Fantastic - just like me, then. I used 5 mg to check for intolerance, then stayed around 10 - 15 mg for quite a while.

Initially, the “high” effect was dominant, so it was super easy to get on tasks and finish them, but I still did it in a “silly” or “demented” way, for lack of a better word. As I built tolerance and increased the dose, it started to fix that as well, but the “high” became less and less.

1 1/2 years in now experimenting between 50 mg and 70 mg, it is still fantastic. But I might start experimenting with alternatives. Who knows if the first drug tried is really the best for me?

I agree; it’s even easier than before to live a few months without meds, because there are no stacked up chores and missed deadlines when you start. I work systematically with lists, and one important list is for things that would improve things “permanently”, such as getting and installing a dishwasher, improve finances, delegate and so on.

I had a similar experience with Lisdexamphetamine: Started at a ridiculously low dose to make sure I can take it, which surprisingly already had a significant effect for a few hours! Then I worked up to the normal dose over the span 9 - 12 months.

Especially during that time, it felt “too good to be legal”, like you can constantly be on a fantastic recreational drug AND get shit done!

My view of separating “desired medical benefit” and “recreational drug euphoria” is certainly very simplified, and the “recreational” effect also boosts productivity. And it is hard to tell which is which. Maybe I have not even found the perfect medication for myself yet, but it sure is life-changing already.

It is my understanding that part of the effect, especially the medically desired effect, does not build (much) of a tolerance. The part that feels like a recreational drug does, but it’ll still regulate noradrenaline in the prefrontal cortex all the same with the starting dose.

These are hard to exactly tell apart, though; it’s a blurry line.

My way around this is to do “incomplete” simulations. I just need an idea of how it’d feel to be on the task, not finished it. Never simulate to the end, or one of two things will happen: 1. waking up to the harsh reality where it is not done yet, 2. thinking it is done.

E. g. when I need to go grocery shopping, I simulate how I get up, shoes on, grab a bag, think about whether I need a jacket or umbrella, get out of the door, start walking. How would that feel?

I described it in more detail here: https://lemmy.ml/post/36147982

Hardly any responses are “unhinged”. But I’ll try my best.

Don’t force yourself to do it. Instead, look at your list*, and just simulate the items one by one in your head, as if you’d do it.

Sometimes it happens that I really, really feel like doing one of them, like a neurotypical. It doesn’t sound like it’d work, but it does.

There is never any pressure to do any of them; then it would not work, because starting the process would be the new thing to be stuck on. Quite often, I just don’t feel like doing any of them. But that was not the job, the job was to simulate them. And it’s done, and I can allow myself to do nice things then.

(*) If there is no list, making the list is the only job. Don’t start on any items on it, just create the list. Then relax and enjoy whatever you want, until you feel like doing simulations.

How the heck is that unhinged?

I got it done, so here is the best advice I can give:

• You may think it’s this one-time task, and then it’ll never get back to that state. Is that really realistic? Might be for some. But more common is that it’s deeply ingrained in the personality. A “decision” to be someone different will not work in that case. Might be subtle and thus undiagnosed mental problems, such as ADHD or trauma, or just habits, “lazyness” etc. Get on that, learn about yourself. Then you can make SLOW progress.
• Hands-on garbage: Don’t fiddle with little bags that you get one by one. Get a bunch of huge garbage bags ready and fill them. No recycling / separation (at least for now; feel free to sort through the bags later, like that’ll happen), just stuff in what is garbage. When something costs less than you make in 10 minutes and is not needed in the next 4 weeks, it’s garbage. Emotional value? Then not; that’s okay to keep in storage boxes somewhere for peace of mind. Instead of getting overwhelmed by the view, just think: I’ll fill this bag now.
• Hands-on boxing: Get several big boxes ready, don’t pick them up one by one. Fill with everything that you want to keep (for good reasons), but don’t need in the next 14 days. E. g. hair clipper, waffle maker, paperwork. Don’t get too caught up on sorting. Sometimes, it’s best to just fill the boxes. Tax forms from 2023 along with the waffle maker and birth certificate etc. Possibly label by “finding location”, which is fast and surprisingly helpful! But if it’s no hold-up, better to sort a little bit, e. g. boxes of “anything paper”, “electronics, cables and devices” etc.
• Hands-on means: Don’t pick up a box, realise that it has two home-baked cookies from Christmas in it and then wuss around with it through the apartment. Grab and stash.
• When the task is overwhelming, do something, and never underestimate the value of doing a little. For example, you are tired and didn’t get as much done as you wanted. It’s tempting to put it off until tomorrow. But instead, get a bag and fill it with garbage, then sleep with a clean conscience.

Exactly - my “autistic unload” is not really that interesting, and it’s hard to be my friend. All while I am having a hard time to understand and process their situation and FEEL something about it. Got to keep myself off calling people just because they expressed interest in something I did or said at some point. If I called the last 2 or 3 times, it’s time for them to make a move.

Pair that with various coping characteristics developed through decades, and I can be an annoying friend at times.

So much can influence it. For me, on Elvanse though, what I found is lack of sleep and a starting viral infection.

Reducing caffeine also helps. It adds up with the prescription stims, and they help more.

My son once had a complete stop of any effect a while ago. Doc couldn’t figure it out for sure. My theory: He took it on mashed apples with no water. Water might be crucial. It does say so in the instructions, but hard to say what exactly happens when it’s too little.

So many possible reasons …

Yes, things tend to become “too much” after a while, including work. Could be related to autism or ADHD, or neither.

Part of it is the environment and sensory overload, like grocery shopping. It might also be the wild thoughts shooting around in my head, of things to do, what could go wrong with them, what would happen then, what I know and don’t know. It’s hard for me to get into a new things that I didn’t choose, and that’s what many jobs are all about. Thus even finding a new job would add to the problem, not solve it.

My solution was, for a long time, to take advantage of the good IT pay of the 2000s and 2010s, then long periods of time off. But I missed out on the opportunity to save up for retirement at 50, and now it’ll be work until 70. My current job is 100 % remote, couldn’t sustain anything else.

I finally became more aware of this and realise mid-response that this is nonsense. But by then I’m invested.

My solution: A file “nobody-cares.txt” where I can paste it, which feels easier than just closing the tab.

Therapist says this is a fine first idea, but by doing so, I still attribute value to this nonsense. So next step is to just discard everything I had typed. Actually feels good sometimes.

Not sure if just trying more methods will help you, but here are some that happen to consistently work for me:

• Always work with a list.
• When everything seems overwhelming and I can’t get myself to start, just pick ONE item from the list.
• If there is no list, just making the list will do. It may be empty. Done for now, enough, no need to start on it yet.
• Granular items.
  • Instead of “pack suitcase”, break it down like “get suitcase out”.
  • Split the task of “read X” and “understand X”. That stops obstructive thoughts like “I wouldn’t understand it anyway, and then I’d need to as … but can’t right now because …”.
• The only new breakthrough from this year: When even doing one item from the list feels like too much, only simulate doing them in your head: https://lemmy.ml/post/36147982
• I have a section of “structural improvements”. Those are things that, once done, improve my life, forever. E. g. getting this diagnosis. Getting a dishwasher. Getting a maid. Unlike, for example, clean the kitchen, which is temporary.
• implementation intention: Might feel overwhelming to “stop browsing right now”, but set a timer to stop in 5 minutes. Or “when the timer finishes, I’ll do the simulations on list items”.

Real habit building still does not work for me, though, even with a specialist therapist. That’d be the real deal.

Yes, still do it, and it still works! The pressure from having to do something when I don’t feel like it is gone. Just the simulation is mandatory, and if none of the things appeal to me during the simulation, I’m off the hook, guilt-free.

Still enough gets done that way.

Same, but meds in combination with my learned copes and methods, before and after diagnostic, is a miracle drug.

For example:

• I catch myself focusing on a news site or lemmy -> set a 5 minute timer when to stop
• pick an item from my todo-list. If no list is present, only make the list, then allow myself to do whatever I want
• don’t feel like any of those things -> just simulate doing them in my head. If still none appeal to me, I can do what I want. It happens often enough that I want to do one after the “simulation”.

If only there were a way to keep a song “fresh” forever, while also listen to it all the time!

I’d live in a state of eternal bliss. I’d take brain surgery for this. Or some kind of selective amnesia drug, which still allows to form the memory of the blissful state without the changes in the brain that we know as over-listening.

More realistically, maybe an AI that finds a song that is like that for me? Current algorithms really don’t help much at all, even for finding “ok” songs. It must be a complex, individual thing, based on unique events and emotions and their associations. Sometimes it appears to be a song I heard before, and it didn’t invoke anything back then, often decades ago, but the brain somehow built something around that impression that lit up like a Christmas tree when it played again.

I also wonder if I’ll keep finding songs like this, or if one of them will be the last.

Opioids, and Kratom, as it’s similar, work great against a variety of mental problems for a short time. I believe some opioids and tianeptine, which is not that different, are even prescribed against depression occasionally. The “sweet spot” is not the big high, but an ever so mildly euphoric state, as from “softer” opioid painkillers.

Regarding painkiller opioids at moderate medical doses, I found the time for which it works to be about 6 months. Then, you’d really have to up the dose significantly or stop immediately.

Even if you do stop then, it’s the “small hell” of withdrawal already, it can take weeks and months to be your former self with all the same problems again, and having to take it medically will be an issue for years to come.

The system really needs to get it together, diagnose and treat people. Self medication doesn’t work out that well.

It can get excessive in my case. So my trick is this: I made a file “nobody-cares.txt” and just paste the comment in there instead of submitting it. For someone with ADHD, that feels almost as good as submitting it, because I COULD do that later!

I was quite proud of that method, but my therapist said that this still attributes value to the comment and thus the social media activity. So the next step would be to cancel, even after typing a long comment.

Used to have a girlfriend with a cat who trotted along at my side as I was doing stuff around the apartment complex. Garden, picking up / delivering packages for neighbours, laundry, just taking a walk. She was an indoor cat, but it just meant that she wasn’t outside unsupervised in her case. Bonus sadness that with the breakup, the cat was gone as well. These errands were a lot more fun with her, and people were a lot more friendly.

I tried many forms of caffeine as well, and this was the best. You’d think black tea evenly distributed or small cups of coffee would have the same effect, but no. Don’t ask me why, guarana works best for a smooth effect without peaks and downs.

You can’t make anything nice like coffee with it, so imo, best to just swallow the powder in capsules.