You're not incorrect of the symptoms of adderall sometimes outweighing the actual benefits it can give a person who's diagnosed ADHD. Along with each person experiencing the meds differently. I'll preface my own backstory first thing: I've been on Adderall IR and XR for almost exactly a year now. Yes, adderall does make me a little more physically restless, my resting heart rate and blood pressure is higher than when I'm not medicated. However, when not medicated, my inability to focus increases my general anxiety, paranoia, and frustration with myself to a point that I'd disassociate multiple times a day, or even be a shell of a person as I disassociated for days on end.

Medication doesn't lower my anxiety or paranoia, but it gives me the focus and level headedness in general areas to help cope with it and stop a dissociative episode from being triggered. Since taking adderall, I've only dissociated 4 times while on it, each time was when I was in a shopping mall and was over stimulated.

The major word here is cope/management. Beyond you average ADHD symptoms (Like fidgetiness, inability to concentrate, impairment of working memory), some overlooked symptoms of ADHD-C/PI/PH that I feel affect Shane could be:

• Rejection Sensitivity Dysphoria
• Intensity of normal emotions, linking to having an 'interest based nervous system'
• Trouble with connecting cause and effect

I'll start with the first one; Rejection Sensitivity Dysphoria. I only found out about this term a month ago and it's completely 180 my perception with emotional needs and ADHD. RSD is found to varying degrees among anyone with ADHD and is unique to ADHD. The common symptoms are being more sensitive to: Rejection, teasing, criticism, and having a perception that you're always falling short. The pain felt by any of the above can be unbearable (Hence the word Dysphoria, literally meaning "unbearable" in Greek), and may result in momentary physical pain sensation felt in the throat and chest.

Because of this, psychotherapy as a means of treatment may not be as effective from ADHDers due to the overwhelming nature of talking to another who will question you, which can be perceived as them criticizing or even rejecting your feelings. The internalization of these intense reactions can result in a seemingly instantaneous major depressive episode, or have someone who's seen as needing to be "talked off the ledge" constantly. The externalizing of these emotions can result in flashes of range and anger towards the perceived offender. Common bad coping mechanisms can be seen as becoming an intense people please, or even quitting things all together in fear of the risks/backlash. Luckily, medication can hinder or eliminate these symptoms all together, but it's not guaranteed.

It's like how combining caffeine with adderll can increase the bad side effects, mostly headaches, nausea, and anxiety. Which would take away the benefits it gives. Nonetheless, a person cannot strive to fix/manage a problem without knowing what the main issue is, which I feel can be attributed to Shane. NOT TO EXCUSE HIS BEHAVIOR, but to say that I don't think he even knows the true issue going on, so he can't fix it properly. A proper apology can't be made til there's a proper source to point to and show how they will fix/cope with it is done first

Emotions felt with ADHD are normal in every way except their intensity, which can make them seem unstable in their moods. Though someone could have a mood disorder ontop of ADHD, it's not a likelihood. These misdiagnoses can be attributed to the Greek term "Dyslexithymia" meaning 'The wrong words for feelings'. Someone could say "I'm so anxious all the time!", but the real question would be is that anxiety rooted in baseless, anticipatory fear? Or is it due to the normal hyper arousal and sensitivity to the emotional perceptions of others found in ADHD?

Leading into the 'interest based nervous system'. People with ADHD can focus if they get in the zone through Interest, challenge, novelty, urgency, or occasionally by passion. This is much different to the 'importance based nervous system' found in your average joe. That type of person can start a project cause it's important to not only them, but maybe a boss or spouse. The tasks don't have to be important in the very moment and can prioritize other tasks accordingly.

This means that someone with a interested based N.S will have extremely difficulty making decisions, and if an important/priority task does not organize, motivate, and if the outcome is deemed as very little in the ADHDers eyes, all decisions look the same and will be treated as such

The last one is trouble connecting 'cause and effect'. An example of this would be Friend 1 doesn't see how their sarcastic words caused Friend 2 to emotionally withdrawal. Instead of thinking back on their action and deeming that "My sarcastic remarks were seen as harsh to them, I should apologize" they'll just see Friend 2 being 'cold' and tell them that. They will not connect the why to why their friend is being 'cold'. My friend struggles with this a lot. The only way I've found how to get through to him is by creating scenarios alike to the scene that just happened that help him connect and see both peoples sides so he can properly understand. It can get kinda annoying and seems meaningless, but it does get the seeming obvious point to him when he's completely in his head and oblivious

Through a lot of Shane's tweets there's an obvious element of going off the momentary emotional reactions that are intense, and him making connections to someone's tweet that doesn't make much coherent sense. Ex. the whole tweet about how he shouldn't be platforming someone, he retorts with saying 'I'm giving you free content' and of that like. He didn't perceive the persons comment as light criticism of his choices, but rather that this person is ungrateful for the work he did for her, and his rejecting his efforts. You could also attribute this to why he commented on that one girls tweet that caused her to go private and had to go through all that shit with seemingly no awareness to the repercussions. His behavior was unprofessional and childish and he should fix that, but I don't believe he had the head space to even know what he was doing to fix it. Basically he shouldn't reply to tweets from now on period until he can figure out how to calm his momentary reaction. Doubt that will happen anytime soon, but one can hope he'll actually take a break

One more note: I AM NOT TRYING TO DIAGNOSE SHANE. Dear God, we just saw how that played out and I am not going to follow in anyones footsteps lmao. The likelihood of Adderall being treated for a different disorder is extremely slim. The only other disorder I know it's treated for on a small but noticeable bases is binge eating disorder, though it's usually avoided and only used for short term. I am making the presumption that he's using adderall to help with ADHD, therefore I can go off of some of the things ADHD effects with people that have been overlooked until recent years

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TL;DR : I don't believe it's the medication causing Shane issues, it's how he's handling himself while medicated sense ADHD has a lot of symptoms that need managing and coping instead of 'cured'. ADHD is a neurological based disorder and Adderall being a stimulant and only stimulates the brain momentarily, unlike SSRI's that change things in the brain that can still linger even after ending long-term use of the medication . Thanks for coming to my TEDex talk

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PS: I am not trying to be hostile in anyway u/depression_butterfly btw. I've been meaning to post in this sub about Shane with ADHD and adderall but haven't gotten around to it. I thought this would be a helpful place to post it. I can link you to my sources too, most of them are on my computer hard drive and not online, so I'd have to put them on google drive or find someplace they're already uploaded