Ask HN: How to deal with ADHD without meds?
I just discovered I have ADHD. There's almost no professional help available in my country.
What frameworks and systems can I follow to deal with my ADHD and function normally?
What frameworks and systems can I follow to deal with my ADHD and function normally?
46 comments
[ 11.3 ms ] story [ 103 ms ] threadHowever what did help me before diagnosis was this YouTube channel and trying out the techniques that clicked with me https://youtube.com/HowtoADHD
https://www.webmd.com/add-adhd/adult-adhd-and-exercise
I'm not a doctor or an evolutionary biologist. However, in the context of humanity's development down through the ages, sitting indoors at a screen could be construed as unnatural.
The natural endorphin rush of heavy exercise is relaxing.
Some people need a chance to get let their energies out. Why not do it in a productive way?
Most people won't be worse off for trying.
“[The Real Happy Pill] provides further evidence to support the effectiveness of physical exercise, with the aid of additional neuroscientific evidence, as a support mechanism when coping with the stress and anxiety of everyday life. By engaging in regular physical exercise, Hansen states, you may even improve your cognitive functioning across your lifetime.”
I haven’t read it myself yet, but it sure seems like an interesting book.
https://www.studio3.org/post/book-review-the-real-happy-pill
With that said – exercise is one tool in the toolbox. It can’t and shouldn’t be the only tool.
I don't think it's a meme, it's just that people seem to be realising it's beneficial as of late
https://christine.website/blog/gtd-on-paper-2021-06-13
so far this mix looks promosing
* Accept it and be realistic about it. ADHD is a disorder. There is no cure. Don't expect it to go away or for you some system, drug or technique to reduce it to zero. There are no silver bullets
* Forgive yourself. Getting worked up about the disorder only causes more pain, anger and stress. You are not lazy.
* Address any other mental health problems that may be related to or caused by ADHD. I am still recovering from anxiety related to my ADHD.
* Medication is effective. If there is any reasonable route to trying it then do so. Some people report night and day differences.
* Routines help me a lot. A good routine becomes automatic. Think about some of the things in life that you do automatically and completely without thinking. Try to make a routine that serves your goals and the things you want to do. I prefer a routine that is the same every single day (including weekends) if possible.
* Your working memory is impaired. Do not try to remember anything. I always keep a notepad and pen next to my computer as a substitute for working memory.
* Distractions. Some are worse than others but people with ADHD are more susceptible. Find a way to reduce notifications, alerts (both auditory and visual). When you are focusing on something, try to remove anything else from your visual field. I have two monitors but I make sure that if I only need one window for the task at hand then the other monitor is showing the desktop.
* In the same way, if you want to be sure to remember something, keep it in your visual field. When I'm using my to do list software and I select a task, I put it as a small window in the top left of my screen (with all the other remaining tasks hidden of course!). If I get distracted I can simply look to the top left of my screen to remember what I was doing.
Knowing you have ADHD is a great first step. Improvement is possible, but it takes time (years, not weeks).
2. Eat healthy food - think plant-based. Stay away from sugar. Don't lean on caffeine.
3. Control your environment: sound, light, temperature adjust these until it feels right.
4. Stay away from toxic people who will take advantage of you. This might mean "family & friends".
5. Foster your own curiosity.
6. Your ability to focus, aptitude for pattern recognition, and empathy is not a disorder.
Everything else I would write is covered by annie_muss, particularly acceptance and being realistic. I wasted years torturing myself with a cycle of thinking I should be able to push through it and focus if only I tried hard enough, failing and getting depressed, bludging, repeat.
Now that I’m medicated I’ve still got a strong aversion to trying that I have to deal with.
Please don’t recommend people develop expensive habits to dangerous addictive chemicals.
I really can’t wrap my mind around someone suggesting a drug addiction (that leads to cancer) to remedy a mental disorder. It’s just plain malicious.
If somebody is opening their mind to help, you have a responsibility as someone of greater knowledge to steer them in the right direction, not take advantage of them.
Check out this cool write-up: https://www.gwern.net/Nicotine
I think one thing to keep in mind is that Gwern is evaluating it for much more minimal use than you would try to treat adhd with. Iirc he was using it to try to build an exercise habit. So the addiction risks are going to be much higher than what he portrays them as.
Still better than untreated adhd though.
- Your analogy does nothing but trivialise adhd. Replace trouble staying awake with horrid sleeping disorder, put someone in OPs shoes where other medications aren’t available, and somehow meth can help? That person should absolutely do meth.
- Would be interested to see this info that’s convinced you that nicotine is so terrible that I’m “plain malicious” to recommend someone look in to it.
- the non nicotine and non meth ADHD medication that would be prescribed by OPs psychiatrist if it was an option in their country is addictive. Amphetamines are addictive. ADHD can make it near impossible to function in modern society. You can have some pretty severe down downsides to treatment before it isn’t worth it. If there was an effective downsideless treatment then that’s what we’d be using in countries with options. There isn’t so we make do.
- Expensive?
- Just to be clear, ADHD in the modern deep work rewarding economy is like missing a foot back when everyone was a subsistence farmer. Hell just basic existence things like keeping your car rego in date is rough. If god appeared and was all "I feel like being a dick today. I'm going to wave my wand and you either lose a foot or adhd meds never work for you again" I'd choose to lose the foot. I think most people who have experienced treated and untreated ADHD would. If OP posted saying "hey guys im going to lose my foot unless I do nicotine (or meth) what should I do?" would you call people saying to take the nicotine malicious?
Knowing what I know now, I would honestly look at moving to a different country if professional/pharmaceutical treatment weren't available to me in my country. Alternatively, if an adjacent country to you has something available and you have the means to go get it, I would highly recommend pursuing it. Trying to manage symptoms with all the normal "exercise, eat well, supplements, etc" advice can work with focused attention, but the difference when you find the right combination/dose of medications in combination with those things is incredible.
I can only really speak to the effectiveness of vitamins on focus, outside of supplements, meditation and cognitive behavioral therapy are on my list of things to do to try and help.
Go looking for studies. Years ago, there were studies showing that nutritional supplements were more effective than meds to help kids calm down and focus.
IIRC, calcium and B vitamins were some of the recommended supplements. (Edit: don't take my word for that. Instead, use that as a jumping off point to find studies and track your own issues and draw your own conclusions about what works for you as an individual.)