#it’s just an impact that society has mixed with loads of misinformation and ignorance regarding adhd

[youregonnabeokay-kid]

ADHD information for fanfic writers:

Diagnostic Process:

the diagnostic process is different in every country, but this is a basic overview

- an ADHD referral can come from any type of doctor, unlike referrals for other neurodivergences

- the wait list depends on where you live and how old you are. typically the younger you are, the shorter the wait

- ADHD has to be diagnosed by a psychiatrist or by a doctor who has taken a specialized course to be certified in diagnosing and handling ADHD

- most doctors will make you fill out a questionnaire about your mental health. these questionnaires involves sections about family history, personal history, and statements that you have to agree or disagree with

- a good psychiatrist won’t diagnose you with ADHD during your first visit. they will instead spend the first few visits getting to know you and the state of your mental health

- most people are assessed for depression when being assessed for ADHD. this is because depression can present itself in similar ways. if diagnosed with depression and open to medication, the psychiatrist will first prescribe antidepressants and see how those affect you before moving on with the ADHD assessment

Meds:

- most ADHD meds are taken in the morning since they normally wear off after 8-12 hours

- when meds wear off we go through what’s known as a “crash” or “medication rebound”

- ADHD crashes are pure hell which is why some people with ADHD choose to only take meds during the week or they do nothing on the weekend as a reset of sorts

- basically, when our meds wear off all of our symptoms come back at the same time and we get overstimulated to the point of exhaustion

- some people have smaller doses of their meds that they take at the beginning of the crash. this means they can prolong the crash by a couple hours

- for some people, the first time taking meds is hell. the change is very noticeable and abrupt. i wouldn’t stop talking because it was “too quiet” (it being my mind)

- your dosage is not based on body type or weight and just because you take a high dose in one drug doesn’t mean you take a high dose in all others (my ADHD meds are 10mg higher than the highest prescribed amount but my antipsychotics are .5mg lower than the lowest prescribed dose)

- vyvanse is most often prescribed to people with combo ADHD, ritalin to those with hyperactive ADHD (especially those with impulsivity issues), and adderall for inattentive (no, this is not something that is typically disclosed or well-known but if you’ve talked to enough people w/ ADHD you begin to see a pattern) other ADHD meds are available but less likely to be prescribed

- other meds are also taken into account when getting a prescription for ADHD. vyvanse is the most versatile and is usually the one prescribed if you’re on other medications

- ADHD meds are stimulants which means doctors will never give you refills (if they do, they could lose their license)

- since they’re stimulants, for the first year you have to go to the psychiatrist’s bi-weekly for the first few months, then monthly after that so they can see how you are doing

- ADHD meds are known for lowering sex drives and increasing hunger (sometimes the opposite may happen, as with most drugs, but these are most common)

- it takes about 1/2 hour to an hour for meds to kick in and many of us are able to tell the exact moment they start working

Other Substances:

- the neurons and chemicals in the body of an ADHD person are fucked. this means that many substances and medications have either no effect on us, or the opposite effect of what they are intended for

speaking from personal experience:

- caffeine makes me tired

- melatonin and other sleeping aids like dextromethorphan, which can be found in many cough syrups, make me hyper

- weed makes me feel lighter, but it never affects me more than that. i never get a “proper high” like other people (ie; i find no more joy or fascination in bright colours or moving objects than i usually do)

- while “sugar highs” in general are a myth, they’re real for people with ADHD! they stimulate our dopamine and opioid receptors which gives us a burst of energy

- additionally, people with ADHD are more likely to be addicted to illegal stimulants like cocaine because it calms them down (yup, you read that right. when someone with ADHD does cocaine their mind quiets and they mellow down instead of the usual hyper-active high that neurotypicals get)

Additional Information:

- we’re lacking some of the neurotransmitters in our brains so it takes us longer to process information, and we have “more” thoughts than neurotypicals since our additional thoughts aren’t processed out

- we get what’s called “executive dysfunction” or “ADHD paralysis” where we are physically unable to do things despite no real physical limitations (for non-ADHD folks: try putting your hand in fire. you’ll notice that you are either physically unable to or that your body somewhat restrains you from doing it. this is what executive dysfunction is like. for ADHD folks: do not try this since we’re also less likely to have self-preservation instincts)

- basically, i can sit for hours thinking about doing the dishes, screaming at myself in my head to just do them, but i’m still unable to

- we leave trails! we have so many thoughts going through our head that we forget them all the time, so when we get a thought like “i think the printer is low on paper, i should check” we abandon all tasks in favour of the new thought. however, the remains of those tasks stay where we left them, and thus, an ADHD trail is made

- we have both the worst and best memory of anyone you will ever meet. i might be able to tell you the exact outfit you wore on a specific day five years ago but i won’t remember what i ate for breakfast

- when we get bored, we get depressed. like, life is meaningless and i want to curl up in a ball and die depressed. sometimes we need someone to physically force us out of bed to get us out of our funk (and sometimes all it takes to get out of the funk is doing something fun which makes us feel ridiculous when we think about how depressed we were prior)

- since boredom is detrimental to us, we have to constantly be having fun which, in and of itself, is not fun. this is also why a lot of us end up doing shift work or working dangerous jobs

- we’re adrenaline junkies. this isn’t even a “most of us” situation, it’s all of us. the only difference is how we get that adrenaline. (some get it by jumping out of a plane, others get it by working on assignments in a time crunch)

- we’re social beings. even if we’re introverts, we thrive on social interactions. without them our dopamine plummets and we, once again, get depressed

- all silences are awkward to us. it doesn’t matter if you’re the person we’re most comfortable with in the world, silence is always awkward. or, more specifically, we feel like we need to fill it which is why we often ramble

obviously there’s far more to ADHD than just this and everything can change person by person but i hope this helps to gain a bit more of a general understanding on ADHD