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Fair, there's a ton of bs out there.

I hope you find something that works for you


I'm writing it as I go. There's an annual challenge called threadapalooza where you write 100 tweets on a subject in December


Excellent thread! Thanks for doing it and congrats on your journey so far.

I also have ADHD which was fortunately diagnosed when I was in third grade. Meds helped greatly but I still struggled academically. Unfortunately, I stupidly noped out of taking meds starting my senior year of high school, then flamed out of college and went through a "lost decade" in terms of life, career and even relationship progress until I kinda hit bottom and got back on meds. Since then, with a combo of meds and accepting I need to consistently apply basic tools (lists, systems, processes), I've had pretty constant upward progress on all dimensions and have overall been doing really well.

One small suggestion regarding your posts... in a few places you mention "(Tool XYZ) works just as well as meds." I think it's great that they've worked well for you! Based on my understanding of the literature, I think it's the case that those things can work as well as, or even better than, meds for some people. Personally, I've tried exercise, meditation, talk therapy and pretty much everything else which has shown a modicum of real potential in the literature. Despite multiple serious attempts in multiple ways over significant periods, for me, they all turned out "helped a little, but not enough." I think the reality is that the effectiveness of treatments can vary widely across ADHD individuals (and also across life phrases within individuals, especially adolescence to adulthood).

I think the literature mostly supports the idea that meds are still the most likely treatment to be "sufficiently effective" to enable a meaningful difference in life outcomes. However, as you mention, meds won't "do it for you", don't work for everyone and it's certainly the case that med effectiveness requires finding the right med or combo of meds, the right dosing and an effective, sustainable usage pattern. Which, for many, can require patience, perseverance and a lot of difficult-to-sustain experimentation while tracking changes that can be hard to self-assess.

The reason I'm careful to mention this whenever I discuss treatments is that there's still a pretty common bias in the general populace against meds. Some people who don't have ADHD just think "smart pills" are a crutch for slackers or dummies. Some people who have ADHD hate thinking of themselves as someone who "needs" meds to "fix themselves" or even to be "normal." This is definitely why and how I ended up with that lost decade, which I still deeply regret. This is all made harder by the fact that, ADHD IS somewhat over-diagnosed and mis-diagnosed, especially self-diagnosis, and some people do abuse the same meds. Yet, despite all this, some ADHDers still remain undiagnosed or are struggling without effective treatment.


very thoughtful and eloquent response. i echo this sentiment, as i stopped taking meds in high school, and i struggled more then and at uni, and just in general. i recently got back on meds and they’ve been an invaluable tool to organise my life.

i was successful unmedicated despite myself, but definitely would have been better equipped personally and professionally, had i continued care.


Thanks for the thoughtful response.

There's so much nuance and individuality and cultural baggage around ADHD treatments, it's difficult to convey, and you've done so very well here. I'll see if I can incorporate some of that as I finish up the 100 posts.


Cool! I found it very interesting and look forward to reading the other 43 :).


There's a wonderful group that meets every Saturday to practice and discuss: https://tasshin.com/metta-squad/


McMaster-Carr might have a better selection of obscure fasteners/hardware/tools. Pricier, but often faster shipping than Amazon


Yeah, it depends on what you're looking for. McMaster is great for high quality serious Machine Shop level stuff, not so much for household oddities.

Recently I needed some vinyl siding hooks[0], a really oddball size drawer slide, and replacement window springs. I ended up getting all of them on Amazon - even tracking back the manufacturers they seemed to exclusively sell on Amazon.

0) https://www.amazon.com/dp/B083TPKJN1/ref=cm_sw_r_sms_awdb_im...


Roam is heavily influenced by Zettelkasten, it's the first digital version I've seen that works well


I'm a big fan of Barbell Medicine's work but they really need an easy to digest article on the bio-psycho-social model.

Look at how much fear-mongering is in this thread alone!


I agree it's an unfortunate problem. To really grok this issue requires some time investment.

In this thread I've seen people recommending yoga, stretching "tight muscles", the McKenzie method, the McGill book, and stretches. I've only seen a couple of mentions of actual training. Sad state of affairs.


It's not about this case, it's about the precedent


If anything, good writing is more persuasive than face-to-face. A well written document carries some gravitas.

Of course, you have to get decision makers to read it...


I don't care about bezels or absurd amounts of RAM.

All I care about in a phone is the camera and headphone jack, so I ordered one. Good move Google. I wasn't expecting to buy a phone for another 6 months or so.


I can't tell if they got hacked or seriously are launching a product called "payboo"


Seriously....'Payboo'?


It actually sounds like a horrible startup name from about seven years ago.


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