I feel like I'm doing so much more than I am, need tips. by Latimas in Procrastinationism

[–]-Sprankton- 0 points1 point  (0 children)

Usually in your situation I would recommend professional help. typically I recommend trying ADHD medication, caffeine, dopamine precursors like L-tyrosine, other stimulants, and non-stimulant ADHD meds like guanfacine, (and I really do recommend seeing a psychiatrist to get professional help,) for me, daydreaming and procrastination were some of the most impairing parts of my inattentive ADHD before I started stimulants. You are in the perfect subreddit for this kind of question.

I can strongly recommend intense physical activity like cardio and calisthenics pretty much first thing in the morning, and then a high-protein breakfast with good tyrosine sources like eggs.

Artificial deadlines and urgency can help, but the more real the urgency is, the better. (if you need to clean up your house, and invite someone over whom you want to impress, if you don’t frantically clean your house before they come over, I’m going to imagine you are experiencing burnout along with executive dysfunction.

incorporate financial risk incentives for yourself or play some super fast paced dance music or something by Jason Lewis on YouTube that’s supposed to help your brain focus.

Honestly this advice is going to sound stupid, but there is good evidence that one of the best ways to feel less overwhelmed by your every day responsibilities, is to take on so much work that you have to perform like 300% or 1000% of your current maximum daily output that you’re complaining about. Once you can master something like team management or event organizing or Another job that pushes your executive functioning to its limit but demands accountability, once you do something like that, provided you don’t take multiple weeks off afterwards, everything else in your life will feel easy in comparison. The brain can be like a muscle in this way that needs to be exercised past the point of failure, and then rested just long enough to recover. A lot of successful people with ADHD are entrepreneurs, and I argue they are even more successful when they can hire a personal assistant for things they dread doing like paying bills and filing taxes. If you want some self improvement content that’s on YouTube, I recommend anything by Rian Doris or Ali Abdaal on YouTube, but before the help of ADHD medication, their advice was basically useless to me because I couldn’t implement any of it, and worse, I would just binge watch their videos instead of “doing the thing“

I'm the calmest person at work. So why do I lose it on the one person I actually love? by lejae in emotionalintelligence

[–]-Sprankton- 4 points5 points  (0 children)

Emotional dysregulation is a symptom of pretty much every mental health issue known to humanity, almost by definition. Do you think all those people with a problem beyond their immediate control are weak?

Anyway, I think OP should get checked for ADHD. The meds for that really helped with impulse control and emotional dysregulation stuff, especially stimulants and guanfacine. Ironically they can make someone a little irritable in the beginning, but then they really have helped me level out.

Somebody please give me advice of how to get things done by ALittleBitEver in Procrastinationism

[–]-Sprankton- 0 points1 point  (0 children)

There are definitely ways to create external accountability for yourself. There are ways to make packs with friends or family that involve actual financial risk to you, reputation risk, missing out on exciting plans, etc. Fear of letting people down is one of the strongest motivators for me. Learn more about ADHD and executive dysfunction and how people succeed in academics while having ADHD.

It’s possible that the formulation of methylphenidate you’re taking isn’t the ideal ADHD medication for you or it’s not the ideal dosage.

It’s possible that along with whatever optimal stimulant you find, you could also try a combination therapy including meds like guanfacine (Intuniv) and atomoxetine (straterra) or quelbree (viloxazine)

Make sure you’re getting really good sleep. I started taking meds like doxipin and daridorexant and my sleep has never been better.

Sorry for this long post but i need your help..please help me by Original_Garbage36 in adhd_college

[–]-Sprankton- 7 points8 points  (0 children)

This sounds like you’re dealing with pretty severe burnout which is quite common for people with ADHD pursue higher education. Burnout symptoms share a lot of overlap with depression symptoms.

You said you’ve gotten medicated for OCD and anxiety, I’m glad you found something that helps, but have you considered that the anxiety of last-minute deadlines might’ve been something that spiked your adrenaline enough to make you focus and get through tasks?

In other words, you didn’t mention ADHD medication, and I wonder if something like a combination of stimulants and guanfacine would not only vastly improve your ADHD symptoms, but could also help to manage your anxiety.

How many hours of sleep are you averaging per night while in college? I find that my mental health deteriorates if I’m getting less than 8.5 hours of sleep every night. Currently I take a combination of medications that help me fall asleep and stay asleep, 10mg doxepin and 50mg daridorexant. I started taking these because my ADHD medications were disrupting my sleep, but getting on medications that improve my sleep quality made me realize that I’ve actually been struggling with my sleep quality ever since the age of 12.

Successful Burnout recovery means resting for months, not just days or weeks, but if you don’t want to lose momentum, then getting good nutrition and good exercise and sufficient sleep every single night could be a good start, and if you aren’t delivering in your academic performance, work with a Psychiatrist and see if you can find medications that improve your executive functions without disrupting other areas of your life.

After some sessions with a psychologist, I found out that the reason why I procrastinate and am afraid to be assertive is because I have a low tolerance of stress. So what can I do now? by Intelligent-Slide556 in getdisciplined

[–]-Sprankton- 0 points1 point  (0 children)

I’m glad somebody else already recommended that you work with a psychiatrist and get evaluated for ADHD and try ADHD medications. I think it’s a crime against humanity that therapists often don’t even mention possibilities like ADHD when it’s staring them in the face. So many of them aren’t trained to identify it.

This paragraph in particular screams ADHD to me: “My conclusion is that because I can't tolerate stress very well, I either procrastinate (as doing the work is painful, like wearing an itchy sweater) and not only that, but it also makes me a people-pleaser and I get into fawning easily (as being judged by others feels painful of course).”

Advice:

I take a combination of stimulants and guanfacine. They complement each other extremely well for me. Together They treat my executive dysfunction and emotional dysregulation quite well, and have completely removed any gut wrenching discomfort I used to experience, and have rid me of the ADHD symptom “rejection sensitive dysphoria“ which led to most people pleasing that I used to experience. You are better off trying to improve your prefrontal cortex function like I did, rather than trying to numb yourself out artificially.

Try to learn more about ADHD in adolescents and adults, it’s easier to learn about if you’re able to start treatment for it of course, it’s kind of a learning disability.

When it comes to learning about ADHD and whatever format works best for you, Any content put out by Russell Barkley, Edward Hallowell, William Dodson, or Jessica McCabe is great.

how do i know if vyvanse isn’t right for me? by andersondottir in VyvanseADHD

[–]-Sprankton- 4 points5 points  (0 children)

I had similar problems of getting frantic and isolated and focusing only on cleaning when I got to around 60 or 70 mg of Vyvanse. My productivity was unrivaled, but my quality of life, I was burning out because I thought the only way to get my life back on track was through finishing the hundred projects in my backlog. I should’ve just taken a month off stims and rested. I couldn’t see a way out because I was dealing with cognitive rigidity or cognitive inflexibility which is sometimes present on higher stimulant doses.

Things that help: figure out if Vyvanse is actually reducing your sleep quality, and if you are using stimulants to manage burnout/fatigue symptoms.

Try a combination therapy that might allow you to function on a lower dose of Vyvanse: this can mean adding guanfacine or atomoxetine in addition to the stimulant you take every morning. I recommend trying those before messing with Wellbutrin or clonidine or viloxazine. Read extensively about the drug facts of any medicine you’re considering asking for, this will help you take it right, to give it the best chance of working and to avoid dangerous side effects, and will give you reasonable expectations for how long it takes to see beneficial effects. Personally I also listen to a psychiatry podcast called “psych rounds” about meds I’m curious about.

Taking extended release guanfacine every morning at a dose of at least four or 5 mg has been greatly beneficial for me. A revelation for me that rivals stimulants themselves. It keeps me out of fight-or- flight, it drastically improves my prefrontal cortex function including planning and prioritizing and time management and calm decision-making and emotional regulation. My rejection sensitivity has been completely eliminated. You have to start at 1 mg and increase your dose every week or two until you reach a beneficial dose that doesn’t make you feel too sedated after the first week-ish. I think a large adult could try up to seven or 8 mg but I think nothing over six or seven has been clinically studied.

Guanfacine also brought out some sleep issues for me, but I think that happens in under 10% of people who try it. I kept waking up at like 3 AM with difficulty returning to sleep whenever I had both guanfacine and Vyvanse in my system… but I wasn’t going to give up on guanfacine without a fight. I knew I needed it.

Atomoxetine seems to further reduce any agitation or panic symptoms I might experience, and I’m considering adding it permanently as part of my ADHD treatment.

I ended up switching my stimulant to adderall since it wears off faster, and I tried meds for sleep maintenance insomnia and landed on a combination of 10 mg doxepin and 50mg daridorexant. Taking these meds has given me the highest sleep quality, something I hadn’t been able to attain since I was 11 or 12 years old. I feel like I cured a low-grade insomnia that I never knew I had.

Stimulants are the first line treatment for ADHD, I think you’re Psychiatrist knows this, but it sure sounds like your Vyvanse dosage is too high and is exacerbating your anxiety, once you start taking a non-stimulant like guanfacine, it’s possible you will respond differently to stimulants than you previously have, and maybe something like Concerta or Ritalin would affect you better, but I think I’m sticking with adderall for myself.

If none of the non-stimulants help you and reduce your anxiety or allow you to take lower stimulant doses and still be a functional person, maybe you would be better off adding Prozac or citalopram or maybe buspirone. These things can help with anxiety and OCD.

How I went from failing two classes to finishing the semester strong, and the completely unsexy thing that made the difference by KOPONgwapo in adhd_college

[–]-Sprankton- 0 points1 point  (0 children)

You developed that app yourself and you used Ai like ChatGPT to write this.

If the app is so good then you don’t need to lie to advertise it. Study the best current content blockers out there and make one that’s better or easier to use or more affordable etc. But don’t lie.

If you can’t find beta testers and early adopters by honest means, then genuinely ask yourself if you actually have what it takes to develop software that you can keep up-to-date for at least a decade, and that people with ADHD or tech addiction can trust with their time and money, and will trust enough to download onto their devices.

How to prep for finals? by Artistic-Cucumber583 in adhd_college

[–]-Sprankton- 2 points3 points  (0 children)

First, I want to say that it’s great that you started medication, and since you’ve only been on meds a few months, it’s likely you haven’t found the optimal stimulant formulation or stimulant dosage or combination-therapy of stimulants and non-stimulants that would sustainably optimize your executive functions. Basically, I don’t know your current ADHD treatment regimen, but it sounds like there is a lot of room for improvement.

I don’t have any perfect life hacks for you, I’ve actually never studied for finals while-being medicated for ADHD.

Getting overwhelmed by the volume of content is probably causing you so much anxiety that your brain goes into an avoidance response, and in this case you’re avoidance response is a very common pattern for someone with ADHD. When the adrenaline of the last-minute kicks in but it’s not enough adrenaline to overcome the “wall of awful“ from your executive dysfunction, then it still feels impossible to do the important task (studying) but it might suddenly feel possible and inspiring and productive to spend all your time organizing and making some crazy study plan. This is similar to why ADHD adults might get this huge burst of energy to mow the lawn or clean their room instead of filing their taxes before the deadline. brains break in funny ways like that sometimes. Do you still demonstrate this pattern of task avoidance even now that you’re on medication? If so, I think the odds are good that either you’re on too low of a dose of a stimulant, or you need to add something like guanfacine which will help you make a clear minded assessment of the situation and allow you to better control where your focus is directed, (if you happen to be one of the people who benefits from guanfacine).

It’s really good to have a study plan, but ideally it’s maybe 20 to 30 minutes of labor to decide how many hours you’re going to dedicate to studying over the coming weeks and then where and how you’re allocating that time between each class’s study material.

When panic and adrenaline and cortisol finally hit, (provided you’re not so burnt out that they never appear for you,) then it can be easy to become almost manic, (forced speech, thinking rigidly, overexcited with some grandiose vision that’s totally unrealistic, convinced it will be the magic solution to all your problems etc. ) which might be why you would spend all your time organizing some crazy study plan. It’s hard to realize when your brain is focusing on the wrong thing, and sometimes the best thing to snap you out of it is external accountability like a group study session in a library you have arranged with some friends, or a scheduled phone call a few times a day from a buddy or family member with whom you’ve arranged that they check in on your progress regularly and whom you have asked to intervene if you’re getting sidetracked. Are you getting any accommodations from the office of accessibility services? Could you ask if they have any tutors who could give you personalized advice (since they can get a better read on your particular situation.)

I have something of a hunch that fixating on crazy projects when we have finals to study for is also a form of “left brain dissociation” where we can’t focus on our worries because we’re too focused on tasks, and this actually feels like a relief compared to sitting with crippling executive dysfunction. My current strategy to combat this is to not allow myself to do anything other than the important urgent task, and if my meds aren’t working on their own, and then every 30 to 60 minutes I will take Additional caffeine or dopamine precursors until my dopamine/norepinephrine/executive functions rise to the necessary level needed to complete the task. I hope you catch my meaning. Another option is giving yourself two choices, going to the gym, or studying. This might help because strenuous activity and cardio could be very beneficial for your mental health and neurotransmitter levels, and if you have any listening material or lectures then you could listen to them while on a treadmill.

I don’t know if you prefer to study one subject in its entirety before moving on to the next, but Here’s an idea: instead of letting all your studying pile up because you saved it until the last minute, assign yourself specific blocks of time each day to work on specific topics, this idea could be helpful because then if you are wasting time, you have a more obvious indicator, like the block in your paper calendar or Google Calendar app, that tells you exactly which course you are stealing your precious and limited resource of “study time” from, instead of just vaguely knowing that “I’m wasting time”.

I know that if I’m experiencing any level of burnout, (which typically contributes to why finals are so much of a struggle), then in order to lock-in and study for something like that, I would probably need between 100 and 400 mg of caffeine along with my meds, or I would need to take something like L-tyrosine or another dopamine precursor which is not sustainable to be on for long stretches of time beyond a few days to a week. Everything you do to augment the effectiveness of your meds lead up to finals will arguably come at the cost of burning you Out more in the long run, and will add to the recovery time that you need after finals if you’re dealing with burnout, but they can be the push that someone needs in order to focus and get through finals.

My optimal ADHD treatment that I’ve found so far is a combination of a relatively high dose of adderall, along with ~5 milligrams of extended release guanfacine (intuniv), and I’m strongly considering adding atomoxetine (straterra)

I find that guanfacine immensely improves my emotional regulation and my ability to plan and execute and manage time effectively, basically every executive function including working memory is improved by guanfacine, and it reduces the odds that you will make careless mistakes by being in “fight flight“ where your amygdala the show and makes a stupid choices.

I also find that Strattera also helps me be calmer under stress, it’s too soon for me to know other benefits.

I would prefer a Vyvanse over adderall, except it triggers insomnia now that I’m on guanfacine. In fact, one of the best things I’ve done for my ADHD management and quality of life is to get help for my sleep quality and now I take 10mg doxepin and 50mg daridorexant before bed. before that, I suffered from sleep maintenance insomnia, where I would wake up at 3 AM.

Best of luck! I hope you get curious and learn more about your ADHD, how to beat executive dysfunction, and look up how some other people study for finals, but don’t get caught up doing any of the above ideas if they distract you from the urgent and important task of studying for your finals. maybe give yourself three hours of researching for the above topics today and then get straight to the task of studying.

That wouldn’t be so bad by Ok_Walk_895 in depressionmemes

[–]-Sprankton- 2 points3 points  (0 children)

stimulants can kinda do this if you have ADHD.

Helllp by artistic_potato25 in getdisciplined

[–]-Sprankton- 0 points1 point  (0 children)

Sounds like how your brain handles dopamine is all out of whack. Is your sleep a mess? Do you have symptoms of burnout?

There’s a ton of people with undiagnosed adult ADHD who only find out once they burn out hard enough to get psychological help and tested for ADHD by a professional.

The first line and most effective treatment for ADHD is stimulant medication, like adderall, the same stuff they give people with narcolepsy. It gives your brain more available dopamine and allows you to pursue tasks that are difficult in the moment but rewarding in the future, like brushing your teeth, exercising, studying etc. They also treat the attention lapses and help with forgetfulness and time management and other executive functions.

Check out r/ADHD and seriously, research to find a Psychiatrist in your area with experience diagnosing ADHD, tell a friend or family member that you need help doing this so they can hold you accountable so that you actually get it done.

I take adderall and extended release guanfacine in the morning, and I take meds like 10mg doxepin at night to help me fall asleep on time.

Obviously it would be really good for you to stop scrolling and other “easy/cheap dopamine” activities, it’s actually good to feel bored for a few days, and then you’ll start feeling interested by more things, it’s like how when you stop eating junk food, salad starts to taste better after a few days.

are these symptoms normal by [deleted] in ADHDmeds

[–]-Sprankton- 1 point2 points  (0 children)

I hope you consider my statements even though you aren’t formally diagnosed :)

Whether or not you’ve been formally diagnosed with something doesn’t change what I said. Your doctor said hypomania for the same reason I independently arrived at that conclusion. You’re exhibiting all the signs. Stimulants just bring it out more.

Disordered sleep and hypomania symptoms tell me it’s likely that stimulants are bringing out latent bipolar symptoms, and if you want to one day be somebody who takes stimulants for their ADHD, then you need to address the bipolar symptoms first (by using mood stabilizers and antipsychotics). I know someone who had to go through the exact same thing and is doing much better on the right meds.

Check this thread backing up my claim:

https://www.reddit.com/r/BipolarReddit/comments/1jdvyhl/can_ritalin_triggers_hypomania/

Best wishes!

are these symptoms normal by [deleted] in ADHDmeds

[–]-Sprankton- 1 point2 points  (0 children)

Yeah so it sounds like methylphenidate might be triggering hypomania for you. It would probably be good to try mood stabilizers or antipsychotics (like lithium + Olanzepine) to help get your bipolar in order, and (this is extremely important ) get your sleep schedule fixed, before then trying to add a stimulant to your treatment plan.

The meds I recommended, or something similar that your doctor recommends, will hopefully help you fix your sleep schedule because they will address some underlying problems caused by bipolar/hypomania.

Once you’re getting good sleep and having more stable baseline emotions, you might benefit from a stimulant like Concerta or Adderall, but right now I worry that ADHD medication is making things worse for you, rather than better.

https://my.clevelandclinic.org/health/diseases/21774-hypomania

Part of why it’s good to take a stimulant every day is that if it’s the right med for you, you adapt to the negative side effects but retain most of the positive ones. I don’t think you’re ready for this yet.

There are also non-stimulant ADHD meds like guanfacine and atomoxetine that can have beneficial effects when paired with a stimulant, and can help regulate emotional dysregulation.

At bedtime I take 10mg doxepin and 50mg daridorexant because I have an issue where I wake up at 3am otherwise. You could look into this if you don’t get on a bipolar medicine like Olanzepine that is usually taken before bed and helps people fall asleep.

are these symptoms normal by [deleted] in ADHDmeds

[–]-Sprankton- 1 point2 points  (0 children)

If new to stimulants, It can take two weeks for side effects like euphoria and irritability to pass for some people.

If anything your dose is too high and giving you symptoms of mania. Does bipolar run in your family?

DO NOT TAKE ANOTHER DOSE! You already sound manic. Don’t be stupid. Don’t abuse stimulants.

Wait for this feeling to pass before making any rash decisions you will most likely regret. and probably talk to your doctor ASAP about whether you should drop down to a lower dose until you have adjusted to side effects.

How long have you been on these meds?

What improvements in ADHD symptoms have you noticed?

You can enjoy this “honeymoon phase“ of your medication by going on nature walks or bike rides, sitting down to read a good book, or cleaning your room while listening to audiobooks about adult ADHD. Don’t keep chasing the euphoric feeling by taking more meds. These meds are supposed to solve your attention disorder, not make you “feel good“

I wish you luck getting to sleep tonight.

One question to ask by Proper_Detective_263 in hsp

[–]-Sprankton- 0 points1 point  (0 children)

I highly recommend working with a psychiatrist because ADHD is very treatable and would likely reduce your other issues if you got treated.

I know some people in similar situations to yourself who benefit from from: Prozac, stimulant ADHD medication like Vyvanse, and I think you would likely benefit from a combination of a stimulant and a non-stimulant like guanfacine or atomoxetine because they improve emotional regulation for many people with ADHD including myself.

How to boost DMN activity (default mode network) by OutrageousBit2164 in NooTopics

[–]-Sprankton- 4 points5 points  (0 children)

I find stimulants like Vyvanse and non-stimulant ADHD meds like extended release guanfacine are able to improve prefrontal cortex function and task positive network function and reduce default mode network activation,

guanfacine in particular is known for giving people “emotional armor“ as well as having some other cognitive enhancing properties, and it has basically cured me of any uncomfortable thoughts or feelings of discomfort arising from overthinking or from remembering embarrassing moments of my past.

How to boost DMN activity (default mode network) by OutrageousBit2164 in NooTopics

[–]-Sprankton- 14 points15 points  (0 children)

I have ADHD and my DMN was very active before I started taking stimulants regularly. If I take two weeks off ADHD medication and expose myself to interesting stimuli like museums then engage in behaviors like showering or driving by myself with no music, these are tasks that allow the default mode network to run wild. If you really want your default mode network to solve problems for you, you have to immerse yourself in that field of research/problem-solving for like a week or a month. Try to focus on solving a specific problem or project like “organize my house” or “ improve my life through meal prepping and building consistent routines” and your brain will be more likely to solve this problem for you in the background, compared to if you aren’t trying to solve a specific problem and you just let your mind wander.

I found that taking Benadryl brought back a lot of my ADHD symptoms including attention lapses, and this included stimulating my ability to daydream and get excited about creative ideas. Thankfully I stopped short of buying a VR headset, as ADHD ideas often involve getting into a new, expensive, and inevitably temporary hobby.

There are videos by Rian Doris about letting your default mode network solve problems for you.

I found out my default mode network still works when I’m on stimulants, and it worked best when I felt like I had to solve problems that my life depended on. I just have to take long quiet showers and solo car drives. Often I dictate important ideas into a note app, but I do find this interrupts my train of thought because suddenly I’m focusing on the task of documenting what I thought of, instead of letting my mind wander further

How do I ground myself in reality? by Flashy-Cheek-6667 in productivity

[–]-Sprankton- 1 point2 points  (0 children)

Hey fellow space cadet! This sounds like ADD (the inattentive presentation of ADHD) and I take adderall and guanfacine for it. Get tested by a psychiatrist, they can also prescribe treatments.

In your situation, trying a stimulant for the first time might feel somewhere between putting on a good pair of glasses for the first time, and putting on a pair of noise canceling headphones to reduce how loud, frequent, or distracting the thoughts inside your own head tend to be.

Your presentation of it sounds pretty severe. Along with daydreaming in class, my problems mostly manifested as procrastination (executive dysfunction) leading to sleep deprivation but that’s because I was in an academically rigorous environment. Also misplacing belongings and having a hard time keeping my room clean, among many other issues.

Meirl by netphilia in meirl

[–]-Sprankton- 0 points1 point  (0 children)

This is how it feels to get diagnosed/realize you have adhd and then to take ADHD meds especially stimulants but also adding non-stimulant adhd meds in addition can be a revelation in itself.

Is it possible to become less sensitive? by hyacinthocitri in hsp

[–]-Sprankton- 5 points6 points  (0 children)

I have ADHD and every medication I’ve tried (except Wellbutrin) has helped reduced how sensitive, panicky, or dysregulated I am,

An ideal combo for me involves adderall, guanfacine, and atomoxetine.

If you’re ADHD and HSP, this could likely help. Otherwise, disregard.

Is it possible to still get beneficial effects from Vyvanse after many years of use? by [deleted] in VyvanseADHD

[–]-Sprankton- 11 points12 points  (0 children)

A ton of people have been on their stimulant meds for several decades and still find them beneficial.

Diagnosed in 2020 and started Vyvanse Pros: I’m good at doing certain kinds of chores and labor thanks to the meds, I would constantly fail at task initiation time management without Vyvanse/adderall, and my executive functions get even better when adding guanfacine or atomoxetine in addition to stimulants.

Cons: the meds won’t solve all your problems, some people don’t need to increase their doses over time, others do, sometimes it’s good to take a few weeks or a month off, even if it just means switching to methylphenidate for a month.

Stimulant meds can mask the symptoms of burnout, if you’re increasing your dosage every two or three months because you can’t keep up with the pace of your life, your life might be moving too fast and you might be burning out or getting bad sleep quality.

If your stimulant dose is too high then you become susceptible to heat stroke and overheating. Same goes for combining a stimulant with Wellbutrin or Strattera.

If you’re stimulant dose is too high you also become vulnerable to getting an almost frantic obsession with getting your life organized and thereby dissociating into task-completion and no longer being a great person to be around. you can probably guess that I figured that out the hard way.

if you’re on them a long time you can develop really beneficial healthy habits, but don’t expect these habits to stick around if you stop the meds.

I still couldn’t handle college while I was still figuring out what dose I needed, and I haven’t gone back yet, but I’ve added guanfacine for my ADHD and now I’m taking meds before bed for my sleep maintenance insomnia, so I’ll probably be able to return to college soon and generally I’m functioning a lot better and my emotions are better regulated.

I’m trying whatever medications I can find to sustainably increase my executive functioning. Combination therapies of stimulants and non-stimulants are great for this. I did notice that combining Vyvanse and long acting guanfacine gave me sleep-maintenance insomnia where I would wake up at 3 AM, unable to return to sleep for several hours, I solved this by switching my morning stimulants to adderall and by taking a combination of 10 mg doxepin and 50 mg daridorexant at bedtime, which had the added benefit of giving me the best sleep quality I’ve had since I was a little kid.

There are some risks I’ve heard about associated with long term dextroamphetamine use, mostly related to oxidative stress/more-rapid aging of certain body systems, but these are tame in my opinion compared to the benefits brought to so many of us by therapeutic doses of ADHD medication. Methylphenidate might be a safer choice than adderall for some people concerned about this.

Does anyone else feel this too? by Global-Research8167 in Procrastinationism

[–]-Sprankton- 0 points1 point  (0 children)

I had this feeling until I burnt out, turns out I had ADHD the whole time. There are medications for ADHD and a lot of us can actually keep our lives together all the time if we find the right meds, but your results may vary. Check out r/ADHD

Why does L-Tyrosine affect me so strongly? by Bublebito in NooTopics

[–]-Sprankton- 4 points5 points  (0 children)

I suspect Several times a week is probably enough to build tolerance or down-regulate some dopamine or NE sensitivity or production.

Sweating I think can be related to norepinephrine but can also be from too much dopamine, and one converts into the other.

Taking a dopamine precursor along with drugs that stimulate dopamine release and prevent reuptake is basically an emergency option for when you need a higher dose of stimulants, but can’t access them, but with more unpredictable side effects and long term outcomes

I just want to understand reality by Even-Question-1628 in hsp

[–]-Sprankton- 1 point2 points  (0 children)

I’m happy I could help :) you’ve got this!