Ask HN: Developers with ADHD/ADD, how do you cope?
I'm a junior developer and in a process to get ADD-diagnosis.
I find it very hard to stay focused at work, especially if the task in hand isn't something I'm passionate about. Even bigger problem I'm facing is that it's almost impossible to stay aware on what we are discussing in the meetings. My mind just constantly wanders away from the subject and this leads to embarassing moments and me missing crucial knowledge about the project.
I'm looking for practical tips and personal experiences on how you manage to stay productive and focused during work day.
Thanks in advance!
71 comments
[ 2.7 ms ] story [ 134 ms ] threadbefore this i generally got through by having multiple tasks on the go at once, pick a reasonably simple task and a complex one and regularly drop from the complex task to the easier one, a good example for me is updating my commenting on other bits as im pretty terrible at adding it as i go, i cant say this will work for you but it helped me.
the only other thing i can suggest is to try and reduce your possible distractions for which headphones are helpful ideally with instrumental music, background conversations and words can trigger your mind to go off on a different path
basically try and reduce things that may distract you and try and keep other tasks ready so that if you do get distracted youll fall onto other work which keeps you productive but as i said before i cant promise these tricks will work for you as everyone finds different coping mechanisms work for them
As an example of how Your Mileage May Vary, methylphenidate works well for me, but Vyvanse made my porn viewing skyrocket.
My doc switched me to Desoxyn and it's night and day, it is like I have a laser in my mind and can focus it on anything I decide to focus it on. It has far less of that Adderall punch to the back of the head when it kicks in, and more of the calming but alert effect that one gets from the right handed amphetamines in Adderall. I cannot understand for the life of me why Desoxyn is not the front line medicine for ADD and ADHD
It took a long time for me to get a proper diagnosis as sometime ADD can look like depression because of the lack of emotional control as well as just plain beating yourself up for not getting stuff done and not being able to get started. But for me it has been a life change and for the better.
I started abusing nicotine at and early age and after that any time I would quit I would have a fog in my head that never went away (quit for 5 years once and had it every day). I eventually resigned to the fact that maybe I just permanently damaged my brain and now it would never function correctly in the absence of nicotine. Little did I know I was self medication and just did not realize that the fog was baseline me. With proper diagnosis and medication I can forgo nicotine and I am still completely clear. The meds make me 10x clearer than nicotine ever did.
Desoxyn is not front of the line because it's literally methamphetamine lol.
In several studies it has been shown that methamphetamine is no more of less additive than dextroamphetamine the main difference is that methamphetamine crosses the blood brain barrier more efficiently than dextroamphetamine so there is less in the body to stimulate the PNS and more in the brain to stimulate the CNS. 10mg of Desoxyn is more effective for me than a 30mg dose of Adderall.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475187/
At same doses methamphetamine is stronger but generally in therapeutic doses one will be prescribed 1/3 to 1/2 the dose of amphetamines.
Also to note, Desoxyn is pharmaceutical grade methamphetamine it is not street meth and certainly not crystallized meth. It is a disservice that even some MD's view this stuff in the same light as street meth.
A good read on the comparison of amphetamines: https://www.forbes.com/sites/jacobsullum/2014/02/20/hyperbol...
As far as your doc, go in informed, and state your case, I talked to my doc, it helps that my wife is a MD as well, so I have a lot of access to medical journals to research. I went in with the info, presented it to my doc and told him that I would like to try Desoxyn because PNS stimulation has been an issue for me on many of the other drugs and basically I told him, look if I have to choose between my mind and my willy, old willy is going to win every time. All of the other meds worked well for me as far as ADD was concerned, but living with drug induced impotence is certainly going to create other psychological issues down the road and when you combine it with the fact that most of this class of medication increases my drive, it is a recipe for disaster. I just went in, armed with information and laid out the case for what I wanted to try to see if it would eliminate another potential issue from manifesting. If your doc won't listen to reason, find another doc, above all you should be the biggest advocate for your health.
Not sure blue friends would help. It was about stuff happening early and late, rather than not being able to get it up.
Out of curiosity, for those who use ADHD/ADD medications like this, do you get insomnia as a side effect and, if so, how do you deal with it?
The one time I was prescribed this type of medication, I was still terribly unfocused during the day because I was barely getting any sleep even after lowering the dosage considerably.
When I was on Adderall I found it very helpful to take the medication after a large early lunch (hopefully 11am or earlier)
I am asking because I read recently ADHD is very difficult to detect.
This one looks good: https://www.additudemag.com/adhd-symptoms-test-adults/
That is best found out by a multi-angle approach including brain images, intelligence tests, patient history, family history, etc...
Seeing a doctor is critical because a) it is easy to misdiagnose oneself and b) there are some problems that lead to similar symptoms as AD(H)D, i.e. bipolar, problems with your thyroid gland, vitamin deficit, trauma and so on, so it is also important to exclude these.
A quick win might be to take notes or ask questions and participate in the meeting.
-- When possible, do things that you're passionate about. Develop your passions and try to work within those constraints.
-- Have a single monitor
-- Create a TODO list. Also start the day or working session with planning.
-- When tackling new problems, try to do the easiest tasks first to build momentum, before tackling harder tasks
-- Break down tasks into the smallest components and do them one at a time
-- Give yourself a reward for doing a small section of tasks (ie. watch a YT video)
-- Develop your self confidence and create a strong passion for competition, that's driven me past a lot of my attention problems
The only two things that (almost) works for me at this moment are a notebook (I use a modified version of bullet journal) and meditation (I use headspace).
Apart from that: sleep. That helps with the weird depression-like mood I always have.
I tend to forget stuff even while I'm doing it, so it helps a million if what I'm doing is written on a Post-It right in front of me.
Also, to keep track of tasks, problems, todos etc, I have a huge text file that is bound to the ctrl-` keybinding (autohotkey script opens a file in sublime text).
I think the most important thing is to externalize your mind into your environment, you might forget, but your table or text files won't.
Also, make sure to watch Russel Barkley. This man is literally ADHD Jesus. https://youtu.be/_tpB-B8BXk0
Some of his claims are questionable. AFAIR he claims that:
- ADHD has no advantages
- ADHD has a negative effect on working memory
- ADHD has no negative effect on intelligence
Since working memory is a factor in intelligence, one of these statements must be false.
His political views are also interesting.
> Barkley is a right-wing libertarian. He deeply believes in "Limited government, individual rights, freedom of speech and association, and the nonaggression principle (no one, including the government, has a right to initiate force or fraud against another), and private property rights". He has attacked "the leftist, social democratic or socialist leanings of Facebook's founder and most mainstream media outlets".[35]
I'm not mentioning this to discredit him or because I think you should judge a psychologists by his political views. But I've always associated these views with the assumption that poor people are generally poor not because they don't have the skills, self-discipline etc. needed to be successful but because they are lazy and thus don't deserve welfare. If Barkley, an ADHD researcher, actually believes that he's very good at tolerating cognitive dissonance.
Perhaps that assumption you made that you apparently don't believe was a completely made up figment of your imagination, which is what my comment illustrates.
I also think it's important to mention, Barkley has a very large emotional stake in his research, his brother had ADHD, and he died in a car accident.
I won't try to guess the influence of this incident on Barkley, but I can only think that Barkley "hates" ADHD for this reason (ie, ADHD has no advantages), and I think it becomes clearer why he is so immensely focused on the negative aspects of ADHD.
I won't comment on his stance on intelligence or memory.
Absolutely! I don't really care that he has these views either, I was just surprised.
> I won't try to guess the influence of this incident on Barkley, but I can only think that Barkley "hates" ADHD for this reason (ie, ADHD has no advantages), and I think it becomes clearer why he is so immensely focused on the negative aspects of ADHD.
Definitely. I think his belief that ADHD has no advantages probably stems from emotions, not from logic (although I'm sure he rationalises it)
That is quite easy to reconcile: "ADHD has no negative effect on intelligence, when accounting for the impaired working memory". It is something you do all the time in psychology, you observe effects in presence or absence of other effects. Psychologists are smart enough to ask questions like "Now that we know that ADHD impairs working memory, does it further impair other factors of intelligence?" The answer seems to be no - which is important, because it implies that improvements in the working memory transition well into improvements in intelligence.
I give you the benefit of doubt here, but I'd wager that most of the non-academic folk that Dr. Barkley communicates with is intuitively aware of what I wrote above and able to form the right mental picture.
Since Barkley lost his brother because of ADHD, I don't think it's impossible that he actually means that it impairs working memory, has no advantages, and does not impair intelligence. Not because he's too stupid to see the contradiction but because he doesn't want to.
Then again, it would be quite a coincidence that whatever advantages ADHD has exactly cancel out the working memory issues. I just expected an academic to use precise language (there's nothing wrong with simplifying, but to me, this does not look simplified but wrong.)
Also, invest time in learning how to stay hydrated. I got terrible dry mouth when I took adderall.
Also also, set alarms during productivity time to get up and walk around otherwise you will forget. For me, this caused me to get swelling in my lower legs a bit, which I think was due to a combination of sitting and no longer tapping my feet.
I also try to always write down a task so I don't forget it later. For my own personal projects, I like to use Trello to organize my tasks and plan out what I need to work on for the next release.
I can definitely understand the difficulty to focus on something you're not interested in. Maybe you could try listening to a podcast or something about something you ARE interested in while working? Depends on how bad the ADD is, because for me, I would end up completely focusing on that and tuning out my actual work.
Also, if you're seriously trying to work on something and it's usually an issue for you, put your phone somewhere where you won't be constantly reaching for it.
https://news.ycombinator.com/item?id=19984126
Other tips:
* Use hyper-focus when you have it, to the best of your ability. I think of it like a gift from my brain, and I try to get the most mileage out of it as possible, even if the task I’m working on isn’t top priority.
* Focus on building good habits. I find it’s a way to trick my brain into doing things that are good for me.
* For meetings, have someone(s) who you can check in with about what’s been discussed. Ideally, someone who you can say “hey, I didn’t quite follow what happened — what are the key points?”
* Strong agreement with other folks on using task management systems. My general recommendation is to find one you like (Getting Things Done is my favorite, but there are no shortage of others) try it out for a good long while (2+ months), and slowly adapt it to your personal needs.
* Talk to your people manager about work you’ve been assigned to that you’re not interested in. Sometimes you’re really needed in a particular area and other times you’re not. If you express your preferences for particular types of work, you’re more likely to get it.
I think there are a few varieties of attention deficit, I don't know anything about being physically hyperactive, just the inattentive part.
You can also record meetings on your phone for reference later.
Lots of other good suggestions here too.
I have always had ADHD but was intelligent enough to get by through my schooling with bad study habits. I "got away" with it so to speak, with cramming at the last minute and being able to retain lots of information while my peers had to put more dedication into it. It seemed up front like a solution but in reality I was only cheating myself.
Once I got out into real software development world, I just couldnt sit down at a screen for all the hours I needed to without wandering away, so I got an official diagnosis of ADHD and a perscription of Vyvanse.
I spent 5 years going off and on the medication. There is nothing else but vyvanse that will let me sit down and churn out code for hours and hours on end, but it makes your mental state absolute hell and you will burn out. It was a short sighted solution and the amphetamine dependency and withdrawls I experienced. When I finally managed to quit I was such a mental mess I had to take 6 weeks away from work with mood swings.
Additionally to note, the amphetamines make it more difficult to learn new thing but make it easier to churn out what you already know, which isn't the most effective thing in our field.
In the end, what do I use now to medicate? Intense physical excersize. Daily. Lots of it. Tire out your body. Seriously. Fight against every one of your urges to lose focus and stay on task for generated short bursts then switch tasks and environments.
There is not feeling in the world better than being able to be productive without amphetamines after feeling you 'need' them because you 'have ADHD'.
Personally I've been on adderall for the better part of 20 years. I went through a bunch of different meds after getting a diagnosis and I regularly try other medicaitons (once a year or so) to see if other medications may work better (your body changes over time as does your tolerances).
If you can get by without medication then that's great. For those of us that can't, there is a large number of options.
This video series taught me a lot about my own condition: https://www.youtube.com/playlist?list=PLzBixSjmbc8eFl6UX5_wW...
- Eat a healthy diet
- Work out regularly - Cardio helps start the day and get the blood flowing & weight lifting helps get out any aggression I may have.
- Try using a guided meditation app. This really helps me start the day off on the right foot, it lets you understand how you are feeling and where you mind is at and it gives you the chance to reset. The meditation has also helped me with knowing when I'm thinking and not paying attention to something. Waking up with Sam Harris is the app I use and it has been amazing.
- Set an intention for what you want to do that day. THIS. THIS. Has really helped me stay focused, I know what I want to do and I try to stay on course.
- Talk with a Doctor about the medication and don't settle on the first one. Test them out and see what works best for you. I've been on Adderall all my life and I'm going to talk to my doctor soon about switching to something that won't zombify me so much.
- Don't try to do too much. I constantly come up with new ideas and things I want to start doing, but I'm not always realistic about getting them done, so when I don't do them I feel like I failed. Lately I've been thinking about the idea and whether the idea is actually realistic and something that I will continue to do or is this something that is just a waste of my time and energy.
I enjoy talking about ADHD, most of my comments have been on the topic so if you ever want to talk more reach out! Also don't be hard on yourself for not being able to pay attention, once you start noticing your not paying attention, just begin again.
Imho, I think you and I should congratulate ourselves for having minds that are highly resistant to bull. The fact that you can't concentrate is not a problem of your mind, but problem of the problem. I hope I make sense.
Other than this, guys, lay off masturbation and see focus levels shoot up. Cut porn completely. Dont runnerneck, too. Add to this daily morn exercise and weekly fish in your food and your good to go!
Even so, try to gravitate towards things you want to do. If there are things you have to do, do them first in the morning so they get outta way.
Such discipline will take time but it will be worth it.
- Meditate: so underrated, this gives you so much calm and control that you cant even imagine. Do it periodically (for instance, I meditate 5 days a week) and do it on a fixed time each day, this will help you making it a habit. Probably better to start with mindless meditation, I recommend you Headspace app or you can also benefit from any YT video.
- Use pomodoro technique to work on tasks, it doesn't matter what task is given to you, make sure to work on it on the defined timeframe. Usually pomodoro is 25m work/5m rest, you should start with a different schedule, find one that works for you (at the beginning I used to do like 10x10).
- Read the book "Deep Work" by Cal Newport, a lot of valuable insight in there. Digital minimalsim by the same author should probably be on point as well (I haven't read it yet), but in Deep Work he emphasizes a lot about the damge that tech is doing to us, specially in our attention spans (you're constantly bombarded by notifications and reacting to them).
- Watch this video on how to control your mind (short but pretty useful): https://www.youtube.com/watch?v=WYfYmYbp7C4
Good luck, you can do it.
In addition to a diagnosis and getting the right meds, and all the work / task management habits, I’ve found that meditation and mindfulness has been really helpful for calming me down, and letting me focus on what I need to focus. When I meditate there is usually an initial startup phase where my mind is racing, from one worry or task to another. I consciously try to acknowledge the presence of the task and then mentally tuck it away and try to regain focus on my meditation object (the breath leaving my nose or the breath in my belly for example).
This ability to step away and consciously not engage with a worry or idea is kind of the crux of the ADHD problem for me - so meditation helps. It helps me remember to “let go” and be okay with not focusing on that worry, so I can get back to the central goal sooner.
Many people have mentioned organizational tips like lists and task management. I’d expand to offer systematic organization of physical things in my home to be similarly helpful. The idea follows that when everything has a place (this book goes here, that cable goes there, etc), and you know the place or system rules, then it’s easier to recognize when things are messy and fix the situation. Ive still got a lot of work todo here but that Marie Kondo Art of Tidying Up show helped me for sure.
I still sometimes listen to music, but now when I do I realize how distracted it can make me and I only utilize it when I’m warming up or losing steam and need a mental change of scenery.
Only half kidding, cool project - but I would not be able to tolerate the screen inversion.
Meditation was effective because it sharpened my ability to detect when I lost focus and course-correct. With daily practice, this habit (mind wanders -> notice mind wandering -> gently redirect focus back to original intent) became automatic. I was surprised to notice myself "waking up" and clicking back into place over and over throughout the day, whereas before meditation I seemed to "wake up" only at the end of the day with nothing done.
At work I listen to ambient music and use Pomodoros to pace myself. I also asked my supervisor to start requesting daily status updates on my projects. Without the extra accountability, I let things slide off the radar too easily.
It's difficult sometimes. Russell Barkley likens these habits/calendars/medications as a sort of prosthesis. That framing helps me to accept these things as one part of a unique life experience instead of a debilitating setback.
I add two more:
* Check out the pomodorro technique. It forces my to break tasks down into even smaller chunks that usual and give me a rush of dopamine when I finish those.
* I try to stay away from systems and languages that are not responsive enough. I need to see results fast and am willing to take quite a pay cut just so that I don't get bored waiting for a job to be done. So no big enterprise company for me, but rather prototyping and freelancing.
Looking back that makes sense to me. Start-up culture was a natural fit for me when I was younger so the ADD masked itself as I was productive in that culture.