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Ruca705 t1_itl4owq wrote

As someone diagnosed with it for over 20 years, not a trained professional but I have studied a lot. I’ve never heard of remission in the context of ADHD. My best guess: ADHD remission = masking of symptoms, adaptation, coping mechanisms. How else would a neurodevelopmental disorder go into “remission?” It’s compensatory behavior imo. How this would translate to the imaging results I’m not sure. This is really interesting stuff!


holler_bitch t1_itl6n27 wrote

Remission would be great. I didn’t get diagnosed until I was 27, and I felt mine got worse as I got older. I have unlearned a lot of my masking behaviors (which were actually high anxiety behaviors), but I would still be crippled without my medicine.


Ketosheep t1_itldia2 wrote

How is it before and after meds? I have been diagnosed recently and the doctor is suggesting meds but I am afraid to loose my hyper focus if I take them.


Edsgnat t1_itlp7el wrote

I gained the ability to focus on things my brain couldn’t focus on. The first day I took them I cleaned my apartment with no problems. I almost cried. My hyper focus is untouched.


Ketosheep t1_itlq86b wrote

This is what I needed to hear, I think my job and professional success are dependent on my hyper focus to deal with emergencies, but my house… is a stressful mess. Could I ask what your meds are?


Edsgnat t1_itlqwo9 wrote

I started off at 27mg of concerta, which is a slow release Ritalin. I was given 5mg of Ritalin to take as needed in the afternoons if my focus was waning. When I was studying for the bar this summer I was upped to 36/10. It’s easy to build up a depends so it’s not something you want to take every day.


Sea-Mango t1_itn4myg wrote

Huh. Maybe I’ll have to give that one a try. I was on Ritalin from 11 - 20-ish, and then stopped. Which was… not a good idea, but 20 years of hindsight etc etc.


EmulatingHeaven t1_itni6qj wrote

We all respond differently to different meds, if you try ritalin/ritalin types and they don’t work then def give something else a go too. I started on addy (and it works wonderfully) but it isn’t recommended for breastfeeding so I tried ritalin for a while. Did nothing for me. Back to adderall I went, and just adjusted my breastfeeding schedule.


Sea-Mango t1_itnpd81 wrote

Adderall made me forget where my car keys where while I was driving with the keys in the ignition. At the time I was a teller, and my drawer didn't balance for a week. It was SO BAD XD


KnutschKeks t1_itno4k2 wrote

My hyperfocus is my problem. My employer had stern talks with me because I missed appointments, because I forget the time and never notice when people talk to me when I'm working


Lettuphant t1_itmp7ii wrote

I borrowed a pill as a study aid. Realised I was planning dinner for the first time in my life and started crying. Taking a pill made me realise I should get a diagnosis.


WillCode4Cats t1_itxnbrk wrote

Careful with that logic.

The pills work the same for everyone regardless of diagnosis. If they didn’t, the. Why did you take it in the first place?

It’d be like saying alcohol only makes people who are actually alcoholics drunk. Of course, with the right dosages it makes anyone drunk.


banditbat t1_itnvl5g wrote

This is how I felt the first day when I finally found meds that worked, but they have since stopped being effective over the past few months, even after stepping up the dose twice :(


Issendai t1_itn0ihu wrote

Hyper focus is my drug of choice, and Adderall did nothing to stop it. It just means I have more levels of concentration in between “meh, bored” and hyper focus.


Ketosheep t1_itn5f15 wrote

Yea the doctor said I can try the one that is for immediate response first so I can see how it feels, I mainly just want it to be able to clean my house. I don’t think it can help me not loose things (object permanence is horrible).

Everything else I already have a solid coping mechanism, it’s just exhausting.


Issendai t1_itn92lc wrote

When I started taking Adderall, one day I took it too late in the day and couldn't get to sleep at my normal time. I ended up reorganizing the hall closet at 3 am because it was the most engrossing project I could imagine. Good luck! I hope you have the same experience at a more appropriate hour.

Do you like museums? Going to a museum for the first time on Adderall is amazing. It's like being high on details. You can look at things, really look at them, and sit in the feeling without the constant buzzing urge to move on to the next thing.


Raichu7 t1_itncnan wrote

I seriously doubt you struggle with object permanence. Do you know an item or person still exists somewhere in the world when you cannot physically see them? Then you developed object permanence as a baby, like everyone else!

If you struggle to find things after you’ve put them down, but understand that they still exist, then you’re struggling with remembering where you put things, sometimes called out of sight, out of mind. It’s very different to object permanence.


Anariel6 t1_itnecap wrote

People with ADHD often forget what things they actually own unless they are out and visible all the time. They often buy duplicates because they forget they already have one. If that's not object permanence struggles, then what would that be called?


spraguester t1_itnvgxq wrote

That's just forgetfulness, object permanence is understanding that objects continue to exist even when you can not observe them.


Ketosheep t1_itnjrlq wrote

I buy duplicates, I surprise myself with things I find in my closets. I do remember people but forget to talk to them for months.


SparxX2106 t1_itlp8pk wrote

Well it depends. Do you want emotional regulation, being able to focus, not be time stressed, become more organised and have a calm brain? Then yes, take meds!


Ketosheep t1_itlqqst wrote

My job depends more on my hyperfocus, so being able to make money for food comes before my struggles on everyday life.


kitsunde t1_itlsbse wrote

There’s no issue with hyper focusing, there’s a brief initial adjustment period. Like on Concerta you’ll get hungry less, there was a bit of eye tingle at the start and some people report a headache. But after about a week your body adjusts.

If anything I find that that it feels hard to move my focus away and find interruptions more irritating on Concerta than without.

I got it when I was 34 and it’s a literal night and day difference in how well I handle my job. I can sit down and just do work, and procrastinating is a deliberate choice rather than a doom spiral.


Kiosade t1_itmaed4 wrote

How hard was the process of finding a doctor and then how many appointments did it take to get to the “coasting on auto-pilot” moment? I’m pretty sure I’ve always had ADHD but am afraid of having to take a lot of time off work for dr appointments in order to get diagnosed/treated. Also worried about having to pay for $$$$ each visit…


kitsunde t1_ito6x7y wrote

It’s very country dependent, I can’t answer that for you. It took me 1 visit to a private doctor and then it was just about finding the right dosage, it’s a regulated substance here so I have to go back every 3 months or so. It’s different in every country.


SparxX2106 t1_itlr96u wrote

Well you will have a good focus non the less. So all i could advice is to simply try it out, as that doesnt hurt anyone. I can still very much hyperfocus on things even on medication!


kingofshling t1_itncjbd wrote

My parents made me start taking the meds after getting diagnosed in fourth grade. Took them up untill junior year of high-school. They do help you get uninteresting work done but the side effects are not worth it IMO. Loss of personality, depression when they wear off in the evening, loss of appetite, loss of interest in hobbies, insomnia.

A lot of the people who rave about them just started taking them. The more you take them, the less effective they are and you have to keep raising the dose. I’m at my happiest right now when I manage my symptoms with exercise and meditation. I do use adderall quick release once in a while if I really need to get some boring work done. I definitely would NOT take these everyday.


ExistingPosition5742 t1_itnhmet wrote

My ex husband was addicted to Adderall he started taking at 12. It has A LOT of negative effects over time.

I mean, it impacted him the way you think about meth impacting people. It just ruined his life. One of the doctors explained to me that it acts on your brain in some of the same ways as other stimulants, and over time it prevents your brain from learning to live without it, basically. Anyway, I'm very wary of it. I never knew people could get addicted to a kid's medicine.


MurrayMyBoy t1_itnuy0b wrote

My sister got addicted to Adderall,Ritalin, and Sudafed at the same time. She has been addicted for 20yrs and she moves and acts like a person addicted to meth . I believe she has psychosis/paranoia from it. She acts like any other addict. Causes non stop issues for the rest of the family. I believe she never had adhd and just wanted to something to get her moving before work. It’s destroyed everything in her life. So I say if someone feels they need medicated please take it slow and take the absolute minimum of the dose.


Ketosheep t1_itnjlg1 wrote

That is the approach my doctor and I are discussing, so I can have it available for when I have to get something boring done. I am 36 but i certainly wish I could finish unpacking my house after 3 years… and stop living in a messy pit.


Dragoness42 t1_itottvc wrote

My ex just self-medicated with massive amounts of caffeine. Of course, he built a tolerance and had to keep drinking more and more coffee just to be normal.

I tried to let my kid use caffeine in moderation as-needed to help with focus, but his school banned caffeine. Didn't ban Rx stimulants for ADHD diagnosed kids though. We're in the early stages of trying out meds for him.


Spitinthacoola t1_itm3lnc wrote

No loss of hyperfocus. Just able to aim it. Reduces appetite to low levels though so often have to remind myself to eat. Besides that it is a godsend.


WhiteVorest t1_itm1u6q wrote

Your hyper focus is still there, but you need to force yourself consciously into it. So overall you tend to hyper focus less, but on things you actually want. I’m seeing some new and shiny piece of rabbit hole to explore, but now instead of going balls deep without second thought, I have yes/no prompt basically. Getting my pills was so to speak a full 180 turn. Maybe even 540 degree turn. When stressful event arises, be it home or work, I just focus on it as usual and see it finished perfectly. Start with lowest dose and see how you fare. Good luck.


Ketosheep t1_itm3ip4 wrote

Thank you, I think I am mostly afraid of the unknown, and I can’t even imagine what you are describing. But so long as I don’t become as slow on emergencies as other people I think it should be fine.


IIIPatternIII t1_itmv3ul wrote

Im sure others have mentioned it but just chiming in with my experiences. Meds will give you the ability to focus and regulate yourself but you still have to actually do it, and i specifically mean scheduling and adhering to a food plan. You need to eat, and drink water and medications like Adderal/concerta/vyvanse will decrease your appetite and potentially thirst. Sometimes fasting is good, this is not one of those times. I seriously cannot stress this enough for medical reasons you should go into it mindful of the side effects and how it can cause damage without strict and proper diet.


HelenAngel t1_itndwyo wrote

I have autism as well as ADHD. I’ve taken Vyvanse for over a decade. It hasn’t interfered with my hyper focus at all. If anything it makes it easier to get into it (which can be both a good & bad thing)


vanyali t1_itm63lg wrote

My kid is on meds and believe me, she still hyper-focuses on her favorite things just fine.


bonesnapper t1_itnk44g wrote

I started meds last year and a job I am extremely interested in a few months ago.

Not only can I put 100% of my focus and effort into my work for hours straight, I can also do things like 'cancel my old car insurance policy' and 'schedule a vet appointment' before they become problems.


girlfriendsbloodyvag t1_itnicrx wrote

Think about it like being able to hyper focus, without all of the extra noise.

You just -do- the task. Then it’s done. That’s it.

Getting on adhd meds has been life changing for me, in all of the best ways.


alemorg t1_itnqu2q wrote

The most noticeable affect was that I felt for once in my life that I was able to sit still and think one subject at a time. I always felt like I was juggling multiple tasks at the same time In my head continuously but my thoughts slowed down. What I thought was anxiety bothering me all the time turned out to be mostly adhd. Now with the medicine I get anxious a little bit and get over it without overthinking it over and over the rest of my day.


lcbk t1_itpuoyw wrote

For me it's so hard to just get up and do things because I'm not motivated enough, aka my brain isn't giving me any dopamine. I also have very low energy, probably because of the dopamine as well.

After 1 week of medicine I did things right away. I just got up and did it. It was incredible. I did however feel like the effects tapered off after about 6 months. The solution to that is either a higher dose, or to stop for a while and then start again. I prefer the latter.


Ketosheep t1_itpw1az wrote

I get up in the morning with the help of stress and fear of missing a paycheck and debt. My job is incredibly entertaining to me for the most part, although I struggle with the will to drive to the office and to start tasks, once I do I finish very quickly.

My partner makes my lunch or I would just not eat at work, I drive home and dinner is already made too, so I just have to eat and spend the rest of the afternoon negotiating with my brain about washing the dishes or doing laundry, taking a shower. Some times I win, must of the time brain wins, couch paralysis, sleep super late and repeat.


lcbk t1_itpzben wrote

I'm a stay at home mom so all I have to do is clean the house and feed the family. I manage but I'm not winning any prizes. Had it only been me, living alone, I wouldn't even cook for myself. Couch paralysis and sleeping late sounds very familiar. Stress is also a good motivator.


Ketosheep t1_itq0z9x wrote

House work is the hardest thing for me, kudos to you for being able to do it!


Kinsey93 t1_itn4zid wrote

What meds you got?

Starting titration this week… bit apprehensive


listenyall t1_itlsy90 wrote

I think this is pretty much right but it seems like they're saying that the consistent masking, coping, etc is literally changing the brain into a "less ADHD" brain. That seems pretty possible--our brains can be quite adaptive, especially since this is focusing on kids as they grow into adults.


residentmouse t1_itmy737 wrote

It makes sense to me also. The compensation (and masking, etc) someone with unmedicated ADHD has to do is relentless and constant.

After awhile, with much difficulty, it does become subconscious and automatic, much like a part of your personality — or the ADHD itself.

So I’m not at all surprised to hear that it manifests in changes to the brain.


rjwv88 t1_itm7sqz wrote

there does seem to be evidence that maybe a 1/3 or so of people diagnosed with adhd in childhood don't present with any impairment in adulthood (figures are ballpark, but people used to think everyone grew out of it, if only!)

the brain keeps developing till the mid 20s or so (it doesn't stop after that, but it's slower), and adhd is fundamentally a developmental delay (with people showing about a 30% age deficit in terms of their executive functioning, i.e. a 15yr old with EF skills of a 10-11yr old), so it seems plausible that for some they actually do manage to catch up, they were just developing more slowly than their peers, whereas others never fully develop age-appropriate executive functioning skills... it's also possible that early intervention itself (whether through medication or behaviorally) might help 'train' the requisite brain areas and so reduce impairment into adulthood

there's also a secondary component though that you touched on, in that adhd impairment is very context-dependent, and some may find themselves in a position due to their job or other life circumstances where it's no longer impairing, in that case it's not exactly in remission, the biological deficit is presumably still there, but you also wouldn't meet the diagnostic criteria for adhd (as it needs to cause impairment in at least two settings)... basically psychiatry's equivalent of 'if a tree falls when no-ones around does it make a sound' haha

(as someone diagnosed later in life it was kind of the reverse for me, there were hints in childhood but it wasn't too detrimental, however as educational demands increased the impact became more and more severe and I sought help for it, took 5yrs but finally diagnosed at 33!)


AaronfromKY t1_itl5stk wrote

I mean if the disorder no longer impacts their life, but is still physically there, maybe that's what they're calling remission? And if the compensatory behaviors aren't negatively impacting their live, are they bad?


Ruca705 t1_itl6wu4 wrote

No, being able to cope is definitely a good thing. Didn’t mean to seem like I was against it!

I have heard of remission for bipolar disorder, which is usually when someone has gone an extended period of time without having a manic episode. But that type of remission is only achieved through the use of medication, 99% of the time. I would assume the same for ADHD honestly, but the difference to me is that bipolar isn’t a neurodevelopmental disorder present at birth. And, most people don’t get full relief of ADHD symptoms even with meds. I guess I’m just stuck on the use of the word remission here because what I’ve read up til this point is that the concept of people growing out of ADHD is outdated and incorrect, and that people learn to compensate and work around their symptoms, but they don’t actually go away.


ManiacalDane t1_itloyjr wrote

I don't see how large parts of the brain being developed and linked together in a different way (sometimes vastly different) is something that you just... Grow out of. So I reckon you're right; remission is just... The outward-facing symptoms subsiding.


Angerwing t1_itnxecb wrote

Your take reflects my lived experience (anecdotal as it is). I'm medicated for my ADHD and it doesn't neutralise my symptoms at all, it just mitigates some and pushes me in other areas so I can work around or capitalise on my quirks. Since being medicated I would describe myself as high functioning and my career trajectory has rocketed.

I can often trick myself to force interest in a task so I hyperfocus on that and produce great work. If I'm faced with a bunch of tedious busy work (my bane) I then spend most of my brainpower thinking about how to streamline the process. Workplace loves that stuff, and I love removing unnecessary work from my to do list. Some of the more complex work I've done has been thorough and detailed just because I was personally intrigued by the situation and wanted to deep dive for my own curiosity.

A lot of the thought processes behind the last paragraph have caused massive issues for me in the past. Hyperfocus on the wrong thing, removing unnecessary work by just not doing it, not trying to be interested and then blowing it off etc. The root causes are the same symptoms I've always had, I've just learnt to reroute them in to productivity.


thruster_fuel69 t1_itlg829 wrote

Apparently I'm a super high functioning adhd, only medicated recently after like 20 years. Although I coped extremely well (did well as engineer), it was so much extra effort. Now that I'm on meds I see how hard my life was before. I would never call high function adhd remission myself..

For example, I was always exhausted and scared of context switching because I knew distractions would ruin my process. Now that I'm medicated there's no fear and in fact I'm very good at multi tasking. At the end of the day I'm not exhaused and defeated like I was before when i was supposedly in "remission".


Angerwing t1_itnxpp6 wrote

FYI I can easily clock an ADHD individual online by their use of parenthetical comments (probably all those tangential thoughts).

Not making fun, I've been doing that extensively all my life.


thruster_fuel69 t1_itny7em wrote

I've learned to trust them, honestly I think they act as my gut check on almost anything. A random, but actually deeply related thought always pops up to shake things up.


Angerwing t1_itnz2k0 wrote

Yeah if I think about it I mostly use them as extra context, a side note, clarification, off the record opinion or as a qualifier.

But now that I've said it you won't be able to unsee it. Scroll through the comments at all the people who are saying they have ADHD and see how many do it (my people).


proxyproxyomega t1_itlij1l wrote

imagine if the only reason it's called a disorder is because the brain functions differently than the 'societal normal'. like, if you grew up in an environment that was designed specifically for adhd and supported your potentials, you could have become those crazy smart people who are also a bit coo-coo (by societal norm standard). but instead, you had to take meds that basically 'averages' your brain so that you can participate in the society.


thruster_fuel69 t1_itljbgs wrote

I think you can nurture yourself to be that, even far later on. Might need to eat some shrooms a few times, but its possible. I'm going for coo-coo crazy good at the moment.


ThrowbackPie t1_itnm602 wrote

Isn't that exactly what it is? It's so prevalent that I can't imagine that it's truly an 'illness', as much as an alternative brain development pathway that happens to not be very compatible with a lot of society's requirements today.


Sluggish0351 t1_itmhlyz wrote

Coping is likely huge. But in my case (ADHD diagnosed as an adult) I tend to avoid situations that would exacerbate issues that derive from ADHD. As a child you don't have that luxury.


FrickinLazerBeams t1_itladd6 wrote

Yeah there's definitely no "remission" that I've ever heard of, and certainly not experienced. I'm much more functional now than I was as a child, but it's not because the ADD is gone. I'm simply better at dealing with it (and also medicated).


imasequoia t1_itlhesa wrote

It might be related to the frontal lobe developing in the late 20s causing remission of executive function deficits.


HateIsAnArt t1_itllx1d wrote

Yeah, and I don't think it's impossible for people to remap their mind to some extent. We all know that therapy can prove fruitful for people with depressive disorders, producing documented change in gene expression. I don't see why targeted treatments couldn't work similarly for people with ADHD.


reh888 t1_itmfq4m wrote

If you read the article, that doesn't appear to be the case. The new neutral activity was in the left motor cortex, whose function is to control the muscles and limbs on the right side of your body.

It's related to how when part of your brain is damaged, sometimes another part will assume the functions the damaged part was supposed to do.


popepaulpops t1_itm5hnz wrote

The original study looks at "symptom remission", mostly for hyperactivity and impulsivity. Kids and adults diagnosed with ADHD that experience symptom remission have corresponding increased white matter structures in their brains.


TA2556 t1_itnma2z wrote

Developing new patterns and new coping mechanisms and strategies actually physically creates new neural pathways and could, in theory, lead to what one could consider to be a partial remission of sorts.


bread9411 t1_itn9e50 wrote

Can I ask if you have any advice for talking to a doctor about it please? Up until I was an adult I very much had ADHD but as an adult it's kind of changed and the issue is I no longer have energy, it's more of an 'indifference' to everything, forgetfulness, ignoring reminders, not getting this done or completing things, that kinda thing. But the issue is because the 'hyper' part is gone, I'm concerned how seriously they're gonna take it and if they're going to notice it because I'm not a doctor but I have literally thought about this issue for years after a few friends that had recently been diagnosed with ADHD said they think I have it too, this was in my early twenties and they were about the same age, varying by a few years either side.


ronnyFUT t1_itna8yt wrote

Sometimes I feel like ADHD remission is like sobriety.

“0 14 days since I forgot a deadline.”


Thatdarnbandit t1_itnp64b wrote

I believe this is what the article was saying. That the brain developed the compensation and this brain activity is what was observed. The subjects were observed from age 6 through age 18, so over the course of many years.


MightyWhiteSoddomite t1_itn00vn wrote

Probably "I'm OK now (and possibly don't want the meds anymore)" is considered "in remission"


PickledPixels t1_itnjis3 wrote

If you are taking medication, I expect remission will never happen


AlongTheWay_85 t1_itobik8 wrote

I’m 37 and was diagnosed with ADHD at age 8. I had it bad, for lack of a better term. I could not focus in class at all, in fact, in grade 2 the teacher dealt with my inattentive/disruptive behavior by putting me in the back of the class facing the wall. I was on Imipramine and other meds early on and in my tweens, but eventually went off of them. Over time I managed to cope, but at some point in my early/mid 20s it became evident to me that I just didn’t have the the problem anymore. No, I’m not just masterfully coping and deluding myself. I genuinely do not struggle to focus any more, nor do I have bouts inattentive “hyper-focus”. It is as if my ADHD just magically disappeared one day, and when I tell people this no one who knows anything about the subject (or thinks they do) ever believes me. But I know how I was and I know how I am now. It is possible.


[deleted] t1_itllr8q wrote



reh888 t1_itmfx2k wrote

Remission is a reduction or disappearance of symptoms, so yes.


Wolfenberg t1_itln5p3 wrote

From what I know, ADHD is marked by an anti-synchronization between two brain regions where normally it is synchronized (so for ADHD people, those brain regions activate when the other doesn't activate, for normal people they work in sync)

I'd guess remission is when those two brain regions start correlating synchronously again.


MrHydromorphism t1_itmvy1h wrote

I was told that this was a long-term result of medication and therapy when I was 9 in 1994. This is endlessly satisfying to read for me.


MrHydromorphism t1_itmvypa wrote

I was told that this was a long-term result of medication and therapy when I was 9 in 1994. This is endlessly satisfying to read for me.


MrHydromorphism t1_itmw15h wrote

I was told that this was a long-term result of medication and therapy when I was 9 in 1994. This is endlessly satisfying to read for me.


MrHydromorphism t1_itmw23o wrote

I was told that this was a long-term result of medication and therapy when I was 9 in 1994. This is endlessly satisfying to read for me.


timberwolf0122 t1_itncbt4 wrote

Could it be called remission if the medication worked?

I got a diagnosis at age 41, I take 100mg atomoxitine (generic strattera) and it has really changed my life.

I no longer life in a constant state of fight or flight, I can focus better and I'm a lot less prone to being locked on one task. Additionallynive grown emotionally and I can now empathise vs a best sympathizing.

Also things are easier, jobs, projects etc. I am think of a clear path forwards and carry it out


Minute-Object t1_itne38u wrote

One thing many of us with ADHD have is the ability to switch into hyperfocus. Speaking for myself, as I got older I gained more ability to deliberately engage hyperfocus.

It’s a bit tiring, but can be very useful. I think that learning to flip that switch into hyperfocus might also be part of it.


HalensVan t1_itneze6 wrote

Your best guess? It explains it in the article.


OCE_Mythical t1_itng1xp wrote

Yeah for me atleast the illness never went away, it's just I have drugs and a plan. The two most important things.


dhsjh29493727 t1_itnpsbg wrote

Yeah, my thoughts exactly. Here's a very telling quote from this article:

>Finally, the sample size was too small to claim cause and effect; there may be other factors that led to persistent ADHD.
>These limitations aside, this research provides neurological evidence that consistent use of strategies to cope with ADHD symptoms may be a way out.


tldr; The article invalidates itself as wishful thinking but then assures the reader that it's valuable.


I know that there's been a long-term notion that "most kids with ADHD grow out of it eventually" but anecdotally I've never heard of anyone for who it didn't get worse as societal expectations of adults took the place of the relative ease of childhood.

But isn't this basically saying that if you mask long and hard enough, eventually living a masked life just becomes your normal functioning, so you basically don't have ADHD, you're just expending more energy to be a slightly worse functioning regular adult?


Resentful_in_Dayton t1_ito4nqf wrote

I feel that my ADD (I don’t have ADHD) is in remission. I no longer miss deadlines/work to the last moment, or procrastinate. Maintaining my organizational tools doesn’t feel difficult and if I start to slip I recognize it as a sign to lessen my work load and refocus. I don’t have nearly as much trouble finding things or organizing myself, and I don’t forget or loose things as I used to. I feel, generally, in control of my attention and time management.

Repetitive behaviours, positive reinforcement strategies, therapy, excercise, and ayahuasca have been the enabling factors.


dhsjh29493727 t1_ito5rem wrote

ADD is an older term for what is now diagnosed as ADHD, with it's sub-variant diagnoses:

ADHD primarily Inattentive

OR ADHD Primarily Hyperactive


What do you mean when you say that you have ADD and not ADHD?

Regardless, it sounds like you've put a lot of strategies in place to manage your symptoms and moved forward as a result, so good for you!

Interested to hear about what ayahuasca is like with ADHD if you'd like to share?


Resentful_in_Dayton t1_ito826o wrote

I was diagnosed about 15 years ago, and was told I had ADD not ADHD, maybe I misunderstood something. Or has the research/understanding evolved since then?

I couldn’t say much about what ayahuasca is like with ADHD, in the sense that I have nothing but my own experiences to compare it to. That said, I was on Ritalin for about a year when I was first diagnosed and it worked extremely well and I felt amazing (unfortunately it stopped working as well over time and when they increased my dosage it went very badly and I had to stop all together). So I ‘went back’ to having ADD and was too nervous to try another medication (I had heart issues with Ritalin, among other issues).

I’ve been working with ayahuasca almost 12 years now- and if I don’t have too much sugar and sleep well, I mostly feel almost as clear/productive/in control of my time and attention as I did on Ritalin. Not as clear, but close. It’s a really marked change in terms of lateness, lost items, ect.

Ayahuasca helped in a few obvious ways in terms of resolving shame, trauma, and self judgement (which was creating an anxiety cloud that exacerbated procrastination and avoidance). It also regularized my meditation practice, exercise, good eating habits- which all contribute.

I think probably the most significant aspects have been around prioritization and conditioning my responses to impulses. I see now that my expectations of what can be done in a set amount of time are often/have been way way off and this has contributed to over commitment, which leads to overload, then procrastination, shutdown, complete loss of attention control. So, prioritization and time management is now, for me, understood as a more complex aspect of self care. Ayahuasca has helped me to begin to (very much still in process) clear the fog/numbness that ‘traps’ my attention and estranges it from my intention. I can still, intentionally, get hyper focused for long periods of time, but, I remain present in a way I didn’t previously.

It’s hard to really describe… but it’s definitely been a huge change- and one very clearly activated by specific ceremonial experiences.

The specific experiences have been either ‘seeing’ neuropathways being re-wired or an experience of knowing/being told that my neuropathways are being reset and I have an opportunity to reinforce the reset with behaviours. Like, a highway is being built between a and b where there used to be a dirt road- so I can now take that route, but I need to choose to, and I need to maintain it.

Hope that makes sense!!


dhsjh29493727 t1_ito9izh wrote

I think 15 years ago ADHD was the term for what is now ADHD hyperactive, vs ADD I think is a closer approximation now to ADHD inattentive - but don't quote me on that. But I know that they grouped them into variations of one disorder, rather than being their own separate issues.


Oh wow, yeah that's really interesting, especially how you've used it as a helping part of a wider sort of process to better balance life and work. I definitely understand what you're describing as far as the brain fog experience etc, as well as my frustrations with medication and dosages having varying effects between success and negative side effects depending on the dose though.

I wondered whether there would be any parallels between yours with Ayahuasca and other drugs such as LSD with ADHD. Which from my own experience can be extremely traumatic.


choptheair t1_itm5tku wrote

You have a lot of opinions for someone that hasn’t done this research and it is no less valuable or valid since you “have never heard of this before”.


Ruca705 t1_itmhavz wrote

This is Reddit, I stated clearly that I’m not an expert and this is just my opinion. I am allowed to have opinions, thank you.


NotoriousREV t1_itl4m16 wrote

As an adult, diagnosed with ADHD at the age of 44, apparently illegal drugs and alcohol are not considered appropriate strategies.


Stiff-Kitten t1_itl5pdk wrote

I know, right? You mean going to the clubs, getting hammered, dropping x, or smoking weed, and pretty much having sex with anyone, anytime, anyplace 5 nights out of 7 isn’t going to workout?


funkme1ster t1_itmp11u wrote

Perhaps I'm reading this incorrectly but... are they not just describing general neuroplasticity?

It sounds like what they observed was just neural pathways remapping as a result of deliberately repeated behaviour. This would be consistent with our existing understanding of how the brain can adapt to changes in input needs and sensory processing, no?


neuro__atypical t1_itms8kb wrote

You can take advantage of neuroplasticity for creating habits and behaviors to help you manage your deficits, but you can't neuroplasticity your way out of premature dopamine reuptake or low acetylcholine receptor density (two common properties of ADHD brains). The difference is important.


Rubyhamster t1_itmy2z6 wrote

Yeah, the phrasing in this OC rubs me the wrong way. People can't learn away fundamental workings of their brains... This is like saying you can learn away...your eyesight?


DelusionalZ t1_itn7d0v wrote

Well... in a way they are talking about compensatory action, right? You may not be able to "learn away" those biological differences, but the brain is extremely complex, and different elements of it are able to compensate for those differences.


Rubyhamster t1_itn811d wrote

Yeah totally, but the way OP (and the article?) uses "remission" makes no sense. We are born with this brain. People don't grow out of their ADHD brain.


ladyluckible t1_itogsxu wrote

Don’t some people actually grow out of their ADHD as they mature and their brain changes?Remission also doesn’t mean cured, it can mean symptoms or progression of symptoms isn’t happening


Rubyhamster t1_itowycd wrote

No, that is not the consensus among those who specialize in ADHD. As far as I know, adults who live successfully with ADHD brains have just learned tonnes of trategies of masking and coping and/or have a lifestyle/job that works well with ADHD. Why else would so many thousands get diagnosed as adults, after first picking up unhealthy coping mechanisms, addictions, depression, anxiety and OCD? My childhood worked fantastically with my ADHD so I heard for decades that I can't have it ("No, cuz you did well in school"-BS). ADHD brains are generally fantastic in certain jobs like police, fire department, freelance, arts&crafts, the army, consultant firms and highly structured jobs. It is also a spectre. There is no default setting for neurotype in humans. Autism can't be "cured" either, but we can learn like any other. E: Thank you for the explanation of "remission". I guess it can make sense if they only mean the negative aspects of "symptoms of ADHD". But, ADHD is only defined as a deficiency in modern society. The human race have evolved ADHD brains because it has been largely beneficial most of our existence. We generally work fantastically in a crisis and high intensity.


kathmandu_interlude t1_itpge6r wrote

I have ADHD and I study CogSci so this is a very personal topic to me. ADHD doesn't ever go away, you are correct, but it also can come in extremely varying sets of symptoms. The article suggests that through medication and therapy the synaptic pathways that have developed along the ADHD rule set can be compensated for, and while those original ADHD pathways never truly go away, they can be ignored to the point that the new pathways entirely make up for them. Hence, symptom amelioration. Hope that helps!


ddrcrono t1_itosaff wrote

My understanding is that there isn't such a thing as an "ADHD brain" in the traditional sense so much as it's a cluster of numerous factors. Some people have posited that it's a stress/trauma response that's more likely in people with certain setups.


Rubyhamster t1_itp1fl0 wrote

From all that I've read about it, that last sentence is not true. And your first: Yes, the "ADHD" brain is a multitude of factors, as is very sensible in our most intricate and advanced organ. The most prominent ones being differences in the frontal lobe and a faster reuptake of neural transmitters such as dopamine, which have a big role in motivation, focus and emotional regulation. An "ADHD brain" generally needs a lot more stimulation than a neurotypical brain.


BostonGeorgie12- t1_itohsp6 wrote

Studies show most people do in fact grow out of it


Rubyhamster t1_itoz9wm wrote

No, those studies have been debunked. If you search up newer studies you will see that this is largely because of wrong assumptions, studies not being longitudinal and the default hypothesis comparing certain underdeveloped brain regions in children. They found what they wanted to find: That underdeveloped brains were similar to ADHD brains in certain regions. Does an ADHD child grow out of it just because they learn coping mechanisms and stop hanging in the curtains? Ofc not. They often develop anxiety, depression, OCD and addictions. There is a massive upsurge of adult diagnosing these days. Another point, there were frequent misdiagnosing, especially in the late nineties because ADHD was often just based on normal, hyper or inatentive behaviour in a lot of neurotypical, but often troubled children.


Orangyfrreal t1_itoj1pv wrote

By what age? Genuinely curious.


Rubyhamster t1_itp0uj6 wrote

By no age. You can "grow out of your symptoms", the symptoms being "hanging in the curtains". Growing out of having ADHD is a myth from more uneducated times


BostonGeorgie12- t1_itqhodm wrote

Actually studies from 2021 show about 9% do in fact outgrow out but i was way off with most people


Anonymous7056 t1_itqx3ud wrote

You're saying they grow out of it but posting a link that talks about controlling individual symptoms, not the condition itself...


Rubyhamster t1_itrv44t wrote

I think "outgrow" is a weird word for this? Have all the people living successfully with ADHD outgrown their ADHD? Or just found a lifestyle that fits their body and brain? And "symptoms" are almost always a negative. Or is my tendency to work really effiently with deadlines also a symtom?


Shivolry t1_itoofsg wrote

Not going to bother looking it up or verifying the information I am about to spread but I'm gonna guess 25 since that's when the brain finishes growing.


Dragoness42 t1_itot8pv wrote

Isn't "learning away your eyesight" basically what happens with a lazy eye?

Phrasing may be bad but neuroplasticity is powerful stuff. Definitely can't eliminate underlying chemical/mechanical differences but can do a lot to compensate for them.


Rubyhamster t1_itp292q wrote

Yeah, a fascinating example is how a child with half a brain can grow up normally. But as far as we have figured, ADHD is very heritable and genetically determined. So there must be something in our genome we can't change. Evolutionists think ADHD have been largely beneficial up until recent societies. Why else would an estimated 10% be further towards ADHD than neurotypical?


ddrcrono t1_itos3j0 wrote

If I understand correctly, while those traits are common in people with ADHD, not everyone with those traits has ADHD, correct?

If that's the case, then the implication is that you essentially become like someone with those traits who doesn't have ADHD.


Dahlia_Lover t1_itmscy6 wrote

Yes. They captured neuroplasticity on scans and correlated it with symptoms. It’s good data. Not shocking in any way but interesting. Of course The symptoms screeners they use are very subjective, so that is a major limitation.


jonathanrdt t1_ito689p wrote

How do we know it isn’t just coping? Learning strategies to work around weaknesses? Everyone does it as they mature.


funkme1ster t1_ito7bif wrote

I'm not a neurologist but I am good friends with some. As I understand, the difference is that coping mechanisms are superficial whereas neuroplasticity is ingrained.

That is to say it's outwardly the same thing, but employing coping strategies over time results in rewiring neural pathways to the point they're not "coping" strategies so much as your brain perceiving it as the normal, correct response to that stimulus. The same mechanism as practice driving muscle memory.


jonathanrdt t1_ito7nla wrote

Oh okay, so what begins as willful coping becomes new rote behavior because the circuitry actually does change?


funkme1ster t1_ito8t1s wrote


If you've ever looked into modern prosthetics (which you should because they're neat), there is a lot of cool new tech that uses nerve sensing to detect signals and map them onto responses. IE a person thinks about moving their arm, the sensors read nerve signals in the amputated limb, and can map out "this signal pattern = this movement pattern". The person practices and over time is able to train their body to behave in concert such that the signals they send out are consistent and predictable. Neuroplasticity is just the process by which the brain maps those logic paths.

From the article, it would appear that these patients with ADHD, employed coping mechanisms, and over time those mechanisms facilitated neural remapping such that their "remission" is really just them retraining their brains to circumnavigate the problematic responses with the "corrected" responses to the point they didn't need to deliberately employ those mechanisms.


lj26ft t1_itl0z7p wrote

What were the strategies that they repetitively engaged in that compensated for the ADHD symptoms?


Fire-Kissed t1_itl15xo wrote

Right— were “strategies” medication? I’d like to know if medication had an influence in these brain changes.


maelstromama t1_itl667v wrote

There’s a link to the full study in the article which addresses medication usage. But no, I can’t see drawing that conclusion from study.


hermitess t1_itn9isx wrote

I don't know, but I've been medicated for ADHD for 23 years, and it helps me manage my symptoms, but as soon as I don't take it, my ADHD symptoms seem to be worse than before I ever started medication. I don't think it should be considered remission if symptoms only improve while medicated, and then get even worse than they were in the first place when the medication is stopped.


Mercinary-G t1_itnlxdp wrote

A big impact on ADHD is Progesterone and Oestrogen. This changes throughout your life not just in peri-menopause. Men also have changes in oestrogen during their lives that might be part of what you’re observing.


sciencesnob t1_itl296v wrote

I was a classic case of ADHD as a child. It went into remission when I was teenager. Came back full force as an adult though. Same thing happened with my friend.


Rubyhamster t1_itmxmtj wrote

How can one get "remission" on a neurology you were born with? Isn't ADHD a lack of dopamine reseptors, among other inherrent physical aspects? I know the brain is adaptable, but remission sounds like it is a disease, which it is not. You probably just had a lifestyle that fitted well with your teenage ADHD brain? I lived totally functionally until I was 19, when my life went into the shitter because of changes in my life.


TarthenalToblakai t1_itn6e69 wrote

From what I understand it's not a lack of dopamine receptors so much as one's dopamine reuptake system being "too efficient" -- effectively cleaning up the dopamine before it's had the opportunity to actually finish doing its neurological job.

But yeah, ADHD in particular is a very multifaceted, complex, and nuanced topic. Being a neurological disorder already makes it such, but the way it intersects and interacts with social contexts makes for such a large variety of manifestations, many seemingly contradictory.

I did mostly fine as a kid because structure was imposed on me by school and parents...and because I had intense rejection sensitivity (and validation euphoria) which shaped my coping mechanisms. Yeah I hated and procrastinated on homework until the very last minute, but I'd ultimately do it because the prospective shame of teachers and parents being disappointed in me was overwhelming. Yeah I'd fidget, but to save myself from attention and embarrassment I'd keep them subtle and unnoticeable by others, like little tiny finger movements (imagining I'm playing an instrument -- in my case initially the recording and then the violin). Yeah I'd daydream and lose focus in class, but if there was a chance the teacher would call on me to answer something I'd be laser focused -- don't wanna disappoint.

Because of this no one knew I had ADHD, including myself. Always just figured I was just a "creative daydreamer" and "sensitive hopeless romantic". Never even considered the possibility as all I knew was the stereotype of hyperactive disruptive children with poor grades who couldn't focus where I was the opposite: a quiet and reserved kid with good grades who would hyperfocus on a good book or video games for hours (gee who would've thought that hyperfocus on things you're very interested in is itself a symptom of something called "attention-deficit" disorder.)

In middle school my family and I suspected social anxiety and got some SSRIs to medicate which ended up being terrible (made me feel incredibly apathetic to everything.)

And so for the longest time I figured I was just doomed to be an introverted socially anxious person.

Then adulthood came and I lost the externally imposed life structures of childhood and just fell apart. Still took me a decade to figure out I had ADHD, but in retrospect it all made so much sense...and my so-called social anxiety was primarily me subconsciously leaning into my rejection sensitivity as a coping mechanism to fight against other ADHD symptoms.


Rubyhamster t1_itn7lrf wrote

Wow, you are me. I was exactly the same. Realizing in my 30s that I've lived with ADHD my whole life was such a relief. I was mindblown. It all suddenly made sense. Thought I was doomed to not handle life and have been constantly stressed for 15 years. I just hope I can repair my self esteem in time to save my health from further unhealthy stress


iforgotmyacctinfo123 t1_itntplb wrote

Holy hell, this hit really close to home to the point that I got a bit emotional, reading it; I could’ve sworn we were living the same life. I’m no expert in the field nor topic, but have been struggling for years now in my adult life (I’m 27), to the point of emotional distress. I had always suspected the possibility of ADHD, but didn’t fully buy into it (mainly because I thought you had to be the textbook hyperactive, attention deficit description to fully consider it a possibility. The other reason being that I was an adult and it seem so odd to me to have these issues arise so prominently now; I just shrugged as just “life” itself), but reading this, I should get myself checked out or tested. Thank you for sharing your story, and I hope things have been much easier to manage for you in recent times


volkmasterblood t1_itn3xnd wrote

You can’t get ADHD remission and the original guy is talking out if his ass.


Mercinary-G t1_itnmc8o wrote

A lot of people are not aware that estrogen diminishes ADHD symptoms and puberty can be a positive time for some ADHD peeps. Estrogen is important hormone for both males and females.


sciencesnob t1_ito7xea wrote

That tracks as my I have been put on estrogen pills now bc I dont produce enough


Mercinary-G t1_ito9mko wrote

I just recently learnt all of this because I had a Progesterone only iud implanted and my ritalin stopped working. My doctor thought it was all in my mind because the dose is so small but she agreed to give me estrogen gel. She is not my ADHD doc. Estrogen helped so much. Estrogen has an enhancing effect while Progesterone has a canceling effect on ritalin. All executive function is impacted by these hormones. Just fyi


Wagamaga OP t1_itkvdop wrote

A recent study published in NeuroImage: Clinical used state-of-the-art neuroimaging techniques to determine what brain changes may cause childhood ADHD to go into remission. Christienne Damatac and colleagues looked at brain changes in those diagnosed with ADHD over 16 years. Their findings suggest that improved hyperactivity and inattentiveness symptoms result from increased white matter density in the brain region known as the left corticospinal tract. Additionally, reduced ADHD symptoms were associated with more neural connections in the same region.

ADHD is a common childhood diagnosis. However, some are fortunate enough to grow out of the challenging symptoms by adulthood, and others never do. Understanding why this is so may lead to important innovations in treating the disorder. One hypothesis is that the malfunctioning parts of the brain that result in ADHD symptoms are never able to repair themselves. Instead, for some, as the brain develops, other regions take over the responsibilities of the damaged areas. Dramatic and colleagues were curious if this was so and if these changes would persist over time.


sweglord42O t1_itmpjhi wrote

I don't understand why scientists expect the brain to "repair" itself. An ADHD brain develops the way it does not because of some aberrant process, but because thats how it was supposed to develop. The fact that its a developmentally different brain does not mean that the brain is "damaged".


princessfoxglove t1_itnbr1x wrote

As much as I love the idea of saying that the brain is not "damaged", it is unfortunately untrue that the ADHD brain is developed the way it is "supposed to".

ADHD is in fact a neurodevelopmental disorder, which means that during key stages of development both before and after birth brain growth and connectivity was impaired and that leads to lifelong developmental and practical issues with the brain and central nervous system.

Even though we can't point to a single cause for the major known neurodevelopmental disorders, we can compare neurodevelopmentally disordered brains to brains that developed without major (or minor) disruptions to development.

For example, with ADHD, brains show less matter overall, especially in the prefrontal cortex (controlling executive function), amygdala, (emotional regulation), hippocampus, (memory and emotional regulation), basal ganglia (emotion, movement, intention and action) as well as poorer connectivity through multiple different structures of the brain. This isn't an exhaustive list of the regions that are affected, since there are multiple factors that affect development, some genetic, some epigenetic, some environmental, and on and on.

In addition, the chemical differences with dopamine and norepinephrine are less efficient, which adds to the executive function challenges and adds to the learning time needed.

Our brains weren't supposed to develop this way - many of us can trace very well what the likely factors were when we look at our family history. For example, my mother and grandmother both were heavy smokers while pregnant, and both experienced some fairly severe trauma when they were younger.

The result, for me personally, was that my mother's smoking resulted in me being born premature and underweight with trauma at birth, and poorly developed brain and lungs. I have ADHD with many of the resulting comorbidities from poor brain development that I can actually pinpoint. I have poor gross motor control, emotional regulation challenges, a learning disability, and the regular basket of ADHD symptoms.

My brain is developmentally abnormal. You can compare it to a brain that developed without the interference of smoking and trauma and genetic causes in the same way that you can compare my hands, which are developmentally normal, to hands that developed abnormally, say, with webbing or an extra finger. You can make the same comparison between a heart that developed normally to a heart that developed abnormally with a hole in it.

When it comes to "repairing" what we're talking about is building new connections in the brain to compensate for the deficits of abnormal development, which is where educators and therapists (emotional, speech, occupational, etc.) come in.

For example, the parts of my brain that control gross motor function, vision, numbers, spatial awareness - they suck. This translates, for me, into having a hard time judging speed, distance, counting, maths skills, and movement. However, through targeted, informed learning understanding my brain differences, I have been able to learn maths, play sports, learn to drive, and play piano. However, for me to learn these things, I needed a higher number of repetitions than the average learner, needed multisensory approaches, needed to engage different parts of my brain, and had to build different connections to "repair" the faulty connectivity that I came with.

In maths, for example, I really struggle with number concepts. For me to understand division conceptually I had to learn it with visual and verbal processing rather than just numbers alone; I didn't understand that 30/2=15. I had to first see it with a group of 30 split into two physical groups using manipulatives, then understand that when we say "thirty divided 'by' two", the "by" actually means "into two equal groups" and/or "if thirty is divided into groups with two each in them, you will have 15 of those groups". I had to literally write out those sentences to understand that 30/2=15.

And I have to do that for every maths concept, from division to fractions to algebra to factors - if not, the information will not stay in my long-term memory. I have uneven cognitive development, whereby my verbal processing and intelligence is much higher, so I built pathways to conceptual understanding through those areas of my brain to compensate for the damaged developmentmal areas that could not function normally. So in a sense, I have "repaired" my brain's number sense to that of a neurodevelopmentally normal brain at this point. Now I just know 30/2=15.

People with major neurodevelopmental disorders need to do this is many areas for many different skills and functions, and do all the time.


sweglord42O t1_itnq79a wrote

I understand what you mean but I also disagree with you on some points. My main issue is with the language used not the content of the article or your comment.

I don't believe there is any high quality data on this topic but from my understanding, most people with ADHD do not have an inciting event that "causes" them to develop ADHD. This is not to deny your experience, but I do not believe that it is the norm for people with ADHD.

My ADHD brain developed as it should have, there were not any environmental or biological factors that interrupted my brain development. That's not to say it didn't develop differently compared to the "average" person. I think that conceptualizing an ADHD brain as "damaged" gives it the idea that you can "fix" it to become a typical brain.


princessfoxglove t1_itnrzi5 wrote

>I don't believe there is any high quality data on this topic but from my understanding, most people with ADHD do not have an inciting event that "causes" them to develop ADHD.

There is a plethora of peer-reviewed research on this. The tough thing for most laypeople to understand is that development of ADHD, autism, and the other major neurodevelopmental disorders is multifactorial and therefore hard to trace and almost never determined by a single cause.

In your case, you are not aware of the causes for your neurodevelopmental differences, but that doesn't mean they don't exist, and they exist regardless of your opinion.

You are conflating the science of neurodevelopmental disorders with the social science of how we frame normal development and how neurotypicality is preferred. The heart of what you are saying is that neurodevelopmental disorders should be accepted and the people with them should not have stigma or be pressured to do the extra individual work to be socially accepted or function according to neurotypical norms and values. To some extent, this is true. We do need to be more inclusive. It's better for everyone!

However, the science of is remains that neurodevelopmental disorders cause deficits that are a significant challenge outside of norms, and the science shows that those deficits can in many cases be overcome thanks to neuroplasticity and advanced understanding of how to educate and medicate.

People with ADHD are more likely to be in a fatal car crash because of our poor brain development. We have poorer reaction time, are more impulsive, and have issues with our parietal lobes, and so on. However, with extra practice, medication, and activities that encourage growth in the affected areas of the brain, we can become good, safe drivers. We can "fix" those deficits to be able to enjoy driving.

If we were to just stop and say "nah ADHD folks can't fix their deficits," we'd end up with a blanket ban on ADHD drivers, which wouldn't be very inclusive at all.


sweglord42O t1_ito2huu wrote

>In your case, you are not aware of the causes for your neurodevelopmental differences, but that doesn't mean they don't exist, and they exist regardless of your opinion.

That is as empty a statement as "every effect has a cause". Yes of course there are genetic, social and environmental causes for my developmental differences. I don't deny that at all. However, everything about the way we develop is multifactorial whether you turn out normal or not. It's wrong to say there are causes for my ADHD as if they were different from the same causes that make people develop normally. If that's what you mean, I 100% agree with you.

However, I want to be clear. I believe that it is inaccurate to say that there is a "cause" for ADHD in the sense that a virus is a "cause" for respiratory illness. This is what people hear when we say there are things that cause ADHD.

ADHD is not a monolith. There can be ADHD with a probable cause (your case), ADHD that is caused by a delay in brain development (kid who eventually grows out of ADHD), ADHD secondary to physical trauma as a child, ADHD that is "caused" by a brain that is just meant to be structurally different in its mature state. I would say that the first and third scenarios I describe to have "causes" for ADHD. The other two I wouldn't say there are causes. This is what I was referring to when I say there is not well defined data to describe what is more common.

I am in no way denying that people with ADHD have difficulties and that there are compensatory strategies to mitigate those difficulties.


yungsphincter t1_itm6xmz wrote

The corticospinal tract is motor though


beebeeff t1_itnm2ew wrote

I was wondering the same thing. I can’t find anything that suggests the relationship between left corticospinal tract and executive function and attention.


4fuqssake t1_itm7jma wrote

Mine has gotten worse as I got older


Rubyhamster t1_itmyg06 wrote

Because modern society is often not condusive to our good brain health. We have to find the few healthy pathways that are left to us. We would have been the bomb 10 000 years ago though.


DelusionalZ t1_itn8lr3 wrote

Yeah, the majority of what's expected, like 9 - 5, show up on time, keep track of tens of different things at once etc. is definitely difficult for ADHD brains without good coping strategies.

I would argue some jobs (data, engineering, dev work, especially agency work) play into the strengths of someone with ADHD, but the structures we build around them are limiting, since output + time management is often top priority, and middle management doesn't want to spend additional resources looking after someone or introducing flexibility.


Rubyhamster t1_itn8xqu wrote

I wish I had the guts to risk my good salary to be my own boss in a freelance creative business. But the risky money aspect scares me


katucan t1_itmb56l wrote

Could the cause of some peoples adhd disappear and come back? Could it be related to stress or environmental factors?


DesiBwoy t1_itqjg7x wrote

ADHD is very sensitive to environment and stress, so yes, of course!

ADHD never goes away, people just stumble upon situations and strategies that work for them. I got diagnosed at 29 after struggling through adulthood for 7 years. Childhood was nothing special, I just spent more time day dreaming and playing than studying. Faced no problems in college either. Now, just as I entered adulthood and responsibilities started to pile up- Viola! The limited RAM blew up!


wtfisreality t1_itn1j37 wrote

From the source paper they link to: "Given our longitudinal design, we did not split our participants into cases versus controls. Through the years, symptom scores and diagnoses varied through time and participant characteristics changed from wave to wave (Fig. 2). Some individuals originally recruited as controls or unaffected siblings developed ADHD at a later time-point and others recruited as ADHD participants remitted, further highlighting the complex, variable course of ADHD. Alternative to a case-control categorization, ADHD can be operationalized as a continuous trait (Lahey and Willcutt, 2010, Marcus and Barry, 2011). In a previous cross-sectional study, we systematically showed that, compared to categorical diagnoses, continuous symptom measures are more sensitive to diffusion-weighted brain features in this sample (Damatac et al., 2020). Thus, all models here used symptom scores, optimally capturing the dynamic and continuous nature of the ADHD spectrum throughout development in this longitudinal cohort."

Also, only 2-3% coexisting anxiety seems like it is not representative of the average populace with ADHD. It further does not seem to address dopamine dysfunction.


BestCatEva t1_itncxwi wrote

Interesting. My husband is off ADHD stimulants for the first time since 1977! It was a brutal withdrawal but he said he’s not symptomatic at all anymore — has many habits in place now that help. So, this seems ot be a real adaptation over time.


ATLSxFINEST93 t1_itmczhx wrote

Results and Conclusion from the study:

> Results Clinical improvement in HI symptoms over time was associated with more fiber density at follow-up in the left corticospinal tract (lCST) (tmax = 1.092, standardized effect[SE] = 0.044, pFWE = 0.016). Improvement in combined ADHD symptoms over time was associated with more fiber cross-section at follow-up in the lCST (tmax = 3.775, SE = 0.051, pFWE = 0.019).

> Conclusions Aberrant white matter development involves both lCST micro- and macrostructural alterations, and its path may be moderated by preceding symptom trajectory.


Fit-Rest-973 t1_ito21lx wrote

This is true! Last year, I outgrew my need for medication. I am so relieved.


MrHydromorphism t1_itmw3r2 wrote

I was told that this was a long-term result of medication and therapy when I was 9 in 1994. This is endlessly satisfying to read for me.


kingp43x t1_itngtei wrote

Study finds wagamaga has surpassed 10 million post karma


[deleted] t1_itnj2r3 wrote

I got diagnosed with it but then I diagnosed with autism by 2 psychologists, one being my uncle who is autistic as well. So it all makes sense. There’s a lot of similarities between the 2 so you could be misdiagnosed or have have both


Thick_Pomegranate_ t1_itnxx2a wrote

This happened to me. I was medicated for ADHD for much of my childhood but as an adult I have been able to navigate life without any need for medication at all.


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batfiend t1_itng2t7 wrote

Good to know all this therapy is in aid of something. Hopefully this is still true even if you don't take any medication.

"Remission" is an odd choice of word, though.


loganp8000 t1_itnjecp wrote

With or without legal Meth? (Adderall )


slowblink t1_itnq0d8 wrote

How does one get diagnosed? There’s multiple people in my life that think I have it.


Tyken12 t1_itnt53y wrote

and then there are those who were diagnosed as adults like me :(


FJCR89 t1_itnib5i wrote

The clickbait is real


autimaton t1_itnu79t wrote

A lot of people identify with their ADHD and won’t take well to the idea that it has triggers and treatments that don’t require lifetime doctor’s prescriptions.