a men's (or women's) Bible study one night a week.

Churches are welcoming places but everybody there is going to be different. If you tell somebody you don't believe, some people are going to be thankful that you're there and others aren't going to have any idea what to say. That's pretty normal. Faking it is a little different though. No reason to fake it. Just be honest that you don't believe but you're here and willing to listen.

pfannkuchen 2 hours ago||||
Don’t tell them?

I’m pretty sure quite a few people who bring children to church don’t literally believe in the stuff themselves and just think the social elements and the morality are good for their children.

Were you trying to meet friends or trying to date though? If the latter I think it would feel a lot weirder.

Also if it bothers you to lie by omission I think one could come up with an explanation that wasn’t simply “I’m faking” and is more along the lines of “my grandparents were Christian and I think we lost something culturally when a lot of people stopped doing this” or something like that, assuming those are true for you. God is a metaphor, etc etc.

hirvi74 1 hour ago||
> Don’t tell them?

As arrogantly and incorrectly once thought in my youth, these people are not stupid. In my experiences, some, not all, can kind of pickup on it. It's usually a corroboration of mounting little slip-ups. Perhaps I am not a talented actor.

For example, I never grew up in any church systems, and the Christian bible is full of key characters and proper nouns. So, when I pronounced the name "Job" like a place of employment, it raised some eyebrows. How was I supposed to know lol?

> Were you trying to meet friends or trying to date though?

It depends on who I was interacting with. With the amount of testosterone pumping through my veins at the time, if I were interacting with an attractive female, you better believe I was trying to shoot my shot. Never caused any weirdness, but I absolutely agree it could.

> assuming those are true for you

Kind of. Half my family was nominally Christian, and the other half was persecuted and slaughtered by Christians.

I do appreciate you trying to assist in this endeavor though. I think you have made some fair points. I just wish churches were not one of the few remaining institutions for one to get this sense of community.

GolfPopper 36 minutes ago|||
In my experience, Unitarian Universalists have always been very accepting of people who have come just to meet and talk.
operatingthetan 2 hours ago||||
The solution to neurodivergence is church? I'm sorry but come on, this blatant proselytizing is not appropriate here.
alwa 2 hours ago|||
I feel like that presumes that neurodivergence is in fact the “problem” or the underlying concern.

Which it might be, and it might not be—any more than we can conclude that the solution to “my throat hurts” is “take antibiotics.” (If it’s bacterial, that could cure it near-instantly; if it’s viral, it won’t do anything and might hurt in the aggregate)

In that analogy, to my thinking, church is maybe like “gargle some salt water”—the underlying biological processes may or may not be addressable by modern medicine, and you should probably talk to the doctor too—but the salt water may well make you feel better regardless.

And some people hate salt! More power to them! But I’m not coming at the folk remedy person for offering “have you thought about it.”

For that matter “church” can take many forms, even ostensibly secular ones. My raver friends, for example, speak of the dance floor as “church,” and think about it rather explicitly in terms of spiritual reconnection.

Sometimes the secular and the organized churches even cross paths…

https://en.wikipedia.org/wiki/Guilherme_Peixoto

brightball 2 hours ago|||
Headline was mental health. I'm just offering one more suggestion for the OP to consider.
operatingthetan 2 hours ago||
Go read the comment you responded to again.
shimman 3 hours ago||||
You don't need to go to church to find community, a better response would be what you're saying but something where you don't pressure people to join an institution that might be extremely hostile to women or minorities.

Anyone can find a community nearby, churches aren't the only way.

Glad it worked out for you, but it doesn't for many people and that's okay. There are other communities out there.

Also Church is no substitute for mental health professions. Would you tell someone to "pray the cancer away?" I hope not, you'd tell then to speak to a qualified professional. That's where therapists, psychologists, psychiatrists, social workers, or even guidance councilers come into play.

brightball 2 hours ago|||
> might be extremely hostile to women or minorities

This isn't accurate at all. Christian churches welcome everyone but there are no zoning laws directing people to specific churches. Many happen to be very homogeneous as a side effect of people often being more comfortable. There are numerous "black", "hispanic", "chinese", etc churches that are out there by perception but not by requirement. None of these churches are going to turn you away if you don't look like them anymore than a predominantly white church would.

Regarding women, I'm not sure what you've been reading to make that suggestion? There's probably no institution in the world that cares for women more than the Christian church. Strong families are part of the bedrock. Visit one on Mother's Day sometime. Check out the low cost and sometimes even free child care available (Mother's morning out, VBC, etc). Jesus treatment of women was radical in the context of the time period.

shimman 2 hours ago||
Sorry man you can't honestly say this in the US. Especially since many churches blur the political lines and advocate for things like taking away women bodily autonomy (being anti-abortion), want to take away the right to vote from women (trad wife nonsense), openly attack children (yes attacking trans children is attacking children), believe that the civil rights act was a mistake.

Glad you go to a good church, but some of them ain't that and refusing to believe this is extremely dishonest. Especially when people like Jerry Falwell had open disdain towards certain Americans right up to his death while having major influence with several US presidents.

brightball 1 hour ago||
You have a differing point of view. That doesn't make churches hostile to women. A lot of this seems like Reddit stuff, but I'll address anyway.

> women bodily autonomy (being anti-abortion)

Pro-life has never been anti-women and this is a political hot button topic that isn't getting settled on HN. The conceived child has it's own life, it's own DNA and the goal is to protect that life. If the baby is a girl, then pro-life is the only real pro-woman stance. Churches also offer extensive support for mothers, single-mothers and their families.

> want to take away the right to vote from women

I have no response to this other than...what stuff are you reading on the internet? This is nonsense.

> openly attack children (yes attacking trans children is attacking children)

Nobody attacks children. This is not a church topic. Protecting children is a church topic. Children are innocent.

> believing the civil rights act was a mistake

Again, I have no idea what you're reading on the internet but this is not something that comes from church. I vaguely remember some political agitator in the last couple of years going viral for saying something to this regard and then it went away.

designed 2 hours ago|||
Many churches have professionally trained counsellors. No, they wouldn't tell you to "pray the cancer away" (though there are prosperity-"gospel" preaching churches that would say "donate to make the cancer go away"–beware), but they would counsel you from a biblical perspective, which is extremely helpful. And they would also tell you to seek professional help elsewhere if you need it and they couldn't provide it.
bluecheese452 1 hour ago|||
Take your proselytizing elsewhere.

To all you downvoters Jesus is watching you and will send you to hell for it. -John 3:16

grvdrm 2 hours ago||
Is help narrowly chemical here or is help in general? Someone else replied suggesting psychiatry - curious if that is what you meant.
t43562 7 hours ago||
Work forces you to see your own motivations and character and you have to manage yourself like you might manage a very valuable employee that you cannot afford to lose.

This means you need to see your strengths and understand how you are motivated and try to come up with ways of making the best use of those characteristics. There's no point feeling sad that you aren't X or Y. If you're Z then how can you make best use of Z?

I suggest that it's important to stop thinking that other people are idiots because this lack of tolerance or understanding of other people seems to extend to yourself. You have to understand and accept yourself as having flaws. Then you may see that other people are the same - their apparent idiocy always has reasons behind it and you should take some time to understand them even if you still don't agree with them.

I notice that depression is something I feel the ghost of when my image of myself is damaged by some real world situation. The only real solution to this is to stop thinking about yourself so much and think about other people more. Help people do what they want rather than what you want for a bit.

Also as someone else noted, bad family situations, relationships etc, create a lot of weight. Try to avoid people who make you sad and find ways to hang out with people who interest you enough that you forget about yourself for a while.

stopyellingatme 2 hours ago||
"The way a person treats you is a reflection of where they are at in their own life"
theoreticalmal 5 hours ago|||
“Treat yourself like someone you are responsible for helping” - Jordan Peterson
pphysch 4 hours ago|||
Nice basic advice but ironic coming from him
throwawayffffas 4 hours ago||
Broken clocks and all.
ethagnawl 3 hours ago||
There's no shortage of other clocks to cite.
t43562 4 hours ago|||
I wish he hadn't said that ! :-)
Induane 4 hours ago||
He has said a lot f things I agree with, and also some stuff that seems intellectually and morally bananas; particularly around gender and sexuality. There was a point something shifted and he took, imo, a darker turn. Maybe it was his wife's illness, his own addiction challenges, or perhaps he was a victim of his own success and lost too much humility.

Probably a combination of those plus factors we aren't privy to.

I don't really know how to take the measure of a man and probably I'm not qualified to. I don't think he was evil though. People are complicated and not at all black and white.

budsniffer952 24 minutes ago||
Addiction, fame, loss, he was early on the anti-woke stuff, which became a major cultural flashpoint, money.

Believe it or not, he was a pretty good academic at one point.

jhyggggap 6 hours ago||
[flagged]
Paracompact 14 minutes ago||
No one else has mentioned it here, so on account of my own experiences I feel the obligation to say: Be aware of this developing into suicidal ideation, if it hasn't already.

I get the impression (again, mostly my own experiences, projected onto you) from your intense "the problem has to be me" convictions that you're simultaneously dealing with a lot of self-loathing, and that this self-loathing fills a void of answers to existential questions that no other source in your life can. In other words, your depression has become a maladaptive coping strategy. And if that's so, then it's not a long shot until your maladaptive coping strategies evolve from, "the problem is me" into "the solution would be/will be/should be/is my own death."

I derive these warnings from these whiffs of absolute, impossible-to-change miseries you mention: "my mind is exploding, I'm not aware of what I'm doing anymore"; "tomorrow it'll be something else I screwed up"; "I'm the only one with these problems."

So, if you have a dark voice inside your head that promises change or absolution only in return for your own physical or emotional injury (perhaps dressed up as "discipline"), be forewarned: This voice is a cognitive illusion. It does not care about you. It will hold your head underwater until you drown, and still be unhappy.

On another note: I would agree with others that you would be a strong candidate for an autism assessment. Like you say with ADD, autism would not a root cause of anything, but it might help you understand your situation more intuitively if it is involved.

m1aw 8 hours ago||
I know this pattern from myself.

I'm doing alright as far as my career goes, not great, but okay. Which is disappointing because me and everyone around thought I'd do great, because I/they thought I was a great software developer, since I'm smart and I know my tech and my programming.

Unfortunately working as a software developer is a different story entirely, I found many times that my chase for good simple code takes time, and sometimes I overthink things and I don't test properly, and I'm also slow, and don't communicate the problem with my team because I don't work consistent hours, because my brain cannot do consistency.

Turns out I have ADHD. Possibly autism too. So I understand your feelings of I just need to be better, because it works for other right? Even tho you know that fundamentally you are right, but it works for others so why not you? I don't have a solution. But sometimes you can't just "be better" and "more consistent", I also wish I could, but maybe it's not possible.

Maybe the only way is to find where we are good and do more of that. If you have struggle finishing things hope on calls with people that are good at finishing things. Talk with them. Be proactive and be open. I also don't do this as often as I should, because I'm also ashamed.

I don't know exactly what the point was to this, but so you know others also fail, even tho they deemed smart and skilled by others.

jvanderbot 7 hours ago||
If you recognize yourself in that post, then what you recognize is called negative self talk. The only advice I have for you is to learn to recognize how this pattern makes things worse and to learn (or be taught) how to stop that pattern. The blog post is a textbook self-flagellation and I have no doubt author returns to it to feel worse about themselves in some twisted attempt to motivate positive change.
eks391 3 hours ago|||
In the last day I've spent a couple hours in a negativity loop. My wife doesn't know it, but she snapped me out of it and it's nice to see your comment as another reminder to avoid going down that path
jvanderbot 3 hours ago|||
Brother(i think), I feel you. Some days the rumination is awful, and it's good you have someone that reminds you of the good stuff.

My kids are like that - total blank slate joy machines at this age. And I assure you - fundamental optimism is ok everyone can improve their outlook and/or lot in life.

shimman 2 hours ago|||
We need to remind ourselves that it's okay to feel emotions across the spectrum of humanity. There is nothing wrong in feeling bad or having regret or feeling shame; just as there is nothing wrong with feeling glee or hatred or sadness. They are normal emotions, but what matters is how we respond to these emotions.

IDK why but one of the more damaging things about American culture is the constantly championing of individualism over community or belonging. Having one person you can talk to or spend quality time with is often enough and we should be encouraging more people to find their tribe.

My wife goes through negativity loops too, it hurts to see someone I love think so little of themselves but we're working through it together. That's life, we need to embrace it.

9dev 7 hours ago||||
Hah. I feel very much seen by both of these comments, much more than I’m confident to admit.

Something I have been struggling with all my life is deciding whether I am flawed in some way, or the other party/the environment is - because my immediate reaction is always to feel responsible and inadequate, and it takes a lot of energy of confidently feeling superior or right about something. Like, is it a pattern, or am I reflecting to avoid being ignorant?

nradov 6 hours ago|||
It's both. All humans and all environments are flawed. You can change yourself and control your reactions to your environment if you want to. You can probably also either improve your environment to some extent, or move to a better environment (not always possible for everyone but HN users usually have that option).

There's no need to feel superior: that's not particularly helpful and will tend to give you a distorted perception of reality. Most likely you're just average.

jvanderbot 3 hours ago|||
You'll never have an objective measure of good/bad. You only have your feelings on the matter.

One way is to define what you view as good (or better: define what you view as "better") and just be that as much as you can. Because "trying to actually be better" puts you above the median person immediately, IMHO

m1aw 4 hours ago||||
Okay, this is a genuine question because I was trying to avoid negative self talk.

Why did you read the message and think of negative self talk? I'm just trying to learn more about your point of view.

I was just pointing out things where I struggle.

flatline 4 hours ago|||
Yeah I didn’t read it that way at all. I think that addressing mental health issues requires some frankness with yourself first and foremost. I know some people object to identifying with labels such as ADHD, autism, depressive disorder, etc., but I do not know if that is what the parent intended.
ambicapter 2 hours ago|||
Probably because the entire article is the author describing themselves in a negative way.
justwhy 7 hours ago|||
[flagged]
HPsquared 5 hours ago|||
Division of labour is THE big advantage of working with other people. So yes, focus on the bits you are good at and hand the other stuff to people who are good at that part. It's usually worth it.
feoren 56 minutes ago||
> Turns out I have ADHD

You just magically found this out when the Mental Health Diagnosis Fairy visited you one night? You spent thousands of dollars for a neuropsych evaluation where the result was 40% reality, 40% chance, and 20% how the evaluator was feeling that day? You self-diagnosed by reading Reddit threads? You somehow magically found the one psychiatrist who is willing to talk about ADHD without immediately assuming you're just trying to score some Ritalin to sell on the street? You got diagnosed by Dr. ChatGPT? What the actual fuck are you talking about? Everybody has ADHD, nobody has ADHD, who fucking knows? It's not possible that you actually know this.

I'm 100% convinced everyone who is like "get help, talk to an expert" has never actually fucking tried, because it's not possible.

tsoukase 6 minutes ago||
Depression is for many people the animal in the room, for some a fox and for others an elephant. You cannot avoid, ignore or hack a chemical imbalance in your brain with societal or personal measures. If you find yourself hopeless and helpless, irrespective if you have attended any form of psychotherapy, take an antidepressant. Don't hesitate and if you are in trouble, contact me, seriously. The author takes Fluoxetine which is the less potent A-D drug among all. If he is really in a heavy depression, he should be on Escitalopram.
fwlr 7 hours ago||

    This could be due to ADD, I am still getting tested. Granted, that's a diagnosis, not a root cause.
No, it’s a diagnosis of the root cause - in fact, it is plausibly the root cause of everything else described in the post. Inability to complete work, procrastination/distraction by focusing on nearby tasks, the pervasive sense that you struggle with things that other people do not, even the depression (untreated ADD causing repeated failures, repeated failures causing depression). To understand why it really could be the root cause, you can read up on “executive dysfunction”, which is what ADD really is.

The treatment for ADD is one of two medications, methylphenidate or dexamphetamine. You can try other things in addition to these, but not instead of these, and you should try both - there really is just no substitute.

(In some places, bupropion can be prescribed as an antidepressant. It has effects that also help with executive dysfunction, so you may find it to be more effective than serotonin-based antidepressants.)

Aurornis 10 minutes ago||
> (untreated ADD causing repeated failures, repeated failures causing depression)

Really important to understand that depression can also manifest as poor concentration.

There's a huge problem right now with people getting locked into diagnoses found on the internet and then resisting advice of their doctors that doesn't match. It's scarily common for depressed patients to become convinced that they have ADHD and that ADHD explains everything, then to refuse depression treatment. They can jump from doctor to doctor until they find someone who doesn't care and just writes the prescription, but years can pass before they realize that stimulants aren't fixing their depression.

If you have depression, with or without ADHD, you need to address it. Don't get sucked into the "ADHD explains everything about you" mentality that gets spread on the internet.

graysnow86 6 hours ago|||
> The treatment for ADD is one of two medications, methylphenidate or dexamphetamine. You can try other things in addition to these, but not instead of these, and you should try both - there really is just no substitute.

No, not quite - there's a variety of different ADHD medications and I'd argue there's more popular ones like Vyvanse (lisdexamfetamine). Non-stimulants like Strattera or Intuniv absolutely can and are prescribed on their own, which are really useful for people that respond poorly to stimulants.

Perhaps you meant to say there's two main classes of stimulants (amphetamines, methylphenidates) that are worth investigating and shouldn't be skipped over?

Aurornis 12 minutes ago|||
Intuniv gets a bad reputation because the patient has to be titrated up to the final dose and it takes a long time to see the full effects. It's the opposite pattern of stimulants where the patient feels great (unnaturally so, due to stimulant euphoria at the start) and the effects wane over time.

The internet is really, really bad at pushing everyone toward ADHD diagnoses and then pushing them further toward stimulants. There's a darker part of some of the communities then pushes people to keep pressuring their doctors for higher and higher doses and also discourages people from trying therapy.

Outside of the internet I know several people who did the rounds with medications and ended up on the non-stimulant options and preferred them. This is an unthinkable conclusion if your primary source of information is Reddit, X, or TikTok ADHD influencers, but it's pretty common in the real world.

Stimulants have a habit of being enjoyable at first (meaning people like taking them, beyond their attention effects) and then the effects wane over the years, to the point that there are studies showing that the effects of stimulants taken long term in children are minimal to unmeasurable after several years. This is confusing to anyone who has been taking them for years and notices a difference on days when they don't take them, but that's explainable by the fact that it takes months (or longer) for the brain to adapt to not having them in the body. For some reason this same effect is not debated as much when you talk about people who drink 5 cups of coffee per day but then crash hard when they miss their coffee, but it gets protested and argued a lot when we talk about literal amphetamines.

Anyway, please don't listen too much to internet ADHD forums. They're just so, so bad these days with bad advice and poor psychology/therapy takes. You really need to engage with professionals with an open mind and not be single minded about acquiring and taking stimulants if you want to address this problem as a whole. The way the internet treats ADHD as a simple "low dopamine" state (which is wrong on many levels) and then points to stimulants as a "raise your dopamine" drug to neatly cancel it out sounds nice, but it's wrong on so many levels.

fwlr 4 hours ago|||
Vyvanse is dexamphetamine. I suppose you can say “amphetamines” instead, I imagine the subtleties of the terminology differ quite a bit in different places.

Strattera can help (I mentioned bupropion, another SDNRI). Of course if you try stimulants and don’t respond well, it’s totally fine to just use e.g. Strattera. What I’m advocating against is e.g. “try Strattera first, if it seems to help, don’t bother with stimulants”. (Some places, cultures, or medical systems do have surprisingly strong biases against stimulants!)

corytheboyd 6 hours ago|||
> untreated ADD causing repeated failures, repeated failures causing depression

realized this one about myself earlier this year, it really helped to boil it down to something besides “I am just inherently bad at things.” that attitude worked as a dumb single kid, but it was harming my adult life and relationships.

therapy helped me get there. I have been on bupropion for about a year, and recently started on methylphenidate. it might not be the right one for me, or maybe too small of a dosage. I’m taking it slow and being deliberate with the drugs.

working with a personal trainer to get in shape and lose weight, as well as quitting my fully vested tech job to fuck off and be a cook for a while has also done wonders for me here. it’s cliche, but you really can’t replace fitness with anything else, and that took me 35 years to internalize.

JTbane 5 hours ago|||
> quitting my fully vested tech job to fuck off and be a cook for a while

I am also fantasizing about this and am only holding off from doing it because of the social stigma (what idiot would quit a well paid full-time job). My biggest issue with the software industry is the feverish shiny-new-thing syndrome that AI is causing (and my current company is all in on this, with "Hyper-Velocity Engineering" panels). Maybe I don't want to move at light speed and would rather stop and smell the roses.

corytheboyd 4 hours ago|||
pretty much every day I feel that tickling of “what the hell did I just do?”

but I don’t care. I put 15 years into my tech career. I am good at building software, and I will not let this ridiculous “resume gap” problem stop me from taking a break for my mental health. any tech employer that wouldn’t want me because of it is a place I wouldn’t want to work anyway.

also, to be honest, I’m writing more code now than I ever did in the last year of my tech job… working on a full CMS and custom website combo for my friends bar, such that I can copy that template over for future projects (want to help local businesses escape the bullshit machine). also building a cool web development desktop app. and more! I’m having a great time

SoftTalker 1 hour ago||
We won't need many software developers in another few years time anyway. Cooks are nowhere close to being replaced by technology.
ethagnawl 3 hours ago|||
> Maybe I don't want to move at light speed and would rather stop and smell the roses.

This really struck a chord with me. I've spent the last 15+ years building up a craftperson's skillset (IMO) akin to a carpenter's or mechanic's. Yet, people still seem surprised when I tell them I'm not willing to run a slop cannon and excrete software which is _good enough_. I actually enjoy the nuts and bolts of writing and debugging software and using AI feels like cheating (if only myself). I'm really not sure where I go from here. I wish I had a work situation like yours to complain about but I know I'd have hit the eject button the minute someone started mandating anything about my workflow, so it's kind of moot.

loa_in_ 6 hours ago||||
Fitness also contributes to most common physical tasks becoming trivial, you can literally jump out of bed in the morning if it strikes your fancy.
corytheboyd 6 hours ago||
yeah! it's pretty cool when I start doing something that used to be difficult and now it's just... not. weird how long your old form sticks with you in your head like that.
tayo42 6 hours ago|||
>quitting my fully vested tech job to fuck off and be a cook

Are you doing entry level line cook work or something?

corytheboyd 5 hours ago||
yeah, at a local pizza/taproom place. they share tips with cooks, works out to ~$35/hr. I'm not expecting it to replace a tech salary, but it helps offset the savings burn (which was specifically set aside for this). engaging with real people in real life about real things is also an indreeeedibly nice change of pace (even the stressful/tense moments of shit hitting the fan).

I'll re-enter tech later... maybe.

tayo42 5 hours ago||
Oh interesting,that doesn't seem to bad.
SoftTalker 1 hour ago||
I mean you can burnout on kitchen work as easily as tech work. Maybe easier. I know that first hand. The one nice thing is that when you clock out you can not think about it until the next shift. There is some peace in knowing you'll never get a call at 2am because some bird's nest of technology fell apart and people can't order their custom cat pic coffee mugs.
ramon156 1 hour ago|||
I will discuss this with my GP. You're right that fluoxetine is a serotonin kicker, and it didn't stop my dysfunctional habits.

Ofcourse, no pill is magical, and I have no expectations of that. At least fluoxetine fixed my sleeping habits.

al_borland 3 hours ago|||
> No, it’s a diagnosis of the root cause - in fact, it is plausibly the root cause of everything else described in the post.

Yep. I was diagnosed with ASD and ADHD about a 1.5 years ago... My whole life came into focus. Everything that didn't make sense suddenly started to make sense. What I thought were 15 different issues I was dealing with were really all just symptoms of the one (or two in my case). The internal tension I've always felt was also explained by the competing desires of ASD and ADHD.

Knowing this hasn't really "fixed" any of that, but it has given me an explanation, language to use to explain it, and permission to stop searching for what's wrong with me... which I've been doing for 20 years. It's been nice to have a break.

shermantanktop 2 hours ago||
Finding a label for personal problems typically results in a honeymoon of self-acceptance and relief. The honeymoon usually ends and the problems remain, but now there are possible paths forward.
Aurornis 3 minutes ago|||
There are some traps along this path, too. A number of younger people I've worked with (in the double digits now) have gotten ADHD and/or ASD diagnoses and then become overjoyed that "everything makes sense now". But the diagnoses are only useful as tools for knowing what to work on.

The trap is trying to externalize the diagnoses as a get out of jail free card that can be used to justify avoiding hard changes and difficult work. The more difficult version of this is when someone tries to externalize the responsibilities of their diagnosis on others. I've seen a couple situations where someone got an ADHD diagnosis and then took it straight to their employers expecting to receive more forgiveness for late work and mistakes, then getting angry when it didn't change their company's expectations. It's a hard conversation to have with someone who thinks the diagnosis is going to relieve the weight of all the problems they've been facing, when in fact it's only helpful for identifying what they need to work even harder on improving and coping with.

neetle 27 minutes ago|||
The other thing it does is give a path towards resolution (or at least mitigation) for some issues. Wife was diagnosed adhd, and got a shrug wrt an autism diagnosis. We looked into interventions that specifically tend to work for ADHD, and she’s now thriving. She also tends to respond well to some of the interventions for autistic people that we’ve found useful for our AuDHD daughter, so we’ve taken on the policy of “labels be damned, if it works it works”. The labels sure as shit help with getting started finding your bearings though
SkyPuncher 7 hours ago|||
ADHD is unlikely to be the root cause as there is unlikely to be any single root cause. Treating ADHD will reduce or eliminate a component of this, but will not address the issues entirely.
imrehg 7 hours ago|||
It's scary how your first paragraph describes by recent (but not long term) experiences. Looks like I have some checks to do as well.
sudosteph 5 hours ago|||
Atomoxetine's effect size is surprisingly similar to methylphenidate, though in my experience it treats different aspects of ADHD than stimulants. Some doctors (mine) are open to combining it with a long-acting stimulant, which actually can be a really nice setup, especially if you're sensitive to stimulants.

Hope you get it worked out OP. I will say, if it's ADHD, it's 100% worth trying to get the best treatment you can.

throwawayffffas 4 hours ago||
My 2c, stop looking for excuses, stop assigning your self worth to the quality of your work.

Mistakes happen, bugs are impossible to avoid. You may need to add rigid processes to your work to avoid the most egregious examples, but you just have to live with the fact that you will write bugs.

If you find you write more bugs than your peers and they have more impact than your peers, that's fine maybe you are not cut out to be a "systems engineer" maybe move to something more forgiving like frontend or something, you will probably be happier.

There is a reason that I am not working on avionics or respirator firmware. I don't have the discipline to follow the processes required to minimize the chance of accidentally killing people and I don't want the legal liability.

You don't have to be working on "important" stuff, John Carmack one of the best and most celebrated developer of our time spent most of his career working on games.

Be mercenary, do not take pride in your work, do your work for money. You will be happier, take pride in who you are and what you do outside of work.

ramon156 1 hour ago||
I do agree that working for your career isn't the only options. Sometimes it's just to earn a living.

The things that both of them have in common is that they're sustainable. If you do not like your current position, make it sustainable for the time being. I was unable to do that, twice, so I think I'm at a point where I cannot do what I need to do.

Even the fun work (FOSS) is something I cannot sustain for 40 hrs a week, despite how much I enjoy it.

Time will tell, though

otekengineering 4 hours ago||
> stop assigning your self worth to the quality of your work

my personal riff on that is 'stop assigning self worth to the quality that others assign to your work'. being able to internally generate self-worth through the act of producing high quality work is a super power.

switchbak 45 minutes ago||
Good refinement.

I like Paul Graham's "keep your identity small" piece: https://www.paulgraham.com/identity.html

When you're not personally identified with your work, it stings a whole lot less when someone rips it up. And keep in mind we're imperfect people working with other (often very) imperfect people. It's a mess, and always will be.

Aboutplants 6 hours ago||
I have a young daughter and when I think about the most critical skills I want her to develop throughout her adolescence, communication is one of the most important ones that will prove to be valuable throughout her life. In whichever career she chooses, with friendships, personal mental health, partner relationships, etc.

She is smart, she is talented and incredibly curious and those things I really do not worry about. What will set her apart from the majority of her peers throughout life will be her ability to effectively communicate and interact with others in a way that is meaningful. It’s benefits go far beyond what most of us appreciate

mihaaly 1 hour ago|
I agree with you.

However succeeding is increasingly harder and harder.

You can be the best communicator in the world but when the world only want to push their story to manipulate you towards their will then the only skill that counts is obedience or being the most aggressive manipulator. I wish that meaningful communication was a key to good and content life.

You still can have your bubbles in the universe though, there it is invaluable, of course. Isolationism on the personal level might be necessary, unfortunately.

neuralkoi 7 hours ago||
On your goals:

1. It's okay to make mistakes. Pain + reflection = progress.

2. Try to shift your perspective so your sense of worth isn't tied to your work.

3. Anytime you say "I should", "I need to", usually this is sign you are blindly following some sort of cognitive script [0]

[0] https://www.youtube.com/watch?v=ubMghRYqk8o&t=1844s

voakbasda 6 hours ago||
The “should” trap is a big one. I found The Work by Byron Katie to be a very effective self-guided method for addressing those thoughts.
ramon156 1 hour ago||
I didn't really think about your third bulletpoint, that does make sense.

I think it's also good to be aware when you're lying to yourself. An easy example is how people talk about their gym membership.

"Oh, I would go, but I am so busy with X", or "I am already doing Y, so I don't really need to go". It's always a non-reason, while the true reason is that they just do not see a reason to go.

I don't get why this happens with work, though. I didn't love my job, but I definitely loved the colleagues, and I felt like I didn't do that bad of a job (ofcourse I see this differently now, I was doing a bad job).

donkers 40 minutes ago|
Learn to be your own best friend. My DBT therapist is making me work through this Mindful Self-Compassion Workbook [0]. It feels hokey at the beginning, but it seems to actually be working. Improving your internal self talk and becoming your own advocate and supportive best friend gives you the capacity and perspective to change your behaviors to drag yourself out of the muck.

[0] https://a.co/d/029g4obS

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