Hearsay af but I have heard of that amount being taken. The dude was never the same again, though. Whether for better or worse is harder to say. He didn’t regret it at least, and seemed to be doing well. But he definitely saw some shit.

The advice to socialize offline is good and well meaning, but it’s also not what you’re asking.

I’ve found a lot of very positive communities through smaller Twitch streams. I mean like under 50 average viewers tops, usually quite a bit smaller than even that. It’s easy if you like gaming, but there are channels for everything. The nice thing is you can just drop into a channel and lurk for a while to get the vibe, then leave if it’s not the kind of energy you’re looking for.

There are plenty of downsides. Even if it goes well, most of the people you meet will be far away. Parasocial relationships are something to be aware of to make sure you don’t fall into that trap, especially if you’re lonely. Also, there’s good and bad like anywhere else. But, it’s also common to hear people in these spaces express gratitude for the support and friendship they’ve found there that exceeded their expectations.

I don’t want to undersell or oversell it, really. It’s an option that’s easy to try and might work, but be careful like with anything. Making an effort to get out more is good, too, whenever time and energy permit. I don’t think offline and online spaces can replace each other - they each excel at different things. I hope you find your community. Or several.

Just to add: education and diagnosis is getting better, but there are still a lot of psychologists and psychiatrists who have little to no education on adult ADHD. They can use the diagnostic criteria meant for children and often get it wrong. You may find a provider who has updated their education, but the best chance of an accurate diagnosis is to look for somebody that specializes in diagnosing adult ADHD specifically. If the diagnosis involves a detailed history and several appointments with multiple tests, that’s a good sign. If it’s just regular 30-60 minute meetings where you talk and they say you don’t have it, get a second opinion from someone who specializes in this.

I get it. I’ve been down that road within the last couple years after decades of “treatment resistant depression”. The treatments aren’t pseudoscience, but it might make more sense when you realize it doesn’t do anything that can’t be done without them. It just accelerates what you can already do with therapy and positive lifestyle changes - provided you do those things. It can also help people with lingering depression whose circumstances have changed for the better. I’m not saying it’s impossible for them to help you and anything is worth a shot, but I would emphasize that you get what you put in and if your circumstances are a big contributor (like they are for many of us) it’s going to be an uphill battle.

Shrooms have high potential and they’re honestly easier to get. But mindset is still important. For some people, it’s a one and done cure. For many, they need to re dose every few months. For very few, they convince themselves they’ve messed it up and make things worse. They hold the potential for radical shifts in perspective like you never imagined, but only if you’re ready.

TMS and ketamine work by increasing neuroplasticity. Your provider should tell you: the day of and after treatment, avoid things that are stressful and upsetting. Stay off social media, or make sure the media you do use is a carefully curated feed with positivity and things like cute animal pictures. Unfortunately, in my experience, many providers are not great about giving you this information. They lead you to believe you can just go get drugged up or zapped with magnets and magically get better. It doesn’t work like that. It makes your brain more flexible so you can break old thought patterns and develop new ones. If you just feed yourself stress and ragebait during the most critical periods, it is far less likely to help.

Shrooms are different. The mechanisms are less well understood because political fuckery has set research back over half a century, but neuroplasticity is likely only a fraction of it. They also break down barriers, create new associations, suppress the ego, and enhance social connections. It is … an unforgettable experience. I can’t say it’s for everybody because mindset is so important. But for anyone who is really ready to take control of their depression, I think shrooms make ketamine seem like a complete waste of time and money.

You would probably get some good tips from an ADHD community, though the tips here have been good too.

I think you’re overwhelmed, which is probably obvious but it may help to state it plainly. When I’m overwhelmed, it helps if I give myself permission to just drop everything for a bit. Whatever stuff I think I need to get done isn’t going to get done anyway and stressing about it isn’t helping, so I take a breather. Then I start with just basic self care, however much I can manage. I can’t stand going without a shower so that’s a first. Eating might wait if it’s really bad, but I have some meal replacement shakes for emergencies when I really can’t do anything else. I’ll probably isolate and ignore people for a little bit, but if I do it right I start to feel up to talking before too many days go by. But by dropping everything and then adding it back one thing at a time, I stop feeling so overwhelmed.

The world finds a way to keep on going even as we sit still and catch our breath. Trauma and anxiety just make us feel like we might die if we don’t do the things, even though it’s almost never that dire. We have very intense feelings - and it is important to give yourself space to feel and process them - but they are just temporary feelings and you do not have to believe them.

Thank you. I really do appreciate it. I know I’ll get there in the end because it’s the right diagnosis. But help like this gets me there a lot faster.

It’s the truth. Former domestic policy chief for the Nixon White House, John Ehrlichman, spoke out about it years after the fact:

“You understand what I’m saying? We knew we couldn’t make it illegal to be either against the war or black, but by getting the public to associate the hippies with marijuana and blacks with heroin. And then criminalizing both heavily, we could disrupt those communities,” Ehrlichman said. “We could arrest their leaders. raid their homes, break up their meetings, and vilify them night after night on the evening news. Did we know we were lying about the drugs? Of course we did.”

Psychedelics were criminalized in the US to target anti-war protesters. This is in the open and on the record, but they’re still classified as a Schedule I drug: no currently accepted medical use and a high potential for abuse. Neither of those things are true. It’s completely fucked up.

I appreciate the reassurance at least. I still think the results will be skewed from what they would be if I didn’t have that level of familiarity and practice, but I can at least hope it won’t be significant enough to matter. Or, better yet, that more weight will be placed on the human elements like actually talking with me. I guess mostly it’s just wanting to actually feel heard and understood instead of having my concerns and experiences dismissed yet again. We wouldn’t still be undiagnosed in our forties if people listened.

Yeah, any kind of electronic or reaction based test concerns me a little because I’ve been a gamer my entire life, so my experience doing similar activities is going to affect my results when compared against a control that hasn’t spent almost 40 years practicing. Fucking up on purpose doesn’t seem great either, but it’s definitely something I’ve thought about if I found myself in that situation. It would be really nice if I didn’t need to, but that’s wishful thinking.

I’m well set up for telehealth and I really appreciate the info! I’ll definitely take a look. If I can find a local place that accepts insurance, that would be a big help financially, but I’m glad to have somewhere to look if that doesn’t pan out for any number of reasons.

I’m interested if it’s not too much trouble. My current plan is to try and find any local resources or recommendations for doctors specializing in adult ADHD specifically. I was going to get around to that after the holidays. For sure. Probably.

So I’m always down for more info and more possible avenues I can explore. Especially since I don’t know if I’ll find what I’m looking for. Or when.

What kind of help are you offering? I’m 42 and recent events have pushed me to seek the official diagnosis, but my last attempt was a blatant waste of time. The psychiatrist wasn’t even interested in the possibility.

This is a mistaken take driven by corporations. Artists and creators generally don’t own their own copyrights. It’s the first thing they’re forced to sign away to get any kind of contract, publishing deal, or other form of access from the big players who hold the keys to the kingdom. Nobody is making even a million dollars let alone more without going through them, and they don’t agree unless they own those rights.

Small time creators can own their own work, but even then you have countless examples of creators who wouldn’t play ball so the bigger companies just plagiarized them and they don’t have the money to fight it. You need the backing of a big company to even enforce your claim against the other big companies that threaten it if it’s actually lucrative. And, again, they won’t unless they’re the ones that own it because you signed it away.

Copyright does not protect creators in the slightest. It’s a tool by and for large business used to legally steal from creators.

This is an important message and a positive one. Thank you.

Sounds similar to my journey in some ways. I’ll share a bit on the off chance that some of my experiences might be useful.

I always had headaches and mental health struggles. Hopefully you don’t. I sought help for both. My mental health issues were misdiagnosed (I’m AuDHD, the other stuff mostly stems from that) and for the headaches I was just told to lose weight. Easier said than done, and the headaches got worse while I tried. I used pain meds and developed chest pain that got diagnosed as heartburn. Prescription omeprazole (prilosec) keeps it in check.

I finally lost enough weight for them to take the headaches seriously and get referred to a neurologist. We can’t be sure of the exact cause, but a good bet is anxiety - a very sensitive/overactive nervous system as a result of C-PTSD and autism. I take topiramate to calm it a little, edibles 1-2 times a week, quarterly injections, and I do a somatic meditation. This is a great exercise for pain without a physical source, caused by things like my overactive nervous system.

If your pain is made worse by anxiety, it may help to get in the habit of practicing a quick somatic meditation focusing on the pain whenever you experience it. Otherwise, just keep advocating for yourself until you find a doctor that will help. I hope you find something that works for you soon.

Also, on brain meds: they’re all multi-function, so if it’s anti-anxiety that’s more of a happy accident. They wouldn’t give you a nerve blocker just for anxiety. Side effects tend to lessen the longer you take the drug, but not always, and the time scale is a bit different for each. At 2 weeks it should be starting to get better, at a month if it’s not better it’s probably not going to get much better. Hang in there!

Yup, it was the first thing we checked when I actually got treatment. I’m sure that didn’t help, but compared to the pain of the migraines it was negligible. Having to refrain from pain meds for a while to make sure was a hell of a ride though. I lasted about three months. The doctor was satisfied with 1-2 but I wanted to be damn sure.

I give people the same warning nowadays. Don’t take that stuff more than once a week.

I’m kinda in this meme. I went through one of those big bottles roughly every 1-2 months for 20 years. Sometimes 12 pills in one day, with 4-8 acetaminophen on top (they do giant double packs of those too). Chronic migraines, but every doctor I asked for help just told me to lose weight so it went untreated and got worse and worse. Our health care suuuucks.

I did lose the weight. It didn’t magically fix my migraines, or affect them at all. Insurance dicked me around for another year and a half while my neurologist tried to help every way she could, but we finally got it down to only one migraine a week. I’m truly glad for that, but I still think about the years of unnecessary suffering, and how much better it might be now if I’d been treated sooner.

Live content has lots of downtime and dull gameplay moments. It can’t compete with polished, edited videos - except in the one area it shines: human interaction. That works better when you can see the person. So most streams feature a person or at least an avatar, while edited videos often place a higher emphasis on gameplay. Each format is simply playing to its strengths. The ones that don’t you rarely see because they’re buried at the bottom of page 726 with four views.

I try to minimize what I buy off Amazon, but I allow myself one bag of Frugra per month because I can’t get it any other way.