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I most definitely have mixed feelings about it. Granted, I wasn't diagnosed until my mid-30s, and I like to think I accumulated a respectable pile of life accomplishments beforehand (along with some dramatic failures) so I have a pretty thorough understanding of my own performance baseline. By the time I had a career and family, my problem was no longer failing to be productive, but rather failing to be productive at the right things at the right times. The modern world is built around consistency, planning and schedules and these things cause major problems for me, as for most of us with ADHD.

Stimulants (Vyvanse in my case) are blunt instruments; they alleviate the specific behavioral problems that plague those of us with ADHD but also enhance performance in general. The biggest danger that I see in my own behavior is the tendency to forget about all the self-management practices I learned before my diagnosis. With stimulants, you can do irresponsible things like stay up late for no good reason, get four hours of sleep, and still be fairly productive once the medication kicks in. I have to be really honest with myself on a daily basis about whether I'm using it to overcome a deficit caused by ADHD, or a deficit caused by bad behavior.

The second biggest danger is developing unrealistic expectations about what I am capable of accomplishing. For example, I am currently pursuing a PhD in computer science, and the decision to do so was made by the medicated version of myself. I don't regret the decision one iota, and it's a goal I've had for many years, but I already had a long list of projects and goals when I signed up for this and I definitely deluded myself about just how many of those other commitments I'd have to set aside for a while (or forever) in order to get a PhD.




"my problem was no longer failing to be productive, but rather failing to be productive at the right things at the right times. "

That is my problem right now, too. I am just scared, that medication really does not help me long term, for all the reasons you mentioned.

Thank you, for sharing.




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